39-Week nulliparous inductions are not elective

Rationale for a 39-week elective delivery policy.

Achieving 18-week waiting times in elective hand surgery

OBJECTIVE The Department of Health proposed an 18-week referral-to-treatment time (RTT) as a measure of high quality healthcare, to be achieved by December 2008. In 2007, referrals for elective hand surgery, to the Plastic Surgery Hand Service, were either direct or indirect. Direct referrals were from the general practitioner (GP). Indirect referrals were from other specialties, to which patie...

Intrauterine contraception in nulliparous women: why ever not?

Gynaecology Forum Vol. 16, No. 1, 2011 © 2011 Medical Forum International 24 3. Sääv I, Aronsson A, Marions L, et al. Cervical priming with sublingual misoprostol prior to insertion of an intrauterine device in nulliparous women: a randomized controlled trial. Hum Reprod 2007; 22: 2647–52. 4. Suhonen S, Haukkamaa M, Jakobsson T, et al. Clinical performance of a levonorgestrel-releasing intraute...

Not all IUDs fit in young nulliparous and adolescent women.

Long-acting reversible contraceptive methods (LARC) are considered important to reduce the number of unintended pregnancies. Winner et al. found that women using oral contraceptives, a transdermal patch or a vaginal ring had a risk of contraceptive failure that was 20 times as high as the risk among those using LARC [intrauterine devices (IUDs), implants]. In the CHOICE cohort study of acceptan...

Bioelectrical activity of the pelvic floor muscles after 6-week biofeedback training in nulliparous continent women.

PURPOSE The aim of the study was to evaluate the effects of a 6-week sEMG-biofeedback-assisted pelvic floor muscle training program on pelvic floor muscle activity in young continent women. METHODS Pelvic floor muscle activity was recorded using a vaginal probe during five experimental trials. Biofeedback training was continued for 6 weeks, 3 times a week. Muscle strenghtening and endurance e...