The only practical method for artificially breeding ewes with frozen semen is laparoscopic insemination into the lumen of the uterine horn. Like all surgical procedures, however, laparoscopic artificial inseminatiom has limitations. The procedure requires surgical skill and costly equipment. Repeated passage of the laparoscope through the abdominal wall causes adhesions. Depositing frozen/thawed semen at the os cervix results in low conception rates. The inability to pass an insemination pipette through the cervix has prevented artificial insemination in sheep from becoming a standard breeding method as in the cattle industry. This study compared laparoscopic and transcervical methods of insemination in nulliparous ewes and transcervical insemination in multiparous ewes after estradiol cypionate treatment. Forty nulliparous commercial-cross Rambouillet ewes were treated with pessaries containing fluorogesterone acetate to synchronize estrus. After 14 days, pessaries were removed and ewes were injected IM with 400 IU of pregnant mare serum gonadotropin (PMSG). Ewes were randomly divided into laparoscopic and transcervical treatment groups, 14 and 26 respectively. Ewes were inseminated with thawed semen (75x106 motile spermatozoa). Pregnancy rate with laparoscopic insemination was 85% (confirmed at 55 days with real-time ultrasound) .. With the transcervical method, the speculum could only be inserted into the vagina of five ewes and the insemination pipette could only be passed through the cervix in two ewes. The combined pregnancy rate for deep cervical and transcervical insemination was 40% at 55 days. Forty multiparous commercial-cross Rambouillet ewes were synchronized as previously described. Ewes were randomly separated into a control and estradiol cypionate treatment group of 20 animals each. Within each group 10 ewes were inseminated with frozen/thawed Suffolk semen and 1 Owith Rambouillet semen. Ten ewes within each sire genotype were treated with 1 mg IM of estradiol cypionate 16 hours prior to insemination. Treated ewes were inseminated into the uterine body 90% of the time and non-treated ewes 95%. There was no significant difference in cervical passage between these groups. Pregnancy rates for transcervical artificial insemination in the Suffolk genotype were 0.05% and 40% in the Rambouillet (pregnancy confirmed at 55 days by real-time ultrasound). Lambing rates for the Suffolk and Rambouillet groups were zero and 0.05%, respectively.

Postpartum Depression (PPD) affects approximately 15% of Canadian mothers. PPD can have negative and enduring consequences for women and their relationships with their partners and children. Women who have suffered from PPD are 50% more likely to experience depression following delivery of another child. Mindfulness-Based Cognitive Therapy (MBCT) was developed to prevent relapse in recurrent depression. MBCT has been reported to be effective in the treatment of both depression and anxiety among at risk samples from the general and clinical populations. It is not clear whether the approach is a safe and acceptable preventive option to deliver to pregnant women who are at risk for developing PPD. Objectives: The aim of my study was to explore the safety, acceptability, and effectiveness of MBCT for pregnant women who experienced difficult mood after a previous childbirth. Method: I used a mixed methods design and recruited 5 participants from the Victoria community. Participants were at least 18 years of age, native English speakers, pregnant and had experienced difficult mood for at least two consecutive weeks within the first year following the previous delivery of a healthy infant. All participants completed the slightly modified 8-week MBCT program. I administered self-report, quantitative measures at baseline (T1), before and immediately after each group, and postintervention (T2). I collected qualitative data as weekly field notes, through a semi-structured focus group one week following completion of the program, and as comments participants provided on the self-report WC-DM measure. Findings: Quantitative findings suggest program safety; speak to the acceptability of the program; and suggest that MBCT was effective in significantly decreasing anxiety symptomology, decreasing self-reported worry about difficult mood, and increasing wellbeing for pregnant women with a history of difficult postpartum mood. Field notes, focus group data, and comments participants provided on the self-report WC-DM measure contribute to and explain quantitative findings and support MBCT as a safe, acceptable, and effective approach for this population. / Graduate / 0519 / katya@uvic.ca

Magister Public Health - MPH / This is a cross sectional survey study that explored determinant factors contributing to home child delivery and influence of traditional birth attendances on place of delivery in Rungwe District, Tanzania.The study focussed on three main aspects namely factors (socio-economic, cultural and knowledge) that influence women to deliver at health facilities and those who deliver ta home. Reasons/factors associated with the acceptability of health services and influence of traditional birth attendaces on place of delivery and whether accessibility to health services and traditional birth attendants influence women to decide the place of delivery. The study was descriptive cross-sectional in nature where a multistage random sampling procedure was used to select 8 wards and 16 villages. A systematic sampling was used to determine household interval in each village. Only one woman with at least one child was chosen in a household using a random sampling. In case of the absence of a woman with at least one child in a house falling in the interval, then the next house was considered. A total of 400 women with at least one child were selected at random from household cluster sample from all four divisions in Rungwe district. They were interviewed using semi-structured questionnaire. The participation rate was 100 % in both divisions. The age of the women ranged from 19-49 years with the mean age of 31 years (Std dev 7.5). Data entry and analysis were done using the quantitative statistics with Epi Info 2002 software. Results were presented using descriptive statistics, figures and tables, and analytical statistics, using Student’s t-test and chi-square. A total of 400 women were interviewed, among them, it showed that there were good attendance for antenatal care 395 (98.75%) and only 5 (1.25%) did not attend antenatal care. However, 243 (60.8%) of women interviewed had incidence of home delivery and 157 (39.3%) had incidence of health facility delivery. Home deliveries in a surveyed area are commonly assisted by unskilled persons, and consequently carry increased risks to the mother and to the new-born baby. Improvement of quality and accessibility of health care services by the health facility should involve harmonic balance between health service provider and beneficiaries in order to change the attitude towards minimizing the practice of home child delivery in Rungwe district, in Mbeya region, in Tanzania as awhole and elsewhere in the world.

The purpose of this study was to explore the life experiences of multiparous teenage mothers at selected communities in the Eastern Cape Province. The population for this study was pregnant teenage mothers aged 12-18 years having at least one previous pregnancy, living in the catchment areas of the provincial hospital of Bizana in the Alfred Nzo District of the Eastern Cape Province. Data were collected through 12 semi-structured individual interviews using a selfdeveloped interview schedule. The transcribed interviews were analysed by means of thematic analysis, using the five stages according to Terre Blanche, et al. (2006), namely familiarisation, inducing themes, coding, elaboration, and checking. Subcategories were grouped into 12 categories and five main themes. Findings on the life experiences of the multiparous teenage mothers are described according to the main themes, namely the everyday life of the teenage mothers, cultural practices leading to pregnancies, factors contributing to pregnancies, challenges experienced by teenage mothers, and messages from the teenage mothers. Recommendations focus on the role of social services to engage the multidisciplinary team and the community to assist in the empowerment of young mothers to break the cycle of multiparous teenage pregnancies and the negative impact thereof on the lives of young mothers. / Health Studies / M. P. H.