ABSTRACT
Follow-up studies of 7 to 19 months of two groups of 500 women each in Barbados, in one of which a Lippes loop had been inserted by a doctor and in the other by a nurse-midwife, showed a slightly higher incidence of pregnancy and expulsion of the loop in the second group, though the difference was not statistically significant. The insertion of loops by paramedical personnel when this is an economic necessity is thought not to be contraindicated, but adequate training is essential.(AU)
Subject(s)
Humans , Pregnancy , Female , Intrauterine Devices , Midwifery , Physicians , Follow-Up Studies , Intrauterine Devices/adverse effects , Midwifery/education , Uterine Neoplasms/diagnosis , BarbadosABSTRACT
In an attempt to develop a cervical cancer screening program applicable to nonindustrialized nations, an island wide project was undertaken in Barbados, West Indies, utilizing paramedical personnel and existing health facilities. Among the first 5,000 women screened, 0.5 percent were found to have invasive carcinoma, 0.8 percent carcinoma in situ, and 4.2 percent dysplasia. The results of this project suggest that directing a screening program at those women who are undergoing a reproductive event is an efficient, effective, and relatively inexpensive method of detecting cervical neoplasia. (AU)
