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Results for Search : "610 Medicine & health"


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Predictor of successful Intra Uterine Insemination (IUI) treatment for infertile couples treated at a Malaysian clinic
Item Type: Conference or Workshop Item
Author: 
Ismail, Maslinor and
Author: 
Editor: 
Year:  00/00/2012
Abstract:  The purpose of the study was to determine prognostic factors that affect the success rate of Intrauterine Insemination (IUI) as well as association of prognostic factors with success rate of IUI treatment for infertile couples. A retrospective cohort study investigating the prognostic factors affecting success of IUI was done at National Infertility clinic. A total of 1585 couples involving 3249 IUI cycles with ovarian stimulation using clomiphene citrate and/or human menopausal gonadotrophin (HMG) were recruited from lst January 2000 till 3lst December 2006. The pregnancy rate per cycle and per couple was 3.7% and 7.4%, respectively. Logistic regression analysis had determined three prognostic variables as regards pregnancy namely as duration of infertility a = 0.002), interval of menstrual cycle a = 0.00025) and sperm count a = 0.016). The percentage of women successfully pregnant after cycle one till cycle 5 IUI were ranging from 3.4% to 4.8%. Results showed that no pregnancy occurred after the sixth cycle of IUI. The result suggests that duration of infertility is of utmost important determinants of an infertile couple in view of IUI success rate.
 
 
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Paramedic insertion of intrauterine device in a Malaysian family planning clinic
Item Type: Article
Author: 
Kwa, Siew Kim and
Arshat, Hamid and
AbdulJalil, Abdul Halim and
Ang, Eng Suan and
Suhaimi, Ayub and
Author: 
Editor: 
Year:  00/06/1987
Abstract:  A retrospective study was carried out in a Malaysian urban family planning clinic to evaluate the effectiveness of the paramedic in intrauterine contraceptive device (IUD)insertion. Seventy-nine multiload Cu 250 insertions by trained senior nurse in 1983 were measured against 369 insertions by doctors. Follow-up was done by nurses. At the cut-off date on 31st October 1985, the case records were examined. It was found that there was no statistically significant difference in termination percentage due to IUD complications. The nurse's group had a significantly higher percentage of failure to follow-up and also removal for personal reasons. No significant difference between the 2 groups was shown for termination due to accidental pregnancy, bleeding and pain, expulsion and pelvic infections. Removal of IUD to plan for pregnancy is high in both groups. The results show that the trained paramedic can be just as effective as doctors for IUD insertion.
 
 
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