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 2017
Long-term incidence of hysterectomy following endometrial resection or endometrial ablation for heavy menstrual bleeding.
To estimate the incidence of hysterectomy following endometrial resection or endometrial ablation (ERA). ⋯ A significant majority of women who underwent ERA for HMB did not require hysterectomy up to 25 years after the procedure.
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Int J Gynaecol Obstet · Oct 2017
The responsibility of gynecologists and obstetricians in providing safe abortion services within the limits of the law.
Approximately 47 000 women die each year worldwide as a result of the complications of unsafe abortion, almost exclusively in low- and middle-income countries with restrictive abortion laws. In these countries, very few women who comply with the conditions imposed by the law can access safe abortion services in the public health system. ⋯ This violates the statement from FIGO's Committee for the Ethical Aspects of Human Reproduction and Women's Health, which asserts that: "The primary conscientious duty of obstetrician-gynecologists is at all times to treat, or provide benefit and prevent harm, to the patients for whose care they are responsible. Any conscientious objection to treating a patient is secondary to this primary duty."
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Int J Gynaecol Obstet · Aug 2017
Use of a geographic information system to assess accessibility to health facilities providing emergency obstetric and newborn care in Bangladesh.
To use a geographic information system (GIS) to determine accessibility to health facilities for emergency obstetric and newborn care (EmONC) and compare coverage with that stipulated by UN guidelines (5 EmONC facilities per 500 000 individuals, ≥1 comprehensive). ⋯ Assessing only the number of EmONC facilities does not ensure universal coverage; accessibility should be assessed when planning health systems.
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The outlook for elimination of the scourge of cervical cancer is bright, because we now have the tools to achieve this goal. In recent years human papillomavirus (HPV) vaccination in high-income countries has resulted in dramatic decreases in HPV infection and associated cervical disease. If all countries with a substantial burden of disease introduce the vaccine nationally, we can protect the vast majority of women and girls most at risk. ⋯ Human and financial resources must be increased and directed to programs that follow best practices and reach all women, including the marginalized or disadvantaged. Seven key actions are recommended. Now is the time for action at national, regional, and global levels.
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Int J Gynaecol Obstet · Jul 2017
Matched cohort study of external cephalic version in women with previous cesarean delivery.
To evaluate the efficacy and safety of external cephalic version (ECV) among women with previous cesarean delivery. ⋯ To avoid a repeat cesarean delivery, ECV can be offered to women with breech presentation and previous cesarean delivery who are otherwise eligible for a trial of labor.