Obstetrics and Gynaecology Forum - Volume 19, Issue 3, 2009
Volume 19, Issue 3, 2009
Author David HallSource: Obstetrics and Gynaecology Forum 19, pp 69 –71 (2009)More Less
During the childhood phase most of our parents taught us to be polite, speak systematically through a theme when in conversation and most of all, not to be abrupt. Being abrupt was simply not good manners. Perhaps we have been so well groomed that we have failed to give abrupt(io) placentae the attention that it most certainly deserves.
Non-condom use behaviour of adolescents in South Africa - an integrative model of contextual factors and individual determinants : review articleSource: Obstetrics and Gynaecology Forum 19, pp 77 –82 (2009)More Less
High risk behaviour in adolescents is a key problem in South Africa. Male condoms are one of the most important effective methods currently available for the prevention of HIV (human immunodeficiency virus) infection. This article analyzes contextual non-condom use behaviour of adolescents in South Africa. To understand individuals within their context, additions to Theory of Planned Behaviour are made and contextual factors are added. The processes related to sexual risk behaviour are analyzed within the family life, education, health facilities and friends & relationships places where young people deal with and learn about sexuality. We demonstrate how aspects such as attitude, but also social norms, perceived control behaviour and aspects related to the actual behaviour control have influence on non-condom use behaviour and explain how contextual factors, such as political-economical, geographic-demographic and social-cultural processes are related to individual determinants. This integrated model guides to understand non-use of condoms and to systematically develop health intervention programmes.
Processes that influence non-condom use behaviour of adolescents in KwaZulu Natal : original articleSource: Obstetrics and Gynaecology Forum 19, pp 85 –90 (2009)More Less
Objectives : The objective of this study is to determine the processes that influence individual determinants of non-condom use behaviour of adolescents and the processes that are involved in deciding to have safer sex in adolescents in a cohort of schools in KwaZulu-Natal.
Methods : A semi-structured interview schedule that is based on the Theory of Planned Behaviour taking contextual factors in consideration was developed. 36 in-depth interviews and 9 focus group discussions were done in 9 schools in KwaZulu-Natal.
Results : Characteristics of condom use behaviour in five types emerged. The types were: i) Strong intention to have safer sex - due to parents, fear, future plans or self-respect; ii) Strong intention to have safer sex - learning through experience and bad examples; iii) Unsafe sex - impact of male dominance and sexual power; iv) Unsafe sex - multiple factors interacting with sexual behaviour and v) Almost safer sex.
Conclusions : This study clearly demonstrates the heterogeneity within the groups studied. It also shows the importance that the specific context and heterogeneity through community involvement is taken into account when developing intervention.
The classification of endometriosis. A literature overview and a proposal for a new classification system for endometriosis and infertility : review articleSource: Obstetrics and Gynaecology Forum 19, pp 93 –98 (2009)More Less
Endometriosis is responsible for major morbidity in women of childbearing age. Although there is reasonable evidence confirming an association between endometriosis and infertility, a causal relationship has not yet been established. Endometriosis is also responsible for impairment of quality of life, which may be present from menarche to the fourth decade, and sometimes even in menopausal years. Although we do not yet fully understand the underlying pathophysiology, more and more evidence is arising as this being multifactorial in origin with possible genetic susceptibility. Patients need effective, safe treatment and if possible cure of their disease state, with restoration of fertility if impaired and delivery from the everyday clinical symptoms associated with active disease. Clinicians need accurate screening tools for disease, with high specificity, diagnostic tests to confirm suspected disease, and ultimately treatment modalities to offer their patients. Severity of disease usually correlates with degree of impairment of function. Severity or stage is usually based on degree of organ involvement, whether being functional or anatomical. A staging system should be based on the natural history of the disease, its local invasiveness, and its functional as well as organic consequences.
Source: Obstetrics and Gynaecology Forum 19, pp 101 –102 (2009)More Less
Oocyte cryopreservation has been a tool in reproductive medicine for nearly two decades. Oocytes are cryopreserved either by slow freezing or vitrification, with a subsequent thawing / warming cycle.
The slow freeze method relies on initial low cryoprotectant concentrations and a slow, two-step cooling regime (seeding and equilibration). The storage device is then plunged into the liquid nitrogen.
Bayer Schering Pharma - introduces a new paradigm in oral contraception with the launch of YAZ® : product newsSource: Obstetrics and Gynaecology Forum 19 (2009)More Less
Bayer Schering Pharma is proud to introduce YAZ®, the first low-dose drospirenone plus ethinylestradiol combination oral contraceptive in the optimised '24/4' regimen. YAZ® is the only oral contraceptive in South Africa with 3 registered indications; oral contraceptive; treatment of moderate acne vulgaris in women seeking oral contraception; treatment of premenstrual dysphoric disorder (PMDD) symptoms in women who have chosen oral contraception as their method of birth control.