Articles: prospective-studies.
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Clin Exp Obstet Gyn · Jan 1996
Cervical cerclage in the treatment of cervical incompetence in Zambian women.
Over a period of 5 years from January 1989 to October 1994, 207 patients with cervical incompetence were managed with Mac Donald's cervical cerclage at Nkana/Wusikili Mine Hospitals, Kitwe, Zambia. The incidence rate of cervical incompetence in our population was 1.47%. Our results confirmed a success rate of 90.8% as compared to 52.5% in previous pregnancies. ⋯ The possibility of having a mature baby in the group of low number previous abortions was significantly higher as compared to the group with a higher number of habitual abortions. Better pregnancy outcome was seen in low parity group (less than 2 previous deliveries) as compared to higher parity group. Our study confirms that cervical cerclage is a successful way in the treatment of cervical incompetence.
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If the relative effectiveness of different treatments that might be used in clinical practice is to be evaluated reliably, it is very important that the evaluation is carried out in an appropriate manner. This is especially true where the differences between treatments are expected to be moderate, and so easily obscured by the play of chance or systematic bias. Although such differences are often of considerable clinical importance, they can be difficult to assess and require a large amount of randomized evidence. ⋯ This approach requires considerable time and effort. However, it will add to the analyses that can be performed and will remove many of the problems associated with a reliance on published data alone and some of the problems that can arise from the use of aggregate data. This paper sets out some of the reasons for this and some of the techniques used for individual patient data-based meta-analysis.
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Salud pública de México · Sep 1995
Comparative Study[Mother-infant rooming-in and beginning of breast feeding in a tertiary care hospital].
To establish a mother-baby's rooming-in program (RI) in a hospital that provides a tertiary level of care. ⋯ It is possible to establish RI and initiate breast feeding in a tertiary care hospital, even in mothers with cesarean section.
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We investigated whether reported psychiatric morbidity was increased after termination of pregnancy compared with other outcomes of an unplanned pregnancy. ⋯ The findings on DSH are probably explicable by confounding variables, such as adverse social factors, associated both with the request for termination and with subsequent self-harm. No overall increase in reported psychiatric morbidity was found.
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To describe the role of men and women as sources of HIV transmission and to estimate HIV incidence among discordant couples resident in diverse rural communities in Uganda. ⋯ In this Ugandan population, men are the predominant source of new infections in rural villages. Risk factors and preventive behaviors vary with the sex of the infected partner, and seroconversion rates are similar in both sexes.