CONTEXT Unintended pregnancy is associated with poor health outcomes for mothers and infants, and is indicative of gaps in family planning services. Conventional measures of pregnancy intendedness do not reflect the multiple factors affecting a woman's pregnancy-related intentions and attitudes. METHODS Data collected between March 2002 and February 2003 from 701 women in a public family plan...

A first elective transfer policy of two embryos based solely on embryo morphology was compared to a more restrictive policy transferring two embryos to all patients aged < 35 years with less than three previous cycles to reduce the incidence of multiple pregnancies. With a significant reduction in the number of triple transfers from 72.4 to 44.3%, the delivery rates were similar for both polici...

OBJECTIVE The aim of this study was to diagnose ectopic pregnancy in the early period by measuring cell-free fetal DNA (cffDNA) levels in maternal blood using spectrophotometry. MATERIALS AND METHODS Thirty patients with ectopic pregnancy and 30 patients with first trimester intrauterine pregnancy were enrolled in this prospective controlled study. cffDNA levels in maternal serum were measure...

The objective of this study was to examine the association of HIV-1 infection with rates of pregnancy and pregnancy loss in Dar es Salaam, Tanzania. A retrospective cohort study of 1,006 HIV-infected women and 485 uninfected women was employed. In multivariate analyses controlling for other predictors of pregnancy, the association of HIV-seropositivity with a woman's reported number of pregnanc...

Pregnancy in dilated cardiomyopathy (DCM) has an extremely high risk. However, DCM is usually asymptomatic at a young age. In pregnancy with DCM, it appears progressive and becomes symptomatic. mimicking peripartum (PPCM). We reported case of 23-year-old woman who was 20 weeks pregnant her first child complained chest palpitations severe faintness. These symptoms have happened started during pr...

In three consecutive years, spring-calving Hereford and Hereford x Angus cows (n = 348) were used to determine effects of level of supplemental energy or protein before and after calving on cowherd performance. Beginning on November 1, cows were individually fed 1.22 kg/d of a 40% CP (PROTEIN) or 2.44 kg/d of a 20% CP supplement (ENERGY) until calving. After calving, cows remained on the same s...

During 1969-76 77 pregnancies occurred after sterilisation in Aberdeen. The overall pregnancy rate was higher for laparoscopic sterilisation (1.2%) than for non-laparoscopic methods (0-23%), although there has been a great improvement over the past three years. The pregnancy rate was double if sterilisation was combined with termination ofpregnancy, and in 30% there were surgical difficulties. ...

In light of the emphasis on increased efficiency in the delivery of hospital-based healthcare services in Canada, healthcare administrators need to advocate for greater care in the community. The implementation of an antenatal home-care program for women with high-risk pregnancies at the Ottawa Hospital presented the opportunity to develop a comprehensive framework to evaluate the value and out...