Re: GEN: Male Circumcision Cuts HIV Risk In Half
From: Louana George, RN, LM, CPM, MA (westsidebirthservice@juno.com)
Thu Dec 14 08:55:43 2006
The article did not indicate which country it studied, what the male
population they studied consited of, for instance, how many of the male
population was already circumcised and how many not and how that realted
to their stats. It also did not mention the sexual activity of this
population. I still say it is irresponsible and simplistic to conclude
that HIV transmission can be cut by 50% by circumcising the adult males.
Africa is a very large Continent with many different countries whose
circumstances, rituals, and belief systems vary greatly. And I think
this article is patronizing--would there be such a recommendation for
other countries with high HIV rates who don't circumcize routinely?
Louana
At Thu, 14 Dec 2006, acmidwife@netscape.net wrote:
>
> Louana...
>
> "Circumcision should be added to other prevention methods, not replace
>
>g the spread of HIV in half (as they claim it does) is not a small matter.
>
>h is done. This situation is no different.
>
> ac mase CNM
>
> -----Original Message-----
> From: westsidebirthservice@juno.com
> To: ob-gyn-l@dns.obgyn.net
> Sent: Thu, 14 Dec 2006 9:26 AM
> Subject: Re: GEN: Male Circumcision Cuts HIV Risk In Half
>
> This is simplistic beyond belief. Depending on the country, many men in
>African villages age circumcised by ritual at puberty (as are many of
>the women). When I started a condom program in Liberia in Lofa county
>(the upper part of the country) and asked the midwives about HIV they
>said to me, "Well, they have HIV in Nigeria, not here." The discussion
>about HIV in African countries needs to be much broader than simply
>circumcise all males and irresponsible as well.
>Louana
>
>At Thu, 14 Dec 2006, art fougner, md wrote:
>>
>>Circumcising African men may cut their risk of catching AIDS in half,
>>the National Institutes of Health said today as it stopped two clinical
>>trials in Africa, when preliminary results suggested that circumcision
>>worked so well that it would be unethical not to offer it to
>>uncircumcised men in the trials.
>>
>>AIDS experts immediately hailed the result, saying it gave the world a
>>new way to fight the spread of AIDS, and the directors of the two
>>largest funds for fighting the disease said they would now consider
>>paying for circumcisions.
>>
>V. specialist
>in
>>scientific journals for years that circumcision slows the spread of AIDS
>>in the parts of Africa where it is practiced.
>>
>t
>>that, as word of this gets around, millions of African men will want to
>>get circumcised and that will save many lives.”
>>
>>But experts also cautioned that circumcision is no cure-all. It only
>>lessens the chances that a man will catch the virus, it is expensive
>>compared to condoms, abstinence or other methods, and the surgery has
>>serious risks if performed by folk healers using dirty blades, as often
>>happens in rural Africa.
>>
>s
>ony
>>S. Fauci, an AIDS researcher and director of the National Institute of
>>Allergy and Infectious Diseases, which sponsored the trials.
>>Circumcision should be added to other prevention methods, not replace
>>them, he said.
>>
>323645b51227&ex66677200&partner=MYWAY&pagewanted=print
>>
>>Art
>>
>>--
>>art fougner, md
>>"May The Wings of Liberty Never Lose a Feather." - Jack Burton
>>
>From rchudacoff@mylinuxisp.com Thu Dec 14 10:07:54 2006
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From: "Richard Chudacoff" <rchudacoff@mylinuxisp.com>
To: <ob-gyn-l@obgyn.net>
Subject: Re: Twins; route of delivery
Date: Thu, 14 Dec 2006 10:07:32 -0600
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Why...why can't it also be for the comfort of the hard working obstetrician?
--
Richard Chudacoff, MD, FACOG
-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr.
NaseemAhmad
Sent: Thursday, December 14, 2006 9:02 AM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Twins; route of delivery
I thought it was patients comfort first and then your own. I am certain
the patient would be much happier with a vaginal delivery. el seems to
go for a section for every delivery and vaginal birth is abnormal to
him!!!!!!!!no offence
naseem ahmad md frcog
At Thu, 14 Dec 2006, Dr Eberhard W Lisse wrote:
>
>Cesar of course :-)-O Why do you ask?
>
>Actually I would go with what one is most comfortable with...
>
>el
>
>Bernard Cristalli wrote:
>> Why do you ask?
>> VD of course.
>> Bernard
>>
>> Lynn Montgomery a crit :
>>>
>>> Opinions please:
>>>
>>> G5 P4 with four previous vaginal births largest 10 lbs 10 oz.
>>> Currently at 34.5 weeks with twins. Twin A, EFW of 4 lbs 13 oz and
>>> cephalic presentation. Twin B, EFW 5 lbs 13 oz and breech presentation.
>>>
>>> Route of delivery?
>>>
>>> Lynn
>>>
>>> Lynn D. Montgomery, M.D.
>>>
>>> Obstetrics & Gynecology, Maternal-Fetal Medicine
>>>
>>> The Birth Center/Rocky Mountain Women's Health
>>>
>>> 1211 S. Reserve St.
>>>
>>> Missoula, Montana, 59801
>>>
>>> 406-549-0978
>>>
>>> fax 406-549-0987
>>>
>>> e-mail: apgar10@qwest.net
>>>
