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Sep 08, 2014
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FIAPAC Seminar October 27-28, 2005, Moscow. Post-abortion contraception: Methods’ choice. Irina Savelieva, M. D., Ph.D., Research Center Ob. & Gyn., Moscow, Russia. Reproductive health intentions in postpartum and abortion clients. BUT:.
FIAPAC SeminarOctober 27-28, 2005, Moscow Post-abortion contraception: Methods’ choice Irina Savelieva, M. D., Ph.D., Research Center Ob. & Gyn., Moscow, Russia
Reproductive health intentions in postpartum and abortion clients BUT: *E.Vikhlyaeva et al., Eur J Contr. And Repr. Health, 2001 **I.Savelieva, APHA, 2002
In 13 months: rate of repeat abortions *E.Vikhlyaeva et al., Eur J Contr. And Repr. Health, 2001 **I.Savelieva, APHA, 2002
Post-abortion contraception: wide range of methods • Low-dose combined oral contraceptives • Combined injectable contraceptives, patch & ring • Progestogen-only contraceptives • Emergence contraceptives pills • Intrauterine devices (Cu-IUD and LNG-IUD) • Barrier methods: condoms (Male latex, male polyurethane, female condoms), spermicide (film, tablets, foam, gel), diaphragm (with spermicide), cervical cap • Fertility awareness-based methods (symptoms-based methods and calendar-based methods) • Surgical sterilization procedure (female and male)
Post-abortion contraception: counseling • Health-care providers and counselors have a responsibility to ensure that contraceptive services are available and offered to women who have abortions (WHO, 1997) • Providing family planning counseling can increase the proportion of women agreeing to use a contraceptive method before leaving the health facility which provided PAC (strong evidence) (Lema and Mpanga, 2000) • The availability of contraceptive commodities may increase the likelihood patients will report that they intend to use a contraceptive and will be discharged with a method (strong evidence)
Post-abortion contraception: counseling • Well-informed women will be more satisfied with their choices and more likely to use contraceptive method regularly and properly • Providing appropriate leaflets improves knowledge of contraception, in relation to oral contraceptive pill use (BMJ, 1998; 316:1948-52) • Linking family planning services with abortion servicesresultsin more effective family planning use and reduction of repeat abortions (SE) (Sentler et al., 2001)
Post-abortion contraception: counseling • She can become pregnant within a few days after the abortion (Cameron IT, Baird DT., 1988) • There are contraceptive methods that can help her prevent a future unwanted pregnancy • How and where various methods are available (either at time of treatment and/or after discharge • Clinic staff can provide referrals if she has other reproductive-health needs
What does “Informed Choice” means? “Informed” means that: • Clients have the clear, accurate, and specific information that they need • Clients understand their own needs “Choice” means that: • Clients have a range of FP methods to choose from • Clients make their own decisions
Post-abortion contraception: Decision making about a method • Each woman needs comprehensive information on her chosen contraceptive method, including: • Effectiveness • Advantages and disadvantages • How to use the method • Which side effects are common and how to manage them • Complications • STD prevention • How to acquire additional supplies of the method • When to return • Medical Eligibility Checklist • Informed consent
Percentage of women experiencing an unintended pregnancy within the first year of use, USA Trussel J. Contraceptive efficacy. In Hatcher RA, Trussel J.,et al., 2004
Conditions that expose a woman to increase risk as a result of unintended pregnancy • Breast cancer • Complicated valvular heart diseases • Diabetes: insulin-dependent; with nephropathy/retinopathy/neuropathy or other vascular diseases; or of >20 years of duration • Endometrial or ovarian cancer • High blood pressure (systolic > 160 mm Hg or diastolic > 100 mm Hg) • STI / HIV / AIDS • Ischemic heart disease • Malignant gestational trophoblastic disease • Malignant liver tumours (hepatoma); Schistomiasis with fibrosis of the liver; Severe (decompensated) cirrhosis • Sickle cell disease • Stroke • Thrombogenic mutations • Tuberculosis WHO, 2004
Post- abortion contraception: when method should be started? Most methods can be used without risk after a safe abortion Surgical abortion Medical abortion Just after abortion After confirmation of POC expulsion
Medical Eligibility Criteria for Contraceptive Use Medical Eligibility Criteria for contraceptive use, 2004
Post-abortion contraception: surgical sterilization • Sterilization can safely be performed at the time of induced abortion (Cheng MC, Cheong SC, Chew SC., 1979) • However combined procedures are associated with higher rates of failure and of regret on the part of the woman (Penny GC, et al, 1997) • Sterilization procedure has some medical restrictions in case of complications after abortion (postabortion sepsis or fever, severe haemorrhage, severe trauma to the genital tract, uterine perforation, acute haematometra)
Post-abortion contraception: COC • Use of oral contraceptives in the immediate post abortion period is safe (strong evidence) (Niswonger et al., 1968) • Benefits of COC • Very effective when used correctly • Can be used as long as a woman wants to prevent pregnancy. No rest period needed. • Can be used from adolescence to menopause • Monthly periods are more regular; lighter monthly bleeding and fewer days of bleeding • Help prevent: ectopic pregnancy, endometrial cancer, ovarian cancer, ovarian cysts, pelvic inflammatory disease, benign breast disease • Can prevent or decrease iron deficiency anemia • Fertility returns soon after stopping see O. Serova
Post-abortion contraception: Intrauterine devices • It is safe and effective to insert an IUD for contraceptive use immediately after first-trimester, spontaneous or induced abortion (Aral K, et al., 1993; Bitsch M, et al., 1990; WHO, 1983) • There was no differences in risk of complications for immediate versus delayed insertion of an IUD after abortion (WHO, 2004) • Expulsion was greater when an IUD was inserted following a second-trimester abortion versus following a first-trimester abortion (Stanwood et al., 2001) • There were no differences in safety or expulsions for post-abortion insertion of an LNG-IUD compared with Cu-IUD see M - L Brival, S. Rogovskaya
Post-abortion contraception: emergency contraception • Greater awareness and use of EC can reduce rates of unintended pregnancy and abortion • Use of EC may have prevented more than 50 000 US abortions in 2000(Johnes et al., 2002) • If EC methods would be more available it would allowed to prevent 1,7 millions unwanted pregnancies and abortions would be decreased by twice (Boonstra, 2002) • ECPs containing LNG the most commonly used and most convenient form of EC 1,5 mgLNG see Emergency contraception session
Post-abortion contraception: Barrier methods • Women with conditions which make pregnancy an unacceptable risk should be advised that BM for pregnancy prevention may not be appropriate for those who cannot use them consistently and correctly because of their relatively-higher typical-use failure rates • Male latex condoms are proven to protect against STI/HIV • Repeated and high-dose use of the spermicide nonoxynol-9 was associated with increased risk of genital lesions, which may increase the risk of acquiring HIV infection Wilkinson D et al. Cochrane Database of Systematic Reviews, 2002, 4:CD003936
Partner’ «participating» in the abortion’ procedure, % (WIN project, Perm 1999-2002) • Have discussed pregnancy prevention with husband/ partner • Wish partner to participate in counseling • Partner come with woman • Partner participated in the talk about how to prevent pregnancy • Partner have been invited to follow-up visit
Who do and who should makes the decision about contraception • Only 10% of all providers and 18% of providers who do CC have ever discussed FP with client’s partner • More than 90% thought that provision of RHS to men would improve women’s health
Improvement women’s health Implementingof Family planning counseling in all levels of health care services Access of using modern methods of contraception Reducing of abortion rate, including repeat abortion and abortion after delivery
Programme: Thursday 27 October 2005 (continue). 12:00 12:40Presentation on Draft Provincial:Mr. M TsoametsiSpatial Development Framework DDG Local (PSDF)Government and Housing12:40 13:00Presentation on Free State Growth:Mr. A. van Rensburgand Development Strategy (FSGDS) M
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FINEX: October 27-28, 2010. FINEX ‘10. MINING SCAMS Then and now, and how to spot them. Chris Hinde, Editorial Director, Mining Journal. FINEX ‘10. Mining – Only industry with promoters Scams – Deliberate fraud, not: • Over-enthusiastic exploration geologists
386 views • 21 slides
Rodman Seminar Sep 27, 2005 . Today: Intro. Life: On Earth, in Solar System, or Elsewhere. Solar System. (objects are to scale, distances aren’t). The Galaxy. NGC4414 (Similar to our Galaxy). Milky Way schematic. Jewel Box Cluster. Naked eye stars. Eagle Nebula. Crab
345 views • 16 slides
INTERNATIONAL HIGH-LEVEL CONFERENCE “MEDICRIME CONVENTION” 26-28 October 2011, Moscow The Co operation within the OMCL NETWORK. Dr Popi Kanari , Director State General Laboratory Ministry of Health, Cyprus. Dr Popi Kanari , Director State General Laboratory
568 views • 34 slides
Geddes Institute PhD Seminar Series Thursday 27 October, 2005. The Social Re-construction of University Real Estate. Deborah Peel [email protected] The Geddes Institute, University of Dundee.
273 views • 12 slides
MTAC WorkGroup # 89 CASS Refinements & Awareness. MTAC October 27 - 28, 2004. MTAC Workgroup #89. CASS Refinements & Awareness. Topics: The degree of consistency needed among CASS software programs, The standards for grading software and measuring accuracy in results,
241 views • 8 slides
Forecast summary October 27-28-29. Winds North east winds dominant over northern Maldives, South-east winds dominant at the equatorial region of Maldives at 1 km. Northern east winds dominant at the surface while south east winds dominant at 3.5 km.
191 views • 8 slides
2005/1/28 Seminar. Student : Future Master CCY Advisor : Doctor Yung An Kao. Outlines. Introduction Case Discussion Simulation Conclusion. Introduction. Case Discussion(1). We have found that there is a large error in SFO estimation. WHY???
286 views • 14 slides
27-28 September, 2005, Bratislava. ENERGY AND ENVIRONMENT COMMUNITY OF PRACTICE MEETING Strategic Environmental Assessment (SEA) – Tool for Sustainable Planning and Decision-Making UNDP Regional Centre for Europe and CIS Bratislava, Slovakia Henrieta Martonakova. Overview.
421 views • 25 slides
WiMAX. a reality in Spain. Milan, October 27, 2005. INDEX Iberbanda’s Evolution: LMDS to WIMAX Rural Iberbanda pre-WiMAX Kick Off – 2004 Rural Deployment Status and Next Future Plans Urban Deployment Status and Next Future Plans I berbanda in urban areas – 2006
185 views • 10 slides
ACS Calibration Status. Ken Sembach 27-October-2005. ACS Website http://www.stsci.edu/hst/acs. ACS Calibration Teams at STScI and ST-ECF. John Biretta Ralph Bohlin Marco Chiaberge Mauro Giavalisco Shireen Gonzaga Colin Cox Linda Dressel Andy Fruchter Ron Gilliland
378 views • 22 slides
Presentation 27 October 2005. Consolidated WW-group ( Management report ). HIGHLIGHTS Quarter EBIT adjusted for one off items and Unitor contribution is in line with Q3 2004 which was last years strongest quarter
330 views • 17 slides
Producing and Measuring Quality Health Care For At Risk Kids Wisconsin Children’s Public Policy Forum Nikki Highsmith Center for Health Care Strategies. October 28, 2005. Impetus for Change. We Get the Right Care…About ½ of the Time.
320 views • 21 slides
Workshop October 27 – 28, 2004, Gothenburg. Science and environment in TSI programs. Piernando Binaghi [email protected]. 3 TV channels 5 radio channels german language. 2 TV channels 5 radio channels french language. the media. 2 TV channels 3 radio channels
517 views • 38 slides
Authoring tools workshop Linda G. Marsh Center of Expertise for Technical Development HP Workforce Development. 27-October-2005. Agenda. Define Web-based training (WBT) Skills required to produce a WBT Demo WBTS Review types of authoring tools Implement a simple WBT Lab.
212 views • 12 slides
Project Overview. Contra Costa Operational Area Homeland Security Strategic and Tactical Planning and Hazardous Materials Response Assessment. October 27, 2005. Tetra Tech EM Inc. 135 Main Street, Suite 1800 San Francisco, California 94105. Agenda. Introductions Project Background
309 views • 18 slides
RDB October 27, 2005. Outline Components Database LCLS Record Management Component Names and Key Attributes Summary. Components Database. A single, comprehensive relational database for LCLS components. In the short term, we need a database to enable beam simulation, i.e. XAL
175 views • 7 slides
Open Source & Open Source Based Application Servers Leverage the Benefits of Open Source with Trusted Support from IBM Today!. October 27, 2005. Agenda. Open Source Application Server Market Momentum IBM's Strategic Direction & Actions Products, Support & Services Overview
581 views • 34 slides
236 views • 22 slides
Thursday, October 27 (Blue) Friday, October 28 (Gold). Today’s Agenda Make sure your name is on Practice 5-4 and it is completed! Fill in planner Today’s HW-Practice 5-5 Bell Work:. Copy these into your table on your notetaking ws. Customary Length. 1 foot ( ft ) = 12 inches (in)
234 views • 22 slides
Future Internet Applications for Traffic Surveillance and Management. 27-28 October 2011 Sofia, Bulgaria. APPLICATIONS OF VIDEO SURVEILLANCE SYSTEMS FOR TRAFFIC DATA ACQUISITION. Author: Vasil Lakov e-mail: [email protected].
270 views • 25 slides
IMAGES
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COMMENTS
Latest IHO Standards that Apply to ECDIS Equipment and Data (Last updated - 21 February 2021) Edition in Force: Title: S-57 Edition 3.1, November 2000. See Note 1 ... IHO ECDIS Presentation Library: S-64 Edition 3.0.(3), December 2020. See Note 2. IHO Test Data Sets for ECDIS: S-61 Edition 1.0, January 1999. See Note 3
IHO ECDIS PRESENTATION LIBRARY Edition 4.0.0, September 2014 Publication S-52 ANNEX A Published by the International Hydrographic Organization MONACO. i ... Edition 4.0.0 of the Presentation Library brings into effect all the deferred amendments issued since Edition 3.4 and also includes other substantial changes to bring it up to date ...
For a graphical way to establish the ECDIS is correctly displaying the new symbols introduced in IHO S-52 Presentation Library edition 4.0 the Mariner can check ECDIS Chart 1. ECDIS chart 1 is a legend of the entire set of symbols that may be used within an ENC, it is installed on all type approved ECDIS systems.
IHO published a provisional edition of the S-52, Appendix 2 in 1991 and the first operational edition, complete with Annex A, "Presentation Library", was issued in 1994. After 1994, considerable maintenance to adapt the colours and symbols Specifications and Presentation Library to sea experience and to changes in S-57
ECDIS and the IHO Presentation Library Edition Number All ECDIS must have a function to display the edition number of the IHO Presentation Library that is in use within the ECDIS. The new IHO ECDIS Presentation Library edition 4.0 clause 19.1 states; 'The edition number of the PresLib installed must be available to the Mariner on request ...
The "IHO ECDIS Presentation Library", together with the "Colour & Symbol Specifications for ECDIS", form Appendix 2 to the IHO S52 "Specifications for chart content and Display for ... Presentation Library (Annex A to S-52 Appendix 2) • Edition 3.0 (July 1997) + MD1 IA i01 --> Edition 3.1 (January 1999) • Edition 3.1 + MD 3 IA i04 ...
Scope of IHO ECDIS Standard S-52. Appendix 2 of the IHO ECDIS Standard S-52, "Colours&Symbols Specifications" (C&S Specs) and its Annex A, the "IHO Presentation Library for ECDIS" (PresLib) comprise a set of specifications, plus a symbol library, colour tables, look-up tables and symbolization rules, which link every object class and attribute of the ECDIS internal data base (SENC) to ...
All ECDIS must have a function to display the edition number of the IHO Presentation Library that is in use within the ECDIS. The new IHO ECDIS Presentation Library edition 4.0 clause 19.1 states: 'The edition number of the PresLib installed must be available to the Mariner on request'. This requirement is tested for in the standard IEC ...
1 ECDIS and the IHO Presentation Library Edition Number All ECDIS must have a function to display the edition number of the IHO Presentation Library that is in use within the ECDIS. The new IHO ECDIS Presentation Library edition 4.0 clause 19.1 states 'The edition number of the PresLib installed must be available to the Mariner on request'.
Check 1 - Display of navigation areas recently recognised by the IMO. 1. Check 1 identifies if your system is able to correctly display certain special navigation areas such as Archipelagic Sea Lanes (ASL). This will only happen if the ECDIS software is using the latest edition (3.4) of the IHO Presentation Library. 2.
Annex A to S-52 - IHO ECDIS Presentation Library (Edition 4.0(.3), October 2014 ... S-52 Component Documents: Annex A, Addendum - Symbol Library for Use on ECDIS (with clarifications up to December 2020) - English; Appendix 1 - Guidance on Updating the Electronic Navigational Chart (Edition 4.0.0, April 2012) - English S-53.
Furuno ECDIS FMD 3300These performance test was developed for pres. Lib. Ed. 3.4, these days IHO has released Presentation library Ed. 4, all the existing EC...
To check that the ECDIS is correctly displaying the new symbols, the Mariner can check ECDIS Chart 1. ECDIS Chart 1 is a legend of the entire set of symbols that may be used within an ENC. It is installed on all type approved ECDIS systems. Only ECDIS updated to IHO Presentation Library edition 4.0 will be able to show the new ENC symbols.
updates to ECDIS. The new 4.0 module has proved that all officers who have undergone the course have a significantly increased awareness of what changes came to presentation library 4.0. The feedback shows they have a better understanding of the new ECDIS display and now consider themselves better prepared for future audits and inspections." End.
IHO S-52 Annex A 'IHO ECDIS Presentation Library' Edition 4.0(.3) IHO S-63 'IHO Data Protection Scheme' Edition 1.2.(1) IHO S-64 'Instruction Manual for the use of IHO Test Data Sets in ECDIS' Edition 3.0.3 . Certification: Module B Type Examination has been carried out by TÜV SÜD Danmark, Notified Body No 2443, as shown on ...
This section of the Presentation Library contains the following: 15.2 ECDIS Chart 1 - new versions of screenshots are given in current document . 15.3 List of symbol names and meanings arranged numerically - should be brought to conformity with IHO PUBLICATION S-52 APPENDIX 2, ADDENDUM TO ANNEX A, PART I, USERS´ MANUAL (EDITION 3.4
IHO S-52 Annex A ECDIS Presentation Library, Edition 4.0 This standard controls the graphical display of the ENC in ECDIS, from the symbols and line styles that must be used to depict features right through to the colours that govern the day, dusk and night modes. This standard has been extensively updated to address excessive
ECDIS Presentation Library 4.0 and PSC Concentrated Inspection Campaign (CIC) on SAFETY OF NAVIGATION. The Maritime Authorities of the Tokyo and the Paris Memoranda of Understandi
TRANSAS Navi-Sailor 4000 - ECDIS integrated MFD system . Navi-Sailor 4000 ECDIS . ... A continual flow of information for presentation of the crucial and most needed navigational information and objects. Choice and Customization New and practical options enable system customization, including multiple operation modes with charts in up to 7 ...
The IHO Presentation Library for ECDIS (Annex A to S-52 Appendix 2) includes, in its edition 3.4 (January 2008), data files called Chart 1 and printouts in alphabetical and numerical order of all objects. As it came to practical application, a number of minor mistakes have been detected within the Chart 1 data files and in the screen shots ...
FIAPAC Seminar October 27-28, 2005, Moscow. Post-abortion contraception: Methods' choice. Irina Savelieva, M. D., Ph.D., Research Center Ob. & Gyn., Moscow, Russia ...
¾ to translate the IHO Publication Facts about Electronic Charts and Carriage Requirements (S-66) into Finnish language in co-operation with the Finnish Maritime Safety Administration (TraFi). ... - agree on appropriate follow up actions for ECDIS training Annex: 1. Extract from HELCOM Moscow 2010 Declaration _____ BSHC15_D2_FIN_HELCOM Moscow ...