International Federation of Gynecology and Obstetrics

Publication year: 2010
Source: International Journal of Gynecology & Obstetrics, In Press, Corrected Proof, Available online 15 May 2010

Fehmi, Zeqiri , Myrvete, Paçarada , Niltene, Kongjeli , Vlora, Zeqiri , Gyltene, Kongjeli , ...

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Publication year: 2010
Source: International Journal of Gynecology & Obstetrics, In Press, Corrected Proof, Available online 14 May 2010

Juan, Liang , Jun, Zhu , Li, Dai , Xiaohong, Li , Mingrong, Li , ...

 Objective: To analyze the trend in maternal mortality ratio (MMR), characteristics and causes of maternal deaths, and factors influencing the MMR in China between 1996 and 2005. Methods: Data used in this study are based on the nationwide maternal mortality surveillance system. Trend in MMR and cause-specific mortality were analyzed using the Cochran-Armitage trend test. Results: From 1996 to 2005, MMR was higher in rural areas than in urban areas; and highest in remote areas followed by inner lands and coastal regions. The overall MMR in China decreased from 64.1 per 100000 live births in 1996 to 47.6 per 100000 live births in 2005. MMR...

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Publication year: 2010
Source: International Journal of Gynecology & Obstetrics, In Press, Corrected Proof, Available online 14 May 2010

Stelian, Hodorogea , Rodica, Comendant

Despite permissive laws and a well-developed network of facilities, the incidence of unsafe abortion and the resulting maternal mortality is unacceptably high in Central and Eastern Europe and Central Asia, with one-quarter of all maternal deaths reported to occur as a consequence of abortion. Among the reasons that oblige women to submit themselves to risky procedures are new legislative barriers to accessing pregnancy termination, the unequal distribution of abortion services and healthcare providers, the increased costs of abortion services or unofficial payments, coupled with an increase in the number of impoverished and disadvantaged individuals. The quality of abortion services remains...

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Publication year: 2010
Source: International Journal of Gynecology & Obstetrics, In Press, Corrected Proof, Available online 10 May 2010

Guiling, Li , Wei, Jiang , Suiqi, Gui , Congjian, Xu

 Background: Precise preoperative diagnosis of minimal deviation adenocarcinoma (MDA) of the uterine cervix is often difficult because the histological features of MDA closely resemble those of normal cervical glands. Objective: To review the developments in the diagnosis and treatment of MDA over the past 35years. Search strategy: We performed a meta-analysis of all case reports published in the English and Chinese languages between 1975 and 2009 that included a histopathologic diagnosis of MDA. Pooled odds ratios and 95% CIs were calculated for comparisons and analyzed. Results: The histopathologic diagnosis of MDA remains difficult and is currently based on antigen detection by immunohistochemistry. Cytologic assessment and routine biopsy...

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Publication year: 2010
Source: International Journal of Gynecology & Obstetrics, In Press, Corrected Proof, Available online 7 May 2010

Anibal, Faúndes , Shahida, Zaidi

An evaluation of the current situation regarding implementation of the plans of action for the prevention of unsafe abortion shows that more than half of the countries selected for the initiative have progressed as planned or have surpassed expectations. The greatest barriers to faster progress have been insufficient resources or infrastructure and the sensitivity of the subject matter, as well as lack of a more active commitment from the societies of obstetrics and gynecology and their members. The most frequently mentioned facilitating factors were the strength of the project/FIGO leadership, the commitment of the collaborating agencies, and incorporation of the...

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Publication year: 2010
Source: International Journal of Gynecology & Obstetrics, In Press, Corrected Proof, Available online 7 May 2010

Shahida, Zaidi , Ezzeldin Osman, Hassan , Stelian, Hodorogea , Robert, Leke , Luis, Tavara , ...

International collaboration with organizations and agencies is a basic requirement for the success of the FIGO Initiative for the Prevention of Unsafe Abortion and its Consequences. Many activities being carried out by the organizations form a part of the plans of action of all countries participating in the Initiative. It was, therefore, not difficult to obtain their collaboration in implementing the plans of action. The many ways in which they have collaborated and continue to do so are described in this article. This collaboration has saved time, avoided duplication of effort, and has also satisfied the Accra Agenda of Action...

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Publication year: 2010
Source: International Journal of Gynecology & Obstetrics, In Press, Corrected Proof, Available online 7 May 2010

Florence, Mirembe , Joseph, Karanja , Ezzeldin Osman, Hassan , Anibal, Faúndes

This article describes the goals and activities included in the national plans of action for the prevention of unsafe abortion. With broad variability, all were in line with the initiative's purpose of contributing to reduce the number of women who have unplanned pregnancies and induced abortions, as well as the maternal mortality and morbidity associated with unsafe abortion. The interventions proposed can be classified in 5 groups: (1) to work toward better national policies through obtaining and disseminating accurate evidence-based data on abortion and to sensitize policy makers and health professionals on issues pertaining to unsafe abortion; (2) to reduce...

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Publication year: 2010
Source: International Journal of Gynecology & Obstetrics, In Press, Corrected Proof, Available online 7 May 2010

Robert J.I., Leke , Marina, Padilla de Gil , Luis, Távara , Anibal, Faúndes

The Working Group of the International Federation of Gynecology and Obstetrics (FIGO) on the Prevention of Unsafe Abortion and its Consequences received a mandate to contribute to reduce the number of women who have to resort to induced abortion and the maternal mortality and morbidity associated with unsafe abortion by minimizing unintended pregnancies, improving access to safe abortion services, and increasing the quality of and access to post-abortion care, including post-abortion contraception. A project proposal was prepared and approved by an anonymous donor, funding a structure headed by a general coordinator, the Chair of the Working Group, together with 6...

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Publication year: 2010
Source: International Journal of Gynecology & Obstetrics, In Press, Corrected Proof, Available online 7 May 2010

Dorothy, Shaw

Unsafe abortion is a recognized public health problem that contributes significantly to maternal mortality. At least 13% of maternal mortality is caused by unsafe abortion, mostly in poor and marginalized women. The International Federation of Gynecology and Obstetrics (FIGO) launched an initiative in 2007 to prevent unsafe abortion and its consequences, building on its work on other major causes of maternal mortality. A Working Group was identified with collaborators from many international organizations and terms of reference provided direction from the FIGO Executive Board as to possible evidence-based interventions. A total of 54 member associations of FIGO, representing almost half...

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Publication year: 2010
Source: International Journal of Gynecology & Obstetrics, In Press, Corrected Proof, Available online 7 May 2010

Kelly R., Culwell , Marcel, Vekemans , Upeka, de Silva , Manuelle, Hurwitz , Barbara B., Crane

Unsafe abortion accounts for a significant proportion of maternal deaths, yet it is often forgotten in discussions around reducing maternal mortality. Prevention of unsafe abortion starts with prevention of unwanted pregnancies, most effectively through contraception. When unwanted pregnancies occur, provision of safe, legal abortion services can further prevent unsafe abortions. If complications arise from unsafe abortion, emergency treatment must be available. Recommendations made on this issue during the Precongress Workshop held prior to the 2009 FIGO World Congress in Cape Town, South Africa, were part of a report that was adopted by the FIGO General Assembly. These recommendations address prevention...

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