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- South African Journal of Obstetrics and Gynaecology
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- Volume 17, Issue 2, 2011
South African Journal of Obstetrics and Gynaecology - Volume 17, Issue 2, 2011
Volume 17, Issue 2, 2011
Early discharge from hospital after caesarean section at Chris Hani Baragwanath Hospital : scientific letter, South African Journal of Obstetrics and Gynaecology, (17) 1 2011 : pp. 16-17 : errataSource: South African Journal of Obstetrics and Gynaecology 17 (2011)More Less
Discussion platform between midwifery educators and health professionals in the Free State province : opinionAuthor M.G. SchoonSource: South African Journal of Obstetrics and Gynaecology 17, pp 28 –30 (2011)More Less
With the establishment of a maternal and child health task team in the Free State province, problems relating to knowledge and skills of professionals in maternity sections were identified. This concern was also expressed in the Saving Mothers report. In view of these concerns, a platform was established where professionals from various training schools and the midwifery workforce at institutions supporting students in health could discuss concerns relating to maternal services.
Source: South African Journal of Obstetrics and Gynaecology 17, pp 31 –35 (2011)More Less
Following publication of the Liberate Trial, it was felt appropriate and opportune to refocus on tibolone and re-evaluate its role as an option in postmenopausal therapy. An International Consensus Group published its clinical recommendations and practical guidelines in 2005, and this is still the fundamental cornerstone of consensus. A locally convened advisory board has reviewed the published data on tibolone and presented an expert opinion on its use in South Africa.
Massive secondary postpartum haemorrhage managed with insertion of a Bakri balloon catheter after surgical evacuation of the uterus : case reportSource: South African Journal of Obstetrics and Gynaecology 17, pp 36 –37 (2011)More Less
Massive secondary postpartum haemorrhage (PPH) can be life threatening. A case of massive secondary PPH is presented which was managed by uterotonic agents, evacuation of the uterus and insertion of an intra-uterine balloon catheter to control bleeding and avoid the need for other surgical interventions such as laparotomy and hysterectomy.
However, massive secondary PPH following caesarean section invariably requires hysterectomy, as does secondary PPH from severe sepsis.
Source: South African Journal of Obstetrics and Gynaecology 17, pp 38 –48 (2011)More Less
Source: South African Journal of Obstetrics and Gynaecology 17 (2011)More Less
To the Editor: Contraception by means of fallopian tube sterilisation is the most common method used worldwide, and it is estimated that on average 138 million women of reproductive age are sterilised globally each year. Several studies have indicated that the incidence of tubal re-anastomosis in previously sterilised women is 1 - 2%. Laparotomy is currently seen as the gold standard for fallopian tube reversal, and this was the case at Tygerberg Hospital from 1982. However, laparoscopy has been extensively explored as a viable alternative over the past 3 decades. This technique requires expert endoscopic surgical skill. Recently laparoscopy was instituted as a reversal method at our facility owing to our interest in endoscopy.
Source: South African Journal of Obstetrics and Gynaecology 17, pp 50 –51 (2011)More Less
To the Editor: The precise causation of pre-eclampsia is still unknown, but oxidative stress in pre-eclampsia is well documented. In pre-eclampsia, antioxidant capacity has been shown to be decreased in the placenta and serum. However, some workers have questioned the role of oxidative stress and lipid peroxidation in pre-eclampsia. Furthermore, two randomised controlled trials of antioxidant supplementation during pregnancy with vitamin C and E showed no prophylactic or protective effect on the incidence of pre-eclampsia.