eLetters

51 e-Letters

  • Implant removal technique
    Julia Shefras

    (FIGURES AVAILABLE FROM AUTHOR ON REQUEST - UNABLE TO UPLOAD TO THIS SITE)

    The two letters describing individuals' different techniques for implant removal are timely [1,2]. Routine removal with or without refit is common practice throughout the UK as implants have become widely available and popular. It is not yet clear whether introduction of Nexplanon will lead to fewer difficult removals. It is evident from th...

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  • Nurse accreditation: a better way of working
    Adrienne Swarbrick

    Well done Berkshire. I completely agree with Mehigan and Burnett[1] - it is essential that some standardisation is needed in the training of nurses in SRH across the UK and it is preferable that this should be accredited by the FSRH. There is also the valuable point that there is a belief that accreditation can only be achieved through academic institutes and the RCN! This is usually at significant cost for the course, time...

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  • Innovative training for nurses in SRH
    Susan Hunt

    We read with great interest the article[1] by Mehigan and Burnett in the July 2012 issue of this Journal about training for post-graduation nurses in this particular field of specialism and agree wholeheartedly with the authors about the deplorable lack of standardised training in the UK. It is important to equip nurses with knowledge and skills to provide competency in the delivery of safe and effective methods of contra...

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  • Training for nurses working in SRH
    Stuart Beddard

    I read the article[1] by Mehigan and Burnett in the July 2012 issue of this Journal about training for nurses working in the field of sexual and reproductive health (SRH) with interest.

    This is certainly a challenge faced by many, and one which we are trying to work on in Solihull at the moment. We have a significant number of nurses who are shining stars in the world of SRH and are waiting for funding to atten...

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  • Implanon removal technique
    Ken Menon

    I read with interest the letter by Dr Kandiyil on a method for removal of Implanon® in the July 2012 edition of this Journal [1]. The method describes stabilising the implant prior to its removal.

    Inserting a needle is an unnecessary trauma and carries the risk of damage to structures in the arm, especially in thin persons.

    I find it easier and less traumatic to remove an implant, as far as possible, t...

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  • An innovative training for nurses in sexual and reproductive health.
    Maddy Ward

    I have just read and would like to congratulate the authors on their excellent article "An innovative training for nurses in sexual reproductive health" in the July 2012 issue of this Journal [1]. I totally agree with the five benefits of their methods of training. The most important one is matched multidisciplinary skills, this being so necessary for nurses to undertake further training to fit implants and intrauterine devi...

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  • Intrauterine device checks
    Louise M Melvin

    Thank you for publishing the article by Draper et al. on intrauterine device (IUD) checks.(1) I would like to highlight an omission that is potentially confusing. The authors state "until recently, it has been usual for a patient [using intrauterine methods] to be advised to have an annual check". Reference is made to relevant clinical guidelines from the National Institute of Clinical Excellence (NICE) and from organisat...

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  • Reanalysis of Data from the Million Women Study
    Ian S Fraser

    I was very pleased to see the article by Shapiro and colleagues[1] that was recently published online in the Journal of Family Planning and Reproductive Health Care but dismayed to see the emotional response from epidemiologists.[2] This reanalysis of data from the so-called 'Million Women' study[3] raises important clinical concerns about the original strongly stated conclusions. I think it is essential that we see co...

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  • Challenge of HIV testing in low prevalence settings
    Chris Smith

    The article on HIV testing in abortion clinics provides a compelling argument for normalising HIV testing and making it part of our general medical care.(1) Similar discussions regarding approaches to HIV testing in low prevalence settings are ongoing in general practice.(2)(3) We recently reviewed the recorded HIV status of patients from countries of high HIV prevalence (>1%) in our practice in Portsmouth (an area with...

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  • Evidence for routine HIV testing in termination of pregnancy and colposcopy clinic
    Sarah Creighton

    We read with interest the findings that 8% of HIV positive women may have had their HIV diagnosed earlier if routine HIV testing were delivered in termination of pregnancy (TOP) and colposcopy services.

    We introduced routine, opt-out HIV testing in the termination service in Homerton Hospital, London in April 2008[1] and in the colposcopy unit of Homerton Hospital in September 2010.[2]

    In 3 years, betwee...

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