Pub Date : 2020-12-02DOI: 10.5772/intechopen.92624
Yakov Y. Yakovlev, Farok K. Manerov, Olga I. Andriyanova, Sergey A. Dudkin, Nataliya V. Matveeva, Nataliya V. Selivanova, Olga A. Zagorodnikova, Olga V. Domanskaya
Abt-Letterer-Siwe disease is a form of Langerhans cell histiocytosis and occurs in 2–10 cases per 1 million of the child population per year. The Russian and foreign literature provide descriptions of this disease in children of different ages. Family cases of this pathology are described in a small number. The chapter presents a rare clinical observation of the Abt-Letterer-Siwe disease in twin girls.
abt - letter - siwe病是朗格汉斯细胞组织细胞增多症的一种形式，每年每100万儿童人口中发生2-10例。俄罗斯和外国文献提供了不同年龄儿童的这种疾病的描述。这种病理的家庭病例被描述为少数。本章提出了一个罕见的临床观察abt - letter - siwe病在双胞胎女孩。
{"title":"The Case of Langerhans Cell Histiocytosis (Abt-Letterer-Siwe Disease) in Twin Girls","authors":"Yakov Y. Yakovlev, Farok K. Manerov, Olga I. Andriyanova, Sergey A. Dudkin, Nataliya V. Matveeva, Nataliya V. Selivanova, Olga A. Zagorodnikova, Olga V. Domanskaya","doi":"10.5772/intechopen.92624","DOIUrl":"https://doi.org/10.5772/intechopen.92624","url":null,"abstract":"Abt-Letterer-Siwe disease is a form of Langerhans cell histiocytosis and occurs in 2–10 cases per 1 million of the child population per year. The Russian and foreign literature provide descriptions of this disease in children of different ages. Family cases of this pathology are described in a small number. The chapter presents a rare clinical observation of the Abt-Letterer-Siwe disease in twin girls.","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74051269","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}
Pub Date : 2020-12-02DOI: 10.5772/intechopen.92050
İ. Kayar
In recent years, multiple pregnancy rates have increased significantly. Twin pregnancy rate increased by 76% between 1980 and 2009, from 18.9 to 33.3 in 1000 births. Triplets and high-order multiple pregnancies have increased by 400% in the 1980s and 1990s. Two main reasons of this increase in the incidence of multiple pregnancies are: (1) maternal age at the time of conception, shifting to advanced ages where multiple pregnancies are more common and (2) a more common use of assisted reproductive techniques. The main problem in multiple pregnancies is spontaneous preterm delivery and associated neonatal morbidity and mortality. Although numerous attempts have been made to prolong the gestation period and improve outcomes, none of them have been effective. In this article, the complications encountered in multiple pregnancies will be summarized and evidence-based approaches that can be used in their management will be reported.
{"title":"Multifetal Gestations","authors":"İ. Kayar","doi":"10.5772/intechopen.92050","DOIUrl":"https://doi.org/10.5772/intechopen.92050","url":null,"abstract":"In recent years, multiple pregnancy rates have increased significantly. Twin pregnancy rate increased by 76% between 1980 and 2009, from 18.9 to 33.3 in 1000 births. Triplets and high-order multiple pregnancies have increased by 400% in the 1980s and 1990s. Two main reasons of this increase in the incidence of multiple pregnancies are: (1) maternal age at the time of conception, shifting to advanced ages where multiple pregnancies are more common and (2) a more common use of assisted reproductive techniques. The main problem in multiple pregnancies is spontaneous preterm delivery and associated neonatal morbidity and mortality. Although numerous attempts have been made to prolong the gestation period and improve outcomes, none of them have been effective. In this article, the complications encountered in multiple pregnancies will be summarized and evidence-based approaches that can be used in their management will be reported.","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79089979","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}
Pub Date : 2020-06-16DOI: 10.5772/intechopen.92714
Y. Robles-Bykbaev, Nina Naula, J. Cornejo-Reyes, A. Parra, V. Robles-Bykbaev, Blas Garzón, Jorge Galán
Sexual and reproductive health (SRH) is a fundamental human right that implies knowledge and exercise of sexual and reproductive rights (SSR). Among the latter are access to knowledge and use of contraceptive methods; therefore, SSR should be experienced as a constant experience that allows women to achieve full satisfaction and security in their sexual and reproductive sphere through their subjectivity, their body, and their social and cultural life. Knowing about family planning allows having the desired number of children determining the interval between pregnancies and choosing the contraceptive method according to the social, cultural and psychological beliefs, needs and conditions of each woman. However, indigenous women from Canton Cañar (Ecuador) have less access and knowledge to contraceptive methods, mainly due to the influence of social, cultural, religious and economic factors, among others. The lack of information about family planning in indigenous populations of the South of Ecuador has motivated this study; through a medical-anthropological approach, it is intended to determine what is the preference regarding contraceptive methods in indigenous Cañari women in the context of the Cañari culture and what are their perceptions regarding such methods.
{"title":"Planning Methods in Ecuador’s Indigenous People","authors":"Y. Robles-Bykbaev, Nina Naula, J. Cornejo-Reyes, A. Parra, V. Robles-Bykbaev, Blas Garzón, Jorge Galán","doi":"10.5772/intechopen.92714","DOIUrl":"https://doi.org/10.5772/intechopen.92714","url":null,"abstract":"Sexual and reproductive health (SRH) is a fundamental human right that implies knowledge and exercise of sexual and reproductive rights (SSR). Among the latter are access to knowledge and use of contraceptive methods; therefore, SSR should be experienced as a constant experience that allows women to achieve full satisfaction and security in their sexual and reproductive sphere through their subjectivity, their body, and their social and cultural life. Knowing about family planning allows having the desired number of children determining the interval between pregnancies and choosing the contraceptive method according to the social, cultural and psychological beliefs, needs and conditions of each woman. However, indigenous women from Canton Cañar (Ecuador) have less access and knowledge to contraceptive methods, mainly due to the influence of social, cultural, religious and economic factors, among others. The lack of information about family planning in indigenous populations of the South of Ecuador has motivated this study; through a medical-anthropological approach, it is intended to determine what is the preference regarding contraceptive methods in indigenous Cañari women in the context of the Cañari culture and what are their perceptions regarding such methods.","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90360027","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}
Pub Date : 2020-06-08DOI: 10.5772/intechopen.92138
A. Aliyu, T. Dahiru
Worldwide, there have been remarkable gains in the provision and utilization of reproductive health and FP services. However, in Africa, despite increasing availability, utilization of these services is less than 50%, even though there are wide variations among and within the countries across the continent. Articles from peer-reviewed journals, technical reports, Internet articles, grey literature (official government documents, technical reports, etc.) and Demographic and Health Survey (DHS) reports were used as resource materials. Manual search of reference list of selected articles was done for further relevant materials. We also used for comparative analysis, the online StatCompiler tool (https://www.statcompiler.com/en/) to extract data. Reproductive health and contraceptives have a lot of benefits to the individual, family and community. However, despite near universal knowledge and availability of reproductive health and FP services in Africa, utilization of these services is less than optimal. Several factors operating at individual, household and within the community influence utilization of services. These factors are the cause of poor maternal health and care that might hinder population health and the attainment of Sustainable Development Goals (SDGs). Interventions to promote and sustain utilization of services should target these factors at different levels depending upon relative role/s of these factors.
{"title":"Reproductive Health and Family Planning Services in Africa: Looking beyond Individual and Household Factors","authors":"A. Aliyu, T. Dahiru","doi":"10.5772/intechopen.92138","DOIUrl":"https://doi.org/10.5772/intechopen.92138","url":null,"abstract":"Worldwide, there have been remarkable gains in the provision and utilization of reproductive health and FP services. However, in Africa, despite increasing availability, utilization of these services is less than 50%, even though there are wide variations among and within the countries across the continent. Articles from peer-reviewed journals, technical reports, Internet articles, grey literature (official government documents, technical reports, etc.) and Demographic and Health Survey (DHS) reports were used as resource materials. Manual search of reference list of selected articles was done for further relevant materials. We also used for comparative analysis, the online StatCompiler tool (https://www.statcompiler.com/en/) to extract data. Reproductive health and contraceptives have a lot of benefits to the individual, family and community. However, despite near universal knowledge and availability of reproductive health and FP services in Africa, utilization of these services is less than optimal. Several factors operating at individual, household and within the community influence utilization of services. These factors are the cause of poor maternal health and care that might hinder population health and the attainment of Sustainable Development Goals (SDGs). Interventions to promote and sustain utilization of services should target these factors at different levels depending upon relative role/s of these factors.","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"355 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82617951","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}
Pub Date : 2020-04-22DOI: 10.5772/intechopen.92136
Zuzana Judáková
Freedom is needed in family planning and in the decision on how many children the couple will have, not to be influenced by a third person, political situations, or religious conviction. There is a need for information, education, and communication about possibilities in natural family planning, in order to be able to choose the right way, because there are many options even without side effects. Nowadays, we can add to these traditional possibilities of natural family planning also information technologies and electronic devices, which are increasingly available to a large portion of the population. Their reliability, with correct usage, is comparable to the barrier methods and in some cases to hormonal contraceptive methods. Next development of these devices can more increase their reliability. Of course, the active approach of users is needed.
{"title":"The Role of Information Technologies in Natural Family Planning","authors":"Zuzana Judáková","doi":"10.5772/intechopen.92136","DOIUrl":"https://doi.org/10.5772/intechopen.92136","url":null,"abstract":"Freedom is needed in family planning and in the decision on how many children the couple will have, not to be influenced by a third person, political situations, or religious conviction. There is a need for information, education, and communication about possibilities in natural family planning, in order to be able to choose the right way, because there are many options even without side effects. Nowadays, we can add to these traditional possibilities of natural family planning also information technologies and electronic devices, which are increasingly available to a large portion of the population. Their reliability, with correct usage, is comparable to the barrier methods and in some cases to hormonal contraceptive methods. Next development of these devices can more increase their reliability. Of course, the active approach of users is needed.","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83613718","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}
Pub Date : 2017-10-01DOI: 10.1136/jfprhc-2017-101907
Mary Pillai
In this issue, Koh et al. 1 from Singapore report on their randomised study of three vaginal prostaglandin regimens for mid-trimester termination of pregnancy.2 This article addresses gaps in knowledge both of the optimum dose of the most commonly used agent, misoprostol, and of the relative efficacy of the product licensed for this indication, gemeprost. But the question of whether medical termination is, in fact, the most suitable approach for termination after the first trimester remains open to debate. Over the past 20 years, the overall abortion rate in England and Wales, where figures are believed to be compiled with a high degree of accuracy, has plateaued at around 16/1000 women aged 15–44 years. In 2016, over 80% of procedures were undertaken at under 10 weeks’ gestation, with a continuing rise in the proportion utilising early medical abortion.3 However, the proportion of abortions carried out at 13 weeks’ gestation or above has remained static at around 8% and is unlikely to change in the foreseeable future. Mid-trimester abortion will continue to be necessary for a range of reasons including some women’s ambivalence about their decision, women not recognising their pregnancy due to contraceptive use or because they believe that they are infertile due to their age or medical factors, concealed pregnancies (particularly in teenagers), difficulty in engaging services due to mental health problems or learning difficulties, pregnancies that were initially wanted but where the woman’s circumstances have changed, and where serious fetal abnormality has been diagnosed.4 The introduction of more …
{"title":"Second-trimester abortion: women often lack the choice they should be offered.","authors":"Mary Pillai","doi":"10.1136/jfprhc-2017-101907","DOIUrl":"https://doi.org/10.1136/jfprhc-2017-101907","url":null,"abstract":"In this issue, Koh et al. 1 from Singapore report on their randomised study of three vaginal prostaglandin regimens for mid-trimester termination of pregnancy.2 This article addresses gaps in knowledge both of the optimum dose of the most commonly used agent, misoprostol, and of the relative efficacy of the product licensed for this indication, gemeprost. But the question of whether medical termination is, in fact, the most suitable approach for termination after the first trimester remains open to debate.\u0000\u0000Over the past 20 years, the overall abortion rate in England and Wales, where figures are believed to be compiled with a high degree of accuracy, has plateaued at around 16/1000 women aged 15–44 years. In 2016, over 80% of procedures were undertaken at under 10 weeks’ gestation, with a continuing rise in the proportion utilising early medical abortion.3 However, the proportion of abortions carried out at 13 weeks’ gestation or above has remained static at around 8% and is unlikely to change in the foreseeable future. Mid-trimester abortion will continue to be necessary for a range of reasons including some women’s ambivalence about their decision, women not recognising their pregnancy due to contraceptive use or because they believe that they are infertile due to their age or medical factors, concealed pregnancies (particularly in teenagers), difficulty in engaging services due to mental health problems or learning difficulties, pregnancies that were initially wanted but where the woman’s circumstances have changed, and where serious fetal abnormality has been diagnosed.4 The introduction of more …","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":" ","pages":"249-251"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2017-101907","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35439542","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}
Pub Date : 2017-10-01Epub Date: 2017-07-24DOI: 10.1136/jfprhc-2016-101684
Paul A O'Brien, Sarah Pillai
Introduction One of the major concerns with the insertion of intrauterine devices is uterine perforation. Though uncommon, it can be debilitating and result in failure of the device. In this article we review uterine perforation with intrauterine contraception (IUC) in a community clinic in the UK over a 16-year period. Methods We prospectively collected data on uterine perforations for the years 2000–2015, reviewed associated factors and calculated the annual rate of perforation, estimating if this lay within the expected range of normal variation using statistical process control (SPC) analysis. We analysed the rates of perforation in relation to the time from delivery and to breastfeeding. Results We identified 30 uterine perforations in 22 795 IUC insertions over the 16 years of observation, with an annual rate ranging from 0 to 4.3 per 1000 insertions, and a mean annual rate of 1.3 per 1000 insertions (95% CI 0.9 to 1.9), which remain within the SPC limits. Twenty-eight of the perforations were in parous women, 87% of whom were within 18 weeks of delivery, peaking at 13 weeks postpartum. Twenty of these were in breastfeeding women. In 3/28 cases for which we have outcome data the device was adherent to or had perforated either the bladder or bowel. Conclusion Our perforation rate is consistent with other studies. Most of our perforations were within 18 weeks of childbirth, earlier than in a recent major study. We cannot tell from our data if there is a true peak in perforations 3 months postpartum as that may be a time when a high proportion of insertions are done.
{"title":"Uterine perforation by intrauterine devices: a 16-year review.","authors":"Paul A O'Brien, Sarah Pillai","doi":"10.1136/jfprhc-2016-101684","DOIUrl":"https://doi.org/10.1136/jfprhc-2016-101684","url":null,"abstract":"Introduction One of the major concerns with the insertion of intrauterine devices is uterine perforation. Though uncommon, it can be debilitating and result in failure of the device. In this article we review uterine perforation with intrauterine contraception (IUC) in a community clinic in the UK over a 16-year period. Methods We prospectively collected data on uterine perforations for the years 2000–2015, reviewed associated factors and calculated the annual rate of perforation, estimating if this lay within the expected range of normal variation using statistical process control (SPC) analysis. We analysed the rates of perforation in relation to the time from delivery and to breastfeeding. Results We identified 30 uterine perforations in 22 795 IUC insertions over the 16 years of observation, with an annual rate ranging from 0 to 4.3 per 1000 insertions, and a mean annual rate of 1.3 per 1000 insertions (95% CI 0.9 to 1.9), which remain within the SPC limits. Twenty-eight of the perforations were in parous women, 87% of whom were within 18 weeks of delivery, peaking at 13 weeks postpartum. Twenty of these were in breastfeeding women. In 3/28 cases for which we have outcome data the device was adherent to or had perforated either the bladder or bowel. Conclusion Our perforation rate is consistent with other studies. Most of our perforations were within 18 weeks of childbirth, earlier than in a recent major study. We cannot tell from our data if there is a true peak in perforations 3 months postpartum as that may be a time when a high proportion of insertions are done.","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":" ","pages":"289-295"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2016-101684","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35195847","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}
Pub Date : 2017-10-01Epub Date: 2017-07-11DOI: 10.1136/jfprhc-2016-101631
Sharon Cameron, Patricia A Lohr, Roger Ingham
Background: Controversy exists as to whether 'abortion or 'termination of pregnancy' should be used by health professionals during interactions with women and in published works.
Methods: Self-administered anonymous questionnaires were distributed to women attending 54 abortion clinics in Scotland, England and Wales during a 4-month period in 2015. Responses were coded and analysed using SPSS. Descriptive statistics were generated and responses compared by demographic characteristics. The main outcome measures were the proportion of respondents reporting that they found the terms 'abortion' and 'termination of pregnancy' to be distressing, and women's preferred terminology for referring to induced abortion.
Results: Surveys were completed by 2259 women. The mean age of the respondents was 27(range 13-51) years; 82% identified as white, 51% had children and 36% had previously undergone abortion. Thirty-five percent indicated that they found the word 'abortion' distressing compared with 18% who reported that 'termination of pregnancy' was distressing (p< 0.001). Forty-five percent of respondents expressed a preference for 'termination of pregnancy' and 12% for 'abortion'. Sixteen percent would choose either term. This pattern of results did not vary statistically by age, reproductive history, country of residence, ethnicity or level of deprivation.
Conclusions: Most women seeking abortion did not find the terms 'abortion' or termination of pregnancy' distressing. When given a choice of terms, more women who expressed a preference chose 'termination of pregnancy'. Healthcare professionals should be sensitive to preferences for terminology when communicating with women seeking abortion.
{"title":"Abortion terminology: views of women seeking abortion in Britain.","authors":"Sharon Cameron, Patricia A Lohr, Roger Ingham","doi":"10.1136/jfprhc-2016-101631","DOIUrl":"https://doi.org/10.1136/jfprhc-2016-101631","url":null,"abstract":"<p><strong>Background: </strong>Controversy exists as to whether 'abortion or 'termination of pregnancy' should be used by health professionals during interactions with women and in published works.</p><p><strong>Methods: </strong>Self-administered anonymous questionnaires were distributed to women attending 54 abortion clinics in Scotland, England and Wales during a 4-month period in 2015. Responses were coded and analysed using SPSS. Descriptive statistics were generated and responses compared by demographic characteristics. The main outcome measures were the proportion of respondents reporting that they found the terms 'abortion' and 'termination of pregnancy' to be distressing, and women's preferred terminology for referring to induced abortion.</p><p><strong>Results: </strong>Surveys were completed by 2259 women. The mean age of the respondents was 27(range 13-51) years; 82% identified as white, 51% had children and 36% had previously undergone abortion. Thirty-five percent indicated that they found the word 'abortion' distressing compared with 18% who reported that 'termination of pregnancy' was distressing (<i>p</i>< 0.001). Forty-five percent of respondents expressed a preference for 'termination of pregnancy' and 12% for 'abortion'. Sixteen percent would choose either term. This pattern of results did not vary statistically by age, reproductive history, country of residence, ethnicity or level of deprivation.</p><p><strong>Conclusions: </strong>Most women seeking abortion did not find the terms 'abortion' or termination of pregnancy' distressing. When given a choice of terms, more women who expressed a preference chose 'termination of pregnancy'. Healthcare professionals should be sensitive to preferences for terminology when communicating with women seeking abortion.</p>","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":" ","pages":"265-268"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2016-101631","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35161472","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}
Pub Date : 2017-10-01Epub Date: 2017-07-24DOI: 10.1136/jfprhc-2017-101789
Gareth Hughes
> "Experiencing and understanding the IPM training, transformed my working life. It helped me grow as a general practitioner, not just as a psychosexual doctor" . I had been a general practitioner (GP) in Jersey for nearly 20 years when the Internet and PDE5 inhibitors, among other things, changed patients’ knowledge, awareness and expectations of sexual problems. The ‘Swinging Sixties’ and the availability of the Pill probably started it all, but more and more patients started attending the practice with ‘door-handle' questions about sex. As an experienced GP, I’d previously found there weren’t many problems with which I felt unable to help. If I didn’t have the answer then I had an excellent network of specialist colleagues who could provide assistance, either via telephone advice or formal referral. Help with sexual problems, however, drew a blank, as there was no-one running a specialist clinic on Jersey, an island of 100 000 inhabitants. It was my late sister-in-law, Dr Mary Gabbott, a doctor trained in psychosexual medicine back in its early days and one of the first psychosexual specialists to work in a joint clinic with a urologist, who challenged me to train with the Institute of Psychosexual Medicine (IPM) and see these patients myself. For those readers who may not know much about the IPM, I shall provide a brief overview. More information is available on their website (www.ipm.org.uk). The IPM is a specialist training organisation recognised by the Royal College of Obstetricians and Gynaecologists (UK). It was initiated in the 1960s by a group of family planning doctors faced, like me, with increasing numbers of patients presenting with sexual difficulties, and with little help available. Originally an exclusive organisation for doctors, the IPM has recently changed its constitution and now welcomes allied health professionals (AHPs) whose work involves ‘body medicine’. In practice, these AHPs are mainly specialist nurses …
{"title":"Psychosexual medicine, general practice, you and me.","authors":"Gareth Hughes","doi":"10.1136/jfprhc-2017-101789","DOIUrl":"https://doi.org/10.1136/jfprhc-2017-101789","url":null,"abstract":"> \"Experiencing and understanding the IPM training, transformed my working life. It helped me grow as a general practitioner, not just as a psychosexual doctor\" .\u0000\u0000I had been a general practitioner (GP) in Jersey for nearly 20 years when the Internet and PDE5 inhibitors, among other things, changed patients’ knowledge, awareness and expectations of sexual problems. The ‘Swinging Sixties’ and the availability of the Pill probably started it all, but more and more patients started attending the practice with ‘door-handle' questions about sex. As an experienced GP, I’d previously found there weren’t many problems with which I felt unable to help. If I didn’t have the answer then I had an excellent network of specialist colleagues who could provide assistance, either via telephone advice or formal referral. Help with sexual problems, however, drew a blank, as there was no-one running a specialist clinic on Jersey, an island of 100 000 inhabitants.\u0000\u0000It was my late sister-in-law, Dr Mary Gabbott, a doctor trained in psychosexual medicine back in its early days and one of the first psychosexual specialists to work in a joint clinic with a urologist, who challenged me to train with the Institute of Psychosexual Medicine (IPM) and see these patients myself. For those readers who may not know much about the IPM, I shall provide a brief overview. More information is available on their website (www.ipm.org.uk).\u0000\u0000The IPM is a specialist training organisation recognised by the Royal College of Obstetricians and Gynaecologists (UK). It was initiated in the 1960s by a group of family planning doctors faced, like me, with increasing numbers of patients presenting with sexual difficulties, and with little help available. Originally an exclusive organisation for doctors, the IPM has recently changed its constitution and now welcomes allied health professionals (AHPs) whose work involves ‘body medicine’. In practice, these AHPs are mainly specialist nurses …","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":" ","pages":"335-337"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2017-101789","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35195845","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}
Pub Date : 2017-10-01Epub Date: 2017-08-23DOI: 10.1136/jfprhc-2017-101881
Kate Savage, Kenneth Menon
Following the Medicines and Healthcare products Regulatory Agency (MHRA) alert about migration of Nexplanon® on 15 June 2016,1 we audited the quality of insertion of the implant in patients at our surgery. We wrote to a total of 127 patients asking them whether they could feel the shaft and/or the ends of the implant in …
{"title":"MHRA alert about Nexplanon migration.","authors":"Kate Savage, Kenneth Menon","doi":"10.1136/jfprhc-2017-101881","DOIUrl":"https://doi.org/10.1136/jfprhc-2017-101881","url":null,"abstract":"Following the Medicines and Healthcare products Regulatory Agency (MHRA) alert about migration of Nexplanon® on 15 June 2016,1 we audited the quality of insertion of the implant in patients at our surgery.\u0000\u0000We wrote to a total of 127 patients asking them whether they could feel the shaft and/or the ends of the implant in …","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":" ","pages":"345"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2017-101881","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35342687","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：