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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
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.
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]
One randomized controlled trial, however, came to the result of a higher perinatal death rate of normally formed infants born after 24 weeks exposed to Doppler ultrasonography (RR 3.95, 95% CI 1.32–11.77), but this was not a primary outcome of the study, and has been speculated to be due to chance rather than a harmful effect of Doppler itself.
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.
It often involves training in obstetrics, pediatrics, and mastery of both invasive and non-invasive surgical techniques. Because of the very high risk and technical complexity of fetal surgery, the procedure is usually performed at specialist centers. Fetal intervention involves risk to fetus and pregnant patient alike.
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The B-Lynch suture or B-Lynch procedure is a form of compression suture used in obstetrics. It is used to mechanically compress an atonic uterus in the face of severe postpartum hemorrhage . It was developed by Christopher B-Lynch, a consultant obstetrician and gynaecological surgeon based at Milton Keynes General Hospital , Milton Keynes ...