Articles: disease.
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Acta Obstet Gynecol Scand · Jan 1981
Effect of an oral contraceptive on uterine tonicity in women with primary dysmenorrhea.
Hysterometry, a method for quantitative evaluation of the effect of pharmacologically active agents on the myometrium, has been applied to determine the effect of an oral contraceptive on uterine tonicity. Hysterometry was performed on the first day of each of two consecutive menstrual periods in 5 dysmenorrheic women. During the second cycle the women were given ethinylestradiol 50 microgram and lynestrenol 1 mg per day for 22 days. After the intake of this oral contraceptive, uterine tonicity decreased in all women, the decrease being accompanied by relief of dysmenorrheic pain.
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A pilot survey was recently undertaken among 301 married women below 50 years of age and having been pregnant at least once. These women lived in a rural environment: the first group in a peri-urban area which is developing rapidly, and the second in a traditional rural area. The survey elicited information on various aspects of the 1,476 pregnancies reported by the women in the sample, including infant mortality, complications in pregnancy, abortions, as well as the number of medical consultations. ⋯ It is evident that health care is equated with curative treatment and that the positive dimensions of prevention and health maintenance are not properly perceived. The fact that in the more conservative areas 98.1% of births take place at home shows the existence of a traditional health system which is not sufficiently taken into account by health planners. In fact, local birth attendants and midwives represent for the health services untapped manpower which, if adequately trained, could help to eliminate the risks currently associated with home births.