Fertility care expectations: what do PLHIV and health care providers in Jamaica know about assisted reproduction services for safe conception?

Increased life expectancy among persons living with HIV (PLHIV) has increased the desire for parenthood. It is therefore important that PLHIV and health care providers (HCPs) are aware of the available assisted reproduction services (ARS) for PLHIV facing infertility or unsuppressed viremia. Through secondary data analysis we identified PLHIV who were actively trying to conceive and their knowledge of ARS.

An audit of clinician compliance with best practice recommendations to repair severe obstetric anal sphincter injuries.

Context: Obstetric anal sphincter injuries occur uncommonly in Caribbean practice but are accompanied by substantial morbidity.

Objective: To evaluate clinicians' compliance with management guidelines at a national referral hospital in Jamaica.

Design: Retrospective review of the records of all consecutive obstetric patients with anal sphincter injuries between November 1, 2007, and December 30, 2012.

Intrauterine insemination in Jamaica as a low-cost subfertility treatment in a low-resource region.

Objective: To determine the impact of intrauterine insemination on the management of subfertility in Jamaica.

Methods: The present study was a retrospective analysis of all intrauterine insemination cycles completed from May 1, 2002, to August 31, 2005, at the University of the West Indies, Mona, Jamaica. The cycle pregnancy rate (CPR), live-birth rate (LBR), and cumulative pregnancy rate were obtained and prognostic factors were reviewed.

Shoulder dystocia in a Jamaican cohort.

Objective: To assess the risk factors for shoulder dystocia in Jamaica.

Methods: A retrospective cohort analysis of all cases of shoulder dystocia, and birth weight-matched controls identified from January 1, 2000 to December 31, 2004. Multiple factors were analyzed individually and in combination to identify risk factors.