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 · May 2005
Randomized Controlled Trial Clinical TrialOral misoprostol vs. vaginal misoprostol for cervical ripening and labor induction.
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Int J Gynaecol Obstet · Apr 2005
Helicobacter pylori infection and platelet counts during pregnancy.
To investigate whether there is any correlation between Helicobacter pylori infection and platelet counts during pregnancy. ⋯ A correlation between H. pylori infection and thrombocytopenia during pregnancy was not found in this study.
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Int J Gynaecol Obstet · Feb 2005
Availability and use of emergency obstetric services: Kenya, Rwanda, Southern Sudan, and Uganda.
The article summarises the baseline assessments of emergency obstetric care (EmOC) carried out in Uganda, Kenya, Southern Sudan, and Rwanda in 2003 and 2004. ⋯ Lack of basic EmOC services limits women's access to life-saving services during obstetric complications. To reduce maternal mortality ratio the states and development partners need to focus their effort to improve the coverage, quality, and utilization of EmOC services through supportive national policy, effective program strategies, increased budget allocation to maternal health program, rural infrastructure development, and regular monitoring, and evaluation of progress.
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Int J Gynaecol Obstet · Feb 2005
Comparative StudyProgram note: applying the UN process indicators for emergency obstetric care to the United States.
The United Nations Process Indicators for emergency obstetric care (EmOC) have been used extensively in countries with high maternal mortality ratios (MMR) to assess the availability, utilization and quality of EmOC services. To compare the situation in high MMR countries to that of a low MMR country, data from the United States were used to determine EmOC service availability, utilization and quality. As was expected, the United States was found to have an adequate amount of good-quality EmOC services that are used by the majority of women with life-threatening obstetric complications.
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Public attention in Sweden has been drawn to three neighboring states that recently joined the European Union: Estonia, Latvia, and Lithuania. At this historic moment, it seems instructive to look at how the rapidly reformed health sectors of these ex-Soviet republics are responding to the vision of reproductive health articulated in Cairo 10 years ago. ⋯ Reforms such as the introduction of family medicine need continued adjustment, especially regarding antenatal care. One special challenge is the retention of essential mid-level providers, such as midwives, as the mode of HIV transmission becomes increasingly sexual.