International journal of gynaecology and obstetrics : the official organ of the International Federation of Gynaecology and Obstetrics
-
Int J Gynaecol Obstet · Sep 2006
Legal issues impacting women's access to care in the United States-the malpractice insurance crisis.
Professional liability insurance costs have increased rapidly in the last 10 years in the United States, while availability of companies offering professional liability insurance has decreased. The result is that ob-gyn physicians are changing their practice patterns. Many are no longer performing difficult or complex surgical procedures while others have stopped caring for obstetrical patients. ⋯ Even where ob-gyns are available, hospitals and insurance carriers are limiting their ability to practice the wide range of procedures for which they were trained. Although legislative efforts to correct the problems are proposed, very few have been enacted. The end result is that women's health care has been threatened and will continue to face shortages and restrictions.
-
Int J Gynaecol Obstet · Sep 2006
EditorialWomen's right to health and the Millennium Development Goals: promoting partnerships to improve access.
The Millennium Development Goals (MGD) represent a commitment of 189 member states that adopted them during the Millennium Summit in September 2000. This UN General Assembly recognized that gender equality and women's empowerment are both central to achieving sustainable development by means of combating poverty, hunger and disease. ⋯ However, a clear link exists between all of the MDGs and the reproductive and sexual health of women, who cannot contribute to sustainable development, unless their right to health is met through improved access. The FIGO 2006 World Report on Women's Health addresses many issues critical to the success of the MDGs, with a focus on how partnerships have become a crucial vehicle to improve access to health for women.
-
Int J Gynaecol Obstet · Aug 2006
Clinical TrialMisoprostol and active management of the third stage of labor.
To compare current practices for the active management of the third stage of labor (AMTSL) with the use of 600 mug of oral misoprostol. ⋯ In situations where oxytocin and or ergometrine are not consistently and appropriately used during third stage of labor, misoprostol should be considered for inclusion in the AMTSL protocol.
-
Int J Gynaecol Obstet · Jul 2006
Randomized Controlled Trial Comparative StudyRectal misoprostol vs. 15-methyl prostaglandin F2alpha for the prevention of postpartum hemorrhage.