Background-Antiretrovirals (ARVs) are recommended for maternal health and to reduce HIV-1 mother-to-child transmission, but suboptimal adherence can counteract its benefits.

Our purpose was to expand knowledge on the process and outcomes of midwifery care. Narrative analysis was used to interpret stories provided by midwives to illustrate their practice and recipients of midwifery care about their experience. A purposive sample of 14 midwives and four recipients of midwifery care was recruited as a subsample from a prior Delphi study on midwifery practice. Three broad themes were identified: 1) the midwife in relationship with the woman, 2) orchestration of an environment of care, and 3) the outcomes of care, called "life journeys" for the woman and the midwife. The findings are discussed from the perspectives of therapeutic landscapes described in cultural geography and prior research on midwifery practice. The challenge is to confirm the associations between the processes of care identified in these narratives with both short- and long-term outcomes in the health of women and their families. These appear to go well beyond the usual perinatal measures currently used in health care research and hold implications for how care is delivered, measured, and evaluated.

Polycystic ovary syndrome (PCOS) affects 5% to 10% of women of reproductive age, with symptoms often presenting during adolescence and young adulthood. It is a condition characterized by (1) hyperandrogenism, (2) oligomenorrhea or amenorrhea, and (3) polycystic ovaries. This syndrome is associated with significant endocrine, metabolic, cardiovascular, reproductive, and psychiatric morbidities. Although the diagnosis of PCOS is based on the presence of at least 2 of the 3 criteria that characterize the condition, the syndrome has a broad spectrum of clinical features that may signal its presence. Evidence suggests that many women with clinical features of PCOS remain undiagnosed, placing them at an increased risk for developing complications associated with the syndrome. This review presents current information about the pathophysiology, clinical features, diagnosis, and recommended treatments for PCOS.

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