Assessing and improving family planning within reproductive health services.
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A randomized clinical trial including 1109 cows from 12 Australian dairy herds was used to evaluate the effects of monensin on the health (n = > 686 cows), production (n = 915 cows), and reproduction (n = > 908 cows) of dairy cows. Cows were allocated to a treatment group receiving a slow-release intraruminal bolus containing 32 g of sodium monensin that was administered 40 d before and 50 d following the anticipated calving date or to a control group. Treatment did not significantly alter any reproductive outcome; 54.5% of cows treated with monensin and 58.2% of control cows were pregnant at first service, and days to conception were lower for cows treated with monensin. The hazard rate (0.95) was not significant for these cows. The percentage of cows pregnant was 83.8 for control cows, and days to first estrus (hazard rate = 1.04) and first service (hazard rate = 1.04) were not significantly higher for treated cows. Treatment with monensin did not significantly alter the risk of any disease. The incidence of retained fetal membranes, pyometra, lameness, abortion, and infectious diseases was not significantly lower for cows in the treatment group, and the incidence of mastitis was not significantly higher for cows in the treatment group. Monensin significantly increased milk production by 0.75 L/d per cow and tended to increase milk fat and protein yields but had no significant effect on milk fat or milk protein percentages. Changes in the production of milk and milk constituents were consistent throughout lactation.
The objective was to examine milk production, health, and economic performance among Holstein heifers during first lactation on 3 commercial dairy farms in California. Heifers (n = 1905) were moved to the breeding group between 360 and 390 d of age and grouped retrospectively according to age at first calving (AFC) as low (< or =700 d), medium (701 to 750 d), and high (> or =751 d). Within farm, growing heifers were managed similarly, as were lactating primiparous cows, for the first 310 d in lactation. Heifers were fed to gain 0.70 to 0.80 kg/d from 4 mo of age to breeding, and 0.8 to 0.9 kg/d from breeding to 252 to 258 d of pregnancy. First calving at <700 d was associated with reduced yields of milk and milk components. Cows in the high age group produced more milk fat and true protein than medium and low cows. Incidence of stillbirths was highest for cows in the low group (19.8%), but stillbirths were also a concern for those calving at medium (16.1%) or high age groups (13.5%). Both low and high cows had lower conception rates at first postpartum AI, and abortions averaged 9.8% across groups. Days open and number of inseminations were lower for medium than low cows. Incidence of mastitis and lameness was lowest for cows in the medium group. Culling and mortality rates were not affected by AFC, but among those that died, cows in the low group tended to die earlier postpartum than cows in the high group. Heifers in the medium group had an adjusted income value numerically higher by 138.33 dollars and 98.81 dollars compared with those in the low and high groups, respectively. First calving at <700 d compromised first lactation yields of milk and milk components and impaired reproductive performance. However, extending AFC beyond 750 d did not improve lactation, reproduction, or health of primiparous cows. Although not preassigned to age groups before start of breeding, Holstein heifers managed as in this study had the highest economic return when calving between 23 and 24.5 mo of age.
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OBJECTIVE: To document the reproductive experiences of a representative sample of Australian women aged 16-59 years. METHOD: Computer-assisted telephone interviews were completed by a representative sample of 10,173 men and 9,134 women aged 16-59 years from all States and Territories. The overall response rate was 73.1% (69.4% among men, and 77.6% among women). Women were asked the number of times they had experienced a live birth, a still birth, a miscarriage and a termination of pregnancy. RESULTS: Of the women surveyed, 15.5% reported having experienced difficulty in becoming pregnant and 76.1% had been pregnant at least once. Nearly all the women who had been pregnant reported experiencing a live birth. Substantial minorities of women reported having experienced a miscarriage (33.4%) or a termination of pregnancy (22.6%). The percentage of women who reported becoming pregnant the first time as a teenager declined from 22.8% among women aged 50-59 to 16.9% among women aged 20-29. Of those who had had vaginal intercourse, 19.2% had used emergency contraception, 53.3% of them only once. CONCLUSION: There was clear evidence of substantial changes in the fertility of Australian women over the past 40 years.
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The United Nations Population Fund (UNFPA) coordinated efforts to integrate RH into contingency planning for the 2003 Iraq crisis and the 2003 regional response for displaced populations in West Africa. Using UNFPA's network of country offices in the Middle East, staff developed logistics plans, conducted workshops and pre-positioned RH supplies. Though refugee movements did not occur, the contingency planning enhanced the response capacity of UNFPA offices and made it possible to rapidly provide assistance inside Iraq. In West Africa, multi-country workshops and follow-up resulted in country-level and regional action plans useful during the renewed crises of 2003; scarce funding, however, limited their full implementation. UNFPA's experiences show that contingency planning requires committing resources for crises, some of which will not occur; new staff skills; and follow-up. Moreover, RH is considered by some to be additional to the core elements of contingency planning. RH's political sensitivity, particularly with certain donors, further complicated integrated planning.
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