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Rwanda has successfully institutionalised results-based financing (RBF) to improve prenatal care in several of the country's provinces. [1] Institutional Delivery
Half of the deaths faced in maternal health are caused by hemorrhage, sepsis and unsafe abortion, with 18% of deaths caused by unsafe abortions which makes it a critical issue in Rwanda. [1] Although, skilled care at delivery reached up to 90% in 2015, proving that Rwanda has implemented expansive health reforms and community-based insurance. [1]
Health insurance became mandatory for all individuals in 2008; [5] in 2010 over 90% of the population was covered. [6] In 2012, only about 4% were uninsured. [1]President Kagame made healthcare one of the priorities for the Vision 2020 development programme, [7] boosting spending on health care to 6.5% of the country's gross domestic product in 2013, [8] compared with 1.9% in 1996. [9]
External cephalic version (ECV) is a process by which a breech baby can sometimes be turned from buttocks or foot first to head first. It is a manual procedure that is recommended by national guidelines for breech presentation of a pregnancy with a single baby, in order to enable vaginal delivery.
Speculum used in standard vaginal procedures. Cusco's speculum: Bivalved self retaining speculum. Its advantage over Sim's speculum is that no assistance is required to hold it in place. Hence, minor procedures like papsmear, IUCD insertions can be performed independently. Its disadvantage is the limited visualization of vagina walls.
The International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) recommends that pregnant women have routine obstetric ultrasounds between 18 weeks' and 22 weeks' gestational age (the anatomy scan) in order to confirm pregnancy dating, to measure the fetus so that growth abnormalities can be recognized quickly later in pregnancy ...
0-30% 40-50% 60-70% 80+% Effacement translates to how 'thin' the cervix is. The cervix is normally approximately three centimetres long, as it prepares for labour and labour continues the cervix will efface until it is 'fully effaced' (paper-thin). Cervical dilation: Closed 1–2 cm 3–4 cm 5+cm Dilation is a measure of how open the cervical ...
It includes procedures for benign conditions, cancer, infertility, and incontinence. [1] Gynecological surgery may occasionally be performed for optional or cosmetic purposes, such as hymenoplasty or labiaplasty.