Loxley R Christie

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OBJECTIVE To determine whether hyoscine butylbromide shortens the first stage of labour, without an increase in maternal or neonatal complications. DESIGN Randomised, double-blinded, controlled trial. SETTING The Antenatal clinics and Labour and Delivery ward of the University Hospital of the West Indies, Kingston, Jamaica. POPULATION Women in(More)
Up to 6% of women sustain severe perineal lacerations that involve the anal sphincters during vaginal delivery. When they occur obstetric anal sphincter injuries (OASI) may be accompanied by significant morbidity. Therefore, it is important to detect these injuries promptly and for experienced staff to perform sound repair. This report retrospectively(More)
OBJECTIVE To determine the impact of intrauterine insemination on the management of subfertility in Jamaica. METHODS The present study was a retrospective analysis of all intrauterine insemination cycles completed from May 1, 2002, to August 31, 2005, at the University of the West Indies, Mona, Jamaica. The cycle pregnancy rate (CPR), live-birth rate(More)
OBJECTIVE To compare the outcomes of total laparoscopic hysterectomy (TLH), a relatively new procedure, with vaginal hysterectomy (VH), a well-established procedure, in a university teaching hospital. SUBJECTS AND METHODS A retrospective chart review of all patients who underwent TLH at the University Hospital of the West Indies between January 2007 and(More)
OBJECTIVE To assess the risk factors for shoulder dystocia in Jamaica. METHODS A retrospective cohort analysis of all cases of shoulder dystocia, and birth weight-matched controls identified from January 1, 2000 to December 31, 2004. Multiple factors were analyzed individually and in combination to identify risk factors. RESULTS The incidence of(More)
OBJECTIVES The aim of this study was to identify significant and modifiable risk factors associated with obstetric third and fourth degree perineal lacerations and to produce recommendations that may reduce their morbidity and prevalence. METHODS This is a retrospective case control study performed between March 2004 and March 2008. All patients diagnosed(More)
Premature ovarian failure may be a consequence of gonadotoxic cytotoxic chemotherapy or radiation therapy for malignant or systemic disease often resulting in major quality of life concerns. This is the first reported case in the English-speaking Caribbean using in-vitro fertilization (IVF) donor egg sharing in a patient who experienced premature ovarian(More)
CONTEXT Obstetric anal sphincter injuries occur uncommonly in Caribbean practice but are accompanied by substantial morbidity. OBJECTIVE To evaluate clinicians' compliance with management guidelines at a national referral hospital in Jamaica. DESIGN Retrospective review of the records of all consecutive obstetric patients with anal sphincter injuries(More)
OBJECTIVE To examine the impact of intracytoplasmic sperm injection (ICSI) on the treatment of subfertile couples in Jamaica. METHOD A review of the outcome of treatment cycles for infertile couples that underwent in-vitro fertilisation (IVF) and ICSI from 2003-05 at the Hugh Wynter Fertility Management Unit (HWFMU) of the University of the West Indies.(More)
OBJECTIVES a) To compare the clinical effect of rectal misoprostol with intramuscular syntometrine in reducing blood loss in the third stage of labour b) to determine the severity and incidence of side effects of both drugs and c) to measure blood loss, patient tolerance and acceptance of rectal misoprostol. METHODS One hundred and forty parturients were(More)