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 · Nov 2008
Effectiveness and safety of loop electrosurgical excision procedure in a low-resource setting.
To evaluate the effectiveness and safety of the loop electrosurgical excision procedure (LEEP) to treat cervical intraepithelial neoplasia (CIN) in a low-resource setting. ⋯ LEEP was associated with minimal complications and acceptable cure rates in a low-resource setting, although women with larger lesions had lower cure rates.
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Int J Gynaecol Obstet · Nov 2008
Perception and use of complementary and alternative medicine among gynecologic oncology care providers.
To determine general attitudes and approaches to complementary and alternative medicine (CAM) among physicians who care for gynecologic oncology patients. ⋯ Discrepancies exist among oncologists regarding attitude and use of CAM in their practice. Education of physicians regarding the safety and efficacy of CAM modalities may ultimately improve patient care.
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Int J Gynaecol Obstet · Aug 2008
Randomized Controlled TrialRopivacaine abdominal wound infiltration and peritoneal spraying at cesarean delivery for preemptive analgesia.
To determine whether ropivacaine infiltration into all layers of the abdominal cesarean wound and spraying of the peritoneum decreases postoperative pain. ⋯ Ropivacaine wound infiltration and peritoneal spraying during cesarean delivery under general anesthetic reduces severe pain and need for opioids.
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The maternal mortality ratio in Pakistan remains high at between 350 and 500 per 100,000 live births, while the neonatal mortality ratio is 50 per 1000 live births. This paper examines the trends in maternal and neonatal mortality in Pakistan and looks at why slow progress has been made in attempts to achieve safe motherhood. Despite numerous initiatives, it is uncertain whether Pakistan will achieve Millennium Development Goals 4 and 5 by 2015.
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Int J Gynaecol Obstet · Aug 2008
Review Practice GuidelineGuidelines for the number of embryos to transfer following in vitro fertilization No. 182, September 2006.
To review the effect of the number of embryos transferred on the outcome of in vitro fertilization (IVF), to provide guidelines on the number of embryos to transfer in IVF-embryo transfer (ET) in order to optimize healthy live births and minimize multiple pregnancies. ⋯ Society of Obstetricians and Gynaecologists of Canada. The quality of evidence reported in this document has been described using the Evaluation of Evidence criteria outlined in the Report of the Canadian Task Force on the Periodic Health Exam (Table 1).