{"title":"Misoprostol: preventing postpartum haemorrhage.","authors":"J Walder","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Postpartum haemorrhage is an important cause of maternal mortality and morbidity. In the developing world, it is estimated to account for 28% of maternal deaths. Evidence suggests that active management of the third stage of labour using oxytocics, significantly reduces the risk of PPH. Oxytocics are not always used in the developing world, due to storage problems, mode of administration and associated side-effects. Research using misoprostol, a prostaglandin, suggests that it may be effective in the prevention of PPH. It is given orally, does not require refrigeration and has few side-effects. Further research is planned, if misoprostol is found to be an acceptable alternative to other oxytocic agents, then it may be instrumental in reducing world wide deaths from PPH.</p>","PeriodicalId":79354,"journal":{"name":"Modern midwife","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20301127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Safe practice or prejudice?","authors":"B Dimond","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79354,"journal":{"name":"Modern midwife","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20301126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Manoeuvres for the relief of shoulder dystocia.","authors":"T Coates","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79354,"journal":{"name":"Modern midwife","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20301125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Culture and condoms: a review of research literature.","authors":"A Price","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Research into the use of condoms rarely explains how cultural factors influence beliefs and behaviours. Condoms are researched in functional, rather than cultural terms. Ignorance concerning the mechanisms of conception and contraception remains a fundamental concern, even among comparatively well educated populations. Men's perceived ambivalence to the regular use of condoms, and women's perceived stigma in obtaining and carrying condoms is a limiting factor to the more widespread use of barrier contraception. The etiquette barriers associated with discussing contraceptives, between partners and between couples and health care workers is an issue that extends across cultural boundaries. There is merit in understanding contraception from a cultural start point. This may involve investing more time in orientating to the culture before discussing the contraceptive.</p>","PeriodicalId":79354,"journal":{"name":"Modern midwife","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20301128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}