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Inconsistent fertility motivations and contraceptive use behaviors among women in HondurasEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Reproductive Health - November 19, 2009 Category: OBGYN Authors: Ilene SpeizerLaili IraniJanine Barden-O'FallonJessica Levy Source Type: journals

WHO Global Survey on Maternal and Perinatal Health in Latin America: classifying caesarean sectionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Reproductive Health - October 29, 2009 Category: OBGYN Authors: Ana BetranMetin GulmezogluMichael RobsonMario MerialdiJoao SouzaDaniel WojdylaMariana WidmerGuillermo CarroliMaria TorloniAna LangerAlberto NarvaezAlejandro VelascoAnibal FaundesArnaldo AcostaEliette ValladaresMariana RomeroNelly ZavaletaSofia ReynosoVice Source Type: journals

Consanguinity and reproductive health among ArabsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 worl...
Source: Reproductive Health - October 7, 2009 Category: OBGYN Authors: Ghazi TadmouriPratibha NairTasneem ObeidMahmoud Al AliNajib Al KhajaHanan Hamamy Source Type: journals

Brazilian network for the surveillance of maternal potentially life threatening morbidity and maternal near-miss and a multidimensional evaluation of their long term consequencesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 t...
Source: Reproductive Health - September 23, 2009 Category: OBGYN Authors: Jose CecattiJoao SouzaMary ParpinelliSamira HaddadRodrigo CamargoRodolfo PacagnellaCarla SilveiraDulce ZanardiMaria CostaJoao Pinto e SilvaRenato Passini JrFernanda SuritaMaria SouzaIracema CalderonLale SayRobert PattinsonBrazilian Network for Surveillanc Source Type: journals

Religiosity and teen birth rate in the United StatesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 Sur...
Source: Reproductive Health - September 16, 2009 Category: OBGYN Authors: Joseph StrayhornJillian Strayhorn Source Type: journals

Social differentiation and embodied dispositions: a qualitative study of maternal care-seeking behaviour for near-miss morbidity in BoliviaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Reproductive Health - July 28, 2009 Category: OBGYN Authors: Mattias RoostCecilia JonssonJerker LiljestrandBirgitta Essen Source Type: journals

High rate of unintended pregnancy among pregnant women in a maternity hospital in Cordoba, Argentina: a pilot studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Reproductive Health - July 19, 2009 Category: OBGYN Authors: Celina PalenaM. Valeria BahamondesVeronica SchenkLuis BahamondesJulio Fernandez-Funes Source Type: journals

Does hypoglycemia following a glucose challenge test identify a high risk pregnancy?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Reproductive Health - July 13, 2009 Category: OBGYN Authors: Suzanne PughDorota DohertyEverett MagannSuneet ChauhanJames HillJohn Morrison Source Type: journals

Maternal health in resource-poor urban settings: how does women's autonomy influence the utilization of obstetric care services?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Reproductive Health - June 16, 2009 Category: OBGYN Authors: Jean-Christophe FotsoAlex EzehHildah Essendi Source Type: journals

National data system on near miss and maternal death: shifting from maternal risk to public health impact in NigeriaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 t...
Source: Reproductive Health - June 9, 2009 Category: OBGYN Authors: Olufemi OladapoOlalekan AdetoroOluwarotimi FakeyeBissallah EkeleAdeniran FawoleAniekan AbasiattaiOluwafemi KutiJamilu TukurAdedapo AndeOlukayode DadaNigerian Network for Reproductive Health Research and Training (nnrhrt) Source Type: journals

Reproductive age mortality survey (RAMOS) in Accra, GhanaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Reproductive Health - June 4, 2009 Category: OBGYN Authors: Afisah Yakubu ZakariahSophie AlexanderJos van RoosmalenPierre BuekensEnyonam Yao KwawukumePatrick Frimpong Source Type: journals

Maternal mortality in the informal settlements of Nairobi city: what do we know?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Reproductive Health - April 22, 2009 Category: OBGYN Authors: Abdhalah K Ziraba, Nyovani Madise, Samuel Mills, Catherine Kyobutungi and Alex Ezeh Source Type: journals

Availability and quality of emergency obstetric care in Gambia's main referral hospital: women-users' testimoniesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Reproductive Health - April 14, 2009 Category: OBGYN Authors: Mamady Cham, Johanne Sundby and Siri Vangen Source Type: journals

Prevalence of sexually transmitted infections among pregnant women with known HIV status in northern TanzaniaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Reproductive Health - February 25, 2009 Category: OBGYN Authors: Sia E Msuya, Jacqueline Uriyo, Akhtar Hussain, Elizabeth M Mbizvo, Stig Jeansson, Noel E Sam and Babill Stray-Pedersen Source Type: journals

Prevalence of sexually transmitted infections among pregnant women with known HIV status in northern Tanzania.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Reproductive Health - February 25, 2009 Category: OBGYN Authors: Sia E Msuya, Jacqueline Uriyo, Akhtar Hussain, Elizabeth M Mbizvo, Stig Jeansson, Noel E Sam and Babill Stray-Pedersen Source Type: journals

Limits to modern contraceptive use among young women in developing countries: a systematic review of qualitative researchEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Reproductive Health - February 19, 2009 Category: OBGYN Authors: Lisa M Williamson, Alison Parkes, Daniel Wight, Mark Petticrew and Graham J Hart Source Type: journals

Active management of the third stage of labour without controlled cord traction: a randomized non-inferiority controlled trialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Reproductive Health - January 21, 2009 Category: OBGYN Authors: A.Metin Gulmezoglu, Mariana Widmer, Mario Merialdi, Zahida Qureshi, Gilda Piaggio, Diana Elbourne, Hany Abdel-Aleem, Guillermo Carroli, G.Justus Hofmeyr, Pisake Lumbiganon, Richard Derman, Pius Okong, Shivaprasad Goudar, Mario Festin, Fernando Althabe and Source Type: journals

Maternal death after oocyte donation at high maternal age: case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 wo...
Source: Reproductive Health - December 30, 2008 Category: OBGYN Authors: Joke M Schutte, Nico WE Schuitemaker, Eric AP Steegers and Jos van Roosmalen Source Type: journals

Adolescent and adult first time mothers' health seeking practices during pregnancy and early motherhood in Wakiso district, central UgandaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Reproductive Health - December 30, 2008 Category: OBGYN Authors: Lynn Atuyambe, Florence Mirembe, Nazarius M Tumwesigye, Annika Johansson, Edward K Kirumira and Elisabeth Faxelid Source Type: journals

ICPD to MDGs: Missing links and common groundsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Reproductive Health - September 10, 2008 Category: OBGYN Authors: Farina G Abrejo, Babar T Shaikh and Sarah Saleem Source Type: journals

A three-arm randomised controlled trial comparing Gonadotrophin Releasing Hormone (GnRH) agonist long regimen versus GnRH agonist short regimen versus GnRH antagonist regimen in women with a history of poor ovarian response undergoing in vitro fertilisation (IVF) treatment: Poor responders intervention trial (PRINT)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 antag...
Source: Reproductive Health - December 28, 2007 Category: OBGYN Authors: Sesh K Sunkara, Arri Coomarasamy, Yakoub Khalaf and Peter Braude Source Type: journals

A three-year longitudinal evaluation of the forearm bone density of users of etonogestrel- and levonorgestrel-releasing contraceptive implantsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Reproductive Health - November 12, 2007 Category: OBGYN Authors: Cecilia Monteiro-Dantas, Ximena Espejo-Arce, Jeffrey Lui-Filho, Arlete M Fernandes, Ilza Monteiro and Luis Bahamondes Source Type: journals

The outcomes of midline versus medio-lateral episiotomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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. ...
Source: Reproductive Health - October 29, 2007 Category: OBGYN Authors: Ratchadawan Sooklim, Jadsada Thinkhamrop, Pisake Lumbiganon, Witoon Prasertcharoensuk, Jeerichuda Pattamadilok, Kanok Seejorn, Chompilas Chongsomchai, Prakai Pitak and Sukanya Chansamak Source Type: journals

Middle Eastern mothers in Sweden, their experiences of the maternal health service and their partners involvementEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Reproductive Health - October 24, 2007 Category: OBGYN Authors: Pernilla Ny, Lars Plantin, Elisabeth D Karlsson and Anna-karin Dykes Source Type: journals

Antenatal screening and the gendering of genetic responsibilityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 par...
Source: Reproductive Health - September 28, 2007 Category: OBGYN Authors: Kate Reed Source Type: journals

Influences on uptake of reproductive health services in Nsangi community of Uganda and their implications for cervical cancer screeningEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 con...
Source: Reproductive Health - June 26, 2007 Category: OBGYN Authors: Twaha Mutyaba, Elisabeth Faxelid, Florence Mirembe and Elisabete Weiderpass Source Type: journals

Cervical cancer: a qualitative study on subjectivity, family, gender and health servicesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Reproductive Health - March 1, 2007 Category: OBGYN Authors: Blanca E Pelcastre Villafuerte, Laura L Tirado Gomez, Alejandro Mohar Betancourt and Malaquias Lopez Cervantes Source Type: journals

Evaluation of the reach and impact of the 100% Jeuneyouth social marketing program in Cameroon: findings from three cross-sectional surveysEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Reproductive Health - February 26, 2007 Category: OBGYN Authors: Andrea Plautz and Dominique Meekers Source Type: journals

Maternal position during the first stage of labor: a systematic reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Reproductive Health - November 30, 2006 Category: OBGYN Authors: João P Souza, Maria A Miquelutti, Jose G Cecatti and Maria Y Makuch Source Type: journals

Pyoderma gangrenosum after caesarean section: a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Reproductive Health - August 22, 2006 Category: OBGYN Authors: Franyke Banga, Nico Schuitemaker and Piet Meijer Source Type: journals

Late entry to antenatal care in New South Wales, AustraliaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Reproductive Health - August 18, 2006 Category: OBGYN Authors: Lieu Thuy Thi Trinh and George Rubin Source Type: journals

Difficulties in recruitment for a randomized controlled trial involving hysterosalpingographyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Reproductive Health - June 13, 2006 Category: OBGYN Authors: Denise AM Perquin, Anton JM de Craen and Frans M Helmerhorst Source Type: journals

The prolongation of somatic support in a pregnant woman with brain-death: a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 donatio...
Source: Reproductive Health - April 27, 2006 Category: OBGYN Authors: João P Souza, Antonio Oliveira-Neto, Fernanda Garanhani Surita, José G Cecatti, Eliana Amaral and João L Pinto e Silva Source Type: journals

Use of antenatal services and delivery care among women in rural western Kenya: a community based surveyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Reproductive Health - April 6, 2006 Category: OBGYN Authors: Anna M van Eijk, Hanneke M Bles, Frank Odhiambo, John G Ayisi, Ilse E Blokland, Daniel H Rosen, Kubaje Adazu, Laurence Slutsker and Kim A Lindblade Source Type: journals

The prevalence of stillbirths: a systematic reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Reproductive Health - January 10, 2006 Category: OBGYN Authors: Lale Say, Allan Donner, A Metin Gülmezoglu, Monica Taljaard and Gilda Piaggio Source Type: journals