BJOG : An International Journal of Obstetrics and GynaecologyThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

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Editor's Choice.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19906015 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - November 13, 2009 Category: OBGYN Authors: Marsh M Tags: BJOG Source Type: journals

Management of neglected shoulder presentation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19906016 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - November 13, 2009 Category: OBGYN Authors: Okonofua FE Tags: BJOG Source Type: journals

Pelvic floor function is independently associated with pelvic organ prolapse.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Body mass index, socioeconomic status, heavy occupational work, anal sphincter lacerations and PFM function were independently associated with POP, whereas joint mobility and physical activity were not. PMID: 19906017 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - November 13, 2009 Category: OBGYN Authors: Braekken IH, Majida M, Ellström Engh M, Holme IM, Bø K Tags: BJOG Source Type: journals

Long-term vaginal ring pessary use: discontinuation rates and adverse events.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: We were surprised to find a 56% complication rate in pessary users. Our study shows that, over time, the majority of women chose to discontinue using pessaries. Women should be informed of these data when deciding on the management of their pelvic organ prolapse. PMID: 19906018 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - November 13, 2009 Category: OBGYN Authors: Sarma S, Ying T, Moore KH Tags: BJOG Source Type: journals

Amniotic fluid interleukin-18 at mid-trimester genetic amniocentesis: relationship to intraamniotic microbial invasion and preterm delivery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Elevated mid-trimester concentrations of AF IL-18 can identify women at risk for intraamniotic infection and spontaneous PTD. PMID: 19906019 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - November 13, 2009 Category: OBGYN Authors: Daskalakis G, Thomakos N, Papapanagiotou A, Papantoniou N, Mesogitis S, Antsaklis A Tags: BJOG Source Type: journals

Factors and outcomes associated with the induction of labour in Latin America.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: In Latin America, labour was induced in slightly more than 10% of deliveries; success rates were high irrespective of the method used. Induced labour is, however, associated with poorer maternal and perinatal outcomes than spontaneous labour. PMID: 19906020 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - November 13, 2009 Category: OBGYN Authors: Guerra GV, Cecatti JG, Souza JP, Faúndes A, Morais SS, Gülmezoglu AM, Parpinelli MA, Passini R, Carroli G, Tags: BJOG Source Type: journals

A validity study of the national UK colposcopy objective structured clinical examination--is it a test fit for purpose?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study examines the validity and reliability of the British Society for Colposcopy and Cytopathology (BSCCP) objective structured clinical examination (OSCE). The BSCCP OSCE results obtained over eight OSCE circuits were analysed using SPSS 15. Face validity and content validity were established from expert opinion and blueprinting. Statistically significant difference was not shown in construct validity through level of experience (P=0.867, P=0.822, P=0.59, P=0.74, P=0.12, P=0.01; these are the P values for each of the patient interaction stations) however, concurrent validity was established against the gynaecology m...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - November 13, 2009 Category: OBGYN Authors: Shehmar M, Cruikshank M, Finn C, Redman C, Fraser I, Peile E Tags: BJOG Source Type: journals

Conservative therapy in placenta accreta: unexpected problems after drug-induced uterine contractions.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19906022 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - November 13, 2009 Category: OBGYN Authors: Palacios-Jaraquemada JM, Fiorillo A Tags: BJOG Source Type: journals

Maternal mortality and serious maternal morbidity in Jehovah's witnesses in the Netherlands.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19906024 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - November 13, 2009 Category: OBGYN Authors: Currie J, Ridout AE, Bhangu N, Cartwright J, Yoong W Tags: BJOG Source Type: journals

Women's health--what's new worldwide.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19906027 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - November 13, 2009 Category: OBGYN Authors: Kirtley S, Murray C, Kennedy S Tags: BJOG Source Type: journals

Labial surgery for well women: a review of the literature.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This review investigates the quality and content of published reports relating to labial surgery for well women. Electronic databases were searched for relevant articles between 1950 and April 2009. Forty articles were identified, 18 of which included patient data. The specification of the study design was unavailable in 15 of the 18 papers; the remaining three were retrospective reports. No prospective, randomised or controlled studies were found. All reports claimed high levels of patient satisfaction and contained anecdotes pertaining to success. Medically nonessential surgery to the labia minora is being promoted a...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - November 11, 2009 Category: OBGYN Authors: Liao LM, Michala L, Creighton SM Tags: BJOG Source Type: journals

Editor's Choice.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19832756 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 18, 2009 Category: OBGYN Authors: Steer P Tags: BJOG Source Type: journals

Single nucleotide polymorphisms - variation on a theme.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19832757 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 18, 2009 Category: OBGYN Authors: Harley I, Narod S Tags: BJOG Source Type: journals

Urethral and bladder injuries with mid-urethral sling procedures - do we always need to cystoscope? Authors' Reply.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
H PMID: 19832758 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 18, 2009 Category: OBGYN Authors: Authors' Reply. Tags: BJOG Source Type: journals

Urethral and bladder injuries after mid-urethral sling procedures - do we always need to cystoscope?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19832759 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 18, 2009 Category: OBGYN Authors: Smith P Tags: BJOG Source Type: journals

Home birth: as safe as in hospital?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19832760 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 18, 2009 Category: OBGYN Authors: Groenendaal F Tags: BJOG Source Type: journals

Home birth: as safe as in hospital? Authors' Reply.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
der Goes B, Ravelli A, Amelink-Verburg M, Mol B, Nijhuis J, Bennebroek Gravenhorst J, Buitendijk S PMID: 19832761 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 18, 2009 Category: OBGYN Authors: Authors' Reply. Tags: BJOG Source Type: journals

No rising trend in home birth mortality.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19832762 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 18, 2009 Category: OBGYN Authors: Gyte G, Dodwell M, Newburn M, Sandall J, Macfarlane A, Bewley S Tags: BJOG Source Type: journals

Managing massive postpartum haemorrhage.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19832763 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 18, 2009 Category: OBGYN Authors: Doumouchtsis S, Papageorghiou A Tags: BJOG Source Type: journals

What's new in the other journals?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19832764 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 18, 2009 Category: OBGYN Authors: Kent A Tags: BJOG Source Type: journals

Women's health-what's new worldwide.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19832765 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 18, 2009 Category: OBGYN Authors: Kirtley S, Murray C, Kennedy S Tags: BJOG Source Type: journals

Metabolic syndrome in young women with the polycystic ovary syndrome: revisiting the threshold for an abnormally decreased high-density lipoprotein cholesterol serum level.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions The adult threshold for HDL-C overestimates the prevalence of abnormal HDL-C in young women with PCOS. Until normative data about HDL-C in adult women under 20 years is available, we suggest using a threshold of 0.4 g/l or ignoring this criterion. PMID: 19832825 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 12, 2009 Category: OBGYN Authors: Dewailly D, Contestin M, Gallo C, Catteau-Jonard S Tags: BJOG Source Type: journals

Fertility and pregnancy following pelvic arterial embolisation for postpartum haemorrhage.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Embolisation, whether or not associated with a uterine-sparing surgical procedure, for postpartum haemorrhage does not appear to compromise a woman's subsequent fertility and obstetric outcome. Nevertheless, these women should be considered at high risk for postpartum haemorrhage during future deliveries. PMID: 19832826 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 12, 2009 Category: OBGYN Authors: Sentilhes L, Gromez A, Clavier E, Resch B, Verspyck E, Marpeau L Tags: BJOG Source Type: journals

Indicators for intervention during the expulsive second-stage arrest of labour.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Multiple significant antepartum and intrapartum indicators associated with intervention for expulsive second-stage arrest of labour were identified in this large retrospective study. Prominent were the associations of parity, maternal age and fetal head position with expulsive second-stage arrest. The identified factors should be further evaluated in prospective studies that aim to develop prediction models. PMID: 19832827 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 12, 2009 Category: OBGYN Authors: Leushuis E, Tromp M, Ravelli A, van Huis A, Mol B, Visser G, van der Post J Tags: BJOG Source Type: journals

Prescriptions filled during pregnancy for drugs with the potential of fetal harm.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions This study documents an important level of prescriptions filled during pregnancy for drugs harmful to the developing fetus. The proportions of both TOPs and babies born with MCMs were elevated compared with the expected values. Clinicians caring for women during pregnancy should conduct a medication inventory prior to a planned pregnancy, or as soon as an unplanned pregnancy is recognised. PMID: 19832828 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 12, 2009 Category: OBGYN Authors: Kulaga S, Zagarzadeh A, Bérard A Tags: BJOG Source Type: journals

Pregnancy complicated by a uterine fundal defect resulting from a previous B-Lynch suture.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Please cite this paper as: Saman Kumara Y, Marasinghe J, Condous G, Marasinghe U. Pregnancy complicated by a uterine fundal defect resulting from a previous B-Lynch suture. BJOG 2009; DOI: 10.1111/j.1471-0528.2009.02375.x. PMID: 19832829 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 12, 2009 Category: OBGYN Authors: Saman Kumara Y, Marasinghe J, Condous G, Marasinghe U Tags: BJOG Source Type: journals

Low birthweight and preterm birth rates 1 year before and after the Irish workplace smoking ban.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Significant declines in preterm births and in maternal smoking rates after the smoking ban are welcome signs. However, the increased LBW birth risks might reflect a secular trend, as observed in many industrialised nations, and merits further investigations. PMID: 19832830 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 12, 2009 Category: OBGYN Authors: Kabir Z, Clarke V, Conroy R, McNamee E, Daly S, Clancy L Tags: BJOG Source Type: journals

Posterior axilla sling traction for intractable shoulder dystocia: case reports.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Please cite this paper as: Hofmeyr G, Cluver C. Posterior axilla sling traction for intractable shoulder dystocia: case reports. BJOG 2009; DOI: 10.1111/j.1471-0528.2009.02373.x. PMID: 19832831 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 12, 2009 Category: OBGYN Authors: Hofmeyr G, Cluver C Tags: BJOG Source Type: journals

Relationship between maternal growth, infant birthweight and nutrient partitioning in teenage pregnancies.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Maternal growth was not detrimental to fetal growth in this UK population of teenagers. Greater weight gain and higher concentrations of IGF-I in growing teenagers may provide anabolic drive for maternal and fetal growth. PMID: 19832832 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 12, 2009 Category: OBGYN Authors: Jones R, Cederberg H, Wheeler S, Poston L, Hutchinson C, Seed P, Oliver R, Baker P Tags: BJOG Source Type: journals

Hyperoxia and prevention of adhesion formation: a laparoscopic mouse model for open surgery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Hyperoxia-enhanced adhesions were prevented by hypothermia, dexamethasone, phospholipids, Hyalobarrier((R)) gel, diltiazem, r-PA and AA. All effects were similar to those in the hypoxia-enhanced adhesion model, suggesting that the underlying mechanisms are similar. PMID: 19832833 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 12, 2009 Category: OBGYN Authors: Binda M, Koninckx P Tags: BJOG Source Type: journals

Effects of gestational diabetes on fetal oxygen and glucose levels in vivo.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Our data indicate that fetuses from gestational diabetic mothers have increased umbilical glucose concentrations despite normal maternal glucose levels and a reduction in oxygen saturation and O(2) content together with increased lactate concentration, reflecting altered fetal metabolism. These data suggest that 'good maternal metabolic control' achieved by currently used methods of monitoring glucose control is not sufficient to ensure a normal oxygenation status and metabolic milieu for the fetus in GDM pregnancies. PMID: 19832834 [PubMed - as supplied by publisher] (Source: BJOG : An International Journa...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 12, 2009 Category: OBGYN Authors: Taricco E, Radaelli T, Rossi G, Nobile de Santis M, Bulfamante G, Avagliano L, Cetin I Tags: BJOG Source Type: journals

Editors' choice. Women's health in low-resource settings.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19740159 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 26, 2009 Category: OBGYN Authors: Weeks A, van den Broek N Tags: BJOG Source Type: journals

MDG 5: how close are we to success?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Only 6 years are left until 2015, the target date for achieving the Millennium Development Goals (MDG), yet improving maternal health (MDG 5) continues to lag behind. At the global level, maternal mortality still remains high in sub-Saharan Africa and Southeast Asian countries. Most deaths are preventable and occur due to unavailability of and/or poor quality of service. Skilled care at facilities ensures safety, cleanliness, the availability of supplies and equipment, and it makes management and supervision easier. With the mixture of professionals in a facility, life-saving emergency care can be provided quickly. Whe...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 26, 2009 Category: OBGYN Authors: Islam M, Yoshida S Tags: BJOG Source Type: journals

Joining the dots: a plea for precise estimates of the maternal mortality ratio in sub-Saharan Africa.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Monitoring of maternal mortality levels in sub-Saharan Africa (SSA) to assess the achievements of safe motherhood programmes and for MDG-5 has been made difficult because of the lack of precise estimates of the maternal mortality ratio (MMR). Projections based on the slow rate of decline of the MMR indicate that MDG-5 may not be reached before the end of this century in this region. Measurements done using demographical and health surveys, statistical modelling and censuses are imprecise and do not allow trends in individual countries to be established. SSA countries should be encouraged to measure mortality levels fro...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 26, 2009 Category: OBGYN Authors: Munjanja SP Tags: BJOG Source Type: journals

Scaling up human resources for women's health.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19740163 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 26, 2009 Category: OBGYN Authors: Falconer AD, Crisp EN, Warwick C, Day-Stirk F Tags: BJOG Source Type: journals

Building capacity for anaesthesia in low resource settings.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article proposes a mechanism to achieve this through national and international links for resource poor settings. PMID: 19740164 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 26, 2009 Category: OBGYN Authors: Grady K Tags: BJOG Source Type: journals

Quality of care for maternal and newborn health: the neglected agenda.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The quality of care received by mothers and babies in developing countries is often reported as poor. Yet efforts to address this contributory factor to maternal and newborn mortality have received less attention compared with barriers of access to care. The current heightened concern to achieve Millennium Development Goals 4 & 5 has illuminated the neglected quality agenda. Whilst there is no universally-accepted definition of "quality care", it is widely acknowledged to embrace multiple levels--from patient to health system, and multiple dimensions, including safety as well as efficiency. Quality care should thus...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 26, 2009 Category: OBGYN Authors: van den Broek NR, Graham WJ Tags: BJOG Source Type: journals

The role of instrumental vaginal delivery in low resource settings.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19740166 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 26, 2009 Category: OBGYN Authors: Ameh CA, Weeks AD Tags: BJOG Source Type: journals

The evolving management of the third stage of labour.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The immediate postpartum period is a risky period because life-threatening events can occur unexpectedly, and lead to death if they are not managed promptly. Appropriate management of the third stage of labour can reduce severe postpartum haemorrhage and death. This commentary summarizes how various management techniques of third stage of labour evolved to date and the evidence base for current international recommendations. PMID: 19740167 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 26, 2009 Category: OBGYN Authors: Gülmezoglu AM, Souza JP Tags: BJOG Source Type: journals

Obstetric fistula--a new way forward.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19740169 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 26, 2009 Category: OBGYN Authors: Elneil S, Browning A Tags: BJOG Source Type: journals

Skilled birth attendance-lessons learnt.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To reduce the horrific maternal mortality figures that we have globally especially in resource poor countries, there was a global commitment to reduce maternal mortality by three-quarters by 2015 using 1990 as a baseline. To measure the achievement of this goal, two indicators: maternal mortality ratio and proportion of births attended by skilled attendance were selected. To ensure skilled attendance at birth for all women, the international community set a target of 80% by 2005, 85% by 2010 and 90% coverage by 2015. However, in 2008 only 65.7% of all women were attended to by a skilled attendant during pregnancy, chil...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 26, 2009 Category: OBGYN Authors: Adegoke AA, van den Broek N Tags: BJOG Source Type: journals

Ensuring effective Essential Obstetric Care in resource poor settings.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Although Emergency Obstetric Care (EOC) is globally accepted as a key strategy to improve maternal health and reduce maternal mortality, there is still a lot of debate surrounding its use--What is EOC? Is it evidence-based? How can we measure it? How can we improve access to EOC? This paper attempts to answer these questions. Although there are no randomized controlled trials, there is strong evidence from quasi-experimental, observational and ecological studies that EOC should be a critical component of any programme to reduce maternal mortality. This paper also identifies the barriers to accessing EOC and proposes st...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 26, 2009 Category: OBGYN Authors: Kongnyuy EJ, Hofman JJ, van den Broek N Tags: BJOG Source Type: journals

Newborn survival in low resource settings--are we delivering?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews current progress for newborn health globally, with a focus on the countries where most deaths occur. Three major causes of neonatal deaths (infections, complications of preterm birth, intrapartum-related neonatal deaths) account for almost 90% of all neonatal deaths. The highest impact interventions to address these causes of neonatal death are summarised with estimates of potential for lives saved. Two priority opportunities to address newborn deaths through existing maternal health programmes are highlighted. First, antenatal steroids are high impact, feasible and yet under-used in low resource setti...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 26, 2009 Category: OBGYN Authors: Lawn JE, Kerber K, Enweronu-Laryea C, Massee Bateman O Tags: BJOG Source Type: journals

The use of misoprostol in obstetrics and gynaecology.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Misoprostol, although originally introduced as a therapy for gastric ulcers, is now widely used in reproductive health. For some indications it is now the optimal choice, whilst for others it provides an important alternative, especially in low-resource settings. The optimal dose varies widely from 20 to 600 mcg depending on the indication and gestation. Use of the correct dose is important, too low a dose will be ineffective and overdosage can be dangerous for mother and baby. Evidence-based information about the safest regimens for multiple pregnancy indications are therefore provided in this review. PMID: 197401...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 26, 2009 Category: OBGYN Authors: Elati A, Weeks AD Tags: BJOG Source Type: journals

Management of infertility in low resource countries.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Infertility is a global problem, but the highest prevalence is in low resource countries, particularly in sub-Saharan Africa where infection-related tubal damage is the commonest cause. Most infections causing tubal damage are preventable and assisted conception can treat the infertility. However, assisted conception, despite being available for nearly three decades is either unavailable or inaccessible to most residents of resource poor countries. Infertility has social, economic and personal effects, which go beyond childlessness, and women bear the major brunt of the burden. There is urgent need for a comprehensive ...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 26, 2009 Category: OBGYN Authors: Sharma S, Mittal S, Aggarwal P Tags: BJOG Source Type: journals

Preventing mother-to-child transmission of HIV.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
HIV transmission from mother-to-child remains a major cause of infant morbidity and mortality in resource-poor settings. There is consensus that women who need antiretroviral treatment should receive this during pregnancy and beyond, and that an appropriate antiretroviral prophylactic regimen should be given to those who do not yet need ongoing therapy. Infant feeding remains a major source of infection and new antiretroviral strategies, for mothers or children, are emerging with the potential to control this. Access to HIV testing and antiretroviral treatment or prophylaxis remain very limited in low resource settings...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 26, 2009 Category: OBGYN Authors: Mnyani CN, McIntyre JA Tags: BJOG Source Type: journals

How to... advocate for political change on obstetrical and gynaecological issues facing low-income countries.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19740179 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 26, 2009 Category: OBGYN Authors: Shiffman J Tags: BJOG Source Type: journals

How to... teach.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19740180 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 26, 2009 Category: OBGYN Authors: Garden A Tags: BJOG Source Type: journals

How to...find evidence-based advice on the internet.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19740181 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 26, 2009 Category: OBGYN Authors: Murray C, Kennedy S, Kirtley S Tags: BJOG Source Type: journals

How to... provide effective technical assistance.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19740183 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 26, 2009 Category: OBGYN Authors: Tyson S, McNeil M Tags: BJOG Source Type: journals