Obstetrics and Gynaecology Forum - Volume 24, Issue 2, 2014
Volume 24, Issue 2, 2014
Author Priya Soma-PillaySource: Obstetrics and Gynaecology Forum 24, pp 1 –5 (2014)More Less
Post-partum haemorrhage (PPH) is a major cause of maternal morbidity and mortality in both the developed and developing world. In South Africa, obstetric haemorrhage is the second most common cause of maternal death resulting in 688 deaths between 2008-2010. The institutional maternal mortality rate (MMR) for obstetric haemorrhage during this period was 24.9 deaths per 100 000 live births. This is an increase from the previous triennium when the total deaths due to obstetric haemorrhage was 491 and the MMR 18.8.2 Countries such as Australia, Canada, United States and Ireland have reported increasing trends in post-partum haemorrhage over the last decade. However the rise in postpartum haemorrhage rates in these countries have not been associated with increasing haemorrhage-related maternal mortality rates.
Author S. CebakuluSource: Obstetrics and Gynaecology Forum 24, pp 9 –13 (2014)More Less
Non-pregnancy related infections (mainly deaths in HIV infected pregnant women complicated by tuberculosis and pneumonia) contributed 40.5% of maternal deaths in 2010-2012, most of which are highly preventable. Two thirds of the women with AIDS had respiratory complications including tuberculosis (26.9%), Pneumocystis carinii pneumonia (13.3%) and other non-specified pneumonia (26.7%). Early recognition and intervention of patients with these respiratory complications is important in the reduction of maternal mortality (Saving mothers report 2010-2012). Despite often ignored chronic respiratory symptomatology these women commonly present in an acute state with dyspnoea which is a subjective experience of breathing discomfort that is comprised of qualitatively distinct sensations that vary in intensity. The experience derives from interactions among multiple physiological, psychological, social, and environmental factors, and may induce secondary physiological and behavioural responses. Dyspnoeais a common symptom that afflicts millions of patients with pulmonary disease and it may also be the primary manifestation of myocardial ischaemia or dysfunction.
Source: Obstetrics and Gynaecology Forum 24, pp 17 –21 (2014)More Less
South Africa is currently experiencing a huge burden of morbidity and mortality arising from violence and injury. In 2000, violence and unintentional injuries combined were the second leading cause of all death and disability adjusted life years (DALY). The first cause being Human Immunodeficiency Viral (HIV) diseases. Interpersonal violence is the leading risk factor after unsafe sex and for loss of DALYs. According to the crime statistics report of South Africa during the 2011/12 financial year there were 777 104 serious crimes arrests and 806 298 in 2012/13. There were 197 877 crimes reported against women in 2009/10 in comparison to 175 880 in 2012/13, a reduction of 11.1%. However, the reviews of evidence for gender based violence has reported that no reduction occurred in the past decade. There are no reliable national data for the prevalence of intimate partner violence (IPV), but the best population based estimates from 1998 identifies a lifetime prevalence of physical violence of 25%.
Time trends for alendronate prescription practices in women with chronic obstructive pulmonary disease and women exposed to systemic glucocorticoids : product newsSource: Obstetrics and Gynaecology Forum 24 (2014)More Less
Author Ntlharhi W. MathonsiSource: Obstetrics and Gynaecology Forum 24, pp 24 –27 (2014)More Less
The intrauterine contraception device (IUD) is highly effective, safe, cost-effective, long-acting, and rapidly reversible with few side effects. It is a private and convenient method of contraception, does not interfere with the spontaneity of sex, is acceptable to many patients, has superior continuation rates, and offers several non-contraceptive health benefits.
Author Mfundo MabengeSource: Obstetrics and Gynaecology Forum 24, pp 29 –31 (2014)More Less
Lifestyle takes into account many dimensions involving the physical, mental, social, economic and spiritual aspects. The diagnosis of cancer for any individual therefore affects some or all of the dimensions involved with lifestyle. Almost 13 million people worldwide are diagnosed with cancer each year and about 8 million will die from the disease. However, with advances in the detection and treatment, it is estimated that over 25 million people are alive with a past diagnosis of cancer.
Source: Obstetrics and Gynaecology Forum 24, pp 35 –36 (2014)More Less