User talk:Zakir.hussain0727

= Stayfree India = Stayfree India is a brand of feminine hygiene products and is owned by the global company Johnson & Johnson [1], the world’s largest medical devices and diagnostic company and the sixth largest consumer health company. [2]

Stayfree’s products in India consist of a range of both Maxi and Ultra-Thin sanitary napkins for women to choose from, depending on their menstrual cycle and flow. [3] Stayfree Secure Cottony Soft is a Maxi product meant for consumers transitioning from cloth to sanitary napkins. [4] Stayfree Secure Extra Large is another Maxi product, targeted to women searching for leak protection. [5]

Stayfree Advanced is an Ultra-Thin product, meant for women seeking comfortable protection [6]. Stayfree All Nights is another Ultra-Thin product meant for night-time usage by women. [7]

Stayfree also has OB tampons and carefree panty liners as a part of their product offering in India. [8]

= Stayfree Products = For years women have followed ancient traditions, superstitions and practices during their periods. [9] There are several examples of these primitive methods that are both unhealthy and unhygienic- like the use of rags and old clothes which is common in rural India. [10] These increase the chances of UTIs including urinary, vaginal and perineal infection. If left untreated, these infections may lead to potentially fatal toxic shock syndrome. [11]

Stayfree invests time and resources in educating women about the benefits of using scientifically created sanitary products, guiding women to choose between pads and tampons rather than rags and old cloth. [12] These Stayfree products are also ratified by doctors and gynaecologists who recommend the usage of sanitary napkins for increased hygiene during periods. 98%* of Gynaecologists strongly believe that commercial sanitary napkins are effective in preventing Reproductive Tract Infections (RTIs) /Urinary Tract Infections (UTIs) and skin infections. [11]

= Stayfree Sanitary Napkins =

Gynaecologists advice usage of sanitary napkins for better hygiene during periods. 98%* doctors feel that these sanitary pads are safe, healthier and essential to maintain menstrual health. [11] It is advisable to change your pad after every 4-5 hours at least. [12]

The range of sanitary napkins offered by Stayfree in India are [3][13][14]:

= Tampons =

Stayfree also offers tampons [15], which needs to be fitted inside the vagina where there are practically no sensory nerves. OB Tampons then expand within the vaginal walls soaking up the menstrual flow. A small string is attached at one end of the tampon to remove it. [16]

A word of caution: Toxic Shock Syndrome (TSS) is a rare but serious disease. In case you have ever suffered from TSS, consult your physician before using. [16]

Liners
Stayfree also has panty liners that are meant to be used in between periods to absorb the discharge released from the vagina. [19] This discharge amount changes during the month. Liners are similar to a spare pair of panties that can be changed as per convenience. [20] They also used:
 * When expecting the next period to start
 * Towards the end of the period in case it hasn’t completely finished yet
 * As a backup when one first starts wearing tampons, until one is completely confident of using a tampon on its own [20]

Social Causes
The Stayfree Women for Change initiative, by Johnson & Johnson Limited, states that it aims to improve the living conditions of underprivileged women in India. [22] Part of the sale proceeds of Stayfree packs are contributed by Johnson & Johnson Limited in support of UNICEF in its health and hygiene programmes for adolescent girls in India. [23] Stayfree India has also joined hands with Samhita Social Ventures Pvt Ltd [5] and Nadathur Trust [24] to provide a health programme for women, by inviting contributions to their "Support a Woman" programme. [23]

The Awareness Programme
Stayfree is also dedicated to women’s health care and health awareness which lead to the ‘Growing Up’ program. This program was conducted in association by the federation of obstetric and gynaecological societies of India (FOGSI) in association with Johnson & Johnson. [25] The programme objective was to educate mothers on how to talk to their daughters about their periods. The reason: Mothers could become the change ambassadors for the brand and spread information about health and hygiene generation after generation. That’s why step 1 for Stayfree & FOGSI was to first educate mothers on everything they needed to know about periods. [25] The programme was determined to covered several detailed topics about women & menstruation so that the women who learn from this have the power to spread their new found knowledge to their children, and so on. [26] In addition to the programme Stayfree launched its very own version of FAQs within their ‘Women for Change’ website. The purpose of this is to address all queries women may have about their period and menstrual health. [38]

Everything about periods
Through the Growing Up programme Stayfree informs and educates women about periods and allows them to have a safer and healthier period. Education and information that empowers women and change the way they approach their periods and also gives them the confidence to take on their lives with confidence. [27]

Menstruation Basics
The first subject of the programme was ‘Menstruation Basics’ This subject covered how girls enter puberty between the ages of 8 to 14, when their brain releases chemicals known as hormones into the blood. These hormones travel to different areas of the body, resulting in growth and development. Physical changes are signs of puberty, which can vary from woman to woman. These changes include [28]:

Within the subject of ‘Menstruation Basics’ each step of the menstrualcycle was also covered so that women in India know the process from when a woman hits puberty to how her body undergoes hormonal changes between the ages of 9 – 15, wherein one of the ovaries releases an egg that travels through the fallopian tube waiting to be fertilised. The programme even covered how a lining grows in a woman’s uterus that prepares her body for the conception of a baby, in case the egg from the ovaries get fertilised. In order to complete the menstrual cycle, the programme then explained if the egg doesn’t get fertilised, the body then needs to lose this lining, which then dissolves with the egg and is released from the uterus forming periods. The blood travels out of the uterus through the cervix and is then released through the vagina out of the body. The flow stops when this lining is completely shed from the uterus. The whole process, from the build-up of the lining to the discharge is known as a menstrual cycle. [28]

A Period Calendar
It became important to also educate women about how to prepare for their next period. So Stayfree later covered the importance of a period calendar as well. It shows women how to mark the first date of their period and the first date of the next period when it occurs. Counting the number of days between the two dates then gave them the duration of their menstrual cycle. Thus, they can estimate the date their next period will start. (Typically 28 days from when periods first began). [29] In order to provide a holistic education, Stayfree covered the possibility of varying dates one may face in their first 6 months /one year of menstruation. At this point reasons for variation were also covered (from change in environment to tension/stress/excitement to excessive training/workouts exercises to gaining/losing weight rapidly)[30]

Managing periods
The programme then focused on how women in India need to have a ‘hygienic period’ along with different methods on ‘how to manage periods’ – The reason for this subject lies behind the fact that several women (especially in rural India) still use cloth as a form of sanitary protection, instead of hygienic sanitary napkins [31]

Irregular flow
Most women in India are now aware that the menstrual flow is generally heaviest during the first 3 days and gets lighter over the following few days. However, there are individuals who have a medium flow for up to 5 days. [30] A woman with an extremely heavy flow for more than 7 days every month, with blood clots, would be asked to see a gynaecologist about it. [32]

Consulting a Gynaecologist
Stayfree informed mothers that it is deemed necessary to consult a gynaecologist under the following conditions [32]:


 * If periods continue to be irregular and unpredictable, even after two years of the first period.
 * If menstrual flow is very heavy or lasts much longer than the normal number of days
 * Severe discomfort, stomach cramps or pain
 * If periods stop occurring for several months after starting menstruation
 * if menstruation has not occurred until the age of 15
 * If vaginal bleeding occurs in between 2 periods

White discharge
The Growing Up programme covered several health issues that women were likely to face. One such common health problem is vaginal discharge. It is light, limpid, viscous and mucous. The amount of the discharge depends on the time of the menstrual cycle. This is produced from the womb neck. It contains fluids and cells that are excreted for keeping the vagina clean and protecting it. The vaginal discharge is common at the beginning and the end of a cycle. However, in case it causes irritation, pain or has a foul odour, it might indicate yeast infection, and a gynaecologist must be consulted. [33]

PMS
PMS or Pre-Menstrual Syndrome is a common problem faced by adolescent women. It is a combination of symptoms some girls suffer from, a week or so before their period, due to hormonal changes. The symptoms usually go away after the period starts. The intensity of the symptoms varies from woman to woman. [34] PMS gives rise to mood swings, such as depression and an irrational feeling of being upset and angry. Breast tenderness, headaches and tiredness are also symptoms of PMS. Educating, informing and preparing women for PMS is also one of the key focus areas for this programme. [35]

Menstrual Cramps
Helping women tackle menstrual cramps is another way Stayfree provides support to women. Understanding menstrual cramps helped women understand and cope with the cramps more effectively. These cramps occur due the hormonal changes when the uterus throbs to pump out the menstrual blood, often causing pain in the thighs and legs. [36] Recommended measures to take in order to alleviate the pain [37]:
 * Placing a heating pad on the abdomen or taking a warm shower
 * Gentle exercises such as walking or stretching
 * Massages
 * Yoga or meditation
 * Avoiding fatty or greasy food and maintaining a good diet
 * Hot soup or soothing herbal tea

Odour
Stayfree also gives women valuable tips to maintain personal hygiene during periods through their current women for change website [38]. Menstrual Odour is a very common hygiene issue with girls during their periods. Menstrual fluid starts to smell when it comes in contact with air. A pad worn all day can get strong smelling. Gynaecologists recommend frequent changing of the pad in order to ensure that there is no odour. [39]

Menopause
Since the programme spoke to mothers, it was important to inform them about when their own periods would stop occurring. Therefore, it is through their women for change website that they inform mothers on what menstruation is and how periods normally stops occurring after a woman reaches her forties, but can vary from person to person. [40]

Maintaining menstrual hygiene
In addition to health the Growing Up programme also focused on improving basic hygiene among women during their periods through its’ women for change website. [38] Warm baths are believed to alleviate cramps. Vaginal douching is discouraged by gynaecologists as it can cause the normal chemical balance in the vagina to shift and lead to bacterial vaginal infections. Using baby and feminine wipes every day is also discouraged. [41]

Do’s and Don’ts’ during menstruation
Stayfree India provides a holistic approach to improve the overall health and hygiene especially during one’s periods. Education and information help women have a safer and more comfortable periods. Here are a few Do’s and Don’ts’ as laid out by the brand. [38] Pills: Pills to delay a menstrual cycle are generally discouraged, unless one consults their doctor. Swimming: It is generally recommended that a woman wears a tampon instead of a pad while swimming in order to prevent the menstrual blood from reaching the swimsuit or pool. Papaya: Alternative therapies believe that consumption of papaya brings heavy bleeding. However, there is no known scientific basis to prove the theory. Anemia: 50% women in India suffer from anemia. It is a condition where a person has a lower count of red blood cells, due to decreased iron content, in the blood. An insufficient amount of iron-rich foods in one’s diet can make one likely to suffer from anaemia. The following are common symptoms of Anaemia:
 * Dull, tired looking skin
 * Whiteness on inner side of the eyelids
 * Pale, white gums
 * Whiteness in nails
 * Weakness and fatigue

Personal care tips
The Women For Change also educates women on personal care tips during periods. It all begins with a diet. A proper diet, exercise and good personal hygiene of bathing and wearing fresh clothes throughout the month is known to help women feel better during menstruation. Not maintaining a proper diet can make one run the risk of suffering from anemia. This has long-term health and reproductive consequences. [42]

Choosing between a sanitary napkin and a tampon
It is recommended for women to use a regular sized pad or tampon for the first time menstruation occurs. A bigger one might be opted for if the regular size gets filled very quickly. [43]

Some girls use two different absorbencies – one for their heavy days and a lighter absorbency for their lighter days. There are also special pads for the night time. These are longer and wider, in order to accommodate the position and movements of a sleeping person. [44]

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