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Sexual Health RSS FeedsWater aerobics in pregnancy: cardiovascular response, labor and neonatal outcomes - Background: To evaluate the association between water aerobics, maternal cardiovascular capacity during pregnancy, labor and neonatal outcomes. Methods: A randomized, controlled clinical trial was carried out in which 34 pregnant women were allocated to a water aerobics group and 37 to a control group. All women were submitted to submaximal ergometric tests on a treadmill at 19, 25 and 35 weeks of pregnancy and were followed up until delivery. Oxygen consumption (VO2 max), cardiac output (CO), physical capacity, skin temperature, data on labor and delivery, and neonate outcomes were evaluated. Frequency distributions of the baseline variables of both groups were initially performed and then analysis of the outcomes was carried out. Categorical data were compared using the chi-square test, and numerical using Student's t or Mann-Whitney tests. Wilk's Lambda or Friedman's analysis of repeat measurements were applied for comparison of physical capacity, cardiovascular outcomes and matern...Feed Source: www.reproductive-health-journal.com Building Irish families through surrogacy: medical and judicial issues for the advanced reproductive technologies - Surrogacy involves one woman (surrogate mother) carrying a child for another person/s (commissioning person/couple), based on a mutual agreement requiring the child to be handed over to the commissioning person/couple following birth. Reasons for seeking surrogacy include situations where a woman has non-functional or absent reproductive organs, or as a remedy for recurrent pregnancy loss. Additionally, surrogacy may find application in any medical context where pregnancy is contraindicated, or where a couple consisting of two males seek to become parents through oocyte donation. Gestational surrogacy is one of the main issues at the forefront of bioethics and the advanced reproductive technologies, representing an important challenge to medical law. This analysis reviews the history of surrogacy and clinical and legal issues pertaining to this branch of reproductive medicine. Interestingly, the Medical Council of Ireland does not acknowledge surrogacy in its current practice guideline... Age differences at sexual debut and subsequent reproductive health: Is there a link? - Background:
Experiences at sexual debut may be linked to reproductive health later in life. Additionally, young women with older sexual partners may be at greater risk for HIV and sexually transmitted infections. This study examines sexual debut with an older partner and subsequent reproductive health outcomes among 599 sexually experienced women aged 15?24 who utilized voluntary counseling and testing or reproductive health services in Port-au-Prince, Haiti.
Methods:
Logistic regression models, controlling for socioeconomic and demographic factors, examined whether age differences at first sex were significantly associated with STI diagnosis in the previous 12 months and family planning method use at last intercourse.
Results:
Sixty-five percent of women reported sexual initiation with a partner younger or less than 5 years older, 28% with a partner 5 to 10 years older, and 7% with a partner 10 or more years older. There was a trend towards decreased likelihood of recent use of family... Assessing the health and development of ART-conceived young adults: A study of feasibility, parent recall, and acceptability - Background:
Assisted reproductive technologies (ART) to treat infertility have been available for nearly three decades. There have been a number of systematic comparisons of the health and development of ART-conceived with spontaneously-conceived (SC) children. Data are equivocal, some finding no differences and others that there are more health and developmental problems in the ART group. It is agreed that perinatal mortality and morbidity are worse after assisted than spontaneous conception and the impact of the hormonally altered intrauterine environment on puberty and later fertility of offspring are unknown. To date however, there has been no investigation of the health and development of ART-conceived young adults, including from the world's few prospective cohorts of ART conceived children. Obtaining these data requires contact to be made with people at least twenty years after discharge from the treating service. Given the ethical difficulties of approaching families to partici... Severe maternal morbidity (near miss) as a sentinel event of maternal death. An attempt to use routine data for surveillance - Background:
To identify all the records within the Brazilian Hospital Information System (HIS) that contained information suggestive of severe maternal morbidity (near miss); to describe the diagnoses and procedures used; to identify variables associated with maternal death.
Methods:
A descriptive population study with data from the HIS and Mortality Information System (MIS) files of records of women during pregnancy, delivery and in the postpartum period in all the capital cities of the Brazilian states in 2002. Initially, records of women between 10 and 49 years of age were selected; next, those records with at least one criterion suggestive of near miss were selected. For the linkage of HIS with MIS and HIS with itself, a blocking strategy consisting of three independent steps was established. In the data analysis, near miss ratios were calculated with corresponding 95% confidence interval and the diagnoses and procedures were described; a multiple logistic regression model was adju... Inter- and intra-observer variability in Sonographic measurements of the cross-sectional diameters and area of the umbilical cord and its vessels during pregnancy - Background:
The purpose of the study was to evaluate inter- and intra-observer variability in sonographic measurements of the cross-sectional area of the umbilical cord and the diameters of its vessels in low-risk pregnancies of 12 to 40 weeks of gestation.
Methods:
A prospective cross sectional study was performed in 221 pregnant women at different gestational ages. Measurements were carried out also by a second observer to evaluate inter-observer variability and repeated once again by the first observer to assess intra-observer variability. The linear correlation between the measurements (Spearman's coefficient of correlation) and their reliability through the intraclass correlation coefficient (ICC), the Cronbach's alpha coefficient and the limits of agreement proposed by Bland and Altman were evaluated.
Results:
The results showed that inter-observer and intra-observer variability did not show any significant difference between examiners. A good linear correlation between the measu... ICPD to MDGs: Missing links and common grounds - The ICPD agenda of reproductive health was declared as the most comprehensive one, which had actually broadened the spectrum of reproductive health and drove the states to embark upon initiatives to improve reproductive health status of their populations. However, like all other countries, Pakistan also seems to have shifted focus of its policies and programs towards achieving MDGs. As a result, concepts highlighted in the ICPD got dropped eventually. In spite of specific goals on maternal and child mortalities in MDGs and all the investment and policy shift, Pakistan has still one of the highest maternal mortality ratios among developing countries. Lack of synchronized efforts, sector wide approaches, inter-sectoral collaboration, and moreover, the unmet need for family planning, unsafe abortions, low literacy rate and dearth of women empowerment are the main reasons. Being a signatory of both of the international agendas (ICPD and MDGs), Pakistan needed to articulate its policies to ... Gynaecological morbidity among HIV positive pregnant women in Cameroon - ObjectiveTo compare the prevalence of gynaecological conditions among HIV infected and non-infected pregnant women.
Methods:
Two thousand and eight (2008) pregnant women were screened for HIV, lower genital tract infections and lower genital tract neoplasia at booking antenatal visit.
Results:
About 10% (198/2008) were HIV positive. All lower genital tract infections except candidiasis were more prevalent among HIV positive compared to HIV negative women: vaginal candidiasis (36.9% vs 35.4%; p = 0.678), Trichomoniasis (21.2% vs 10.6%; p < 0.001), gonorrhoea (10.1% vs 2.5%; p < 0.001), bacterial vaginosis (21.2% vs 15.2%; p = 0.026), syphilis (35.9% vs 10.6%; p < 0.001), and Chlamydia trachomatis (38.4% vs 7.1%; p < 0.001). Similarly, HIV positive women more likely to have preinvasive cervical lesions: low-grade squamous intraepithelial lesion (SIL) (18.2% vs 4.4%; p < 0.001) and high-grade squamous intraepithelial lesion (12.1% vs 1.5%; p < 0.001).
Conclusion:
We conclude that (i) sexu... Comparison of two doses and two routes of administration of misoprostol after pre-treatment with mifepristone for early pregnancy termination - Background:
It is not known whether a 400 ?g dose of misoprostol has a similar efficacy as an 800 ?g dose when administered sublingually or vaginally 24 hours after 200 mg mifepristone.
Methods:
It is proposed to undertake a placebo-controlled, randomized, non-inferiority trial (3% margin of equivalence) of the two misoprostol doses when administered sublingually or vaginally using factorial design. A total of 3008 pregnant women (< 63 days of gestational age) who request legal termination of pregnancy will be recruited for the trial at 16 clinics in ten countries providing abortion services. Eligible women willing to join the study will be allocated randomly to one of the four treatment groups within each centre. Women in all treatment groups will first receive 200 mg mifepristone, followed 24 hours later by either 400 ?g or 800 ?g misoprostol, administered either sublingually or vaginally. The dose and route of administration of misoprostol will be blinded to women, each woman receiv... Reproductive health issues in rural Western Kenya - Background:
We describe reproductive health issues among pregnant women in a rural area of Kenya with a high coverage of insecticide treated nets (ITNs) and high prevalence of HIV (15%).
Methods:
We conducted a community-based cross-sectional survey among rural pregnant women in western Kenya. A medical, obstetric and reproductive history was obtained. Blood was obtained for a malaria smear and haemoglobin level, and stool was examined for geohelminths. Height and weight were measured.
Results:
Of 673 participants, 87% were multigravidae and 50% were in their third trimester; 41% had started antenatal clinic visits at the time of interview and 69% reported ITN-use. Malaria parasitemia and anaemia (haemoglobin < 11 g/dl) were detected among 36% and 53% of the women, respectively. Geohelminth infections were detected among 76% of the 390 women who gave a stool sample. Twenty percent of women were underweight, and sixteen percent reported symptoms of herpes zoster or oral thrush in the la... Top Teas for Good Health ? Do You Know What to Drink? -
The United States is finally catching up to what the rest of the world has known for years ? tea CAN be good for you! Besides water, tea is the most consumed drink in the world and there are countless varieties such as herbal, black, oolong, green and white. The question is, which ones offer [ ]... Gift Wrapping Alternatives - Who doesn?t want to have a few presents to open on Christmas morning? Once the gift is open we are left sitting in a pile of paper and plastic tidbits. These items litter the landfills for hundreds of years because they are not biodegradable. Here are some ideas for alternative gift wrapping this year.
There are [ ]... Shop Responsibly this Holiday - For many, Christmas has become a commercial holiday. Instead of being a season of giving, we have bought into the media circus and it has become a season of greed and excess. This year tailor your shopping to be a bit more responsible in the items that you purchase.
Shopping responsibly doesn?t stop at spending frugally [ ]... Physical Signs of Stress - You will feel stress a lot during your life. Stress is defined as the tension you feel over circumstances and situations. Sometimes you have control over these circumstances and situations and sometimes you do not. When you have little control over the stressors in your life, then you certainly need to learn how to deal [ ]... Is It ADHD or a Bad Diet? - You have had trouble concentrating at work. It seems as if you?ll go stir crazy if you have to wait more than five minutes for anything. The problem could be attention deficit/hyperactivity disorder, or ADHD.
What is ADHD? We hear the acronym tossed around a lot when it comes to kids, but what does it really [ ]... Natural Molluscum Treatment (MCV) - What is MCV (Molluscum Contagiosum Virus)?
It is a chronic viral skin infection that causes raised, pearl-like papules. Typically, the lesions begin as a small painless papule, usually 2 to 5mm in diameter, which may raise up to form a flesh-colored nodule. Scratching or other irritation causes the virus to spread in a line or in [ ]... Want More Energy? Give Up Soda - When we?re looking for a jolt to get us going in the morning, many of us grab a soda. All that sugar and caffeine gives us just the energy boost we need to get through the day, right? Well if you want to feel more energetic through your whole day, you?ll probably see a bigger [ ]... Become a Better Caregiver - We tell others that everything will be okay when they experience life-altering situations. The truth is that it is hard to understand their plight. Learn how to empathize with your loved one and become a better caregiver.
It sounds nice to say something when someone is hurting, but saying the wrong thing can be just as [ ]... Christmas Craft: Making Beeswax Candles - Candle making is a tradition from the Old Country. Hanging wicks and dipping them in wax until the candle is the correct consistency was something we did in art class. Get the family together during the holiday season and teach the kids how to make beeswax candles.
Beeswax candles can be made with beeswax sheets. True [ ]... Christmas Party Game Ideas for Kids - What is a party without party games? Boring, right? Why not plan on adding some fun to the party by including a few entertaining games this year. Here are a few fun games to get the party hopping this year.
Dream Gifts - give everyone a slip of paper to write down their dream gift, if [ ]... The Link Between Headaches and Vision - Headaches are a complicated issue. The causes can arise from so many different sources that sometimes it is hard to pinpoint how to treat them. If you suffer from headaches, have you had your vision checked?
We often think of external factors when dealing with headaches. The most common cause is stress. Stress is the single [ ]... Anxiety Disorders Are Real - We?ve all felt anxious at one point or another; it?s a perfectly normal response to stress. Feeling fear and anxiety actually helps us to cope and accurately respond to stressful situations. However, people with anxiety disorders feel stress even if there is no trigger there to set it off. This can cause problems with their [ ]... Understanding Hangovers and the Natural Remedies That can Cure Them - If you have ever had a hangover you know that relief it uppermost in your mind. 75% or more of those who drink alcoholic beverages experience hangover symptoms the next morning.
Typical symptoms of a hangover are headache, stomach upset, vomiting, a bad taste in your mouth, depressed mood, lack of interest in doing normal things [ ]... Tips for an Easier Workout - If you are looking to start a healthy lifestyle but want to get up and running immediately, here are some tips for an easier workout. Many people over complicate working out. They think that they have to join a gym, be on a set regiment everyday, and buy hundreds of dollars worth of equipment all [ ]... Making Edible Tree Ornaments - Christmas belongs to everyone especially the children. Most of the memories that we treasure for a lifetime are created during childhood. Help your kids to make memorable moments with edible ornaments.
Edible ornaments are fun to make and even better to eat. One advantage of these ornaments is that there is less to pack away in [ ]... Christmas Dinner Menu Ideas - Every family has its favorite dishes for the holidays, traditions that have been passed down year after year. Maybe it is time to spice things up and introduce some new recipes or at least make some variations to some favorites.
It’s a good idea to incorporate family favorites from your spouse’s family (if you can get [ ]... Will Colon Cleansing Help Me Lose Weight? - Colon cleansing has become increasingly popular in recent years. It has been touted to help you feel better, stay healthier, and even lose weight. So, what is colon cleansing and can it really help you take off the pounds?
When we eat food, our colon is responsible for filtering out all the waste from our bodies, [ ]... Brief Look Back At the History of Osteopathic Medicine - A name that is closely associated with osteopathic medicine is Andrew Taylor Still, M.D. D.O. Born in 1828 he learned medicine at the knee of his father, an accomplished physician in his own right. Andrew Still went on to distinguish himself as a physician and surgeon during the Civil War when he traveled with the [ ]... The Risk Factors of Insomnia - Insomnia is really quite common in America and a good portion of people have to deal with it at one time or another. However, most people attempt to deal with insomnia on their own and never consult a physician about it.
As a matter of fact, during routine physicals and doctor visits, most doctors never even [ ]... Fighting the Holiday Blues - When most people think about the holidays, they associate them with joy, cheer, and togetherness. However, for some people, the holidays may be draining and even depressing. This is even harder when everything around you is focused on happiness. The good news is, you don?t have to just accept the holiday blues. Here are some [ ]... Copyright © 2008, Sat Live On Pc. All Rights Reserved. |