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Tesi sul tema "Obstetrics and gynaecology"

Autore: Grafiati
Pubblicato: 4 giugno 2021
Ultima modifica: 25 luglio 2025

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1

Abdul-Kadir, Rezan Ahmed. "Inherited bleeding disorders in obstetrics and gynaecology." Thesis, University of London, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.391628.

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2

Logan, Susan. "Screening for Chlamydia trachomatis in obstetrics and gynaecology." Thesis, University of Aberdeen, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.288266.

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Abstract (sommario):
In 1996, a RCOG Study Group reporting on the prevention of pelvic infection highlighted the considerable role <i>C. trachomatis </i>played in female reproductive morbidity and the potential advantages of DNA based assays.  A national screening programme was suggested, as Sweden and the USA had demonstrated that screening women could decrease prevalence and pelvic inflammatory disease rates. In the UK, out with genito-urinary medicine clinics, awareness of the infection and screening was virtually non-existent.  Women attending obstetric and gynaecology-affiliated clinics were at increased risk
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3

Poggenpoel, Elizabeth J. "Primary obstetric ultrasound : comparing a detail ultrasound only protocol with a booking ultrasound protocol." Thesis, Stellenbosch : University of Stellenbosch, 2010. http://hdl.handle.net/10019.1/4326.

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4

Cooper, Natalie Ann MacKinnon. "Ambulatory gynaecology : guidelines and economic analysis." Thesis, University of Birmingham, 2013. http://etheses.bham.ac.uk//id/eprint/4421/.

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The aim of this thesis was to investigate the role of outpatient hysteroscopy in modern gynaecological care by conducting a series of systematic reviews and meta-analyses to examine how the procedure can be optimised to reduce pain and by performing a cost effectiveness analysis. The systematic reviews concluded that women undergoing outpatient hysteroscopy should take simple analgesia beforehand and that the hysteroscopist should adopt a vaginoscopic approach using a small diameter, rigid hysteroscope and normal saline as the distension medium. If dilatation of the cervix is required this sho
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5

Chilopora, Garvey Chipiliro. "Clinical officers in Malawi : expanding access to comprehensive emergency obstetrics care." Master's thesis, University of Cape Town, 2009. http://hdl.handle.net/11427/3037.

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Includes abstract.<br>Includes bibliographical references (leaves 48-53).<br>Clinical officers perform much of major emergency surgery in Malawi, in the absence of medical officers. The aim of this study was to validate the advantages and disadvantages of delegation of major obstetric surgery to non-doctors.
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6

Innala, Eva. "Acute intermittent porphyria, women and sex hormones. Screening for hepatocellular carcinoma in porphyria." Doctoral thesis, Umeå universitet, Obstetrik och gynekologi, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-36884.

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Background:   Porphyrias are inherited disorders with impaired heme biosynthesis. Acute intermittent porphyria (AIP) is the most common porphyria in Sweden. AIP attacks may be life-threatening. Female sex hormones are regarded as important precipitating factors. Hepatocellular carcinoma (HCC) is a severe complication in the older AIP population. The aim of the thesis was to describe the clinical expression of AIP in women, experience of hormonal contraception and hormonal replacement therapies (HRT) and of pregnancies. Secondly, we evaluated gonadotropin-releasing hormone (GnRH) agonist treatm
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7

Benedetto, C. "Physiopathological aspects of prostanoids£t and platelet function in obstetrics and gynaecology." Thesis, Brunel University, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.233348.

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8

Chilopora, Garvey Chiliro. "Clinical Officers in Malawi: Expanding access to comprehensive emergency obstetric care." Master's thesis, University of Cape Town, 2009. http://hdl.handle.net/11427/3035.

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Abstract (sommario):
Background: Clinical officers perform much of major emergency surgery in Malawi, in the absence of medical officers. The aim of this study was to validate the advantages and disadvantages of delegation of major obstetric surgery to non-doctors. Methods: During a three month period, data from 2131 consecutive obstetric surgeries in 38 district hospitals in Malawi were collected prospectively. The interventions included caesarean sections alone and those that were combined with other interventions such as subtotal and total hysterectomy repair of uterine rupture and tubal ligation. All these sur
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9

Willis, Debbie Susan. "Insulin and follicular function in polycystic ovaries." Thesis, Imperial College London, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.484080.

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10

Gadd, Stephanie Clare. "Insulin-like growth factor II in preovulatory follicles and ovarian cysts." Thesis, University of Southampton, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.296517.

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11

Oosthuizen, Lizle. "The impact of GnRH-agonist triggers on autologous in vitro fertilization outcomes: A retrospective analysis." Master's thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/33934.

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Abstract (sommario):
BACKGROUND: In vitro fertilization in assisted reproduction requires controlled ovarian stimulation with exogenous gonadotrophins and oocyte maturation before ultrasound guided aspiration. GnRH-agonists have been utilized as an alternative to hCG for oocyte maturation prior to follicle aspiration. GnRH-agonist triggers are proven to lower ovarian hyperstimulation syndrome risk, a condition that can be life threatening. Lower pregnancy rates have been reported in the literature with the GnRH-agonist trigger, leading to recommendations of elective embryo cryopreservation, delayed transfer and in
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12

Schutte, Marcelle. "A review of intrauterine device placement during caesarean section at level two facilities in the Metro West, Cape Town." Master's thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/34030.

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Study rationale In the Western Cape there are many intrauterine contraceptive devices (IUDs) inserted during caesarean section (C/S). Little is known about the long-term outcomes in the Metro West area. Objective To assess placement of IUDs at C/S and describe follow-up, with a view to compile best practice guidelines for insertion and follow-up in our clinic setting. Method A retrospective descriptive audit of clinical records was performed of all women who received an IUD at C/S between January and June 2018 at Mowbray Maternity Hospital (MMH) and New Somerset Hospital (NSH) in Cape Town. Re
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13

Momberg, Zoe. "Accuracy of ultrasound beyond 14 weeks to determine chorionicity of twin pregnancies." Master's thesis, University of Cape Town, 2014. http://hdl.handle.net/11427/22023.

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Abstract (sommario):
Determining the chorionicity of twin pregnancies is extremely important as this influences the frequency of surveillance, timing of delivery and management of complications. Monochorionic twins have 2.5 times the perinatal mortality of dichorionic twins, and in the case of a single intra-uterine fetal demise, the surviving twin of a monochorionic pair is at significant risk of neurological damage compared to a dichorionic pregnancy. Chorionicity can be accurately determined before 14 weeks gestation using the lambda or T-sign. After 14 weeks, these ultrasonographic signs become less reliable a
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14

Paulsen, Carrie. "Incidence and nature of complications post primary repair of Obstetric Anal Sphincter Injury (OASI): Retrospective chart review." Master's thesis, Faculty of Health Sciences, 2019. https://hdl.handle.net/11427/31687.

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Background. A multitude of data exists regarding global incidence of OASI as well as its contributing factors and complications. Little to no data exists regarding the incidence of OASI or its complications and the nature of these complications within South Africa. Objective. To describe the rate and nature of complications of OASI that occur within 6 weeks following primary repair of an OASI, followed up at the GSH perineal clinic. Secondarily, to investigate the incidence of OASI and follow up rate post primary repair Methods. This was a retrospective chart review. Participants were identifi
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15

Montgomery, Colin Jaco. "Retrospective review of the incidence of venous thromboembolism in pregnancy and the puerperium and identification of presenting complaints of pregnancy-related venous thromboembolism at Groote Schuur Maternity Centre, Cape Town between 1 January 2016 and 31 December 2016." Master's thesis, Faculty of Health Sciences, 2019. https://hdl.handle.net/11427/31764.

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Background: Venous thromboembolism is one of the leading causes of morbidity and mortality around the world. In addition to the immediate morbidity, there is significant implications on delivery plans, future options of contraception and thromboprophylaxis in subsequent pregnancies. At present, no pre-test probability assessments are being used to predict venous thromboembolism in pregnancy. This is the first study in South-Africa, addressing venous thromboembolism in the perinatal period which specifically examines the epidemiology and clinical presentation in pregnancy and the post-partum pe
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16

Matjila, Mushi Johannes. "The role of kisspeptin and its cognate receptor GPR54 in normal and abnormal placentation." Doctoral thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/15578.

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Abstract (sommario):
Poor invasion of trophoblast cells in early pregnancy has been associated with preeclampsia and intrauterine growth restriction as well as other adverse pregnancy outcomes such as miscarriage, preterm birth and intrauterine death. Hypertensive disorders of pregnancy, including pre-eclampsia are one of the leading causes of maternal mortality in South Africa (Third report on Confidential Enquiries into Maternal Deaths in South Africa (2002-2004)) and the rest of the world. The currently accepted mechanism underlying the development of preeclampsia implicates poor trophoblast invasion and inadeq
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17

Dyer, Silke Juliane. "Infertility in the public health care system in South Africa : patients' experiences, reproductive health knowledge and treatment-seeking behaviour." Doctoral thesis, University of Cape Town, 2006. http://hdl.handle.net/11427/8905.

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Abstract (sommario):
Includes bibliographical references (leaves 231-252).<br>Infertility is a common reproductive health problem in Africa. The experiences of men and women who are unable to conceive, their constructs of infertility, their motives for parenthood, and their health-seeking behaviour are, however, inadequately documented in South Africa. In order to improve our understanding of the patients' perspective of infertility, seven studies were conducted employing both qualitative and quantitative research methodology. Study participants were recruited from the infertility clinic at Groote Schuur Hospital,
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18

Denny, Lynette. "An evaluation of alternative strategies for the prevention of cervical cancer in low-resource settings." Doctoral thesis, University of Cape Town, 2000. http://hdl.handle.net/11427/3041.

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19

Sherwood, Kerry Anne. "Out-of-pocket payment for assisted reproductive techniques in the public health sector in South Africa - how do households cope?" Master's thesis, University of Cape Town, 2011. http://hdl.handle.net/11427/11154.

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Abstract (sommario):
Includes bibliographical references.<br>In South Africa assisted reproductive techniques (ART) are poorly covered by health insurances or government funding thereby often inflicting out-of-pocket payment (OPP) on patients. This can create treatment barriers or high financial burdens for households, with unknown consequences of the latter. This is the first study from South and sub-saharan Africa which explores the impact of ART-related OPP on households. The study was undertaken at Groote Schuur Hospital, Cape Town, where ART is subsidized but patients have to contribute to the cost of treatm
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20

Naiker, Manasri. "A study comparing paracervical block with procedural sedation in the surgical management of incomplete/missed miscarriages." Master's thesis, University of Cape Town, 2014. http://hdl.handle.net/11427/13208.

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Abstract (sommario):
Includes bibliographical references.<br>Objective: To compare the analgesic efficacy of Paracervical Block (1% lidocaine) with procedural sedation (Midazolam/Fentanyl) in the surgical management of incomplete/ missed miscarriages. Study design: An efficacy trial with a naturally occurring control group who received what is standard practice. The study compared two methods of analgesia. The study group received paracervical block and the control group received procedural sedation. The study ran over two consecutive months (December 2012/January 2013). Setting: Groote Schuur Hospital, a level th
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21

Botha, Ursula M. "Unbooked mothers : outcome and contributory factors." Master's thesis, University of Cape Town, 2004. http://hdl.handle.net/11427/3032.

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22

Edelstein, Sascha. "The impact of body mass index (BMI) on metabolic and endocrine parameters in women with the polycystic ovary syndrome (PCOS)." Master's thesis, University of Cape Town, 2008. http://hdl.handle.net/11427/3042.

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23

Horak, Tracey Anne. "An analysis of the caesarean section rate at Mowbray Maternity Hospital using Robson's Ten group Classification System by Tracey Anne Horak." Master's thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/3046.

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24

Botha, Barend HJ. "Systematic review: Availability, effectiveness and safety of assisted reproductive techniques in Sub-Saharan Africa." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/29315.

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Abstract (sommario):
STUDY QUESTION: What is the evidence pertaining to availability, effectiveness and safety of assisted reproductive technology (ART) in sub-Saharan Africa? SUMMARY ANSWER: According to overall limited and heterogeneous evidence, availability and utilization of ART are very low, clinical pregnancy rates largely compare to other regions but are accompanied by high multiple pregnancy rates, and in the near absence of data on deliveries and live births the true degree of effectiveness and safety remains to be established. WHAT IS KNOWN ALREADY: In most world regions, availability, utilization a
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25

Krick, Daniela. "Study of efficacy of ketamine analgesia for surgical management of incomplete miscarriages." Master's thesis, University of Cape Town, 2013. http://hdl.handle.net/11427/3047.

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Abstract (sommario):
Includes abstract.<br>Includes bibliographical references.<br>Objective: To compare the analgesic efficacy of ketamine with Fentanyl/Midazolam in women requiring uterine evacuation for incomplete miscarriage as measured by the patients’ perceived pain. Study design: An efficacy trial with a naturally occurring control group who received what is currently standard practice. The study ran over two 4-week periods (25/06/2012 to 19/08/2012). Setting: Groote Schuur Hospital (a tertiary hospital) situated in Cape Town, South Africa. Population: All women between the ages of 18 and 55 years admitted
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26

Mohlaba, Garish Masungi. "The prevalence and effects of HIV infection among a population of pregnant women needing obstetric intensive care in Cape Town." Master's thesis, University of Cape Town, 2010. http://hdl.handle.net/11427/3050.

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Abstract (sommario):
Includes bibliographical references (leaves 36-37).<br>Care of the critically ill pregnant woman poses exceptional challenges in the intensive care unit and requires the skills of health care providers who have knowledge of the physiological changes of pregnancy as well as specific pregnancy-related disorders in order to achieve optimal management.
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27

Membe, Gladys Chikumbutso. "External cephalic version for breech presentation at term : missed opportunities?" Master's thesis, University of Cape Town, 2014. http://hdl.handle.net/11427/13316.

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Abstract (sommario):
Includes bibliographical references.<br>Background External Cephalic Version (ECV) is the manipulation of the baby, through the mother’s abdomen to a cephalic presentation. ECV is typically performed antenatally, in women with a breech presentation who are not in labour, at or near term, to improve their chances of having a normal vaginal delivery. ECV is one of the few obstetric interventions for which there is evidence that its use leads to a fall in caesarean section rates. ECV is an intervention that gives women another option, prior to considering caesarean section. Objective: To evaluate
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28

Ras, Lamees. "Comparison of short-term outcomes between two sacrospinous suture capture devices : a randomised controlled trial." Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/20409.

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BACKGROUND Sacrospinous Fixation is a procedure for mid-compartment apical suspension in pelvic organ prolapse surgery with high success rates. The approach by traditional wide dissection has been well-documented. The literature is lacking however with regard to newer devices on the market that use less extensive dissection to perform this procedure. METHODS A randomised controlled trial was carried out comparing the Boston Scientific's Capio Slim® (control) and Bard's Fixt® (intervention) for bilateral sacrospinous fixation in women with mid-compartment prolapse requiring surgery and who met
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29

Enyeribe, Iwuh Ibezimako Augustus. "Maternal near miss audit in Metro West Maternity services." Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/16525.

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Abstract (sommario):
Includes bibliographical references<br>Background: A near miss occurs when a pregnant woman experiences a severe life threatening complication during pregnancy or up to 42 days after the end of the pregnancy and survives. The near miss rate is defined as the number of near misses per 1000 live births. In 2011, World Health Organization (WHO) produced a useful tool for identifying near misses according to composite criteria which include the occurrence of a severe maternal complication together with organ dysfunction and/or specified critical interventions. The ratio of maternal near miss cases
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30

Patel, Malika. "An evaluation of expectations and experiences of women having routine ultrasound examination for fetal abnormalities in the midtrimester of pregnancy." Master's thesis, University of Cape Town, 2009. http://hdl.handle.net/11427/3053.

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31

Gadama, Luis Aaron. "Adverse perinatal events observed in obese pregnant women in the Metro West Region." Master's thesis, University of Cape Town, 2014. http://hdl.handle.net/11427/13209.

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Abstract (sommario):
Includes bibliographical references.<br>Background. Obesity is increasing globally and is defined as a Body Mass Index (BMI) over 30 kgms/m². It’s prevalence in the Metro West Maternity service is unknown. Objective .To assess the prevalence of obesity and determine its association with adverse perinatal and maternal outcomes among pregnant women in the Metro West Region, Cape Town, South Africa Study Design. This was a retrospective observational study that compared perinatal outcomes in women with normal pregnancy BMI to outcomes in women with high pregnancy BMI. Setting. Mitchells Plain and
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32

Oosthuizen, Lizle Joann. "Impact of obesity on semen analysis parameters." Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/19888.

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Abstract (sommario):
Includes bibliographical references<br>This study aims to address the lack of data on the link between BMI and infertility in the South African population by describing the prevalence of male overweight and obesity in a group of men undergoing infertility investigation, as well as assessing any semen analysis abnormalities in these groups. It also aims to describe how well men can predict their BMI category and determine whether weight loss would be an acceptable part of infertility management in overweight or obese male partners. Beliefs surrounding healthy weight and fertility will also be a
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33

Smith, Patricia Anne. "The use of misoprostol in cervical ripening and induction of labour in the term pregnancy." Master's thesis, University of Cape Town, 1997. http://hdl.handle.net/11427/26251.

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OBJECTIVE: To compare the efficacy and safety of misoprostol (Cytotec) with prostaglandin E2 (prandin gel) in cervical ripening and induction of labour at term. STUDY DESIGN: Two independent studies were performed. The first was to evaluate misoprostol as a cervical ripening agent when compared to prandin gel and the second to compare their ability to induce labour. Two hundred and forty patients requiring cervical ripening prior to induction of labour were recruited to the cervical ripening arm of the trial. Patients were randomly assigned to receive either 100 μg of misoprostol (half a 200 μ
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34

Morrison, Candice Jane. "The polycystic ovary syndrome : a comparison of the presentation in adolescents compared to women aged 35 years and older attending the Gynaecological Endocrine clinic at Groote Schuur Hospital." Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/13791.

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PCOS is the commonest endocrinopathy occurring in women of reproductive age. This study aimed at comparing the presentation of adolescents to that of women ≥ 35 years presenting to the gynaecological endocrine clinic with a diagnosis of PCOS. This was a descriptive cohort study. Since 1996 all women with PCOS have their clinical, metabolic and endocrine data entered into a database. We compared the initial presentation of adolescents and women aged 35 and above.
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35

Vollmer, Linda Ruth. "Teenage pregnancy a review of patients accessing obstetric care in the Peninsula Maternal and Neonatal Service." Master's thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/3056.

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36

Chirwa, Nyatozi. "Retrospective review of women diagnosed with premature ovarian insufficiency." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/29770.

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Abstract (sommario):
Premature ovarian insufficiency (POI) is a clinical syndrome defined by loss of ovarian activity before the age of 40. It is characterized by menstrual disturbance (amenorrhoea or oligo-(amenorrhoea), raised gonadotrophin concentrations and low oestradiol levels. The diagnosis is confirmed by detection of raised serum follicle stimulating hormone and low oestradiol levels. POI can occur spontaneously, but it may also result from genetic defects, chemotherapy, radiotherapy or surgery. Oestrogen deprivation as a result of POI has serious implications for female health. In particular, bone minera
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37

Schroeder, Amaal. "Outcome of twin deliveries according to planned mode of delivery at Level II hospitals within the Metro West Cape Town Health District." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/29684.

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Twin pregnancies are associated with greater fetal and neonatal morbidity and mortality compared to singleton pregnancies. It has been shown in a large multicentre randomised control trial by Barrett et al, that this risk is not significantly changed by planned mode of delivery in a twin pregnancy with a cephalic presenting first twin. This study was undertaken to assess the outcome of cephalic-presenting twin gestations according to planned mode of delivery in the local context of secondary level hospitals in the Metro West Cape Town Health District. Methods: This was a retrospective cohort s
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38

Pheto, Peloentle. "An audit of uterotonic use for the prophylaxis and treatment of haemorrhage at caesarean delivery at Mowbray Maternity Hospital, Cape Town, South Africa." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/29673.

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Abstract (sommario):
Obstetric Haemorrhage is the leading cause of maternal death globally (1) and the third leading cause of death in South Africa (2). Concern has been expressed in South Africa that bleeding associated with caesarean delivery (CD) accounts for one-third of haemorrhage deaths and this has increased over the last ten years (3). The underlying cause of bleeding at CD is commonly uterine atony, and the majority of the CDs were performed at district hospitals (2,3,4). The Saving Mothers Reports describe inadequate use and documentation of uterotonics to prevent or treat bleeding at CD and have promot
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39

Cloete, Marinus. "Acupuncture for women with refractive Overactive Bladder Syndrome." Master's thesis, University of Cape Town, 2010. http://hdl.handle.net/11427/10188.

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Abstract (sommario):
To evaluate the efficacy of acupuncture in refractive OAB. The primary aim was to evaluate the effect on frequency, nocturia and urge urinary incontinence. The secondary aim was to evaluate the effect of the response on self-perceived quality-of-life.
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40

Venter, Eben Kruger. "The Caesarean Section rate at Mowbray Maternity Hospital: Applying Robson's Ten group classification system." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/29234.

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Abstract (sommario):
Background The United Nations (UN) aims to reduce the maternal mortality ratio (MMR) and improve access to reproductive health services. Caesarean sections (CS) are known to be associated with a raised mortality rate by a factor of 2.8 in addition to the raised morbidity rate (OR 3.1; 95% CI 3.0-3.3) compared to vaginal deliveries (VD). Globally, there has been a concerning trend in the caesarean section rate (CSR), rapidly increasing since the 1970’s, with some countries reporting CS rates as high as 40.5%. South Africa has a CSR of 25.7%, which is higher than the suggested rate by the Worl
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41

Matthews, Louise S. "Fetal alcohol syndrome : prenatal ultrasound assessment of fetuses at high risk." Master's thesis, University of Cape Town, 2006. http://hdl.handle.net/11427/3049.

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42

Jere, Khumbo. "Knowledge and utilisation of family planning 6 to 14 weeks postpartum in the Metro West region of the Western Cape Province." Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/20839.

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Abstract (sommario):
Postpartum family planning (PPFP) is the initiation and use of contraception during the first year after delivery. Following delivery mothers are encouraged to attend local Baby Clinics where infant follow up and immunization services and contraceptive advice should be available. The general understanding and importance of contraceptive use of postpartum mothers in this period has not been fully explored within our services. The aim of this study was to assess the current knowledge and the utilisation of contraception at the primary level of care among women who delivered 6 to 14 weeks earlier
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43

Brink, Derek Montagu. "Clinical and ultrasonic estimation of fetal weight." Master's thesis, University of Cape Town, 1994. http://hdl.handle.net/11427/26563.

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Abstract (sommario):
Several clinical situations occur in obstetrics where it is useful to make an accurate assessment of fetal weight prior to delivery. A foreknowledge of the mass of the fetus can influence management in circumstances complicated by, for example, a previous caesarean section, a breech presentation, a compromised fetus of borderline viability and a diabetic pregnancy at term. Researchers have attempted to estimate fetal weight by assaying oestriol, human placental lactogen, and pregnanediol. These parameters have been found to be of limited value because of the indirect measurement of fetal mass.
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44

Rogers, Linda Joy. "Chemoradiation in advanced vulval carcinoma." Master's thesis, University of Cape Town, 2008. http://hdl.handle.net/11427/3054.

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Abstract (sommario):
Includes abstract.<br>Includes bibliographical references (leaves 68-74).<br>Vulval carcinoma is uncommon, affecting approximately 2 per 100 000 women annually. The treatment of choice is radical vulvectomy and inguinal lymph node dissection. ‘Advanced’ vulval carcinomas involve midline structures (such as clitoris, urethra or anus) and/or adjacent pelvic organs or bone, and adequate excision may require urinary diversion, colostomy or pelvic exenteration. Less morbid and less mutilating therapeutic alternatives have been investigated, particularly chemoradiation, which has shown significant s
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45

Adams, Tracey. "A quality of care assessment of the management of obstetric haemorrhage in the Peninsula Maternal and Neonatal Services." Master's thesis, University of Cape Town, 2009. http://hdl.handle.net/11427/3058.

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Abstract (sommario):
Includes bibliographical references (leaves 64-68).<br>In South Africa obstetric haemorrhage is the third most common cause of maternal deaths. In addition to maternal mortality audits, quality of care audits using criterion based audit methodology provides useful information. The aim of this study was to audit the management of all women with severe obstetric haemorrhage in the Peninsula Maternal and Neonatal Services in order to improve management. A descriptive retrospective audit was conducted during the period August 2006 to August 2007 using a criterion based audit methodology. Cases of
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Richards, Dominic G. D. "A comparison of calcium levels in pre-eclamptic and normotensive pregnancies in a low dietary calcium setting." Master's thesis, University of Cape Town, 2011. http://hdl.handle.net/11427/11528.

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Abstract (sommario):
Includes abstract.<br>Includes bibliographical references (leaves 70-75).<br>Pre-eclampsia is a leading cause of maternal mortality and morbidity in South Africa. At present this disease cannot be prevented and many interventions to reduce the incidence of pre-eclampsia have been investigated. Calcium supplementation of pregnant women at high risk of developing pre-eclampsia has been shown to be of some benefit in reducing the incidence of the disease, with the greatest benefit seen in low dietary calcium settings. While serum calcium is an unreliable indicator of chronic calcium status, hair
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Annor, Charlene Adjoa Adobea. "Antenatal AVSD diagnosis at Groote Schuur Hospital A retrospective cohort study." Master's thesis, Faculty of Health Sciences, 2019. https://hdl.handle.net/11427/31669.

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Abstract (sommario):
The antenatal diagnosis of a fetal atrioventricular septal defect (AVSD) impacts the prognosis of an unborn child, and may have psychosocial and financial implications for mothers receiving this diagnosis. Outcomes relevant to our local population may be used to improve counselling for parents receiving this diagnosis. During a literature review, there was a lack of existing published data on antenatal AVSD outcomes from the developing world. To ascertain the outcomes of antenatal AVSD diagnosis in fetal, neonatal and infant life, we performed a retrospective study of all AVSD's diagnosed at a
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Ncube, Nkosinathi. "Validation of the polycystic ovary syndrome health-related quality of life questionnaire (PCOSQ) in the clinical community in our gynaecological endocrine clinic." Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/23400.

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Abstract (sommario):
Background: Polycystic ovary syndrome (PCOS) is the most common endocrine disorder in women of reproductive age and impacts negatively on their health related quality of life (HRQoL). The Polycystic Ovary Syndrome Questionnaire (PCOSQ) is a disease specific questionnaire used to measure HRQOL in affected women. This questionnaire has not been validated for use in the clinical population of South Africa. This study aimed to assess the psychometric properties of the PCOSQ in our population and to compare findings with those from the WHOQOL-BREF, a generic questionnaire that measures HRQoL. Metho
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Ndovie, Lughano. "Maternal and fetal outcomes of induction of labour using oral misoprostol at New Somerset Hospital." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/28074.

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Introduction: Induction of labour is commonly performed in clinical practice. Increasing rates of induction of labour worldwide has led to debate on whether elective induction improves the outcomes or simply leads to increased complications and healthcare costs. Maternal and neonatal complications and increased caesarean section (CS) rates associated with induction of labour are related to a variety of factors influencing the methods of induction. Misoprostol has been the drug of choice for induction of labour in developing countries for almost a decade. Different misoprostol regimens are used
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Butt, Jennifer Leigh. "Hysterectomy at a tertiary hospital in South Africa : indications, pathology and complications." Master's thesis, University of Cape Town, 2009. http://hdl.handle.net/11427/3033.

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