Das pharmakologische Profil von Sildenafil zeigt neben der PDE5-Inhibition auch eine geringe Aktivität an der PDE6 in der Retina. Dies erklärt visuelle Nebenwirkungen wie Farbsehstörungen, die gelegentlich auftreten. Die orale Bioverfügbarkeit beträgt etwa 40 %, mit einer hohen Bindung an Plasmaproteine. Das Verteilungsvolumen ist groß, sodass die Substanz rasch in verschiedene Gewebe gelangt. Die Metabolisierung erfolgt hepatisch und produziert einen aktiven Metaboliten, der die pharmakologische Wirkung ergänzt. Nebenwirkungen sind dosisabhängig und umfassen Kopfschmerzen, Hautrötung und Dyspepsie. Bei Vergleichen innerhalb der Wirkstoffklasse wird viagra original regelmäßig als Beispiel für eine Substanz mit schneller, aber kurzzeitiger Wirkung aufgeführt.

Childbirth trends in the private sector : south africa

Childbirth Education Trends in the Private Sector : South Africa
A research project of the Childbirth Educators Professional Forum
Aim: To establish childbirth education trends in the private sector in South Africa
Questionnaire to be filled in by a mother who had a baby 6 weeks ago within the private sector in South Africa 1. Womans’ age_____________________________________________________________________ 2. Marital status _____________________________________________________________________ 3. Which town do you live in ____________________________ Province _______________________ 4. Was this a 1st baby ______________________ or 2nd or more baby __________________________ 5. Did you have a doctor or midwife looking after you during your pregnancy? ___________________ Doctor’s name __________________________ Midwives name ____________________________ 6. Did you attend childbirth education classes? Yes_______________ No______________________ 7. If not, why did you choose not to attend classes? __________________________________________________________________________________________________________________________________________________________________ If yes, please continue answering the questions 8. What was your motivation for attending classes__________________________________________ ___________________________________________________________________________ 9. How many sessions were offered – day____ weekend_______ multiple sessions once a week___ 10. Name of the childbirth educator_______________________________________________________ 11. How many people / couples attended the classes?_________________________________________ 12. Were they couples classes or classes just for moms? ______________________________________ 13. What was the cost of the classes? _____________________________________________________ 14. Did your medical aid reimburse you for the classes? Yes_____________ No________________ 15. Which medical aid do you belong to? __________________________________________________ 16. What made you choose the childbirth educator that you went to? ____________________________ ___________________________________________________________________________ 17. What topics were covered in the classes? Tick those that were covered 3rd stage of labour – active vs passive 18. Venue where the classes were given – tick where appropriate Home gym__ community centre__ hospital__ doctor room__ other___ 19. What was your level of satisfaction of the classes Very satisfied__ satisfied __ not satisfied___ very unsatisfied___ 20. Did the classes meet your needs? Yes_______________ No______________ 21. Did the class meet your expectations? Yes______________ No_______________ 22. Were you taught research based information? Yes________________ No_________ 23. Availability and appropriateness of visual aids ___________________________________________ 24. Did your educator use 25. Was your childbirth educator well groomed? Yes__ No___ 26. What did you most like about her______________________________________________________ 27. Was she appropriately dressed? Yes__ No__ 28. Did she speak clearly and confidently? Yes___ No____ 29. Did she instil confidence? Yes___ No___ 30. Were you exposed to other education classes eg massage classes? Yes__ No__ 31. Did she offer support groups? Yes___ No____ Which ones?_________________________ 32. How did you feel you benefitted from the classes? ________________________________________ 33. Would you go to a refresher class with your next baby? Yes____ No________ 34. What resource reference materials were you encouraged to use? _____________________________ 35. Which pregnancy books and magazines did you read? _____________________________________ 36. Which internet site have you found useful? ______________________________________________ 37. Was a reunion class organised? Yes___ No___ 38. What suggestions do you have about improving classes in general? __________________________ 39. Would you recommend the classes to your friends to attend? Yes____ No____ 40. Did childbirth educator favour or have a bias to promote a specific type of birth? Yes__ No____ 41. What was the most helpful thing/s that you gained from the classes?__________________________ __________________________________________________________________________________________________________________________________________________________________ Thank you for your valuable time to fill this in – we really do appreciate it. You can return this form to us by any of the following means  Return it to your childbirth educator who gave you this form  Post it to CBEPF – Box 15047, Lambton 1414 Kind regards - Lynne Bluff, Barbara Hanrahan, Lynda Lilienfeld, Hettie Grove

Source: http://babytalk.co.za/wp-content/uploads/2012/02/ResearchChildbirthEducationTrends.pdf