International journal of gynaecology and obstetrics : the official organ of the International Federation of Gynaecology and Obstetrics
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Int J Gynaecol Obstet · Oct 2013
ReviewCauses of puerperal and neonatal sepsis in resource-constrained settings and advocacy for an integrated community-based postnatal approach.
Puerperal sepsis and neonatal sepsis are important causes of mortality and morbidity in low-income countries. ⋯ Management tools for community-based care of mothers with puerperal sepsis-including early detection, initiation of broad-spectrum antibiotic treatment, and timely referral-should be added to those currently in use for neonatal sepsis. Further research is required to address acceptability, feasibility, and impact of community-based presumptive treatment.
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Int J Gynaecol Obstet · Oct 2013
Prevalence and associated features of restless legs syndrome in a population of Iranian women during pregnancy.
To investigate the prevalence of restless legs syndrome (RLS) during pregnancy and to evaluate factors associated with RLS in a population of Iranian pregnant women. ⋯ Restless legs syndrome is common during pregnancy and is associated with poor sleep and an increased risk of cesarean delivery.
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Int J Gynaecol Obstet · Oct 2013
Assessing the extent of provision of comprehensive medical care management for female sexual assault patients in US hospital emergency departments.
To describe medical services provided to sexual assault patients in US emergency departments and to identify the percentage of hospitals always providing the 10 elements of comprehensive medical care management (CMCM). ⋯ Less than one-fifth of US hospitals provide comprehensive services to sexual assault patients. A national program incorporating clinical guidelines, checklists, and funding for sexual assault forensic/nurse examiner programs could improve the standard of care provided in emergency departments-the primary point of contact for acute care of sexual assault survivors.
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Int J Gynaecol Obstet · Oct 2013
Effectiveness of cryotherapy for histologically confirmed cervical intraepithelial neoplasia grades 1 and 2 in an Indian setting.
To describe the effectiveness of cryotherapy for treating women who were histologically confirmed to have cervical intraepithelial neoplasia (CIN) in India. ⋯ The study affirms that trained mid-level providers can appropriately perform cryotherapy in primary healthcare services and that expanding such services in low-resource settings would increase the availability and accessibility of precancer treatment.