Apart from mifepristone (RU486) – a ‘hot potato’ politically, so still unavailable for this use – three methods have now been shown to be effective contraceptives when initiated after unprotected sexual intercourse (UPSI): • • • the insertion of a copper IUD the combined oral emergency contraceptive (COEC) using LNG 500 µg + EE 100 µg repeated in 12 hours the levonorgestrel progestogen-only emergency contraceptive (LNG EC), given as a stat dose of LNG 1500 µg.
Planned Parenthood affiliates and a majority of the other WHP clinics we interviewed
have already sustained financial losses because the state of Texas reduced family planning
funding by two-thirds in 2011. Thus, family planning clinics have already experienced losses
that have contributed to a deterioration of services to low-income women. It is worth noting that
the WHP not only provides contraceptive services, but also other women’s health services, such
as screening for breast and cervical cancer, diabetes, hypertension, and sexually transmitted
There was complete agreement among two independent raters in classifying 327
reproductive messages out of a total of 362 references taken from a representative sample
of the opera and art songs, which represents an inter-rater agreement of over 90%.
Figure 4 depicts the results. A t-test failed to demonstrate a significant difference in
the number of reproductive categories between the opera and art songs, t(104) = .6098, p =
The scope of practice of the gynecologist is broad and challenging. The
gynecologist is blessed with the longitudinal care of women from adolescence
through the end stages of life. In fact, many women consider their
gynecologist their primary care physician.
This edition of Obstetrics and Gynecology Clinics of North America
explores many of the daily challenges of office practice. Updates in new
contraceptive options and in management of dysfunctional uterine bleeding
For the purposes of excluding pregnancy, the CEU would advise that hormonal, intrauterine
and barrier methods can be considered reliable providing they have been used consistently
and correctly on every incidence of intercourse. This should be assessed on an individual
Quick starting may also mean starting a method immediately after the administration of
emergency contraception (EC). In this situation there is a possibility of EC failure and
pregnancy, therefore such practice would always be outside the licence of hormonal
When starting hormonal contraception after POEC (Levonelle 1500® or Levonelle One Step®)
additional contraception should be advised until contraceptive efficacy is established (see
Summary on page iv).
There are no data on quick starting hormonal contraception after use of the emergency
contraceptive, ulipristal acetate (UPA) (ellaOne®). As UPA is a progesterone receptor
modulator that blocks the action of progesterone, it may affect the contraceptive efficacy of
hormonal methods.35,36 However, no interaction studies have been carried out to date.
Qualitative research was conducted on these issues in the 1990s, but since then, India has
experienced rapid economic growth, considerable improvements in net school enrolment ratios, and
reductions in gender differentials in school enrolment.
The need for A Bird in the Bush: Failed Domestic Policies of the George W. Bush
Administration was sparked by what many informed and responsible Americans
have seen as serious blunders committed by President George W. Bush during
his first term of office. Especially troublesome is the 2005 Inaugural Address.
This second inaugural address illustrates how “Bush II” is derailing the purpose
of America as a nation. (It is analyzed in the introduction.)
Bush II could not perform this derailing all on his own. He had help.
Every day the headlines are filled with news about new discoveries in treatments and cures. It's impossible for doctors to be aware of all this information. But you, as a
health consumer, can keep uptodate
with the help of the resources in this book. Now you can contact free health researchers who spend their lives researching your
health problem. They can tell you the results of research that isn't even published yet. They can send you free studies that you can take to your doctor and discuss the
results with them. Or these experts can tell you where the best doctors are who can...
Actively involving marginalised groups in decision making processes at all levels, and providing
them with the opportunity to hold service providers and policy makers accountable for
discriminatory practices, corruption or poor quality services, helps to redress inequalities in
access to SRH services and ensure that they are acceptable and appropriate.
In practice, representation in the planning processes for SRH services has been limited.
There was no specific policy or set of guidelines for dealing with reproductive choice among HIV-infected
individuals. Policymakers noted concern about the lack of guidelines, as well as about insufficient training
in contraception, inadequate dual method counselling and the scant reference made to emergency
contraception. Providers were unaware of World Health Organization guidelines on contraception for HIV-
Obstetrics and gynaecology is a dynamic
and rapidly changing speciality. Great
advances have been made in prenatal
diagnosis, the management of infertility
and contraceptive techniques. The
introduction of minimally invasive
surgical procedures has reduced bed
occupancy and analgesic requirements
allowing women to return home more
rapidly. Service delivery development,
required to meet improving NHS
standards, has seen the introduction of a
new multidisciplinary approach, new
roles for midwives and the emergence of
the gynaecological nurse practitioner....
Rapid response to emergencies includes the immediate shipment of supplies and equipment to
help meet the minimum requirements in a crisis, such as enabling pregnant women to deliver in
a clean environment. When the situation stabilizes, UNFPA provides support for the full range
of reproductive health services. These services address the life-and-death complications of
pregnancy and delivery, the transmission of sexually transmitted infections including HIV/AIDS,
adolescent health, violence against women, and access to condoms and other contraceptives.