Effect of Premedication Hyoscine-N-Butylbromide before Hysterosalpingography for Diagnosis of Proximal Tubal Obstruction in Infertile Women: A Randomized Double-Blind Controlled Trial.

Study Objective: To assess the effect of hyoscine-N-butylbromide (HBB) as premedication on the rate of proximal tubal obstruction during hysterosalpingography (HSG).

Design: A randomized, double-blind controlled trial (Canadian Task Force classification I).

Setting: The Infertility Clinic of Songklanagarind Hospital.

Comparison the Carpenter and Coustan thresholds with the new thresholds obtained from Thai pregnant women for the diagnosis of gestational diabetes.

Aims: To determine the threshold of plasma glucose levels calculated from the mean+2SDs for diagnosing gestational diabetes mellitus (GDM) in Thai women.

Methods: Thai pregnant women without pre-existing diabetes were invited into the study. A 100-g oral glucose tolerance test (OGTT) was performed in all participants during their second or third trimesters, regardless of the results of 50-g glucose challenge test.

Insulin resistance in women with a history of severe pre-eclampsia.

Aim: This study investigated whether post-partum insulin resistance existed in women with a history of severe pre-eclampsia.

Methods: The euglycemic hyperinsulinemic clamp technique was used to assess insulin sensitivity at least 6 months after delivery in 13 women who had had severe pre-eclampsia and 26 age- and body mass index-matched controls who had had normal pregnancy.

Results: The mean (+/-SD) durations after delivery were 2.

Sexual functioning in postmenopausal women not taking hormone therapy in the Gynecological and Menopause Clinic, Songklanagarind Hospital measured by Female Sexual Function Index questionnaire.

Objective: To study sexual functioning and attitudes towards sexuality in postmenopausal women.

Material And Method: A cross-sectional study was conducted among 219 healthy postmenopausal women with a uterus, aged 45-55 years, and not taking hormone therapy, who attended the gynecological and menopause clinic, Songklanagarind Hospital. The Female Sexual Function Index (FSFI) questionnaire was used as the instrument.

Differences in postload plasma glucose levels between 100-g and 75-g oral glucose tolerance tests in normal pregnant women: a potential role of early insulin secretion.

Objective: To demonstrate a role of early insulin secretion on plasma glucose levels after different amounts of oral glucose loads in pregnant women.

Material And Method: Forty-one pregnant women with normal glucose tolerance according to the Carpenter and Coustan' s criteria and 25 non-pregnant women (control group) with normal glucose tolerance according to the World Health Organization criteria were enrolled. Each subject was randomly scheduled to perform both the 100-g and 75-g OGTT within a 1-week interval.

Clinical practice guideline for cesarean section due to cephalopelvic disproportion.

Objectives: To evaluate the effect of the Clinical Practice Guideline (CPG) for cesarean section due to Cephalopelvic Disproportion (CPD) on physician compliance, pregnancy outcomes and cesarean section rate. The study also wants to identify factors associated with physician non-compliance.

Material And Method: 455 medical records of women undergoing a cesarean section due to CPD from January 1, 2002 to December 31, 2003 were reviewed The CPG was implemented on January 1, 2003.

Ten years of experience with Norplant implantation in southern Thailand.

Purpose: This study investigated clinical and contraceptive characteristics of a group of southern Thai women who had two consecutive Norplant implantations at Songklanagarind Hospital.

Methods: Seventy reinsertions were performed from 251 original Norplant implantations during the years 1986-1996. Four women had an exposed capsule within 3 months after reinsertion, and two of them subsequently had to have the capsule removed due to infection.