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Full-Text Articles in Medicine and Health Sciences

Midwifery Education And Maternal And Neonatal Health Issues: Challenges In Pakistan, Tazeen S. Ali Dr, Beth Mcmanis Dr, Rafat Jan Rukanuddin Dr Jul 2007

Midwifery Education And Maternal And Neonatal Health Issues: Challenges In Pakistan, Tazeen S. Ali Dr, Beth Mcmanis Dr, Rafat Jan Rukanuddin Dr

Tazeen S Ali Dr

neonatal mortality rates still remain a challenge. Developed countries have reduced maternal and neonatal mortality rates by improving the skill and knowledge levels of nurse-midwives. This paper reviews maternal and neonatal health issues, challenges in current midwifery education, and the role of government and international agencies in Pakistan. The exact maternal and neonatal mortality rates in Pakistan are unknown; a census has not occurred since 1998, and data provided in more recent studies were presented in summary format. A number of factors that contribute to the high mortality rate could easily be controlled by using competent nurse-midwives throughout all levels …


Are Unhygienic Practices During The Menstrual, Partum And Postpartum Periods Risk Factors For Secondary Infertility?, Tazeen S. Ali Dr, Neelofar Sami Dr, Ali Khan Khuwaja Dr Jun 2007

Are Unhygienic Practices During The Menstrual, Partum And Postpartum Periods Risk Factors For Secondary Infertility?, Tazeen S. Ali Dr, Neelofar Sami Dr, Ali Khan Khuwaja Dr

Tazeen S Ali Dr

This study was aimed at identifying practices during the menstrual, partum and postpartum periods posing possible risk factors contributing towards secondary infertility in women of a selected population in Karachi, Pakistan. A matched case-control study was conducted from April 2003 to March 2004. Four hundred cases were selected from five infertility clinics affiliated with tertiary-care hospitals, and 400 age-matched controls were recruited from the neighborhood of each case. After taking written consents, trained interviewers conducted interviews using a pretested structured questionnaire. Factors found to be independently associated with secondary infertility were: previous delivery at an unclean place (adjusted odds ratio …


Adoption Practices Among Couples With Secondary Infertility In Karachi: A Triangulation Study Design, Tazeen S. Ali Dr, Neelofar Sami Dr Feb 2007

Adoption Practices Among Couples With Secondary Infertility In Karachi: A Triangulation Study Design, Tazeen S. Ali Dr, Neelofar Sami Dr

Tazeen S Ali Dr

Objective: To explore the perceptions and experiences of couples with secondary infertility regarding adoption practices; to estimate the prevalence of adoption among couples with secondary infertility, and to study the adopted child preference pattern. Methods: To fulfill the objectives of the study both qualitative and quantitative study designs were utilized. In qualitative explorative study design, three Focus Group Discussions were conducted with married fertile women to explore their perceptions for adoption practices. Moreover, eight in-depth interviews were conducted with women with secondary infertility to explore their experiences. For quantitative methodology, a case series of 400 secondary infertile couples was conducted. …


Prevalence Of And Reasons For Domestic Violence Among Women From Low Socioeconomic Communities Of Karchi, Tazeen S. Ali Dr Jan 2007

Prevalence Of And Reasons For Domestic Violence Among Women From Low Socioeconomic Communities Of Karchi, Tazeen S. Ali Dr

Tazeen S Ali Dr

We conducted a cross-sectional study to estimate the prevalence of domestic violence and identify the reasons for it among 400 married women aged 15-45 years in low socioeconomic areas in urban Karachi. Data were collected with a pretested questionnaire. The prevalence of verbal abuse was 97.5% by the husband and 97.0% by the in-laws; the prevalence of physical abuse was 80.0% and 57.5% by the husband and in-laws respectively. Financial issues were the commonest reason for domestic violence followed by infertility and not having a son. The prevalence of domestic violence in our sample of women is high. There is …