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  1. 1

    International Fertility Research Program/ Carolina Population Center: introductory address.

    Kessel E

    In: Inter-governmental Coordinating Committee and International Fertilit y Research Programme, Proceedings of the expert meeting on comparative fertility research, sterilization and post-conceptive regulation. Singapore, July 29-31, 1974. Kuala Lumpur, I.G.C.C., 1974. p. 8-16

    Organization of the International Fertility Research Program is desc ribed and study options in female sterilization are detailed. All 3 divisions of IFRP (field studies, data processing, and design and analysis) are involved in evaluation of all new and on-going studies. To date data collection instruments have been developed for studies of pregnancy termination, menstrual regulation, female sterilization, IUDs, systemic contraceptives, and conventional contraceptives. These instruments record patient identification, patient characteristics, method of fertility regulation used, and follow-up. Instruction manuals are available for each instrument. Help is also available for those wishing to set up surveillance studies, straight studies, and comparative studies. Plans call for more regional programs with IFRP merely acting as a consultant. Such studies are especially needed in the field of female sterilization. Information needs to be gathered to compare operative methods, patient categories, and type of occlusive method used. A disciplined network of Trial Centers using standard research tools could significantly advance the usefulness of female sterilization in Southeast Asia.
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  2. 2

    Family planning with maternity care monitoring.

    Bernard RH

    In: Proceedings of the Fourth Annual Scientific Meeting of the Sudan Fertility Control Association held at Friendship Hall, Khartoum, 23 February 1983, edited by Dr. A/Salam Gerais. [Khartoum], Sudan, Sudan Fertility Control Association, 1983. 47-8.

    This paper consists of narrations to accompany a slide show. The slide illustrating the I.F.F.H. concept of data collection presents an integrated approach. Another slide shows the FIGO recommended case record, which is accepted by the WHO. A family planning question arises before birth and after birth of the child, female sterilization, number of additional children wanted. The slide on birth interval behavior enables the study of current birth outcome as a function of breastfeeding, family planning and prenatal visits. The last birth interval can be studied with maternity care monitoring, breastfeeding, and the status of the last surviving infant, a key variable. Once you know how many children you have reached, you can go forward and study the next birth interval. The slide showing the model approach enables determination of the current perinatal death from knowledge of the last birth interval and loss of the last live birth. With the increase of education, breastfeeding is reduced; family planning before current conception increases, with education it doubles; prenatal care increases with education. The birth interval is prolonged in cases of breastfeeding without family planning. If family planning is used, there is a marked prolongation of the birth interval. 63% of women attending the 11 centers surveyed in Indonesia wanted additional children among those who had 3 living children postpartum. Only 38% of those with 4 children wanted additional ones. This 50% cut is known as the 50% LDC and varies according to geographic location. Using the LDC (developing countries), one can determine the proportion of women who do not want to protect themselves postpartum, and the relation of having more living children to seeking contraceptive protection.
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