Emergency contraceptive

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  • 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.

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  • 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 infections.

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  • 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 = .5433.

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  • 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 are presented.

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  • 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 basis. 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 contraceptives.

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  • 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.

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  • 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.

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  • 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.

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  • 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...

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  • 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.

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  • 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- infected individuals.

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  • 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....

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  • 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.

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