MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Reproductive Health' source. Wed, 08 Feb 2012 23:01:07 +0100 http://www.medworm.com/index.php?rid=5630851&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F9%2F1%2F2 Conclusion: In this study, a large proportion of women delivered under the program. Most mothers reporting timely receipt of the cash transfer. Nevertheless, there is still a subset of mothers delivering at home, who do not or cannot access emergency obstetric care under the program and remain at risk of maternal death. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=5630851 Tue, 24 Jan 2012 05:00:00 +0100 5630851 http://www.medworm.com/index.php?rid=5630850&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F9%2F1%2F3 Conclusions: The prevalence of PD is high and associated with gingival bleeding on probing, more advanced gestational age and obesity. A program of oral health care should be included in prenatal care for early pregnancy, especially for low-income populations. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=5630850 Tue, 24 Jan 2012 05:00:00 +0100 5630850 http://www.medworm.com/index.php?rid=5585226&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F9%2F1%2F1 Conclusions: The economy of the family, parity, and walking distance to the nearest health care institution are strong predictors of unintended pregnancy. In order to reduce the high rate of unintended pregnancy Efforts to reach rural women with family planning services should be strengthened. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=5585226 Thu, 12 Jan 2012 05:00:00 +0100 5585226 http://www.medworm.com/index.php?rid=5553501&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F40 Conclusions: Technical training interventions do not reduce providers' attitudinal barriers towards IUD provision. Formative research is needed to better understand reasons for the high levels of provider barriers to IUD provision. "Non-training" interventions should be designed to lower these barriers. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=5553501 Fri, 30 Dec 2011 05:00:00 +0100 5553501 http://www.medworm.com/index.php?rid=5527457&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F39 Unsafe abortion is a significant contributor to worldwide maternal mortality; however, abortion law andpolicy liberalization could lead to drops in unsafe abortion and related deaths. This review provides ananalysis of changes in abortion mortality in three countries where significant policy reform and relatedservice delivery occurred. Drawing on peer-reviewed literature, population data and grey literature onprograms and policies, this paper demonstrates the policy and program changes that led to declines inabortion-related mortality in Romania, South Africa and Bangladesh. In all three countries, abortionpolicy liberalization was followed by implementation of safe abortion services and other reproductivehealth interventions. South Africa and Bangladesh trained mid-level providers to offe... Reproductive Health journals http://www.medworm.com/rss/comments.php?id=5527457 Thu, 22 Dec 2011 05:00:00 +0100 5527457 http://www.medworm.com/index.php?rid=5507072&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F38 Conclusions: Clients reported conflicting experiences in several areas of their lives after tubal sterilization. Management, including awareness of the particular features of the client, is needed to decrease the likelihood of psychosocial morbidity and/or to select clients in need of sterilization. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=5507072 Fri, 16 Dec 2011 05:00:00 +0100 5507072 http://www.medworm.com/index.php?rid=5488840&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F37 Conclusions: The local government should focus on increasing educational level. It must also ensure family planning methods security, increase competence of providers, and create awareness on various methods and their side effects to empower women to make an appropriate choice. Emphasis should be given to rural communities. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=5488840 Thu, 08 Dec 2011 05:00:00 +0100 5488840 http://www.medworm.com/index.php?rid=5470497&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F36 Conclusion: Strategies to invite men to participate in maternal health care were at health facility, family and community levels. The couple strategy was most appropriate but was mostly used by educated and city residents. The male peer strategy was effective and sustainable at community level. There is need for creation of awareness in men so that they sustain their participation in maternal health care activities of their female partners even in the absence of incentives, coercion or invitation. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=5470497 Fri, 02 Dec 2011 05:00:00 +0100 5470497 http://www.medworm.com/index.php?rid=5460053&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F35 Conclusion: Use of HAART and caesarian delivery are protective factors for mother-to-child transmission of HIV. Maternal coinfecctions and other conditions were risk factors for MTCT. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=5460053 Wed, 30 Nov 2011 05:00:00 +0100 5460053 http://www.medworm.com/index.php?rid=5443449&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F34 Conclusions - This safe motherhood referral system was a good strategy in reducing perinatal mortality and direct causes of maternal mortality and decreasing the overall rate of C-sections. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=5443449 Wed, 23 Nov 2011 05:00:00 +0100 5443449 http://www.medworm.com/index.php?rid=5411185&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F33 Conclusions: The prevalence of recently delivered women who had knowledge of key danger signs or those who were birth prepared was very low. Since the majority of women attend antenatal care sessions, the quality and methods of delivery of antenatal care education require review so as to improve its effectiveness. Universal primary and secondary education programmes ought to be promoted so as to enhance the impact of knowledge of key danger signs on birth preparedness practices. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=5411185 Wed, 16 Nov 2011 05:00:00 +0100 5411185 http://www.medworm.com/index.php?rid=5390609&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F32 Conclusion: The area of WJ increases according to gestational age, with a trend to stabilize at around 32 weeks of gestation. It is also linearly correlated with EFW only up to 26 weeks of gestation. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=5390609 Fri, 04 Nov 2011 04:00:00 +0100 5390609 http://www.medworm.com/index.php?rid=5366274&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F31 The objective of this study was to evaluate the knowledge, attitude and practice of pregnant women with respect to appropriate physical exercise during pregnancy, and also to investigate why some women do not exercise during pregnancy. Methods: A descriptive study was conducted in which 161 women of 18 to 45 years of age were interviewed in the third trimester of pregnancy. These women were receiving prenatal care at National Health Service (SUS) primary healthcare units and had no pathologies for which physical exercise would constitute a risk. The women were selected at an ultrasonography clinic accredited to the SUS in Campinas, Sao Paulo. A previously elaborated knowledge, attitude and practice (KAP) questionnaire was used to collect data, which were then stored in an Epinfo database. ... Reproductive Health journals http://www.medworm.com/rss/comments.php?id=5366274 Thu, 03 Nov 2011 04:00:00 +0100 5366274 http://www.medworm.com/index.php?rid=5366275&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F30 Conclusions: This study provides a panorama of international priority guidance needs for maternal and perinatal health. Although clinical guidance remains a priority, there are other areas related to health systems guidance, which seem to be even more important. Overall, the domain ranked highest in terms of greatest need for guidance was around quality of care, which included questions related to educational needs, access to and implementation of guidance. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=5366275 Fri, 28 Oct 2011 04:00:00 +0100 5366275 http://www.medworm.com/index.php?rid=5350106&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F29 Conclusions: Zimbabwe men have highly positive brand perceptions of P+. There is an opportunity to grow the total condom market in Zimbabwe by increasing brand equity across user groups. Some former users may resume using condoms through more effective marketing. Some free users may be willing to pay for condoms. Achieving these objectives will expand the total condom market and reduce HIV risk behaviors. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=5350106 Wed, 26 Oct 2011 04:00:00 +0100 5350106 http://www.medworm.com/index.php?rid=5317224&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F28 Conclusions: Programs to increase contraceptive use including condom use among women at high risk for STD/HIV in Russia are needed. Programs to reduce sexual HIV risk and abortion rates must address alcohol misuse and target women with limited income. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=5317224 Wed, 12 Oct 2011 04:00:00 +0100 5317224 http://www.medworm.com/index.php?rid=5275956&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F26 Conclusion: This study shows that FGM/C is still practiced in all the six regions of The Gambia, the most common form being type I, followed by type II. All forms of FGM/C, including type I, produce significantly high percentages of complications, especially infections. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=5275956 Mon, 03 Oct 2011 04:00:00 +0100 5275956 http://www.medworm.com/index.php?rid=5252318&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F25 This article reviews the literature in the area of parental or caregiver and child communication about sexuality and HIV/AIDS in sub-Saharan Africa. A review of peer reviewed literature published between 1980 and April 2011 was conducted. Communication process studies investigating the frequency, content, style, tone of discussions, preferences, as well as associations with and barriers to sexuality communication are reviewed. In addition, studies which examine behavioral associations with parent-child sexuality communication, and intervention studies to improve parent-child sexuality communication are examined. The findings from process studies suggest wide variation in terms of frequency of discussions, with a range of socio-demographic and other factors associated with sexuality communi... Reproductive Health journals http://www.medworm.com/rss/comments.php?id=5252318 Sat, 24 Sep 2011 04:00:00 +0100 5252318 http://www.medworm.com/index.php?rid=5148394&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F24 Conclusion This study found obesity to be associated with poor semen quality and altered reproductive hormonal profile. Weight loss may potentially lead to improvement in semen quality. Whether the improvement is a result of the reduction in body weight per se or improved lifestyles remains unknown. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=5148394 Tue, 16 Aug 2011 23:00:00 +0100 5148394 http://www.medworm.com/index.php?rid=5133992&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F23 ${item.shortDescription} (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=5133992 Mon, 15 Aug 2011 23:00:00 +0100 5133992 http://www.medworm.com/index.php?rid=5090167&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F22 ${item.shortDescription} (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=5090167 Mon, 01 Aug 2011 23:00:00 +0100 5090167 http://www.medworm.com/index.php?rid=4971836&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F21 Conclusions: Teenagers have sexual experiences including sexual violence. Both of these phenomena are prevalent among school-going adolescents. The reproductive health program improved the students' knowledge and practice about sexuality and decision-making after the program for both girls and boys. However, their attitudes about reproductive health were not likely to change based on the educational intervention as designed for this study. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=4971836 Sun, 26 Jun 2011 23:00:00 +0100 4971836 http://www.medworm.com/index.php?rid=4897263&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F19 Conclusions: Women receiving medical abortion were more satisfied with their method and more likely to choose the same method again than were subjects undergoing surgical abortion. We conclude that medical abortion can be used widely as an alternative method for early pregnancy termination. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=4897263 Thu, 02 Jun 2011 23:00:00 +0100 4897263 http://www.medworm.com/index.php?rid=4887398&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F18 Conclusion: There was a clear association between LBW and unfavorable perinatal outcomes. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=4887398 Wed, 01 Jun 2011 23:00:00 +0100 4887398 http://www.medworm.com/index.php?rid=4856726&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F17 Conclusion: In resource constrained settings the IMDA approach promotes the use of existing systems to reduce maternal mortality. In turn the capacity of local health officers to use data to determine, plan and implement relevant interventions that address the local factors contributing to maternal deaths is strengthened. Monitoring actions taken against the defined recommendations within the routine performance assessment ensures sustainability. Suggestions for further research are provided. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=4856726 Sun, 22 May 2011 23:00:00 +0100 4856726 http://www.medworm.com/index.php?rid=4844317&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F15 This study examines which message features explain responses to sexual communication messages.We content analyzed 4 PSUNC ads to identify specific, measurable message and advertising execution features. We then develop quantitative measures of those features, including message strategies, marketing strategies, and voice and other stylistic features, and merged the resulting data into a dataset drawn from a national media tracking survey of the campaign. Finally, we conducted multivariable logistic regression models to identify relationships between message content and ad reactions/receptivity, and between ad reactions/receptivity and parents' cognitions related to sexual communication included in the campaign's conceptual model.We found that overall parents were highly receptive to the PSU... Reproductive Health journals http://www.medworm.com/rss/comments.php?id=4844317 Thu, 19 May 2011 23:00:00 +0100 4844317 http://www.medworm.com/index.php?rid=4844316&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F16 Conclusions: Based on the findings, we conclude that in order to reduce teenage marital pregnancy, consideration should be given on women's desired number of children and birth place so that women's desired number of children is limited to within two children, and that rural women get increased working and other related opportunities that may contribute in delaying teenage pregnancy. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=4844316 Thu, 19 May 2011 23:00:00 +0100 4844316 http://www.medworm.com/index.php?rid=4834359&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F14 Conclusions: Further studies involving larger sample sizes should be conducted in different sociocultural contexts and/or using other instruments to adequately evaluate the QOL of women during pregnancy. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=4834359 Sun, 15 May 2011 23:00:00 +0100 4834359 http://www.medworm.com/index.php?rid=4807987&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F13 Conclusion: Mother-newborn survival in the Kayes maternal referral system is influenced by combined effects of the point of care, the skill configuration of CHC personnel and distance traveled.Keywordscommunity health centers, referral system, emergency obstetric care, maternal mortality, stillbirth, probit, developing countries, Mali. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=4807987 Mon, 09 May 2011 23:00:00 +0100 4807987 http://www.medworm.com/index.php?rid=4784427&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F11 Conclusion: DHS reports provide useful and accessible data, however, they are limited by the failure to report data for unmarried adolescents and report age-disaggregated data for some indicators. Further research is required to better understand the barriers that both married and unmarried adolescents face accessing reproductive health information and services, and their information and service delivery preferences. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=4784427 Wed, 04 May 2011 23:00:00 +0100 4784427 http://www.medworm.com/index.php?rid=4772507&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F9 Conclusions: The high prevalence of depressed mood in pregnancy necessitates early screening and intervention in primary health care and antenatal settings for depression. The effectiveness and scalability of community-based interventions for maternal depression must be developed for pregnant women in peri-urban settlements.Trial registrationTrial registration number: NCT00972699. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=4772507 Sun, 01 May 2011 23:00:00 +0100 4772507 http://www.medworm.com/index.php?rid=4737634&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F8 Conclusion: When tests for HIV, Hepatitis B/C, chlamydia, gonorrhoea and syphilis already have been confirmed to be negative before starting the anonymous donor oocyte IVF sequence, additional (repeat) testing on the recipient contributes no new clinical information that would influence treatment in this setting. Patient safety does not appear to be enhanced by application of Directive 2004/23/EC to recipients of anonymous donor oocyte IVF treatment. Given the absence of evidence to quantify risk, this practice is difficult to justify when applied to this low-risk population. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=4737634 Tue, 19 Apr 2011 23:00:00 +0100 4737634 http://www.medworm.com/index.php?rid=4727824&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F7 Conclusion: Infant mortality is high in Nepal. In this context, mother's literacy and involvement in healthcare decision making appear to be the most powerful predictors for reducing infant mortality. Hence, in order to reduce infant mortality further, ongoing female education should be sustained and expanded to include all women so that the millennium development goals for the year 2015 can be attained. In addition, programs should focus on increasing women's autonomy so that infant mortality will decrease and the overall well being of the family can be maintained and enhanced. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=4727824 Mon, 18 Apr 2011 23:00:00 +0100 4727824 http://www.medworm.com/index.php?rid=4646845&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F5 Conclusion: This case study shows that the combined efforts of local and international researchers can create a culture of evidence-based medicine within one country. It also shows that doing so required time and perseverance from international researchers combined with a readiness by local researchers to receive and actively promote the practice. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=4646845 Sun, 27 Mar 2011 23:00:00 +0100 4646845 http://www.medworm.com/index.php?rid=4434215&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F4 Conclusions: Knowledge of men's experiences of their own infertility is important as a supporting measure to increase the quality of care of infertile couples. By adopting this facet of gender perspective in fertility treatment guidelines, care can hopefully be optimized. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=4434215 Fri, 04 Feb 2011 00:00:00 +0100 4434215 http://www.medworm.com/index.php?rid=4357518&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F2 Conclusion: The difference between the groups using the medication and the placebo group with respect to the improvement in symptomatology appears to indicate the effectiveness of the drug. Improvement in symptoms was higher when the 2-gram dose was used. This medication was not associated with any changes in prolactin or total cholesterol levels in these women. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=4357518 Mon, 17 Jan 2011 00:00:00 +0100 4357518 http://www.medworm.com/index.php?rid=4311141&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F8%2F1%2F1 Over the last 30 years, conservative power in the United States, financed and organized by Christian fundamentalist sects, the Catholic Church, and conservative corporate and political leadership, has become more threatening and potentially destabilizing of progressive democratic principles and practices. Powerful interlocking political, financial and social forces are arrayed against women in many Southern and Western states. These factors are having destructive effects on women's ability to control their fertility and maintain bodily integrity and health. Poor women and women of color are disproportionately affected by restrictions on abortion services. Strategically developed interventions must be initiated and managed at every level in these localities. It is urgent to coordinate and e... Reproductive Health journals http://www.medworm.com/rss/comments.php?id=4311141 Wed, 05 Jan 2011 00:00:00 +0100 4311141 http://www.medworm.com/index.php?rid=4261416&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F7%2F1%2F31 Conclusions: Using a large national sample, this study confirms findings from previous studies showing gender differences in parent-child communication about sexual topics and identifies gender differences in factors that may influence parent-child communication about sexual topics. Interventions designed to support parent-child communication about sexual topics should emphasize to both mothers and fathers the importance of talking to sons as well as daughters. Fathers need particular support to overcome the barriers to communication they encounter. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=4261416 Tue, 14 Dec 2010 00:00:00 +0100 4261416 http://www.medworm.com/index.php?rid=4136756&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F7%2F1%2F30 Conclusions: We conclude that providing safe motherhood education increased the probability of pregnant women having prenatal care and utilization of health services for obstetric complications. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=4136756 Fri, 05 Nov 2010 00:00:00 +0100 4136756 http://www.medworm.com/index.php?rid=4112576&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F7%2F1%2F28 Conclusion: In the study conditions, MPCM was associated with lower levels of maternal anxiety, a larger number of vaginal deliveries and shorter hospitalization time of newborns. It was not related to adverse perinatal outcomes. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=4112576 Thu, 28 Oct 2010 23:00:00 +0100 4112576 http://www.medworm.com/index.php?rid=4054459&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F7%2F1%2F27 Conclusion: Factors inversely associated with fertility intentions were age of the respondent, marital status and whether any of the respondents' children had died. Use of antiretroviral therapy was not associated with fertility intentions. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=4054459 Sun, 10 Oct 2010 23:00:00 +0100 4054459 http://www.medworm.com/index.php?rid=4042667&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F7%2F1%2F26 CONCLUSION: The dietary intervention was successful in increasing the intake of lignan-rich food products, the fiber consumption and consequently the plasma levels of lignans in pregnant women.Trial registration: ISRCTN21512277, www.isrctn.org (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=4042667 Thu, 07 Oct 2010 23:00:00 +0100 4042667 http://www.medworm.com/index.php?rid=3922856&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F7%2F1%2F24 This article is the first to report the effect of the NASG for PPH. Methods: This pre-intervention/NASG study of 854 women was conducted in four referral facilities in Nigeria and two in Egypt between 2004-2008. Entry criteria were women with PPH due to uterine atony, retained placenta, ruptured uterus, vaginal or cervical lacerations or placenta accreta with estimated blood loss of [greater than or equal to] 750 ml and one clinical sign of shock. Differences in demographics, conditions on study entry, treatment and outcomes were examined. The Wilcoxon rank-sum test and relative risks with 95% confidence intervals were calculated for primary outcomes - measured blood loss, emergency hysterectomy, mortality, morbidity (each individually), and a combined variable, "adverse outcomes", defined... Reproductive Health journals http://www.medworm.com/rss/comments.php?id=3922856 Tue, 31 Aug 2010 23:00:00 +0100 3922856 http://www.medworm.com/index.php?rid=3917976&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F7%2F1%2F23 Conclusions: Moderate physical activity in water was not associated with any significant alterations in fetal cardiotocography patterns, which suggests no adverse effect on the fetus. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=3917976 Mon, 30 Aug 2010 23:00:00 +0100 3917976 http://www.medworm.com/index.php?rid=3909779&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F7%2F1%2F22 Conclusions: Considering the potential deleterious impact (on health and socio-economic life) of new pregnancies in near-miss women, it is important to ensure family planning coverage includes those who survive a severe complication. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=3909779 Thu, 26 Aug 2010 23:00:00 +0100 3909779 http://www.medworm.com/index.php?rid=3878924&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F7%2F1%2F21 A system to improve the management of emergencies during pregnancy, childbirth, infancy and childhood in a region of The Gambia (Brikama) with a population of approximately 250,000 has been developed.This was accomplished through formal partnership between the Gambian Ministry of Health, the World Health Organisation, Maternal Childhealth Advocacy International and the Advanced Life Support Group.Since October 2006 the hospital in Brikama has been renovated and equipped, and more efficiently provided with emergency medicines. An emergency ambulance service now links the community with the hospital through a mobile telephone system. Health professionals from community to hospital have been trained in obstetric, neonatal and paediatric emergency management using skills' based education. The ... Reproductive Health journals http://www.medworm.com/rss/comments.php?id=3878924 Tue, 17 Aug 2010 23:00:00 +0100 3878924 http://www.medworm.com/index.php?rid=3782338&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F7%2F1%2F19 Conclusion: Women in New Zealand are subject to a lengthy delay while seeking TOP services. Efforts should be made by TOP clinics as well as referring doctors to reduce the waiting times for this service. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=3782338 Thu, 22 Jul 2010 23:00:00 +0100 3782338 http://www.medworm.com/index.php?rid=3778685&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F7%2F1%2F18 Conclusion: Overweight and obese pregnant women constitute a rapidly growing proportion of the total number of CS and instrumental deliveries. Planning and allocation of health resources must be adjusted to this fact and its implications. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=3778685 Wed, 21 Jul 2010 23:00:00 +0100 3778685 http://www.medworm.com/index.php?rid=3774548&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F7%2F1%2F16 Objectiveto develop and validate a questionnaire on severe maternal morbidity and to evaluate the maternal recall of complications related to pregnancy and childbirth. Design: validity of a questionnaire as diagnostic instrument. Setting: a third level referral maternity in Campinas, Brazil. Population: 386 survivors of severe maternal complications and 123 women that delivered without major complications between 2002 and 2007. Methods: eligible women were traced and interviewed by telephone on the occurrence of obstetric complications and events related to their treatment. Their answers were compared with their medical records as gold standard. Sensitivity, specificity and likelihood ratios plus their correspondent 95% confidence intervals were used as main estimators of accuracy. Main ou... Reproductive Health journals http://www.medworm.com/rss/comments.php?id=3774548 Tue, 20 Jul 2010 23:00:00 +0100 3774548 http://www.medworm.com/index.php?rid=3774547&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F7%2F1%2F17 Conclusions: Results suggest that within a controlled setting, the "wait until older norm" and long-term outcome expectations were appropriate cognitions to target and the PSUNC media materials were successful in impacting them, particularly among mothers. This study highlights the importance of theoretical frameworks for parent-focused campaigns that identify appropriate behavioral precursors that are both predictive of a campaign's distal behavioral outcome and sensitive to campaign messages. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=3774547 Tue, 20 Jul 2010 23:00:00 +0100 3774547 http://www.medworm.com/index.php?rid=3689215&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F7%2F1%2F12 Conclusions: Structural and cultural barriers to men's involvement in the PMTCT programme in Mbale district were complex and interrelated. Community sensitization of men about the benefits of antenatal care and PMTCT and improving client-friendliness in the clinics needs to be prioritised in order to improve low male participation and mitigate the effect of socio-economic and cultural factors. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=3689215 Tue, 22 Jun 2010 23:00:00 +0100 3689215 http://www.medworm.com/index.php?rid=3661093&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F7%2F1%2F10 Conclusions: Parents are aware of that ultrasound examination is a tool for identifying abnormalities prenatally. The information about the abnormality initially results in broken expectations and anxiety. Parents become involved in ongoing change and adaptation. They need information about the ultrasound findings and the treatment without prolonged delay and in a suitable environment. The examiner who performs the ultrasound examination must be aware of how anxiety can be intensified by environmental factors. All parents should to be offered a professional person to give them support as a part of the routine management of this situation. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=3661093 Sun, 13 Jun 2010 23:00:00 +0100 3661093 http://www.medworm.com/index.php?rid=3558429&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F7%2F1%2F7 Conclusions: Access to infertility investigations and treatments in Canada is limited and regionally dependent.Trial Registration:Registered with ClinicalTrials.gov at http://www.clinicaltrials.gov, registration number NCT00782132. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=3558429 Tue, 11 May 2010 23:00:00 +0100 3558429 http://www.medworm.com/index.php?rid=3554351&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F7%2F1%2F6 Conclusions: Due to the consequences of the HIV pandemic, parents are making attempts to communicate with their children about SRH. They are however, limited by cultural barriers, and lack of appropriate knowledge. With some skills training on communication and SRH, parents may be a natural avenue for channeling and reinforcing HIV/AIDS prevention messages to their children. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=3554351 Tue, 11 May 2010 23:00:00 +0100 3554351 http://www.medworm.com/index.php?rid=3550802&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F7%2F1%2F5 Conclusion: The acceptance rate of post-abortion contraceptive methods was greater and the most chosen method was the best-known one. Implementing a specialized family planning post abortion service may promote an acceptance, regardless of the chosen method. Most important is they do receive contraception if they do not wish for an immediate pregnancy. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=3550802 Sun, 09 May 2010 23:00:00 +0100 3550802 http://www.medworm.com/index.php?rid=3547775&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F7%2F1%2F4 Conclusions: Detection rates were higher among older women 41-60 years. Visual inspection of the cervix uteri with acetic acid (VIA) and Lugol's iodine (VILI) used as a sole method for cervical cancer screening would entail significant false positive results. HIV seropositivity was associated with a higher prevalence of inflammatory cervical lesions. In view of the small numbers and the relatively short follow up time of 3 months, we could not make an emphatic conclusion about the effect of HIV serostatus on cryotherapy treatment outcome. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=3547775 Sun, 09 May 2010 23:00:00 +0100 3547775 http://www.medworm.com/index.php?rid=3547776&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F7%2F1%2F3 CONCLUSION: Subthreshold depression and anxiety were major predictors of QOL in men experiencing infertility. Health professionals need to include assessment of psychological symptomatology to plan more efficient interventions to infertile patients. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=3547776 Sat, 08 May 2010 23:00:00 +0100 3547776 http://www.medworm.com/index.php?rid=3517404&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F7%2F1%2F1 We examined the status of maternal care before and after health care worker (HCW) training in WHO recommended Focused Antenatal Care. Methods: An initial cross-sectional survey was conducted in 2002 in Asembo and Gem in western Kenya among a representative sample of women with a recent birth. HCW training was performed in 2003 in Asembo, and a repeat survey was conducted in 2005 in both areas. Results: Antenatal clinic (ANC) attendance was similar in both areas (86%) in 2005 and not significantly different from 2002 (90%). There was no difference in place of delivery between the areas or over time. However, in 2005, more women in Asembo were delivered by a skilled assistant compared to Gem (30% vs.23%, P=0.04), and this proportion increased compared to 2002 (17.6% and 16.1%, respectively).... Reproductive Health journals http://www.medworm.com/rss/comments.php?id=3517404 Wed, 28 Apr 2010 23:00:00 +0100 3517404 http://www.medworm.com/index.php?rid=3517403&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F7%2F1%2F2 Conclusion: Transactional sex is likely to increase the risk of HIV by providing a dynamic for partner change, making more affluent, higher risk men more desirable, and creating further barriers to condom use. Behavioural interventions should directly address how embedded transactional sex is in sexual culture. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=3517403 Wed, 28 Apr 2010 23:00:00 +0100 3517403 http://www.medworm.com/index.php?rid=3094490&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F6%2F1%2F21 Conclusion: Most patients contemplating IVF already have ideas about particular outcomes even before treatment begins, and suggests that husbands & wives are in general agreement on their readiness for twin pregnancy from IVF. However, fertility patients now may represent a more refractory population and therefore carry a more guarded prognosis. Patient preferences identified before IVF remain important, but further studies comparing pre- and post-treatment perceptions are needed. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=3094490 Thu, 17 Dec 2009 00:00:00 +0100 3094490 http://www.medworm.com/index.php?rid=3054651&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F6%2F1%2F20 Background: The success rate of IVF treatment is low. A recent systematic review and meta-analysis found that the outcome of IVF treatment could be improved in patients who have experienced recurrent implantation failure if an outpatient hysteroscopy (OH) is performed before starting the new treatment cycle. However, the trials were of variable quality, leading to a call for a large and high-quality randomised trial. This protocol describes a multi-centre randomised controlled trial to test the hypothesis that performing an OH prior to starting an IVF cycle improves the live birth rate of the subsequent IVF cycle in women who have experienced two to four failed IVF cycles.Methods and design:Eligible and consenting women will be randomised to either OH or no OH using an internet based trial... Reproductive Health journals http://www.medworm.com/rss/comments.php?id=3054651 Thu, 03 Dec 2009 00:00:00 +0100 3054651 http://www.medworm.com/index.php?rid=3010652&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F6%2F1%2F19 Conclusions: Inconsistent fertility motivations and contraceptive behaviors are common among effective contraceptive users. Women who are using contraception and become pregnant will not necessarily report the pregnancy as unintended, given the widespread acceptance of unintended pregnancies in Honduras. Family planning providers need to recognize that fertility motivations vary over time and that women may not have firm motivations to avoid a pregnancy. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=3010652 Thu, 19 Nov 2009 00:00:00 +0100 3010652 http://www.medworm.com/index.php?rid=2941548&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F6%2F1%2F18 Conclusion: The 10-group classification could be easily applied to a multicountry dataset without problems of inconsistencies or misclassification. Specific groups of women were clearly identified as the main contributors to the overall caesarean section rate. This classification could help health care providers to plan practical and effective actions targeting specific groups of women to improve maternal and perinatal care. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=2941548 Thu, 29 Oct 2009 00:00:00 +0100 2941548 http://www.medworm.com/index.php?rid=2870525&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F6%2F1%2F17 Consanguineous marriages have been practiced since the early existence of modern humans. Until now consanguinity is widely practiced in several global communities with variable rates depending on religion, culture, and geography. Arab populations have a long tradition of consanguinity due to socio-cultural factors. Many Arab countries display some of the highest rates of consanguineous marriages in the world, and specifically first cousin marriages which may reach 25-30% of all marriages. In some countries like Qatar, Yemen, and UAE consanguinity rates are increasing in the current generation. Research among Arabs and worldwide has indicated that consanguinity could have an effect on some reproductive health parameters such as postnatal mortality and rates of congenital malformations. The ... Reproductive Health journals http://www.medworm.com/rss/comments.php?id=2870525 Wed, 07 Oct 2009 23:00:00 +0100 2870525 http://www.medworm.com/index.php?rid=2826524&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F6%2F1%2F15 Background: It has been suggested that the study of women who survive life-threatening complications related to pregnancy (maternal near-miss cases) may represent a practical alternative to surveillance of maternal morbidity/mortality since the number of cases is higher and the woman herself is able to provide information on the difficulties she faced and the long-term repercussions of the event. These repercussions, which may include sexual dysfunction, postpartum depression and posttraumatic stress disorder, may persist for prolonged periods of time, affecting women's quality of life and resulting in adverse effects to them and their babies. Objective: The aims of the present study are to create a nationwide network of scientific cooperation to carry out surveillance and estimate the fre... Reproductive Health journals http://www.medworm.com/rss/comments.php?id=2826524 Wed, 23 Sep 2009 23:00:00 +0100 2826524 http://www.medworm.com/index.php?rid=2802589&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F6%2F1%2F14 Background: The children of teen mothers have been reported to have higher rates of several unfavorable mental health outcomes. Past research suggests several possible mechanisms for an association between religiosity and teen birth rate in communities. Methods: The present study compiled publicly accessible data on birth rates, conservative religious beliefs, income, and abortion rates in the U.S., aggregated at the state level. Data on teen birth rates and abortion originated from the Center for Disease Control; on income, from the U.S. Bureau of the Census, and on religious beliefs, from the U.S. Religious Landscape Survey carried out by the Pew Forum on Religion and Public Life. We computed correlations and partial correlations. Results: Increased religiosity in residents of states in ... Reproductive Health journals http://www.medworm.com/rss/comments.php?id=2802589 Wed, 16 Sep 2009 23:00:00 +0100 2802589 http://www.medworm.com/index.php?rid=2652058&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F6%2F1%2F13 Conclusions: The findings illustrate health care-seeking behaviour as a practise that is substantially conditioned by social differentiation. Social marginalization and the role health institutions play in shaping care-seeking behaviour have been de-emphasised by focusing solely on endogenous cultural factors in Bolivia. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=2652058 Tue, 28 Jul 2009 23:00:00 +0100 2652058 http://www.medworm.com/index.php?rid=2618437&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F6%2F1%2F11 Conclusions: Approximately two-thirds of all pregnancies in this sample were unintended. Although the data is limited by the small sample size, our findings suggest that government needs to invest in counseling and in improving the availability and access to contraceptive methods. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=2618437 Sun, 19 Jul 2009 23:00:00 +0100 2618437 http://www.medworm.com/index.php?rid=2600015&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F6%2F1%2F10 Conclusions: Hypoglycemic patients are younger, have reduced pre-pregnancy weight,lower BMIs, and are more likely to develop preeclampsia than normoglycemic women. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=2600015 Mon, 13 Jul 2009 23:00:00 +0100 2600015 http://www.medworm.com/index.php?rid=2481140&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F6%2F1%2F9 Conclusion: The paper argues in favor of broad actions to increase women's autonomy both as an end and as a means to facilitate improved reproductive health outcomes. It also supports the call for more appropriate data that could further support this line of action. It highlights the need for efforts to improve households' livelihoods and increase girls' schooling to alter perceptions of the value of skilled maternal health care. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=2481140 Tue, 16 Jun 2009 04:00:00 +0100 2481140 http://www.medworm.com/index.php?rid=2466215&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F6%2F1%2F8 Background: The lack of reliable and up-to-date statistics on maternal deaths and disabilities remains a major challenge to the implementation of Nigeria's Road Map to Accelerate the Millennium Development Goal related to Maternal Health (MDG-5). There are currently no functioning national data sources on maternal deaths and disabilities that could serve as reference points for programme managers, health advocates and policy makers. While awaiting the success of efforts targeted at overcoming the barriers facing establishment of population-based data systems, referral institutions in Nigeria can contribute their quota in the quest towards MDG-5 by providing good quality and reliable information on maternal deaths and disabilities on a continuous basis. This project represents the first opp... Reproductive Health journals http://www.medworm.com/rss/comments.php?id=2466215 Tue, 09 Jun 2009 04:00:00 +0100 2466215 http://www.medworm.com/index.php?rid=2461182&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F6%2F1%2F7 Conclusion: A Reproductive Age Mortality Survey is an effective method that could be used to update data on maternal mortality in Ghana while efforts are made to improve on maternal death audits in the health facilities. Strengthening the existing community based volunteers to report deaths that take place at home and the civil registration systems of births and deaths is also highly recommended. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=2461182 Thu, 04 Jun 2009 04:00:00 +0100 2461182 http://www.medworm.com/index.php?rid=2357975&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F6%2F1%2F6 Conclusions: Maternal mortality ratio is high in the slum population of Nairobi City. The Demographic Surveillance System and verbal autopsy tool may provide the much needed data on maternal mortality and its causes in developing countries. There is urgent need to address the burden of unwanted pregnancies and unsafe abortions among the urban poor. There is also need to strengthen access to HIV services alongside maternal health services since HIV/AIDS is becoming a major indirect cause of maternal deaths. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=2357975 Wed, 22 Apr 2009 04:00:00 +0100 2357975 http://www.medworm.com/index.php?rid=2335596&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F6%2F1%2F5 Conclusion: The deficiencies in the availability of life-saving interventions identified are manifestations of inadequate funding for maternal health services. Substantial increase in funding for maternal health services is therefore warranted towards effective implementation of emergency obstetric care package in The Gambia. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=2335596 Tue, 14 Apr 2009 04:00:00 +0100 2335596 http://www.medworm.com/index.php?rid=2265296&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F6%2F1%2F4 Conclusion: Rates of STIs and RTIs are still high among pregnant women in Moshi. Where resources allow, routine screening and treatment of STIs/RTIs in the antenatal care setting should be offered. Higher STIs/RTIs in HIV-seropositive women supports the expansion of HIV-counseling and testing services to all centers offering antenatal care. After identification, STIs/RTIs need to be aggressively addressed in HIV-seropositive women, both at antenatal and antiretroviral therapy care clinics. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=2265296 Wed, 25 Feb 2009 05:00:00 +0100 2265296 http://www.medworm.com/index.php?rid=2222008&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F6%2F1%2F4 Conclusions: Rates of STIs and RTIs are still high among pregnant women in Moshi. Where resources allow, routine screening and treatment of STIs/RTIs in the antenatal care setting should be offered. Higher STIs/RTIs in HIV-seropositive women supports the expansion of HIV-counseling and testing services to all centers offering antenatal care. After identification, STIs/RTIs need to be aggressively addressed in HIV-seropositive women, both at antenatal and antiretroviral therapy care clinics. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=2222008 Wed, 25 Feb 2009 05:00:00 +0100 2222008 http://www.medworm.com/index.php?rid=2199802&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F6%2F1%2F3 Conclusions: Increasing modern contraceptive method use requires community-wide, multifaceted interventions and the combined provision of information, life skills, support and access to youth-friendly services. Interventions should aim to counter negative perceptions of modern contraceptive methods and the dual role of condoms for contraception and STI prevention should be exploited, despite the challenges involved. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=2199802 Thu, 19 Feb 2009 05:00:00 +0100 2199802 http://www.medworm.com/index.php?rid=2120908&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F6%2F1%2F2 Background: The third stage of labour refers to the period between birth of the baby and complete expulsion of the placenta. Some degree of blood loss occurs after the birth of the baby due to separation of the placenta. This period is a risky period because uterus may not contract well after birth and heavy blood loss can endanger the life of the mother. Active management of the third stage of labour (AMTSL) reduces the occurrence of severe postpartum haemorrhage by approximately 60-70%. Active management consists of several interventions packaged together and the relative contribution of each of the components is unknown. Controlled cord traction is one of those components that require training in manual skill for it to be performed appropriately. If it is possible to dispense with contr... Reproductive Health journals http://www.medworm.com/rss/comments.php?id=2120908 Wed, 21 Jan 2009 05:00:00 +0100 2120908 http://www.medworm.com/index.php?rid=2073341&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F5%2F1%2F12 Conclusions: In The Netherlands, the age limit for women receiving donor oocytes is 45 years and commercial oocyte donation is forbidden by law. In other countries there is no age limit, the reason why some women are going abroad to receive the treatment of their choice. Advanced age, IVF and twin pregnancy are all risk factors for pre-eclampsia, the leading cause of maternal death in The Netherlands. Patient autonomy is an important ethical principle, but doctors are also bound to the principle of 'not doing harm', and do have the right to refuse to give medical treatment such as IVF-treatment. The discussion whether women over the age of 50 should have children is still not closed. If the decision is made to offer this treatment to a woman at advanced age, the doctor should counsel the... Reproductive Health journals http://www.medworm.com/rss/comments.php?id=2073341 Tue, 30 Dec 2008 05:00:00 +0100 2073341 http://www.medworm.com/index.php?rid=2073340&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F5%2F1%2F13 Conclusion: Adolescents showed poorer health care seeking behaviour for themselves and their children, and experienced increased community stigmatization and violence, suggesting bigger challenges to the adolescent mothers in terms of social support.Adolescent friendly interventions such as pregnancy groups targeting to empower pregnant adolescents providing information on pregnancy, delivery and early childhood care need to be introduced and implemented. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=2073340 Tue, 30 Dec 2008 05:00:00 +0100 2073340 http://www.medworm.com/index.php?rid=1808922&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F5%2F1%2F4 The ICPD agenda of reproductive health was declared as the most comprehensive one, which had actually broadened the spectrum of reproductive health and drove the states to embark upon initiatives to improve reproductive health status of their populations. However, like all other countries, Pakistan also seems to have shifted focus of its policies and programs towards achieving MDGs. As a result, concepts highlighted in the ICPD got dropped eventually. In spite of specific goals on maternal and child mortalities in MDGs and all the investment and policy shift, Pakistan has still one of the highest maternal mortality ratios among developing countries. Lack of synchronized efforts, sector wide approaches, inter-sectoral collaboration, and moreover, the unmet need for family planning, unsafe a... Reproductive Health journals http://www.medworm.com/rss/comments.php?id=1808922 Wed, 10 Sep 2008 04:00:00 +0100 1808922 http://www.medworm.com/index.php?rid=1268204&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F4%2F1%2F12 Background: Poor response to ovarian stimulation with exogenous gonadotrophins occurs in 9–24% of women undergoing in vitro fertilisation (IVF) treatment, which represents an estimated 4000–10,000 women per year in the UK. Poor responders often have their treatment cycle cancelled because of expected poor outcome.One treatment strategy that may influence outcome is the choice of pituitary suppression regimen prior to the initiation of ovarian stimulation. The three commonly used pituitary suppression regimens in IVF treatment are:(1) the GnRH agonist long regimen,(2) the GnRH agonist short regimen and(3) the GnRH antagonist regimen.A systematic review of randomised controlled trials of these pituitary suppression regimens has shown the evidence to be either inconclusive or inconsistent... Reproductive Health journals http://www.medworm.com/rss/comments.php?id=1268204 Fri, 28 Dec 2007 05:00:00 +0100 1268204 http://www.medworm.com/index.php?rid=1021092&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F4%2F1%2F11 Conclusions: : Women 19-43 years of age using either one of these two contraceptive implants for 36 months had lower BMD values at the distal radius compared to pre-insertion values; however, no difference was found at the ultra-distal radius. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=1021092 Mon, 12 Nov 2007 05:00:00 +0100 1021092 http://www.medworm.com/index.php?rid=987021&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F4%2F1%2F10 Background: Episiotomy is the surgical enlargement of the vaginal orifice by an incision of the perineum during the second stage of labor or just before delivery of the baby. During the 1970s, it was common to perform an episiotomy for almost all women having their first delivery, ostensibly for prevention of severe perineum tears and easier subsequent repair. However, there are no data available to indicate if an episiotomy should be midline or medio-lateral. We compared midline versus medio-lateral episiotomy for complication such as extended perineal tears, pain scores, wound infection rates and other complications. Methods: We conducted a prospective cohort including 1,302 women, who gave birth vaginally between April 2005 and February 2006 at Srinagarind Hospital--a tertiary care ... Reproductive Health journals http://www.medworm.com/rss/comments.php?id=987021 Mon, 29 Oct 2007 04:00:00 +0100 987021 http://www.medworm.com/index.php?rid=973659&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F4%2F1%2F9 Conclusion: According to the respondents in this study, the requirement, as a midwife, to understand the womans native language or her culture was not vital. Instead the immigrant woman developed trust in the midwife at the maternity health care centre based on the knowledge and the empathy the midwife imparted. This interesting finding requires further research. The need for more visits during the first trimester seemed to be important, both for the individual woman and also in an effort to avoid spontaneous visits to the emergency clinic. Due to migration the relationship within the family had altered. The experience of motherhood was stable, but there was a greater need for involvement and support by the husband during the perinatal period, such as caring for older children and doing h... Reproductive Health journals http://www.medworm.com/rss/comments.php?id=973659 Wed, 24 Oct 2007 04:00:00 +0100 973659 http://www.medworm.com/index.php?rid=911159&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F4%2F1%2F8 The objective of this study is to explore mens and womens perceptions of antenatal blood screening. The study will assess the impact of these perceptions on decision-making regarding diagnostic testing and selective abortion, and on parental feelings of genetic responsibility. By exploring gender and antenatal screening in this way, the research aims to contribute to our understanding of lay perceptions of genetic screening and increase our knowledge of the decision-making process in screening. Research Design This qualitative study will be based on semi-structured interviews with twenty pregnant women and twenty male partners in the post-industrial city of Sheffield, UK. All interviews will be taped, transcribed and analysed thematically using NVIVO, a qualitative software package. Discu... Reproductive Health journals http://www.medworm.com/rss/comments.php?id=911159 Fri, 28 Sep 2007 04:00:00 +0100 911159 http://www.medworm.com/index.php?rid=696483&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F4%2F1%2F4 Conclusions: Knowledge about cervical cancer among Ugandan women is very low. For an effective cervical cancer-screening programme, awareness about cervical cancer needs to be increased. Health planners need to note the power of the various authoritative sources of reproductive health knowledge such as paternal aunts (Sengas) and involve them in the awareness campaign. Cultural and economic issues dictate the perceived reluctance by men to participate in womens reproductive health issues; men in this community are, however, potential willing partners if appropriately informed. Health planners should address the loss of confidence in current health care units, as well as consider use of other cervical cancer screening delivery systems such as mobile clinics/camps. (Source: Reproductive Heal... Reproductive Health journals http://www.medworm.com/rss/comments.php?id=696483 Tue, 26 Jun 2007 04:00:00 +0100 696483 http://www.medworm.com/index.php?rid=440367&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F4%2F1%2F2 Conclusions: Women tend not to worry about their health, in general and neither about cervical cancer in particular, as a consequence of their conceptualizations regarding their body and feminine identify - both of which are socially determined. Furthermore, it is necessary to improve the quality of information provided in health services. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=440367 Thu, 01 Mar 2007 05:00:00 +0100 440367 http://www.medworm.com/index.php?rid=440369&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F4%2F1%2F1 Conclusions: Results show that 100% Jeune successfully used a variety of mass media and interpersonal communication channels to reach a high proportion of youth throughout the intervention period. In a context in which a variety of governmental and nongovernmental partners are increasing youth-focused reproductive health programming, the 100% Jeune program reached a higher proportion of youth than did other programs. Collective efforts of multiple organizations over time can lead to improvements in adolescent reproductive health. Resources should be allocated to identify and understand predictors of abstinence and partner reduction to inform future programming decisions. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=440369 Mon, 26 Feb 2007 05:00:00 +0100 440369 http://www.medworm.com/index.php?rid=362747&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F3%2F1%2F10 Conclusion: Adoption of the upright position or ambulation during first stage of labor may be safe, but considering the available evidence and its consistency, it cannot be recommended as an effective intervention to reduce duration of the first stage of labor. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=362747 Thu, 30 Nov 2006 07:00:00 +0100 362747 http://www.medworm.com/index.php?rid=362748&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F3%2F1%2F9 Conclusion: Early diagnosis and subsequent treatment of pyoderma gangrenosum are crucial for limiting scar tissue. Diagnosis of pyoderma gangrenosum could easily be missed since gynaecologists are rarely confronted with this disorder. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=362748 Tue, 22 Aug 2006 06:00:00 +0100 362748 http://www.medworm.com/index.php?rid=362749&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F3%2F1%2F8 Conclusion: A large number of women in NSW entered ANC late in their pregnancies. Efforts to increase early entry to ANC should be targeted on identified high risk groups of women. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=362749 Fri, 18 Aug 2006 06:00:00 +0100 362749 http://www.medworm.com/index.php?rid=362750&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F3%2F1%2F5 Conclusion: Almost three-quarters of recruitment difficulties in this study were due to unavoidable reasons. To overcome the remaining avoidable reasons for non-participation, attention should be paid to appropriate instruction of the study protocol to the participating doctors and to provide adequate information, in layman's terms, to the patients. Reminding patients by notes or telephone calls for attending the clinic are helpful. It may be contingent upon tracing the reasons of clinicians and patients for non-participation to improve enrollment during a trial. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=362750 Tue, 13 Jun 2006 06:00:00 +0100 362750 http://www.medworm.com/index.php?rid=362751&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F3%2F1%2F3 Conclusion: These results are in accordance with findings from previous studies and case reports suggesting the appropriateness and safety of extended somatic support during pregnancy under certain circumstances. They also suggest the need for prompt diagnosis of brain death before the occurrence of physiological degeneration, rapid evaluation of foetal status and the decision of the family together with the medical team to prolong maternal somatic support. The occurrence of maternal brain death is a tragedy, but it may also represent a challenging opportunity to save the life of the foetus and, in addition, permit donation of the maternal organs. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=362751 Thu, 27 Apr 2006 06:00:00 +0100 362751 http://www.medworm.com/index.php?rid=362752&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F3%2F1%2F2 Conclusion: In this rural area, usage of the ANC was high, but this opportunity to deliver important health services was not fully utilized. Use of professional delivery services was low, and almost 1 out of 5 women delivered unassisted. There is an urgent need to improve this dangerous situation. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=362752 Thu, 06 Apr 2006 06:00:00 +0100 362752 http://www.medworm.com/index.php?rid=362753&cid=s_34091_29_f&fid=34091&url=http%3A%2F%2Fwww.reproductive-health-journal.com%2Fcontent%2F3%2F1%2F1 Conclusion: Stillbirth prevalence at the community level is typically less than 1% in more developed parts of the world and could exceed 3% in less developed regions. Regular reviews of stillbirth rates in appropriately designed and reported studies are useful in monitoring the adequacy of care. Systematic reviews of prevalence studies are helpful in explaining sources of variation across rates. Exploring these methodological issues will lead to improved standards for assessing the burden of reproductive ill-health. (Source: Reproductive Health) Reproductive Health journals http://www.medworm.com/rss/comments.php?id=362753 Tue, 10 Jan 2006 07:00:00 +0100 362753