Perspectives in Global Fertility and Infertility.pptVIP

Perspectives in Global Fertility and Infertility Catherine L. Haggerty, PhD, MPH Assistant Professor of Reproductive Epidemiology University of Pittsburgh Outline Global Reproductive Health Programs, Population Growth, Fertility Trends Role of Sexually Transmitted Diseases (STDs) in Unintentional Infertility Intentional Control of Fertility Traditional Global Reproductive Health Family planning Maternal and child health programs STD prevention programs Reproductive Health: A Holistic Approach 1994 United Nations sponsored 3rd International Conference on Population Development, Cairo Safe sex life Capability and freedom to reproduce Access to safe, effective, affordable, and acceptable family planning Access to prenatal and obstetric care Sexual health: enhanced life and personal relations Discussion Question:What might explain general declines in birth rates? Declining infant mortality rates in rural areas means less births are needed to result in the same number of children Increases in urban living raises the cost of dependent children Changes in the role of women in societies Improvements in contraceptive technology and availability Discussion Question: Why are Total Fertility Rates Higher in Developing Countries? Developed Countries Birth control easily accessible Start families later in life More children = more education, clothing, and feeding costs Developing Countries Children assist with labor and elderly care Lack of access to contraceptives Maternal age and fertility rates Pathogenesis of pelvic inflammatory disease Pathogenesis of Reproductive Morbidity Following PID Healthy Fallopian Tube Prevalence of M. genitalium Relationship between M. genitalium Measured in the Endometrium at Baseline Endometritis Assessed at Baseline and 30 Days Post Treatment Relationship between Endometrial M. genitalium Endometritis among women without N. gonorrhoeae or C. trachomatis Prevalence of M. genitalium among Women presenting with Signs and Symptoms of PID Prev