萧山竹林寺女科僧医的渊源

浙江省萧山竹林寺女科渊源流长，历史悠久，始自晋朝，盛于宋代。寺院建于南齐年间（公元４７９－５０２），迄今已有１５００年历史，开山祖为悟真禅师。至石晋天福八年（公元９４３），寺僧高昙“得异授而兴医业”，为竹林寺女科僧医的创始人。至南宋绍定六年六月，僧医静暹（晓庵）用秘方治愈了理宗帝赵昀的皇后谢道清的重病，而被赐封为“医王”，成为竹林寺女科发展史上贡献较大，名声最隆的僧医。千百年来，衣钵相传，僧医皆精岐黄和前辈医论，以擅长妇科而著称。在理、法、方、药上别具特色。笔者作为竹林寺女科１０９代（世）的传人，更有责任对竹林寺女科的历史和医疗特色在有限的水平和资料中加以挖掘整理，继承发扬，锐意创新。使竹林寺女科继续对妇女的健康发挥贡献和作用     

Experiences of working with induced abortion: focus group discussions with gynaecologists and midwives/nurses

Scand J Caring Sci; 2011; 25; 542–548
Experiences of working with induced abortion: focus group discussions with gynaecologists and midwives/nurses Background: While there exists an extensive amount of research regarding the medical aspects of abortion, there is a great lack of studies investigating staff’s views and experiences of working in abortion services. Aims: To elucidate gynaecologists’ and midwives’/nurses’ experiences, perceptions and interactions working in abortion services, their experiences of medical abortions and abortions performed at the woman’s home. An additional aim was to illustrate gynaecologists’, midwives’ and nurses’ visions of their future professional roles within the abortion services. Method: Three focus group discussions within each profession were carried out in 1‐hour sessions with a total of 25 gynaecologists and 15 midwives/nurses from three different hospitals. Results: The content analysis reflected that gynaecologists and midwives/nurses had no doubts about participating in abortions despite the fact that they had experienced complex and difficult situations, such as repeat and late‐term abortions. They experienced their work as paradoxical and frustrating but also as challenging and rewarding. However, they were rarely offered ongoing guidance and continuously professional development education. For gynaecologists, as well as midwives/nurses, their experiences and perceptions were strongly linked to the concurrent development of abortion methods. The interaction between the professions was found to be based on great trust in each other’s skills. Conclusions: In order to promote women’s health, gynaecologists’ and midwives’/nurses’ need for a forum for reflection and ongoing guidance should be acted on. With a higher number of abortions done medically and a higher proportion of home abortions, midwives/nurses will get increased, responsibilities in the abortion services in the future.     

Male‐factor infertility: do we really need urologists? A gynaecological view

The Royal College of Obstetricians and Gynaecologists state that male factor infertility is responsible for up to 25% of all cases of infertility and may contribute in a further 25%. Where the role of the urologist ends and gynaecologist begins in these couples is a matter of debate. We therefore discuss the management of these couples and the need for a multidisciplinary approach.     

Pregnancy prevention,reproductive health risk and morality: a perspective from public-sector women's clinics in St. Petersburg,Russia

The use of reliable contraception in Russia remains lower and rates of induced abortion higher than in Western Europe, even though reliable contraception has been accessible for nearly two decades now. Due to the organisation of women's health services in Russian cities, gynaecologists can have a major influence on women's contraceptive choices, but little is known about their attitudes and practices in terms of contraception promotion. This study draws on qualitative observation and interview data of gynaecologists in public-sector women's clinics in St. Petersburg, Russia's second largest city in order to investigate their perceptions of various birth control methods and contraception counselling. Also in focus are clinical counselling practices. The results reveal that gynaecologists in St. Petersburg had up-to-date knowledge of the latest contraception methods and that they were willing to promote their use. They took an active role in counselling, although the coverage was not full. The depth of counselling varied considerably and counselling practices were mainly paternalistic. Yet, in about a third of the observed cases, patient preferences were incorporated into clinical decision-making. The gynaecologists perceived reliable contraception essentially as a means of fostering future fertility and avoiding harmful health consequences of induced abortions. Using reliable contraception was equated with being a responsible and morally respectable woman. The results suggest that links between health, risk and morality are vividly present in contraception counselling in St. Petersburg, and that reliable contraception has become a powerful source of new moral demands for individual women to foster their reproductive function.