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Delays in Utilization of Institutional Delivery Service and its Determinants in Yem Special Woreda, Southwest Ethiopia: Health Institution Based Cross-Sectional Study-Juniper Publishers

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Global Journal of Reproductive Medicine    Juniper Publishers Authored by: Teklemariam Ergat Yarinbab*  Introduction Institutional delivery service is one of the key and proven interventions to reduce maternal death. It ensures safe birth, reduce both actual and potential complications and maternal death and increase the survival of most mothers and newborns. But most deliveries in developing countries occur at home without skilled birth attendants. The 2014 EDHS report revealed that 83.4% deliveries took place at home whereas only 15.4% of deliveries were institutional [1]. Maternal deaths are strongly associated with delays to utilization of institutional delivery service and inadequate medical care at the time of delivery. Several factors have been identified as barriers to early access to skilled care by women especially in developing countries; these include perceived quality of care at health facility, inadequate number of skilled personnel, geographi...

Ovarian Tuberculosis in a Developing Community_Juniper Publishers

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Global Journal of Reproductive Medicine    Juniper Publishers Authored by:  Wilson I B Onuigbo* Abstract From North East Nigeria, a recent study reported a patient whose ovarian tuberculosis masqueraded as ovarian cancer in association with HIV infection. Therefore, 4 cases are documented here in respect of the South East Region of this developing country. The lesion is discussed with reference to countries as far apart as India, Iran, Madagascar and Pakistan. All point to the remedial action of antituberculous drugs as well as the need for developing national guidelines so as to avoid unnecessary laparotomies. Keywords:  Ovary; Tuberculosis; Drug therapy; Developing communities; laparotomies; Ovarian tuberculosis; Ovarian cancer; Epidemiological analysis; Secondary infertility; Malignancy; Masquerading of cancer; HIV infection; Immigration; Ethnic group; Pathologist; Biopsy specimens; Enugu; Birmingham; Central laboratory; Epidemiological...

Could We Hack Women's biological clock? A mitochondrial Hypothesis

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Global Journal of Reproductive Medicine    Juniper Publishers Abstract Our knowledge about aging infertility suggests that oocyte quality is the major contributing factor. Assisted reproductive technologies (ART) teach us two critical facts about this topic: the reduction of reproductive capacity observed in aged women is related with the oocyte's age, and how we can reverse the aging process getting high rates of live-birth pregnancies achieved by aged women with oocytes donated by younger women. The biologic reason why older women have a lower pregnancy rate is because aneuploid embryos are more frequently obtained from aged women. In this context, the quality of oocyte mitochondria is determinant in embryo quality, relating to euploid embryos, since mitotic non-disjunction occurs more frequently in advanced aged women [ 1 ]. Keywords:  Oocytes age; Aneuploid embryos; Mitochondrial DNA; Mammalian embryos; Growth hormone; Mitochondria donation; Mitochondr...

The Mooncup: A Tool to Measure Menstrual Bleeding Loss Volume

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Global Journal of Reproductive Medicine    Juniper Publishers Abstract Background:  The mooncup is not a tool habitually used for quantifying the volume of menstrual blood loss. Objective:  The aims of the study were to explore mooncup management by Spanish women and estimate the volume of menstrual blood loss. Method:  This is a comparative observational study involving 94 healthy women who participated voluntarily following a mass invitation on Face book. This is an accidental, non-probability sampling technique. The participants completed an online questionnaire drafted using the following program: https://docs.google.com/spreadsheets/u/0/, which included socio-demographic and mooncup use factors, with the aim of estimating menstrual volume. Depending on individual hygiene habits the cup was emptied when full, half-full or only stained. Result:  Overall, a mean figure of 3,25 cups/woman/day were emptied (SD 1.77, CI 95%, 2.88-3.61). T...