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 · Sep 2006
Cost-effective approaches to in vitro fertilization: means to improve access.
Many childless couples would like to have access to in vitro fertilization (IVF) through public-sector programs, but such programs are scant because of the high costs that IVF entails today. A solution for health departments worldwide might be to leave IVF methods requiring expensive equipment and ovarian stimulating hormones - such as human recombinant gonadotropins, plus gonadotropin-releasing hormone analogues to prevent a surge of luteinizing hormone - to the private sector. ⋯ Before embryo transfer, oocyte maturation could occur in vitro or in a makeshift incubator: a tube closed, wrapped, and left in the woman's vagina for 24 h. To prevent short- and long-term costs as well as possible lifelong problems, the transfer of multiple embryos should not be performed.
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Int J Gynaecol Obstet · Sep 2006
EditorialWomen's right to health and the Millennium Development Goals: promoting partnerships to improve access.
The Millennium Development Goals (MGD) represent a commitment of 189 member states that adopted them during the Millennium Summit in September 2000. This UN General Assembly recognized that gender equality and women's empowerment are both central to achieving sustainable development by means of combating poverty, hunger and disease. ⋯ However, a clear link exists between all of the MDGs and the reproductive and sexual health of women, who cannot contribute to sustainable development, unless their right to health is met through improved access. The FIGO 2006 World Report on Women's Health addresses many issues critical to the success of the MDGs, with a focus on how partnerships have become a crucial vehicle to improve access to health for women.
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Int J Gynaecol Obstet · Aug 2006
Clinical TrialMisoprostol and active management of the third stage of labor.
To compare current practices for the active management of the third stage of labor (AMTSL) with the use of 600 mug of oral misoprostol. ⋯ In situations where oxytocin and or ergometrine are not consistently and appropriately used during third stage of labor, misoprostol should be considered for inclusion in the AMTSL protocol.
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Int J Gynaecol Obstet · Jul 2006
Obstetric outcomes in women with end-stage renal failure requiring renal dialysis.
To study obstetric outcomes in women with end-stage renal failure undergoing chronic renal dialysis. ⋯ Such pregnancies are high-risk, particularly because of maternal hypertension and prematurity. They should be managed by multidisciplinary teams, and prepregnancy counseling should not be neglected.