Influence of training in the use and generation of evidence on episiotomy practice and perineal trauma.

Objective: To examine episiotomy practices before and after a multi-component intervention designed to support the use and generation of research evidence in maternal and neonatal health care.

Methods: Set in 9 centers across 4 Southeast Asian countries, a retrospective survey was performed for 12 recommended pregnancy/childbirth practices and 13 outcomes of women in each center before and after intervention. Qualitative interviews were conducted to assess staff awareness and experience in evidence-based practice.

Chlamydia trachomatis infections and the risk of ectopic pregnancy in Khon Kaen women.

Aim: To determine the prevalence of Chlamydia trachomatis infection and to evaluate the relation of previous and persistent chlamydial infection to ectopic pregnancy (EP) among women in Khon Kaen, Thailand.

Methods: We enrolled 32 EP patients in the case group. Control subjects were 57 women undergoing tubal ligation after normal labor.

Antenatal lower genital tract infection screening and treatment programs for preventing preterm delivery.

Background: Preterm birth is birth before 37 weeks' gestation. Genital tract infection is one of the causes of preterm birth. Infection screening during pregnancy has been used to reduce preterm birth.

Immunocytochemical staining of p16INK4a protein from conventional Pap test and its association with human papillomavirus infection.

The p16INK4a protein is immunocytochemically detected in liquid-based (LB) specimens as a diagnostic marker of cervical dysplasia and neoplasia. Its up-regulation is promoted by high-risk human papillomavirus (HR-HPV) infection. We aimed to detect p16INK4a on conventional Papanicolaou (Pap) test (CPT) slides and to determine the relationship between its overexpression and HR-HPV infection.