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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
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]
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 ...
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 ...
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 ...
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1. The baby may turn to a breech position, making birth more difficult if the membranes are ruptured before head engagement. [5] 2. There is an increased risk of umbilical cord prolapse. [5] 3. There is an increased risk of infection if there is a prolonged time between rupture and birth. [5]