Contraception
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Randomized Controlled Trial
Intrauterine lidocaine for pain control during laminaria insertion: a randomized controlled trial.
To determine if intrauterine administration of 5 cc of 2% lidocaine in addition to paracervical block reduces pain during laminaria insertion, when compared with paracervical block and saline placebo. ⋯ Intrauterine lidocaine combined with paracervical block does not improve pain control at laminaria insertion when compared with paracervical block and saline placebo. Wide variation in pain scores and persistent pain after laminaria insertion suggests patient would benefit from more effective methods of pain control at laminaria insertion and during the post-laminaria interval.
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The objective was to provide a summary description of the current status of women's health globally and trends since the 1990s. ⋯ The findings of this review have important implications for health systems as well as for broader policy dialogue on the underlying determinants of women's health including gender-based inequalities and discrimination. Health systems need to be structured and managed in ways that are responsive to the needs of girls and women, both for information and for care. Impediments to access--including distance, costs, lack of acceptability and discrimination--must be removed. Women themselves should be involved in designing and delivering health services that meet their needs as patients. They need support also in carrying out their roles as carers, both in the formal health care sector and within families and communities. Strategies to improve women's health must take full account of the underlying determinants of health--particularly gender inequality--and address the specific socioeconomic and cultural barriers that hamper women in protecting and improving their health.
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The Providers Share Workshop (PSW) provides abortion providers safe space to discuss their work experiences. Our objectives were to assess changes in abortion stigma over time and explore how stigma is related to aspects of professional quality of life, including compassion satisfaction, burnout and compassion fatigue for providers participating in the workshops. ⋯ Stigma is an important predictor of compassion satisfaction, burnout and compassion fatigue among abortion care providers. Therefore, strengthening human resources for abortion care requires stigma reduction efforts. Participants in the PSWs show reductions in stigma over time.