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National Family Health Survey

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The National Family Health Survey (NFHS) is an India-wide survey conducted by the Ministry of Health and Family Welfare , Government of India , with the International Institute for Population Sciences serving as the nodal agency.

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61-491: In 1992–93, the first round of the National Family Health Survey was conducted in three phases. The main objective of the survey was to collect reliable and up-to-date information on fertility , family planning , mortality , and maternal and child health . Subsequently, three other rounds were conducted between 1998 and 2016. The latest survey is NFHS 5, which started in 2019. However, the survey

122-502: A patriotic duty to help increase their country's birthrate. Even the government was reluctant in its support to the movement. It was only between 1938 and 1939 that the French government became directly and permanently involved in the pronatalist effort. Although the birthrate started to surge in late 1941, the trend was not sustained. Falling birthrate once again became a major concern among demographers and government officials beginning in

183-431: A cascade of secondary effects within the cytoplasm of the cell, described as signal transduction , often involving phosphorylation or dephosphorylation of various other cytoplasmic proteins, changes in ion channel permeability, or increased concentrations of intracellular molecules that may act as secondary messengers (e.g., cyclic AMP ). Some protein hormones also interact with intracellular receptors located in

244-576: A competing ligand is bound to the receptor site, the hormone is unable to bind to that site and is unable to elicit a response from the target cell. These competing ligands are called antagonists of the hormone. Many hormones and their structural and functional analogs are used as medication . The most commonly prescribed hormones are estrogens and progestogens (as methods of hormonal contraception and as HRT ), thyroxine (as levothyroxine , for hypothyroidism ) and steroids (for autoimmune diseases and several respiratory disorders ). Insulin

305-476: A diverse range of systemic physiological effects. Different tissue types may also respond differently to the same hormonal signal. Arnold Adolph Berthold was a German physiologist and zoologist , who, in 1849, had a question about the function of the testes . He noticed in castrated roosters that they did not have the same sexual behaviors as roosters with their testes intact. He decided to run an experiment on male roosters to examine this phenomenon. He kept

366-433: A group of roosters with their testes intact, and saw that they had normal sized wattles and combs (secondary sexual organs ), a normal crow, and normal sexual and aggressive behaviors. He also had a group with their testes surgically removed, and noticed that their secondary sexual organs were decreased in size, had a weak crow, did not have sexual attraction towards females, and were not aggressive. He realized that this organ

427-406: A population where there are no induced abortions would have a Ca of 1, but a country where everybody used infallible contraception would have a Cc of 0. TFR = TF × Cm × Ci × Ca × Cc These four indices can also be used to calculate the total marital fertility (TMFR) and the total natural fertility (TN). TFR = TMFR × Cm TMFR = TN × Cc × Ca TN = TF × Ci In medicine, the definition of fertility

488-403: A rapid degradation cycle, making sure they do not reach distant sites within the body. Hormones are also regulated by receptor agonists. Hormones are ligands, which are any kinds of molecules that produce a signal by binding to a receptor site on a protein. Hormone effects can be inhibited, thus regulated, by competing ligands that bind to the same target receptor as the hormone in question. When

549-431: A rooster with one testis removed, and saw that they had normal behavior and physical anatomy as well. Berthold determined that the location or genetic factors of the testes do not matter in relation to sexual organs and behaviors, but that some chemical in the testes being secreted is causing this phenomenon. It was later identified that this factor was the hormone testosterone . Although known primarily for his work on

610-429: A type of hormone that share a commonality with neurotransmitters. They are produced by endocrine cells that receive input from neurons, or neuroendocrine cells. Both classic hormones and neurohormones are secreted by endocrine tissue; however, neurohormones are the result of a combination between endocrine reflexes and neural reflexes, creating a neuroendocrine pathway. While endocrine pathways produce chemical signals in

671-482: A wide range of processes including both physiological processes and behavioral activities such as digestion , metabolism , respiration , sensory perception , sleep , excretion , lactation , stress induction, growth and development , movement , reproduction , and mood manipulation. In plants, hormones modulate almost all aspects of development, from germination to senescence . Hormones affect distant cells by binding to specific receptor proteins in

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732-1127: A year, while a study in 2013 of 2,820 Danish women saw 78% of 35- to 40-year-olds conceive within a year. According to an opinion by the Practice Committee of the American Society for Reproductive Medicine, specific coital timing or position, and resting supine after intercourse have no significant impact on fertility. Sperm can be found in the cervical canal seconds after ejaculation, regardless of coital position. Successful pregnancies facilitated by fertility treatment have been documented in women as old as 67 . Some research suggests that older males have decreased semen volume, sperm motility , and impaired sperm morphology. In studies that controlled for female partner's age, comparisons between men under 30 and men over 50 found relative decreases in pregnancy rates between 23% and 38%. Sperm count declines with age, with men aged 50–80 years producing sperm at an average rate of 75% compared with men aged 20–50 years and larger differences exist in

793-467: Is "the capacity to establish a clinical pregnancy." Women have hormonal cycles which determine when they can achieve pregnancy . The cycle is approximately twenty-eight days long, with a fertile period of five days per cycle, but can deviate greatly from this norm. Men are fertile continuously, but their sperm quality is affected by their health, frequency of ejaculation, and environmental factors. Fertility declines with age in both sexes. For women,

854-436: Is defined as not being able to conceive a child after one year (or longer) of unprotected sex . The antithesis of fertility is infertility , while the antithesis of fecundity is sterility . In demographic contexts, fertility refers to the actual production of offspring, rather than the physical capability to produce which is termed fecundity . While fertility can be measured, fecundity cannot be. Demographers measure

915-531: Is no agreement that these molecules can be called hormones. Peptides Derivatives Compared with vertebrates, insects and crustaceans possess a number of structurally unusual hormones such as the juvenile hormone , a sesquiterpenoid . Examples include abscisic acid , auxin , cytokinin , ethylene , and gibberellin . Most hormones initiate a cellular response by initially binding to either cell surface receptors or intracellular receptors . A cell may have several different receptors that recognize

976-479: Is the ability of pharmacologic doses of glucocorticoids to suppress inflammation . At the neurological level, behavior can be inferred based on hormone concentration, which in turn are influenced by hormone-release patterns; the numbers and locations of hormone receptors; and the efficiency of hormone receptors for those involved in gene transcription. Hormone concentration does not incite behavior, as that would undermine other external stimuli; however, it influences

1037-611: Is unproven. Australian researchers have found evidence to suggest obesity may cause subtle damage to sperm and prevent a healthy pregnancy. They reported fertilization was 40% less successful when the father was overweight. The American Fertility Society recommends an age limit for sperm donors of 50 years or less, and many fertility clinics in the United Kingdom will not accept donations from men over 40 or 45 years of age. The French pronatalist movement from 1919 to 1945 failed to convince French couples they had

1098-609: Is used by many diabetics . Local preparations for use in otolaryngology often contain pharmacologic equivalents of adrenaline , while steroid and vitamin D creams are used extensively in dermatological practice. A "pharmacologic dose" or "supraphysiological dose" of a hormone is a medical usage referring to an amount of a hormone far greater than naturally occurs in a healthy body. The effects of pharmacologic doses of hormones may be different from responses to naturally occurring amounts and may be therapeutically useful, though not without potentially adverse side effects. An example

1159-730: The Citizendium article " Fertility (demography) ", which is licensed under the Creative Commons Attribution-ShareAlike 3.0 Unported License but not under the GFDL . Hormonal A hormone (from the Greek participle ὁρμῶν , "setting in motion") is a class of signaling molecules in multicellular organisms that are sent to distant organs or tissues by complex biological processes to regulate physiology and behavior . Hormones are required for

1220-453: The Theory of Evolution , Charles Darwin was also keenly interested in plants. Through the 1870s, he and his son Francis studied the movement of plants towards light. They were able to show that light is perceived at the tip of a young stem (the coleoptile ), whereas the bending occurs lower down the stem. They proposed that a 'transmissible substance' communicated the direction of light from

1281-418: The bloodstream , typically via fenestrated capillaries , whereas the exocrine system secretes its hormones indirectly using ducts . Hormones with paracrine function diffuse through the interstitial spaces to nearby target tissue. Plants lack specialized organs for the secretion of hormones, although there is spatial distribution of hormone production. For example, the hormone auxin is produced mainly at

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1342-472: The cytoplasm or nucleus by an intracrine mechanism. For steroid or thyroid hormones, their receptors are located inside the cell within the cytoplasm of the target cell. These receptors belong to the nuclear receptor family of ligand-activated transcription factors . To bind their receptors, these hormones must first cross the cell membrane. They can do so because they are lipid-soluble. The combined hormone-receptor complex then moves across

1403-474: The rhythm method of contraception. The average age of menarche in the United States is about 12.5 years. In postmenarchal girls, about 80% of the cycles are anovulatory (ovulation does not actually take place) in the first year after menarche, 50% in the third and 10% in the sixth year. Menopause occurs during a woman's midlife between ages 48 and 55. During menopause, hormonal production by

1464-542: The thyroid , which increases output of thyroid hormones . To release active hormones quickly into the circulation , hormone biosynthetic cells may produce and store biologically inactive hormones in the form of pre- or prohormones . These can then be quickly converted into their active hormone form in response to a particular stimulus. Eicosanoids are considered to act as local hormones. They are considered to be "local" because they possess specific effects on target cells close to their site of formation. They also have

1525-414: The vagina . A woman's menstrual cycle begins, as arbitrarily assigned, with menses. Next is the follicular phase where estrogen levels build as an ovum matures (due to the follicular stimulating hormone, or FSH) within the ovary. When estrogen levels peak, it spurs a surge of luteinizing hormone (LH) which completes maturation and enables the ovum to break through the ovary wall. This is ovulation. During

1586-511: The 1970s. In mid-2018, there was a bill introduced to legalize single women and lesbian couples to get fertility treatment. At the beginning of 2020, the Senate approved the bill 160 votes to 116. They are a step closer to legalizing fertility treatments for all women regardless of sexual orientation or marital status. Soon there will be no reason for lesbian couples or single women to travel to be able to start their own family. South Korea has

1647-471: The Baby Boom years (1946–1964), women married earlier and had their babies sooner; the number of children born to mothers after age 35 did not increase. After 1960, new methods of contraception became available, ideal family size fell, from 3 to 2 children. Couples postponed marriage and first births, and they sharply reduced the number of third and fourth births. This article incorporates material from

1708-468: The Baby Boom. Bongaarts proposed a model where the total fertility rate of a population can be calculated from four proximate determinants and the total fecundity (TF). The index of marriage (Cm), the index of contraception (Cc), the index of induced abortion (Ca) and the index of postpartum infecundability (Ci). These indices range from 0 to 1. The higher the index, the higher it will make the TFR, for example

1769-471: The ability to have offspring . In demographic contexts, fertility refers to the actual production of offspring, rather than the physical capability to reproduce, which is termed fecundity . The fertility rate is the average number of children born during an individual's lifetime. In medicine, fertility refers to the ability to have children, and infertility refers to difficulty in reproducing naturally. In general, infertility or subfertility in humans

1830-402: The behaviors affected by episodically secreted hormones directly prevent the continuous release of sad hormones. Three broad stages of reasoning may be used to determine if a specific hormone-behavior interaction is present within a system: Though colloquially oftentimes used interchangeably, there are various clear distinctions between hormones and neurotransmitters : Neurohormones are

1891-536: The cell surface. In vertebrates, endocrine glands are specialized organs that secrete hormones into the endocrine signaling system . Hormone secretion occurs in response to specific biochemical signals and is often subject to negative feedback regulation . For instance, high blood sugar (serum glucose concentration) promotes insulin synthesis. Insulin then acts to reduce glucose levels and maintain homeostasis , leading to reduced insulin levels. Upon secretion, water-soluble hormones are readily transported through

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1952-474: The circulatory system. Lipid-soluble hormones must bond to carrier plasma glycoproteins (e.g., thyroxine-binding globulin (TBG)) to form ligand -protein complexes. Some hormones, such as insulin and growth hormones, can be released into the bloodstream already fully active. Other hormones, called prohormones , must be activated in certain cells through a series of steps that are usually tightly controlled. The endocrine system secretes hormones directly into

2013-706: The correct development of animals , plants and fungi . Due to the broad definition of a hormone (as a signaling molecule that exerts its effects far from its site of production), numerous kinds of molecules can be classified as hormones. Among the substances that can be considered hormones, are eicosanoids (e.g. prostaglandins and thromboxanes ), steroids (e.g. oestrogen and brassinosteroid ), amino acid derivatives (e.g. epinephrine and auxin ), protein or peptides (e.g. insulin and CLE peptides ), and gases (e.g. ethylene and nitric oxide ). Hormones are used to communicate between organs and tissues . In vertebrates , hormones are responsible for regulating

2074-609: The decline begins around the age of 32, and becomes precipitous at age 37. For men, potency and sperm quality begins to decline around the age of 40. Even if an older couple does manage to conceive a child, the pregnancy will be increasingly difficult for the mother, and carries a higher risk of birth defects and genetic disorders for the child. Pregnancy rates for sexual intercourse are highest when it occurs every 1 or 2 days, or every 2 or 3 days. Studies have found no significant difference between different sex positions and pregnancy rate, as long as it results in ejaculation into

2135-474: The declining fertility rate. From 1800 to 1940, fertility fell in the US. There was a marked decline in fertility in the early 1900s, associated with improved contraceptives, greater access to contraceptives and sexuality information and the "first" sexual revolution in the 1920s. After 1940 fertility suddenly started going up again, reaching a new peak in 1957. After 1960, fertility started declining rapidly. In

2196-548: The fertility process was introduced by Kingsley Davis and Judith Blake in 1956 and makes use of three proximate determinants: The economic analysis of fertility is part of household economics , a field that has grown out of the New Home Economics . Influential economic analyses of fertility include Becker (1960), Mincer (1963), and Easterlin (1969). The latter developed the Easterlin hypothesis to account for

2257-423: The fertility rate in a variety of ways, which can be broadly broken into "period" measures and " cohort " measures. "Period" measures refer to a cross-section of the population in one year. "Cohort" data on the other hand, follows the same people over a period of decades. Both period and cohort measures are widely used. A parent's number of children strongly correlates with the number of children that each person in

2318-412: The following steps: Exocytosis and other methods of membrane transport are used to secrete hormones when the endocrine glands are signaled. The hierarchical model is an oversimplification of the hormonal signaling process. Cellular recipients of a particular hormonal signal may be one of several cell types that reside within a number of different tissues, as is the case for insulin , which triggers

2379-432: The form of hormones, the neuroendocrine pathway involves the electrical signals of neurons. In this pathway, the result of the electrical signal produced by a neuron is the release of a chemical, which is the neurohormone . Finally, like a classic hormone, the neurohormone is released into the bloodstream to reach its target. Hormone transport and the involvement of binding proteins is an essential aspect when considering

2440-400: The function of hormones. The formation of a complex with a binding protein has several benefits: the effective half-life of the bound hormone is increased, and a reservoir of bound hormones is created, which evens the variations in concentration of unbound hormones (bound hormones will replace the unbound hormones when these are eliminated). An example of the usage of hormone-binding proteins

2501-486: The lowest fertility rate in the world at 0.78. A variety of explanations have been proposed, ranging from investment in education to birth control , abortion , a decline in the marriage rate, divorce , female participation in the labor force, and the 1997 Asian financial crisis . After being legal from the 1960s to the 1980s, abortion was again made illegal in South Korea in the early 2000s in an attempt to reverse

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2562-468: The luteal phase following ovulation LH and FSH cause the post-ovulation ovary to develop into the corpus luteum which produces progesterone. The production of progesterone inhibits the LH and FSH hormones which (in a cycle without pregnancy) causes the corpus luteum to atrophy, and menses to begin the cycle again. Peak fertility occurs during just a few days of the cycle: usually two days before and two days after

2623-413: The negative feedback mechanism. Negative feedback must be triggered by overproduction of an "effect" of the hormone. Hormone secretion can be stimulated and inhibited by: One special group of hormones is the tropic hormones that stimulate the hormone production of other endocrine glands . For example, thyroid-stimulating hormone (TSH) causes growth and increased activity of another endocrine gland,

2684-444: The next generation will eventually have. Factors generally associated with increased fertility include religiosity , intention to have children, and maternal support. Factors generally associated with decreased fertility include wealth , education, female labor participation , urban residence, cost of housing, intelligence , increased female age and (to a lesser degree) increased male age . The "Three-step Analysis" of

2745-433: The nuclear membrane into the nucleus of the cell, where it binds to specific DNA sequences , regulating the expression of certain genes , and thereby increasing the levels of the proteins encoded by these genes. However, it has been shown that not all steroid receptors are located inside the cell. Some are associated with the plasma membrane . Hormones have the following effects on the body: A hormone may also regulate

2806-718: The number of seminiferous tubules in the testes containing mature sperm: Decline in male fertility is influenced by many factors, including lifestyle, environment and psychological factors. Some research suggests increased risks for health problems for children of older fathers, but no clear association has been proven. A large scale study in Israel suggested that the children of men 40 or older were 5.75 times more likely than children of men under 30 to have an autism spectrum disorder , controlling for year of birth, socioeconomic status, and maternal age. Increased paternal age has been suggested to correlate with schizophrenia but it

2867-492: The ovaries is reduced, eventually causing a permanent cessation of the creation of the uterine lining (period). This is considered the end of the fertile phase of a woman's life. The predicted effect of age on female fertility in women trying to get pregnant, without using fertility drugs or in vitro fertilization: Studies of couples trying to conceive have yielded better results: one 2004 study of 770 European women found that 82% of 35- to 39-year-old women conceived within

2928-445: The ovulation date. This fertile window varies from woman to woman, just as the ovulation date often varies from cycle to cycle for the same woman. The ovule is usually capable of being fertilized for up to 48 hours after it is released from the ovary . Sperm survive inside the uterus between 48 and 72 hours on average, with the maximum being 120 hours (5 days). These periods and intervals are important factors for couples using

2989-405: The passage of food from the stomach to the intestines , which they believed to be due to the nervous system. They cut the nerves to the pancreas in an animal model and discovered that it was not nerve impulses that controlled secretion from the pancreas. It was determined that a factor secreted from the intestines into the bloodstream was stimulating the pancreas to secrete digestive fluids. This

3050-408: The production and release of other hormones. Hormone signals control the internal environment of the body through homeostasis . The rate of hormone biosynthesis and secretion is often regulated by a homeostatic negative feedback control mechanism. Such a mechanism depends on factors that influence the metabolism and excretion of hormones. Thus, higher hormone concentration alone cannot trigger

3111-518: The same hormone but activate different signal transduction pathways, or a cell may have several different receptors that recognize different hormones and activate the same biochemical pathway. Receptors for most peptide as well as many eicosanoid hormones are embedded in the cell membrane as cell surface receptors, and the majority of these belong to the G protein-coupled receptor (GPCR) class of seven alpha helix transmembrane proteins. The interaction of hormone and receptor typically triggers

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3172-399: The substance causing the physiological changes, was the first hormone to be discovered. The term hormone would later be coined by Starling. William Bayliss and Ernest Starling , a physiologist and biologist , respectively, wanted to see if the nervous system had an impact on the digestive system . They knew that the pancreas was involved in the secretion of digestive fluids after

3233-499: The surface of target cells via second messengers . Lipid soluble hormones, (such as steroids ) generally pass through the plasma membranes of target cells (both cytoplasmic and nuclear ) to act within their nuclei . Brassinosteroids, a type of polyhydroxysteroids, are a sixth class of plant hormones and may be useful as an anticancer drug for endocrine-responsive tumors to cause apoptosis and limit plant growth. Despite being lipid soluble, they nevertheless attach to their receptor at

3294-485: The system by increasing the probability of a certain event to occur. Not only can hormones influence behavior, but also behavior and the environment can influence hormone concentration. Thus, a feedback loop is formed, meaning behavior can affect hormone concentration, which in turn can affect behavior, which in turn can affect hormone concentration, and so on. For example, hormone-behavior feedback loops are essential in providing constancy to episodic hormone secretion, as

3355-417: The target cell, resulting in a change in cell function. When a hormone binds to the receptor, it results in the activation of a signal transduction pathway that typically activates gene transcription , resulting in increased expression of target proteins . Hormones can also act in non-genomic pathways that synergize with genomic effects. Water-soluble hormones (such as peptides and amines) generally act on

3416-440: The tip down to the stem. The idea of a 'transmissible substance' was initially dismissed by other plant biologists, but their work later led to the discovery of the first plant hormone. In the 1920s Dutch scientist Frits Warmolt Went and Russian scientist Nikolai Cholodny (working independently of each other) conclusively showed that asymmetric accumulation of a growth hormone was responsible for this bending. In 1933 this hormone

3477-406: The tips of young leaves and in the shoot apical meristem . The lack of specialised glands means that the main site of hormone production can change throughout the life of a plant, and the site of production is dependent on the plant's age and environment. Hormone producing cells are found in the endocrine glands , such as the thyroid gland , ovaries , and testes . Hormonal signaling involves

3538-423: Was essential for these behaviors, but he did not know how. To test this further, he removed one testis and placed it in the abdominal cavity. The roosters acted and had normal physical anatomy . He was able to see that location of the testes does not matter. He then wanted to see if it was a genetic factor that was involved in the testes that provided these functions. He transplanted a testis from another rooster to

3599-520: Was finally isolated by Kögl, Haagen-Smit and Erxleben and given the name ' auxin '. British physician George Oliver and physiologist Edward Albert Schäfer , professor at University College London, collaborated on the physiological effects of adrenal extracts. They first published their findings in two reports in 1894, a full publication followed in 1895. Though frequently falsely attributed to secretin , found in 1902 by Bayliss and Starling, Oliver and Schäfer's adrenal extract containing adrenaline ,

3660-601: Was named secretin : a hormone. Hormonal effects are dependent on where they are released, as they can be released in different manners. Not all hormones are released from a cell and into the blood until it binds to a receptor on a target. The major types of hormone signaling are: As hormones are defined functionally, not structurally, they may have diverse chemical structures. Hormones occur in multicellular organisms ( plants , animals , fungi , brown algae , and red algae ). These compounds occur also in unicellular organisms , and may act as signaling molecules however there

3721-611: Was stalled amid the COVID-19 associated lockdown . Eventually, the NFHS-5 findings were released in December 2020. Based on these findings, the ministry has set up a technical expert group to improve indicators pertaining to Malnutrition , Stunting , Anaemia , and C-Section . This health -related article is a stub . You can help Misplaced Pages by expanding it . Fertility Fertility in colloquial terms refers

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