conclusions patients with apd may have very different symptoms requiring immediate care; therefore, being informed about this condition is necessary for the physicians in emergency and obstetrics and gynecology departments. also a positive history of such condition in a pregnant woman necessitates precautions in the management of her pregnancy due to the potential of anaphylactic events. introd...

OBJECTIVE To investigate patient satisfaction with 3 models of low-risk obstetrics care: solo care by a GP, group care by GPs, and specialist care. DESIGN Three-arm study comparing results of a self-administered, anonymous questionnaire. SETTING Two academic family practices and the labour and delivery ward in St John's, Nfld. PARTICIPANTS A total of 220 women deemed to have low-risk preg...

background: non-communicable diseases (ncds) and psychological hazards are increasingly observed in industries, necessitating the need to strengthen industrial health systems to control the same. district level data on level of functioning of industrial health systems and services with special focus on systems available for mental health care is lacking in india. this information is vital to pl...

Many recent papers have tried to show how inadvisable it is for general practitioners to undertake obstetric care and more especially obstetric deliveries.1-3 The high proportion of artificially induced labours, the enthusiasm for the increasing "mechanisation" of labour, descriptions of unexpected and sinister disease that the inexperienced obstetrician would not detect have all made general p...

Introduction: Little emphasis on standardization, less stringentoutcome measurement and resource constrains can result indeteriorating competencies among medical graduates in acountry with rapidly increasing number of medical institutionslike India. A competency-based curriculum is where we carefullydesign curricular experiences to achieve pre-identified outcomes.In this study, we aimed to defi...

BACKGROUND In Kenya, about 3000 fistula cases are estimated to occur every year with an incidence of 1/1000 women. This study sought to identify risk factors associated with developing obstetrics fistula in order to guide implementation of appropriate interventions. METHODS An unmatched case control study was conducted in three major hospitals in Kenya between October and December 2010. Cases...

OBJECTIVE To determine the impact of reduced postpartum length of stay (LOS) on primary care services use. METHODS. DESIGN Retrospective quasiexperimental study, comparing 3 periods before and 1 period after introducing an intervention and adjusting for time trends. SETTING A managed care plan. INTERVENTION A reduced obstetrical LOS program (ROLOS), offering enhanced education and service...