Reproductive Health

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Total Resources: 82

1. A Handbook for Health and Social Service Professionals Responding to Abuse During Pregnancy  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
The purpose of this handbook is to provide an educational resource for health and social service professionals who are providing services to women who are abused during pregnancy. The information contained in this handbook will help professionals to identify and appropriately respond to the needs of women who are abused during pregnancy.
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2. Benefits and Risks of Hormone Replacement Therapy (Estrogen with or without Progestin)  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH, PRESCRIPTION DRUGS
For many years, women have been prescribed Estrogen with or without Progestin Hormone Replacement Therapy (HRT) to relieve some of the symptoms of menopause. However, recent scientific studies have identified significant risks associated with this therapy. In July 2002, after an average 5.2 years of regular follow-up, the NIH prematurely ended the combined (estrogen and progestin) HRT arm of the WHI trial. An independent monitoring board, which regularly reviewed the findings, concluded that there were more risks than benefits among the group using combined HRT, compared with the placebo group.
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3. Birth Outcome, the Social Environment and Child Health  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
This article examines the effects of birth outcome and selected social environmental factors on the health of young children. The data are from the 1994/95 National Longitudinal Survey of Children and Youth. Preterm low birthweight was associated with a higher risk of poor health and asthma among children when all the other selected risk factors were controlled. Poor maternal health and maternal smoking were important risk factors for poor child health. Maternal asthma and low maternal education were significantly associated with childhood asthma.
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4. Canadian Consensus Conference on Menopause, 2006 Update  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
To provide guidelines for health care providers on the management of menopause in asymptomatic healthy women as well as in women presenting with vasomotor symptoms, urogenital, sexual, and mood and memory concerns and on specific medical considerations, and cardiovascular and cancer issues. Prescription medications, complementary and alternative medicine (CAM), and lifestyle interventions are presented according to their efficacy in treating menopausal symptoms.
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5. Canadian Consensus Guidelines on Human Papillomavirus  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
Objective: To promote guidelines for health care providers on the key aspects of HPV infection and the management of HPV-related disease in the new era of vaccine availability. Evidence: Medline and Cochrane databases were searched for articles from January 1995 to March 2007 on subjects related to HPV infection, HPV vaccination, HPV-related disease, Pap testing, and specific consideration of management.

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6. Canadian Human Papillomavirus Vaccine Research Priorities Workshop - Final Report  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
The Public Health Agency of Canada held an invitational HPV Vaccine Research Priorities Workshop on November 17-18, 2005, in Quebec City. It was attended by 53 Canadian and international HPV experts and researchers from the areas of vaccines, cancer, and sexually transmitted infections. The purpose of the meeting was to examine the current Canadian and international status of HPV vaccine research and develop national research priorities before the vaccines become approved for use in Canada.

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7. Canadian Perinatal Health Report 2008  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
This report contains information on 29 perinatal health indicators for which we national data currently exists. These are grouped as indicators of health determinants (behaviours and practices, and health services) and indicators of outcomes (maternal, fetal, and infant health). Statistics for each indicator consist mainly of temporal trends at the national level and interprovincial/territorial comparisons for the most recent year for which data were available.
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8. Characteristics of Women on Hormone Replacement Therapy  
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REGION:  NATIONAL
Resource Type: Data
TOPIC(S): REPRODUCTIVE HEALTH, PRESCRIPTION DRUGS
This article examines the use of hormone replacement therapy (HRT) among women aged 45-64 in light of their characteristics that might be related to benefits and risks associated with HRT.
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9. Congenital Anomalies in Canada — A Perinatal Health Report, 2002  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
Congenital Anomalies in Canada provides a concise overview of five important categories of congenital anomalies in Canada. Background information on each category is followed by a review of the known risk factors, national-level birth prevalence data, and provincial/territorial and international comparisons. The impact of prenatal diagnosis on the surveillance of the specific anomalies and prevention opportunities are also discussed. The final chapter of the report is devoted to the important topic of prenatal testing in Canada. This report will provide readers with an appreciation of the burden of specific congenital anomalies, as well as the importance of accurate surveillance in addressing this issue in Canada.
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10. Early Sexual Intercourse  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH, SEXUAL BEHAVIOUR
This analysis estimates the percentage of adolescents who have had sexual intercourse by age 14 or 15 and examines characteristics at age 12 or 13 that are associated with early sexual activity. The data are from the 1996/97, 1998/99 and 2000/01 National Longitudinal Survey of Children and Youth, conducted by Statistics Canada. The percentages of boys and girls who had had intercourse by age 14 or 15 were almost the same— 12% and 13%—but the characteristics associated with such behaviour differed. Among girls, region of residence, the onset of puberty, weak self-concept, having tried smoking or drinking, and not being overweight were significantly associated with early sexual activity.
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11. Expecting to Quit: A Best Practices Review of Smoking Cessation Interventions for Pregnant and Postpartum Girls and Women  
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REGION:  NATIONAL
Resource Type: Review
TOPIC(S): TOBACCO, REPRODUCTIVE HEALTH
This review examines both evaluated smoking cessation interventions tested in pregnant populations and unevaluated program materials to determine the most effective strategies to facilitate smoking cessation both during pregnancy and into the postpartum period. Broader social and biological issues which affect cessation, including low socio-economic status, social environment, ethnicity, maternal age, and nicotine dependence, are considered to provide insight into the reasons why some women continue to smoke during pregnancy.
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12. Falling Short of Pap Test Guidelines  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
This article examines the associations between women's characteristics and getting or not getting a Pap test. One in four women aged 18 to 69 had either never had a Pap test or had not had one in the three years before the NPHS. Notably, older women?who are at the greatest risk for cervical cancer?are less compliant with screening guidelines than younger women. The data are from the 1994/95 National Population Health Survey (NPHS) conducted by Statistics Canada.
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13. Folic Acid Supplementation  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
This paper looks at what proportion of women who had a baby in the past five years took folic acid supplements when they were pregnant. It examines rates for folic acid supplementation by age, marital status and household income.
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14. Gender Differences in Bacterial STIs in Canada  
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REGION:  NATIONAL
Resource Type: Review
TOPIC(S): REPRODUCTIVE HEALTH
This chapter discusses differences between men and women in regards to screening and diagnosis of sexually-transmitted infections (STIs), such as chlamydia, gonorrhea, and syphilis. Surveillance data submitted to Health Canada on the incidence of chlamydia, gonorrhea and syphilis from 1991 to 2000 were analyzed for this report.
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15. Giving Birth in Canada - A Regional Profile  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
This report profiles selected health service indicators for Canada’s mothers and infants. These indicators include new data presented at the regional level for regions with populations of 75,000 or more or at the provincial/territorial level.
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16. Giving Birth in Canada - The Costs  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
This report explores the costs associated with delivering maternity and infant care in Canada, including provincial, national and international comparisons, where available.
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17. Health Policy Research Bulletin - Changing Fertility Patterns: Trends and Implications  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
Fertility trends in Canada and other industrialized countries reflect profound changes in society over the past 40 years. This issue of the Health Policy Research Bulletin examines the complex dynamics behind recent fertility trends, including transformations in family structure, gender roles and life transitions. It also explores the implications of these trends for women, men, children, the health care system and society as a whole.
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18. Hormone Replacement Therapy and Incident Arthritis  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH, ARTHRITIS
This article provides estimates of the incidence of arthritis between 1994/95 and 1996/97 among women aged 38 or older. It also examines the association between hormone replacement therapy (HRT) and a new diagnosis of arthritis by 1996/97. The data are from the household component of the National Population Health Survey, conducted by Statistics Canada. In the two years between 1994/95 and 1996/97, about 8% of women (338,600) aged 38 or older were newly diagnosed with arthritis. The odds of incident arthritis for current HRT users who had used hormones for five years or longer were twice as high as for non-users.
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19. Hormone Replacement Therapy: An Analysis Focusing on Drug Claims by Female Seniors, 2000 to 2007  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH, PRESCRIPTION DRUGS
In September 2007, CIHI released an analysis that showed oral conjugated estrogens, commonly part of HRT regimens, were one of the fastest-declining drug classes considered to be potentially inappropriate to prescribe to women over the age of 65 (hereafter referred to as “seniors“) based on the 2003 Beers criteria. The following analysis examines trends in HRT use in female seniors in five Canadian provinces from April 1, 2000, to March 31, 2007. The study period begins as new evidence on HRT risks was starting to emerge and follows trends as additional studies were published and practice guidelines were updated.
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20. Maternity Experiences Survey  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
The Maternity Experiences Survey covered a large number of issues related to conception, pregnancy, labour and birth, and post-partum experiences. These included questions on maternal and infant health, satisfaction with health care, infant feeding, smoking, alcohol and drug use, physical and sexual abuse, stressful life events and post-partum depression. This article gives a short summary of the results.
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21. Maternity Matters  
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REGION:  NATIONAL
Resource Type: Review
TOPIC(S): REPRODUCTIVE HEALTH
This paper includes a discussion of issues and trends concerning maternity and an examination of what evidence there is about the best possible ways to care for pregnant and birthing women.
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22. Medication Use Among Pregnant Women  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH, PRESCRIPTION DRUGS
This study examines medication use among women aged 15 to 49, comparing pregnant women with their nonpregnant contemporaries. A portrait of women who used medication during pregnancy is also presented. Medication use among women aged 15 to 49 has risen over the last 10 years. Although the proportion of pregnant women who used medications increased, it remained below the figure for other women the same ages. Over one quarter of women (27%) were taking prescription medications while pregnant.
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23. Midwifery in Canada: Directions for Research  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
The “Midwifery in Canada: Directions for Research” workshop brought together multidisciplinary midwifery researchers from across the country to discuss issues related to midwifery research and to begin a national dialogue on priorities and strategies for carrying out this research. These proceedings mirror the structure of the workshop, starting with individual participant presentations followed by an overview of background information by all participants and ending with small and large group discussions.
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24. Motivating Pregnant Women to Address Substance Use Issues  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH, SUBSTANCE USE
This report documents a conversation with Marlene Thio-Watts concerning her pregnancy outreach program - Northern Family Health Society in Prince George, BC. Marlene Thio-Watts documents the strategies used at the Northern Family Health Society to help women deal with substance abuse problems.
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25. Perimenopausal and Postmenopausal Health  
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REGION:  NATIONAL
Resource Type: Review
TOPIC(S): REPRODUCTIVE HEALTH
The perimenopausal phase of a woman's life can span several years. The changes that occur during this period of transition will affect women to varying degrees. For some women these changes can give rise to symptoms that are severe and disruptive, and for others symptoms are mild and the transition is welcomed. During these years women are at increased risk of chronic diseases such as osteoporosis and cardiovascular disease.

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26. Perinatal Care in Canada  
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REGION:  NATIONAL
Resource Type: Review
TOPIC(S): REPRODUCTIVE HEALTH
This chapter outlines with ongoing surveillance of Canadian perinatal care with particular reference to abortion, teenage pregnancy, pregnancy in older women and multiple births. Both infant and maternal mortality rates, key indicators of perinatal health, reflect high standards of care. Despite this, there is still much room for improvement in Canada, both from the point of view of regional differences within the country regarding aspects of perinatal care and in terms of global comparisons of Canadian approaches to perinatal care and those advocated in other regions.
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27. Preconception Health - Folic Acid for the Primary Prevention of Neural Tube Defects  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
Until recently, congenital anomalies were viewed by health professionals, and as a consequence by lay people, as a fact of life about which nothing could be done. We now have solid evidence that the congenital anomaly risk can be reduced substantially by increasing the intake of the B vitamin folic acid and its naturally occurring folate forms. Nearly a decade ago, accumulated evidence on the effectiveness of folic acid, a B vitamin, in preventing neural tube defects (NTDs) resulted in North American recommendations for daily folic acid supplementation by women. This resource document is meant for health professionals, in order to inform them about folic acid and NTDs.
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28. Pregnancy and Smoking  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH, TOBACCO
About 17% of women who had a baby in the past five years smoked while they were pregnant, and 17% of women who did not smoke during pregnancy had regularly been exposed to others' smoking. Smoking and exposure to smoking during pregnancy is most common among women younger than 25. Regular exposure to others' smoking increased the risk that a woman would smoke while she was pregnant. Data comes from the 2000/01 Canadian Community Health Survey.
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29. Pregnancy Outcomes  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
This product brings together statistics on live births, induced abortions and fetal loss (stillbirths and miscarriages) to provide comprehensive statistics on outcomes of pregnancy.
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30. Pregnancy-Related Hospital Use  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
This article describes provincial variations in women's hospital use during pregnancy, childbirth and the postnatal period. Approximately 15% of women who gave birth in October and November 1993 were admitted to hospital at least once during the six months before childbirth. Only 4% were re-admitted during the four months after the birth. The data were extracted from the Person-Oriented Information Data Base, maintained by Health Statistics Division at Statistics Canada.
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31. Prenatal and Postpartum Women and Tobacco  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
In the past decade, there has been a growing awareness that the use of tobacco products in pregnancy and the presence of environmental tobacco smoke (ETS) have numerous, serious health effects for both the mother and the fetus.This is one in a series of five summaries that present the lessons learned from the Tobacco Demand Reduction Strategy. The summaries are intended to assist health professionals and policy makers in shaping future action on tobacco reduction.
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32. Proceedings from the Midwifery Way: A National Forum Reflecting on the State of Midwifery Regulation in Canada, July 22-23, 2004  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
This report presents the proceedings from the Midwifery Way Forum hosted in July 2004. It outlines past achievements and considerations of how to ensure that midwifery is not only sustainable, but is supported in continued growth, for midwives and their clients.
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33. Respect is Key to Helping Pregnant Women with Substance Use Problems  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH, SUBSTANCE USE, NUTRITION
This report documents a conversation with Pam Woodsworth concerning the Food For Thought program in Saskatoon, Saskatchewan. Pam Woodsworth documents the strategies used at the program to help pregnant women develop healthy cooking and eating habits.
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34. Returning to the Job After Childbirth  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH, LABOUR FORCE PARTICIPATION
This report summarizes the current research into post-childbirth employment rates and earnings and their relationship with job-protected maternity leave and benefit systems. Other issues covered include pay changes, quit rates, earning recovery process.
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35. Sex, Condoms and STDs Among Young People  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): CONDOM USE, REPRODUCTIVE HEALTH, SEXUAL BEHAVIOUR
The prevalence of and factors associated with having sexual intercourse without a condom and ever being diagnosed with a sexually transmitted disease (STD) are examined for youth aged 15 to 24. Data comes from the 2003 Canadian Community Health Survey. Among the 15- to 24-year olds who had had intercourse in the past year, about one-third had done so with more than one partner. Males were more likely than females to have had multiple partners: 37% versus 25%.
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36. Sexual Health  
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REGION:  NATIONAL
Resource Type: Review
TOPIC(S): REPRODUCTIVE HEALTH, SEXUAL BEHAVIOUR
This chapter reviews some issues in the sexual health of Canadian women in adolescence and later life. The focus is on behaviour, knowledge and needs, and includes a review of available indicators of their sexual health. The interpretation and limitations of these indicators are also discussed and policy issues addressed where specific questions need to be answered. The most recent national data on the sexual health and behaviour of Canadians is the optional sexual behaviour content from the first cycle (1.1) of the Canadian Community Health Survey (CCHS) 2000-2001.
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37. Sexual Health in Canada Baseline 2007  
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REGION:  NATIONAL
Resource Type: Review
TOPIC(S): REPRODUCTIVE HEALTH
The report identifies both positive and negative trends in Canadians’ sexual and reproductive health and underscores the existence of critical gaps in research, public awareness, and access to services. This first comprehensive, national portrait of Canadians’ sexual and reproductive health represents a landmark in the sexual health field

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38. Sexuality, Fertility, Pregnancy and Imflammatory Bowel Disease  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
This brochure looks at the impact that inflammatory bowel disease (IBD) and its treatment — including diet, medication and surgery — have on sexuality, fertility and pregnancy. Though IBD can begin at any age, usually a diagnosis is made in youth or young adulthood when sexual development and intimacy are of concern. People of child-bearing age may also have particular concerns about how IBD affects their ability to reproduce.
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39. Statement on Human Papillomavirus Vaccine  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
This National Advisory Committee on Immunization (NACI) statement will concentrate on specific elements of the analytic framework for immunization programs in Canada developed by Erickson et al., in particular, burden of disease and vaccine characteristics. The statement will make recommendations about the use of HPV vaccine. It will also comment upon important research gaps for the optimal use of this vaccine in Canada.
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40. The Ethical and Human Rights Implications of Prenatal Technologies: The Need for Federal Leadership and Regulation  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
This paper highlights the profound social, ethical and human rights issues raised by prenatal testing for disability rights and feminist values. It provides a brief description of prenatal technologies and their uses in Canada, and analyzes these technologies from a human rights and equality rights perspective. It offers recommendations and conclusions about the steps the Federal government should be taking to ensure that genetic technologies are implemented for the public good.
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41. The Fertility of Visible Minority Women in Canada  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
The visible minority population is growing rapidly in Canada and accounts for an increasing proportion of the birth rate. How do the various visible minority groups in Canada's population differ from one another with respect to fertility? The study shows that fertility is higher for visible minority women as a group than for the rest of the population, that fertility varies appreciably from one visible minority group to another, and that removing the effects of the groups' socio-economic characteristics, including religious denomination, does not eliminate fertility differentials.
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42. The Impact of a Reduced Fertility Rate On Women's Health  
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REGION:  NATIONAL
Resource Type: Review
TOPIC(S): REPRODUCTIVE HEALTH
This chapter presents information on fertility trends in Canada and worldwide (between 1960 and 2000) and some of the associations between parity and health in the literature. As well, it examines the pattern of family size by various sociodemographic variables and the association between family size (number of children) and the likelihood of specific health-related outcomes in women and men.
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43. The Journalist’s Menopause Handbook: A Companion Guide to the Society of Obstetricians and Gynaecologists of Canada Menopause Consensus Report  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
The Journalist’s Menopause Handbook, a companion piece to the updated Consensus document, outlines the core recommendations of the expert Consensus Panel and provides relevant background information. For the ease of those referencing the Handbook, the subject matter is divided into five major pillars, with content based on the recommendations provided in the Consensus document. These five pillars are: lifestyle/wellness, symptomatic treatment, urogenital and sexual health, cancer and osteoporosis treatment.
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44. Triple-Marker Screening in British Columbia: Current Practice, Future Options  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
The purpose of this review is to examine maternal serum triple-marker screening (TMS) for fetuses with Down syndrome, other chromosomal abnormalities, and spina bifida, in the British Columbia context. Evaluation is both qualitative, addressing the personal and social significance of TMS, and quantitative, assessing effectiveness and cost. The review has been conducted with particular attention to the interests of groups who may in some respects be seen as vulnerable, women during pregnancy and members of the Down syndrome community; and also to the concerns of TMS providers.
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45. Women in Canada - A Gender-based Statistical Report Fifth Edition  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): SELF-RATED HEALTH, LIFE EXPECTANCY, CANCER, TOBACCO, CERVICAL, MAMMOGRAPHY, HIV/AIDS, REPRODUCTIVE HEALTH, SUICIDE, INDUCED ABORTION, GENERAL ANALYSES
This report documents the current status of women in Canadian society by presenting the most recent and relevant data on a wide range of issues critical to gender equality. One chapter of the report covers women's health issues including: self-perceived health, chronic health conditions, women with disabilities, life expectancy, death rates, causes of death, incidence of cancer, smoking rates, breast cancer screening, cervical cancer screening, sexually transmitted diseases, AIDS and HIV infection, mental health, suicide, abortions, alternative health care, and others.
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46. Workplace Reproductive Health: Research and Strategies  
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REGION:  NATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH, OCCUPATIONAL HEALTH AND SAFETY
Health promoters have recently become interested in improving reproductive health in the workplace. This document covers the full range of reproductive concerns for men and women, prior to conception and during pregnancy. The resource includes information on how to address a variety of workplace reproductive concerns including chemical, biological, ergonomic, physical, lifestyle, work schedule and stress related concerns. In addition, each section includes examples of approaches that can be used to reduce or eliminate the risks.
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47. Alberta Blood-borne Pathogens and Sexually Transmitted Infections Surveillance Report  
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REGION:  ALBERTA
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
This document reports on three common blood-borne pathogens: Human Immunodeficiency Virus (HIV), hepatitis C virus (HCV), and acute infection with hepatitis B virus (HBV), as well as selected co-infections amongst these pathogens. A number of common sexually transmitted infections are also reported on, including chlamydia, gonorrhea, syphilis (congenital, infectious, and non-infectious), non-gonococcal urethritis (NGU), mucopurulent cervicitis (MPC), pelvic inflammatory disease (PID), and selected co-infections.
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48. Windows of Opportunity: A statistical profile of substance use among women in their childbearing years in Alberta  
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REGION:  ALBERTA
Resource Type: Report
TOPIC(S): SUBSTANCE USE, REPRODUCTIVE HEALTH
This report presents a statistical profile of substance use patterns among Alberta women of childbearing years (ages 18 to 44). In most cases, data are analyzed by sex, pregnancy status, age, and household income. Where data permit, there are comparisons to British Columbia and Canada. We present additional statistics on issues that could inform substance abuse prevention, treatment and policies. These include treatment choices, barriers, motivators to reduce or quit during pregnancy, lifestyle changes before and during pregnancy, planned and unplanned pregnancies, community attitudes toward women and substance use, and awareness and attitudes of FASD. The main data source is the 2001 Canadian Community Health Survey. Other sources include Alberta reproductive health studies, perinatal databases and public opinion research.
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49. Alberta reproductive health: Pregnancies and births table update 2007  
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REGION:  ALBERTA
Resource Type: Review
TOPIC(S): REPRODUCTIVE HEALTH
This report uses several of data sources to examine selected indicators of reproductive health based on data from 1997-2006. The indicators include induced abortions, labour inductions, operative deliveries, maternal age, live births, fertility rates, birth weight, preterm births, multiple births and infant mortality.
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50. Addressing Perinatal Depression: A Framework for BC’s Health Authorities  
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REGION:  BRITISH COLUMBIA
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH, DEPRESSION
Perinatal depression – which occurs from the time of conception to one year after childbirth – is a significant health issue. The research literature indicates that ten to twenty percent of women are affected by perinatal depression. This report will help guide the development of a regionally appropriate strategy for addressing perinatal depression at the local level. The four pillars of the framework consist of well-defined service system activities that should be considered at key stages from conception to motherhood: Education and Prevention, Screening and Diagnosis, Treatment and Self-Management, and Coping and Support Networks.
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51. Giving Birth in Canada - Providers of Maternity and Infant Care  
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REGION:  BRITISH COLUMBIA
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
This report identifies trends in birthing and maternity care and a look at the changing scope of practice for maternal and infant care providers.
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52. In Transition: Nurses Respond to Midwifery Integration  
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REGION:  BRITISH COLUMBIA
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
This report describes the results of a survey conducted shortly after the introduction of midwives as a regulated and funded part of the British Columbia health care system. The survey asked hospital-based perinatal nurses and community-based public health nurses about their knowledge of midwifery, experiences with midwives, attitudes toward midwifery, and their views of how the current interprofessional situation could be changed. Results were decidedly mixed, but suggest that acceptance of midwifery depends largely on the nurse’s level of knowledge of midwifery training and practice as well as previous professional and personal interactions with midwives.
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53. Infant Macrosomia Among First Nations in British Columbia - Prevalence, Trends and Characteristics  
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REGION:  BRITISH COLUMBIA
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
This report provides information on the prevalence, trends and characteristics ofmacrosomia among First Nations births in British Columbia over the last two decades. The results suggest that the higher prevalence of macrosomia could be largely a physiological phenomenon. However, the increasingly greater prevalence of macrosomia among First Nations versus non-First Nations births in recent years could reflect additional adverse influences from changing life styles and other environmental factors.
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54. Making Choices/Taking Chances: Lesbian/Bi/Queer Women Assisted Conception, and Reproductive Health  
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REGION:  BRITISH COLUMBIA
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
Lesbian/Bi/Queer Women, Assisted Conception and Reproductive Health traces a number of the research “threads” that I followed during my investigation of queer women’s experiences of assisted conception. Based on ethnographic fieldwork conducted between March 1999 and October 2000, this paper is a narrative of my own experiences as a queer woman doing research on other queer women and reproductive health, as well as an account and analysis of the stories of lesbian/bi/queer women who had tried or were planning to try to get pregnant.
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55. Maxxine Wright Place Project For High Risk Pregnant and Early Parenting Women  
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REGION:  BRITISH COLUMBIA
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
This report documents the overall work process of the Maxxine Wright Place Project, including reviewing the literature on high risk pregnant and early parenting women, and early intervention programs; developing statistics about Surrey; developing ideas about a model, discussing and testing them with key community informants, either individually or in focus groups; revising the model based on research findings and further discussions with committee members who oversaw the project. All the data was ultimately collected, analyzed and reviewed with the Committee, which accepted the proposed model and which will continue to oversee program implementation.
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56. Pushing for Change - Challenges of Integrating Midwifery into the Health Care System  
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REGION:  BRITISH COLUMBIA
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
This paper considers the current relationship between midwives, physicians and nurses from both a professional and interpersonal perspective, looks at specific objections put forward by the medical and nursing communities and considers the way the objections have had an impact on client care. The paper proposes recommendations for improving interprofessional relationships and thus the obstetrical care offered to birthing women in British Columbia.
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57. Reality, Opinion and Uncertainty - Views on Midwifery in BC's Health Care System  
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REGION:  BRITISH COLUMBIA
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
The Home Birth Demonstration Project Tour was undertaken by the Ministry of Health and Ministry Responsible for Seniors in order to present information about midwifery and the Home Birth Demonstration Project (HBDP) to centres around the province. This tour represented one strategy to inform health professionals and health administrators about midwifery just prior to its implementation into the British Columbia health care system in January 1998. This paper presents a summary of the tour as well as informational sessions that followed.
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58. Reproductive Mental Illness during the Perinatal Period: Principles and Framework  
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REGION:  BRITISH COLUMBIA
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH, CONTACT WITH MENTAL HEALTH PROVIDER
The care of women experiencing a mental health problem during the prenatal period has been a concern for British Columbia health providers. These guidelines outline best practices for the care of women with mental illnesses, their partners, and their fetuses/newborns during the perinatal period. These guidelines are written to promote and facilitate collaborative and supportive care of the mother-infant dyad by general practicioners, psychiatrists, midwives, community health nurses, hospital nurses, mental health counselors, Ministry of Children and Family Development, child protection and other community support agencies.
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59. Rural Women’s Experiences of Maternity Care: Implications for Policy and Practice  
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REGION:  BRITISH COLUMBIA
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
Kornelsen J, Grzybowski S. Rural Women’s Experiences of Maternity Care: Implications for Policy and Practice. Ottawa: Status of Women Canada; 2005.
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60. Solving the Maternity Care Crisis: Making Way for Midwifery’s Contribution  
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REGION:  BRITISH COLUMBIA
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
Due to the low rates of maternity care provided by family physicians and midwives in Canada, obstetricians are currently attending the majority of low-risk pregnant women. This leads to increased costs and under-utilization of high-level skills and training. This can be addressed by supporting family physicians and midwives to better meet the needs of Canada’s childbearing population. As the need increases for physicians to attend to many aspects of primary care, in addition to or to the exclusion of maternity care, the profession of midwifery, with its single focus, is ideally positioned to meet demands for maternity care.
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61. Supporting Local Collaborative Models for Sustainable Maternity Care in British Columbia  
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REGION:  BRITISH COLUMBIA
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
This report represents the efforts of an extensive consultation and research process to address the sustainability of maternity care services in British Columbia. It arose from the 2004 Working Agreement between the British Columbia Medical Association (BCMA) and the Ministry of Health Services (MOHS) calling for the development of a practice and business model to encourage physicians to provide maternity care services.
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62. The Health and Well-being of Women in British Columbia  
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REGION:  BRITISH COLUMBIA
Resource Type: Report
TOPIC(S): GENERAL ANALYSES, GENERAL ANALYSES, VIOLENCE, REPRODUCTIVE HEALTH, INJURIES
The Provincial Health Officer's 2008 report examines women's health using a gender and equity lens to identify how women's health is distinct from men's health. The nine chapters are based around the BC Health Goals framework including demographics, health status, living and working conditions (including violence against women), maternal and infant health, individual skills and choices, physical environment, chronic disease and injury, and health services.
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63. A Study of the Service Needs of Pregnant Addicted Women in Manitoba  
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REGION:  MANITOBA
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH, SUBSTANCE USE
This study examines and describes the service needs and experiences of pregnant women in Manitoba who have problems with substance misuse. The goals of this project were to discover the experiences of pregnant addicted women in relation to treatment and recovery, discover what range of programs and services currently exist in Manitoba for pregnant addicted women, and to determine if existing programs and services meet the needs of pregnant women with addiction problems.
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64. Changing Needs of Rural and Northern Women in Manitoba: A Research Report  
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REGION:  MANITOBA
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH, GENERAL ANALYSES, GENERAL ANALYSES
The research reported here combines the information and knowledge gathered from the research literature, and from the women living in rural and northern Manitoba as well as the leaders of women’s organizations from across Manitoba. The report describes the research process, includes the information gathered from the various phases of the research and synthesizes that information into themes and recommendations for next steps and for action. In order to understand the changing needs of Rural and Northern women, it was necessary to first recognize the importance of several underlying realities that impact Rural and Northern women on a daily basis.
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65. Delivering an Alternative: An Overview of the Regulation of Midwifery in Manitoba  
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REGION:  MANITOBA
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
This paper examines some of the steps taken, and the successes and challenges of making midwifery care available to women, particularly for those who live outside of Winnipeg. It includes a brief outline of the policies in place, and the struggles to implement those policies in rural and remote Manitoba because of challenges in human resources, local acceptance, providing culturally appropriate care and so on. This paper also identifies the need for further research and evaluation of the true availability and accessibility of midwifery as a primary health care service in rural and remote Manitoba, including women’s satisfaction with the newly-regulated profession.
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66. Midwifery Care: What Women Want  
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REGION:  MANITOBA
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
This project documents women’s experiences of midwifery care and determines if these experiences match the perceptions that midwives have about the care women want. Interviews and focus groups were conducted in Manitoba and Saskatchewan with mid-wives and women who experienced midwifery care. The report includes recommendations including education, cost, coverage and public funding.
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67. Validity of Self-Reported Hormone Replacement Therapy Use in Manitoba  
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REGION:  MANITOBA
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH, PRESCRIPTION DRUGS
The purpose of this study was to examine the validity of self-reported HRT use among various subgroups of Manitoba women 40 years of age and over. Self-reported information from a sample of the general population of Manitoba women from the National Population Health Survey (NPHS) and from women attending the Manitoba Breast Screening Program (MBSP) were compared with prescription drug use information recorded in Manitoba Health’s Drug Prescription Information Network (DPIN).
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68. The Newfoundland and Labrador Midwifery Consultation Meeting Final Report  
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REGION:  NEWFOUNDLAND AND LABRADOR
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
This is a report on the midwifery consultation meeting in Newfoundland and Labrador, in which twenty-six in-person stakeholders participated, and 5 participants attended via teleconference. It brought together stakeholders from various professions, as well as consumers, who have an interest in the regulation of midwifery in this province and who are knowledgeable about the status of midwifery in the province and in Canada more generally.
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69. A Coordinated Approach to HIV and Hepatitis C Research in Atlantic Canada: How do we get there?  
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REGION:  NOVA SCOTIA
Resource Type: Report
TOPIC(S): HIV/AIDS, REPRODUCTIVE HEALTH
This report is an overview of a 2003 workshop held to investigate the feasibility of an HIV and Hepatitis C Social and Behavioural Studies Unit for the Atlantic Region. The two day workshop brought 36 participants from the 4 Atlantic provinces who met to provide an opportunity for networking among researchers in the region, to discuss the current gaps in HIV/Hep C research and to promote a coordinated, multidisciplinary and regional response to these research needs.
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70. Adolescent Sexual Health Services and Education: Options for Nova Scotia  
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REGION:  NOVA SCOTIA
Resource Type: Data
TOPIC(S): REPRODUCTIVE HEALTH, SEXUAL BEHAVIOUR
This discussion paper focuses on somatic sexual health issues facing young people, especially avoidance of pregnancy and sexually transmitted infections. The paper reviews sexual health education, accessibility of sexual health information, and policy options for adolescent sexual health.
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71. Developing Understanding from Young Women's Experiences in Obtaining Sexual Health Services and Education in a Nova Scotia Community  
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REGION:  NOVA SCOTIA
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
This research project examined the barriers young women in Amherst, Nova Scotia, perceived or experienced related to accessing and using sexual health services and education, including services from physicians and in pharmacies. The project identifies practical measures that educators, education policy makers, medical practitioners and pharmacies can take to reduce these barriers.
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72. Menopause and Midlife Health of the “Strong Black Woman”: African Canadian Women’s Perspectives.  
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REGION:  NOVA SCOTIA
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
This report presents results from three years of research on the health experiences of Black Nova Scotian women affected by menopause and the ideological construct of "the strong Black woman". Four themes are explored: racism and midlife health, menopause experiences, the "strong Black woman", and depression. Policy recommendations are made based on the results for more culturally competent health care.
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73. The Ontario Mother & Infant Survey Postpartum Health and Social Service Utilization: A Five-site Ontario Study  
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REGION:  ONTARIO
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
The study drew subjects from five acute care hospitals in mid and southern Ontario. The design was a cross-sectional survey of mothers who gave birth in hospital with follow-up at four weeks after discharge from hospital. The sample for the study included the first 250 eligible, consenting subjects from each site for a total of 1250 subjects.
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74. The Prince Edward Island Roundtable on the State of Maternity and Newborn Care  
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REGION:  PRINCE EDWARD ISLAND
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
This report summarizes the discussions at the Prince Edward Island Roundtable on the State of Maternity and Newborn Care, held on March 13, 2004. Twenty-five in-person stakeholders from various professions, as well as consumers, who have an interest in advocating for options for newborn and maternal care participated in the PEI roundtable to exchange ideas and develop strategies for ensuring that women on PEI receive the most appropriate primary maternity care. Participants were asked to discuss the current maternity and newborn care options available; how these options fit/or don't with the National Guidelines for Family-Centred and Newborn Care; how to improve primary maternity care; and how to ensure that the care is the most appropriate provided by the most appropriate provider thus opening up a discussion of doulas and midwives.
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75. Health service and outcome indicators: Mothers and infants  
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REGION:  SASKATCHEWAN
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
Several indicators are examined in relation to the health of mothers and infants: prenatal care, avoidable hospitalizations of infants, adolescent pregnancy, infant mortality, and at-risk birth weight
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76. Healthy mother healthy baby: Program logic model and evaluability assessment  
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REGION:  SASKATCHEWAN
Resource Type: Review
TOPIC(S): REPRODUCTIVE HEALTH
This report takes an evaluative look at the program Healthy Mother Healthy Baby (HMHB), a community-based program that provides prenatal and postnatal support services to socially, financially, culturally high-risk, vulnerable  pregnant women within the Saskatoon Health Region.  The report analyzes areas which may need improvement and provides recommendations.
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77. Postpartum depression support program evaluation  
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REGION:  SASKATCHEWAN
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH, DEPRESSION
An evaluation of the Saskatoon Health Region postpartum depression support program (PPDSP) in assisting women to overcome their PPD. Found effective, recommends more resources.
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78. We are not asking them to hate us, we want them to help us: Findings of focus group studies with pregnant drug users in Regina, Saskatchewan.  
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REGION:  SASKATCHEWAN
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH, ILLICIT DRUGS
This report examines the outcomes resulting from three focus groups comprised of 45 women who have injected street-drugs, identifying barriers that prevent these women from accessing prenatal and postnatal care
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79. A Summary of The ‘So What?’ Report: A Look at Whether Integrating a Gender Focus Into Programmes Makes a Difference to Outcomes  
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REGION:  INTERNATIONAL
Resource Type: Review
TOPIC(S): REPRODUCTIVE HEALTH, SEXUAL BEHAVIOUR
In a lengthy 2004 publication reviewing those interventions, known as “The ‘So What?’ Report: A Look at Whether Integrating a Gender Focus Into Programmes Makes a Difference to Outcomes,” the IGWG has concluded that the evidence does suggest that integrating gender into reproductive health programmes has a positive impact on achieving reproductive health outcomes. This summary of that lengthy review is intended to present policymakers and programme managers with a clear and accessible picture of what happens when gender concerns are integrated into reproductive health programmes.
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80. Chempendium  
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REGION:  INTERNATIONAL
Resource Type: Data
TOPIC(S): OCCUPATIONAL HEALTH AND SAFETY, ASTHMA, ANEMIA, CANCER, CARDIOVASCULAR DISEASE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), REPRODUCTIVE HEALTH
The Chempendium database is made up of a collection of Canadian and U.S. databases about chemicals of concern for the workplace and general environments. Individual documents include peer-reviewed and technical information, and may include information about uses and exposures.
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81. The World Health Report 2005: Make Every Mother and Child Count  
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REGION:  INTERNATIONAL
Resource Type: Report
TOPIC(S): REPRODUCTIVE HEALTH
This report identifies exclusion as a key feature of inequity as well as a key constraint to progress. In many countries, universal access to the care all women and children are entitled to is still far from realization. Taking stock of the erratic progress to date, the report sets out the strategies required for the accelerated improvements that are known to be possible. It is necessary to refocus the technical strategies developed within maternal and child health programmes, and also to put more emphasis on the importance of the often overlooked health problems of newborns. In this regard, the report advocates the repositioning of MCH as MNCH (maternal, newborn and child health).
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82. Toxicology and Environmental Health Information Program (TEHIP)  
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REGION:  INTERNATIONAL
Resource Type: Data
TOPIC(S): OCCUPATIONAL HEALTH AND SAFETY, ASTHMA, CANCER, CARDIOVASCULAR DISEASE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), DEPRESSION, LIFE EXPECTANCY, REPRODUCTIVE HEALTH
The Toxicology and Environmental Health Information portal offers an entry to information about thousands of chemicals to which people may be exposed at work. It can be searched for those of special interest by keywords (e.g., women), chemical name and/or effects. A search of one database often provides links to others dealing with the topic of the search. Materials come from US government agencies, organisations and the TEHIP itself. Helpful sub-sets are provided for the public, researchers/scientists, health professionals, students/educators and emergency responders.
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  Total Resources: 82
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