BACKGROUND Although obstetric patients account for only 1%-2%of general intensive care unit(ICU)admissions,they constitute a distinct population with unique physiological characteristics and risk profiles.Therefore,un...BACKGROUND Although obstetric patients account for only 1%-2%of general intensive care unit(ICU)admissions,they constitute a distinct population with unique physiological characteristics and risk profiles.Therefore,understanding the clinical profile of these patients is essential for their appropriate management.AIM To evaluate clinical characteristics,outcomes,and mortality predictors among obstetric patients admitted to a multidisciplinary ICU,and to assess the performance of established severity scoring systems in this unique population.METHODS We conducted a retrospective study of all obstetric patients(pregnant or≤6 weeks postpartum)admitted to the ICU of a tertiary care teaching hospital from January 2020 to April 2022.Primary outcomes included mortality rates and length of stay.Secondary outcomes included evaluation of Acute Physiology and Chronic Health Evaluation Ⅱ,Sequential Organ Failure Assessment,Simplified Acute Physiology Score Ⅱ,and Modified Early Obstetric Warning Score systems for mortality prediction.RESULTS During the research period,101 patients were admitted to the ICU.The documented mortality rate was 27.7%among these patients admitted to the ICU.The predominant reason for ICU hospitalization was hypertensive disorders of pregnancy(20.7%),followed by postpartum hemorrhage(19.8%).Mechanical ventilation was necessitated in 67.3%of parturient.Cesarean delivery was the most common mode of delivery(58.4%).Fetal outcomes included 81.1%live births,12.8%intrauterine deaths,and 2.9%stillbirths.Acute Physiology and Chronic Health Evaluation Ⅱ,Simplified Acute Physiology Score Ⅱ,Modified Early Obstetric Warning Score,and Sequential Organ Failure Assessment scores of 21(14-26.5),36(28.7-43),6(4-7),and 5(4-6)significantly predicted mortality(P<0.05)in non-survivors.CONCLUSION Parturient may present to the critical care unit with hypertensive disorders,hemorrhage,morbidly adherent placenta,and other non-obstetric causes demanding obstetric and critical care.The availability of a dedicated obstetric critical care unit with specialized personnel would help decrease the mortality in this subset of patients.展开更多
BACKGROUND Postpartum depression(PPD)is a prevalent perinatal mood disorder,marked by persistent low mood,anhedonia,and impaired maternal-infant bonding within six weeks postpartum.PPD impairs maternal quality of life...BACKGROUND Postpartum depression(PPD)is a prevalent perinatal mood disorder,marked by persistent low mood,anhedonia,and impaired maternal-infant bonding within six weeks postpartum.PPD impairs maternal quality of life,leads to long-term harms,and poses a notable public health burden.AIM To investigate the effect of labor-delivery-recovery-postpartum(LDRP)familycentered obstetrics care combined with painless delivery on PPD in primiparas.METHODS This retrospective cohort study enrolled 523 primiparas(singleton,term,cephalic,spontaneous labor)from January 2023 to April 2025.The participants were divided into a control group(n=266,conventional care)and an observation group(n=257,LDRP+painless delivery).Labor progression,comfort[General Comfort Questionnaire(GCQ)and pain Visual Analog Scale(VAS)],mental health[Childbirth Attitude Questionnaire(CAQ),Pregnancy-Related Anxiety Scale(PAQ),and Edinburgh Postnatal Depression Scale(EPDS)],maternal-neonatal outcomes,and nursing satisfaction were compared between the two groups.Logistic regression was used to identify the risk factors for PPD.RESULTS Baseline characteristics were comparable between the two groups(all P>0.05).The observation group exhibited shorter first/second stages of labor(P0.05).Nursing satisfaction was higher in the observation group(95.72%vs 70.30%,P<0.001).Logistic regression analysis identified gestational complications,lack of family accompaniment,nursing dissatisfaction,absence of painless delivery,and no-use of LDRP as independent risk factors for PPD(P<0.05).CONCLUSION LDRP family-centered care combined with painless delivery reduces PPD by shortening labor and improving comfort and nursing satisfaction,supporting its clinical adoption.Clinically,this integrated care model may help improve the childbirth experience and reduce the risk of PPD in primiparas.Future multicenter prospective studies with longer follow-up are needed to further validate these findings and assess their long-term impact on maternal mental health.展开更多
The application of psychological nursing combined with humanistic care in obstetrics has become an inevitable trend in the future development of obstetric nursing.Based on the current development needs of the obstetri...The application of psychological nursing combined with humanistic care in obstetrics has become an inevitable trend in the future development of obstetric nursing.Based on the current development needs of the obstetric nursing field,this paper first conducts an in-depth analysis of the application effect of psychological nursing combined with humanistic care in obstetrics,and then proposes effective application paths,aiming to lay a solid foundation for improving the level of obstetric nursing work.展开更多
Objective:To analyze the effectiveness of an integrated teaching platform combining virtual reality(VR)technology and high-end simulators in practical obstetrics and gynecology teaching.Methods:A total of 39 interns w...Objective:To analyze the effectiveness of an integrated teaching platform combining virtual reality(VR)technology and high-end simulators in practical obstetrics and gynecology teaching.Methods:A total of 39 interns who underwent obstetrics and gynecology internships from March 2023 to March 2024 were included in the reference group and received conventional practical teaching methods.Another 39 interns who underwent internships from April 2024 to April 2025 were included in the observation group and received the integrated teaching platform combining VR and high-end simulators.The teaching effects of the two groups were compared.Results:The observation group achieved higher assessment scores than the reference group,with higher scores in self-directed learning ability and clinical thinking ability after teaching,as well as higher teaching satisfaction(p<0.05).Conclusion:The integrated teaching platform combining VR and high-end simulators can improve the assessment scores of obstetrics and gynecology interns,cultivate their self-directed learning ability and clinical thinking ability,and achieve high teaching satisfaction.展开更多
Objective Vaginal bleeding is a common and complex clinical symptom in obstetrics and gynecology, which is caused by multiple etiological factors and may induce anemia, pelvic infection and even life-threatening massi...Objective Vaginal bleeding is a common and complex clinical symptom in obstetrics and gynecology, which is caused by multiple etiological factors and may induce anemia, pelvic infection and even life-threatening massive hemorrhage if not treated timely. Conventional Western medicine treatment has definite hemostatic effect but presents limitations of single mechanism, high recurrence rate and obvious adverse reactions. This study aimed to explore the clinical efficacy and safety of integrated traditional Chinese and Western medicine therapy for vaginal bleeding in obstetrics and gynecology, so as to provide evidence for optimizing clinical treatment schemes. Methods A total of 148 patients with obstetric and gynecological vaginal bleeding were enrolled and randomly divided into control group (conventional Western medicine treatment, n=74) and research group (integrated traditional Chinese and Western medicine treatment, n=74). The clinical efficacy, hemostatic indicators, hormonal levels, endometrial recovery status and adverse reaction incidence were statistically compared between the two groups. Results The total effective rate of the research group was significantly higher than that of the control group (P<0.05). The research group showed shorter hemostasis time, less bleeding volume, more improved sex hormone levels and better endometrial thickness recovery (P<0.05). Besides, the incidence of adverse reactions and recurrence rate in the research group were significantly lower than those in the control group (P<0.05). Conclusion Integrated traditional Chinese and Western medicine therapy for obstetric and gynecological vaginal bleeding can exert complementary therapeutic advantages, improve clinical hemostatic effect, regulate endocrine function, promote endometrial repair, reduce adverse reactions and recurrence risk, with reliable safety and high clinical application value.展开更多
Objective Great obstetrical syndrome(GOS)represents a group of pregnancy-related diseases that result in inadequate placentation.Most GOS cases end in preterm,either spontaneously or indicatively,and the use of antena...Objective Great obstetrical syndrome(GOS)represents a group of pregnancy-related diseases that result in inadequate placentation.Most GOS cases end in preterm,either spontaneously or indicatively,and the use of antenatal corticosteroids(ACS)is inevitably discussed.The placenta is an important,transient fetal-derived organ and is the embodiment of maternal or fetal well-being.However,few studies provide histological evidence of the placenta in GOS.This study aims to address these issues.Methods A total of 831 pregnant women were prospectively recruited.Placenta tissue was collected immediately and fixed with 4%paraformaldehyde solution for future H&E analysis.A novel checklist was devised to evaluate maternal vascular malperfusion sections on the basis of the commonly accepted Amsterdam placental workshop group consensus statement.Results A total of 131 patients were classified as having GOS.Comparisons between those with and without GOS revealed significant differences,including higher levels of distal villous hypoplasia,increased syncytial knots,accelerated villous maturation,and higher total scores in GOS.We found significant negative associations between GOS and neonatal weight,neonatal height,head circumference,placental surface area,placental volume,and placenta gross examination score.GOS neonates were 1.25 times more likely to have hyperbilirubinemia.Regarding the effect of ACS,a significant reduction in birthweight,height,and head circumference was observed,along with an increased risk of hyperbilirubinemia.Conclusion This study provides histological evidence of the GOS that supports the defective deep placentation hypothesis.Our research also contributes to benefit-risk consultation in the GOS,such as in cases of PE and FGR,where a balance between fetal lung maturation and short-term neonatal outcomes is crucial.展开更多
BACKGROUND Antenatal depression is a disabling mental disorder among pregnant women and may cause adverse outcomes for both the mother and the offspring.Early identification and intervention of antenatal depression ca...BACKGROUND Antenatal depression is a disabling mental disorder among pregnant women and may cause adverse outcomes for both the mother and the offspring.Early identification and intervention of antenatal depression can help to prevent adverse outcomes.However,there have been few population-based studies focusing on the association of social and obstetric risk factors with antenatal depression in China.AIM To assess the sociodemographic and obstetric factors of antenatal depression and compare the network structure of depressive symptoms across different risk levels based on a large Chinese population.METHODS The cross-sectional survey was conducted in Shenzhen,China from 2020 to 2024.Antenatal depression was assessed using the Chinese version of the Edinburgh Postnatal Depression Scale(EPDS),with a score of≥13 indicating the presence of probable antenatal depression.Theχ2 test and binary logistic regression were used to identify the factors associated with antenatal depression.Network analyses were conducted to investigate the structure of depressive symptoms across groups with different risk levels.RESULTS Among the 44220 pregnant women,the prevalence of probable antenatal depression was 4.4%.An age≤24 years,a lower level of education(≤12 years),low or moderate economic status,having a history of mental disorders,being in the first trimester,being a primipara,unplanned pregnancy,and pregnancy without pre-pregnancy screening were found to be associated with antenatal depression(all P<0.05).Depressive symptom networks across groups with different risk levels revealed robust interconnections between symptoms.EPDS8("sad or miserable")and EPDS4("anxious or worried")showed the highest nodal strength across groups with different risk levels.CONCLUSION This study suggested that the prevalence of antenatal depression was 4.4%.Several social and obstetric factors were identified as risk factors for antenatal depression.EPDS8("sad or miserable")and EPDS4("anxious or worried")are pivotal targets for clinical intervention to alleviate the burden of antenatal depression.Early identification of highrisk groups is crucial for the development and implementation of intervention strategies to improve the overall quality of life for pregnant women.展开更多
Heart failure(HF)during pregnancy presents unique challenges due to the complex interplay between physiological changes and underlying cardiac conditions.Pregnancy-induced increases in blood volume,cardiac output,and ...Heart failure(HF)during pregnancy presents unique challenges due to the complex interplay between physiological changes and underlying cardiac conditions.Pregnancy-induced increases in blood volume,cardiac output,and heart rate can exacerbate pre-existing heart diseases or trigger new-onset HF,such as peripartum cardiomyopathy and preeclampsia-related HF.With pregnancy-related physiological changes altering pharmacokinetics,dosage adjustment becomes crucial,making its application limited to carefully selected cases where benefits outweigh the risks.Medication management for these patients requires a meticulous approach.Beta-blockers like metoprolol and bisoprolol are preferred despite limited evidence,and carvedilol may be cautiously used per clinical experience;atenolol is contraindicated for low-birth-weight risk.Diuretics(furosemide,bumetanide)are safe for congestion relief but warrant judicious dosing.Digoxin is generally safe but requires dose adjustment and regular monitoring due to pregnancy-induced pharmacokinetic alterations.Among positive inotropes,dobutamine exhibits favorable safety in pregnancy,whereas milrinone should be used cautiously for hypotension risk.Renin-angiotensin system inhibitors,mineralocorticoid receptor antagonists and sodium-glucose cotransporter 2 inhibitors are all contraindicated owing to risks of fetal malformations,male fetal feminization,and insufficient safety evidence,respectively.展开更多
Introduction: Access to the best quality of obstetrical care sometimes conceals acts and behaviors that fail to respect women’s physical, mental and social integrity. These negative experiences are referred to as obs...Introduction: Access to the best quality of obstetrical care sometimes conceals acts and behaviors that fail to respect women’s physical, mental and social integrity. These negative experiences are referred to as obstetrical violence. The aim of this study is to contribute to improving the quality of maternal health care. Patient and Method: This was a cross-sectional study with a quantitative component carried out in the obstetrics and gynecology department of the Maman Elisabeth Domitien University Hospital from November 1 to 30, 2024. All women in childbed seen for postnatal consultations within 42 days of delivery were included. Results: We included 109 women. Age ranged from 16 to 44 years with a mean of 26.9 (±6.02). The majority of women were living in common-law unions with 79.8% and 57.8% of mothers having a secondary education level. More than half of the participants (52.9%) said that they had not been prepared for childbirth during prenatal follow-up and 44.0% had not freely chosen their path of delivery. The vaginal route was the most observed route of delivery (97.3%). Of all vaginal deliveries, episiotomy was performed in 21.7% and uterine revision in 66.0%. For episiotomies, 26.1% of women in childbed were informed about its performance and 87.0% had had a bad experience with this event. For women who had undergone a uterine revision, 52.9% had been informed of its performance and 77.1% had a bad experience with the event. Women in childbed had been victims of inappropriate acts and verbal aggression in 18.4% and 14.7% respectively. Of all the participants, 45.0% said they had experienced the birth episode badly. Conclusion: This study has given us an idea of the subject. However, a large-scale study will enable us to understand the different facets of this subject.展开更多
Introduction: Obstetric Fistulas (OF) constitute a major public health problem in developing countries in general and in Central African Republic (CAR) in particular because of its numerous consequences. The objective...Introduction: Obstetric Fistulas (OF) constitute a major public health problem in developing countries in general and in Central African Republic (CAR) in particular because of its numerous consequences. The objective of this work is to contribute to the management of OF cases in CAR. Patients and Methods: This was a retrospective, descriptive and analytical study, including data from several OF care services. The study included 245 cases of OF, operated on from 2009 to 2018. The parameters studied were maternal and obstetrical data, sociodemographic data, the specific characteristics of the fistulas as well as the modalities and outcome of surgical treatment. The data collected came from six (6) OF surgical repair campaigns organized by the Ministry of Health and Population with the support of UNFPA. Results: We recorded 245 patients, representing a prevalence of 0.77% of OF per year. Among these patients, almost half (45.3%) were treated at the Sino-Central African Friendship University Hospital Center (CHUASC). The average age of the patients was 30 years (range 14 to 78 years). They were unschooled (53.9%) and primigravidas (35%). The fistulas had an average duration of evolution of 7.58 years. They were vesicovaginal in 25.3%. Types V and I dominated in 17.4% and 9.2%, respectively. In 85.9% of cases, fistulorrhaphy was performed, half of which (50.2%) via the upper route. The cure rate was 83.3%. Note that our study reveals statistically significant links between the evolution after surgery with age (p = 0.04 Conclusion: OF mainly affected women of childbearing age, uneducated, primiparous. Vesicovaginal fistula was the frequently encountered type and was manifested by urine loss clinically with a positive methylene blue test.展开更多
This study focuses on the relationship between job stress and intention to leave among obstetric(OB)nurses in the context of China's birth policy adjustment,and provides a scientific basis for policymakers and hea...This study focuses on the relationship between job stress and intention to leave among obstetric(OB)nurses in the context of China's birth policy adjustment,and provides a scientific basis for policymakers and healthcare administrators.This study used a non-experimental descriptive correlation design with a purposive sampling of 230 OB nurses from three tertiary hospitals in Jinan,Shandong Province.Participants were surveyed using three questionnaires and descriptive analysis;ANOVA and correlation analyses were used to analyze the relationship between participants'stressor levels and turnover intention.Pearson's correlation coefficient analysis showed that there was a positive correlation between nurses‘work stressors and turnover intention,with a correlation coefficient of r=0.53,a moderate positive correlation(P<0.001).Based on the survey data from three tertiary hospitals in Shandong Province,the obstetric nurses group has a medium level of work stressors,but a high turnover intention,highlighting the professional identity crisis.展开更多
This paper analyzes the current research status of job satisfaction among obstetric nurses at home and abroad,including research methods,influencing factors,correlation relationships,and countermeasures to improve job...This paper analyzes the current research status of job satisfaction among obstetric nurses at home and abroad,including research methods,influencing factors,correlation relationships,and countermeasures to improve job satisfaction of obstetric nurses.It aims to provide a reference for subsequent studies on job satisfaction of obstetric nurses.展开更多
In the new era,curriculum ideological and political education has become one of the core approaches for higher education to implement the fundamental task of moral education.Obstetrics and gynecology nursing is a prof...In the new era,curriculum ideological and political education has become one of the core approaches for higher education to implement the fundamental task of moral education.Obstetrics and gynecology nursing is a professional basic course for medical nursing majors,featuring professionalism,humanism,and sociality,which has a natural fit with the integration of curriculum ideological and political education.Based on the professional characteristics of obstetrics and gynecology nursing teaching,this paper constructs a“six-in-one”integration path from six dimensions:integration goals,element excavation,content penetration,method innovation,evaluation system,and teacher team construction.It provides a reference for cultivating obstetrics and gynecology nursing talents with both exquisite professional skills and noble professional literacy.展开更多
Clinical nursing in obstetrics and gynecology is far more than mere disease treatment and technical operations;it also carries profound humanistic care connotations.Through clinical practice analysis,this study system...Clinical nursing in obstetrics and gynecology is far more than mere disease treatment and technical operations;it also carries profound humanistic care connotations.Through clinical practice analysis,this study systematically elaborates on the risks existing in clinical obstetrics and gynecology nursing,analyzes the importance of humanized nursing,and proposes corresponding application countermeasures.It is found that the application of the humanized nursing model in clinical obstetrics and gynecology nursing can effectively meet the physical,psychological,and social needs of patients,establish a harmonious nurse-patient relationship,and have positive clinical value in promoting the physical and mental rehabilitation of patients.It is worthy of extensive promotion and application in clinical practice.展开更多
Objective: The aim of this study was to explore the correlation between psychological resilience and social support and anxiety in obstetric nurses and to provide theoretical basis for improving the mental health of o...Objective: The aim of this study was to explore the correlation between psychological resilience and social support and anxiety in obstetric nurses and to provide theoretical basis for improving the mental health of obstetric nurses.Methods: In this study, 190 obstetric nurses were included, using the general information questionnaire and The Connor-Davidson Resilience Scale(CD-RISC), Social Support Rating Scale, and survey of Self-evaluation of Anxiety Scale.Results: There are differences in the type of work and the score of psychological resilience(P<0.05), obstetric nurses’ resilience score was 65.58±10.65; self-rating anxiety score of obstetric nurses was 36.89±6.87; and social support score of obstetric nurses was44.3717.86. The psychological elasticity score and anxiety were negatively related(P<0.01), whereas the resilience score and total score of social support were positively related(P<0.01).Conclusions: Obstetric nurses have many responsibilities and stress. Nursing managers should focus on obstetric nurses’ mental health, lighten the obstetric nurses’ anxiety, and thus improve their mental flexibility and optimize the quality of nursing service better,with more passion into work.展开更多
An increasing number of childbearing agewomen undergo liver transplantation(LT)in the United States.Transplantation in this patient subgroup poses a significant challenge regarding the plans for future fertility,parti...An increasing number of childbearing agewomen undergo liver transplantation(LT)in the United States.Transplantation in this patient subgroup poses a significant challenge regarding the plans for future fertility,particularly in terms of immunosuppression and optimal timing of conception.Intrapartum LT is only rarely performed as the outcome is commonly dismal for the mother or more commonly the fetus.On the other hand,the outcomes of pregnancy in LT recipients are favorable,and children born to LT recipients are relatively healthy.Counseling on pregnancy should start before LT and continue after LT up until pregnancy,while all pregnant LT recipients must be managed by amultidisciplinary team,including both an obstetrician and a transplant hepatologist.Additionally,an interval of at least 1-2 years after successful LT is recommended before considering pregnancy.Pregnancy-induced hypertension,pre-eclampsia,and gestational diabetes mellitus are reported more commonly during the pregnancies of LT recipients than in the pregnancies of non-transplant patients.As adverse fetal outcomes,such asmiscarriage,abortion,stillbirth,or ectopic pregnancy,may occur more often than in the non-transplant population,early planning or delivery either through a planned induction of labor or cesarean section is critical to minimize the risk of complications.No significant long-term physical or phycological abnormalities have been reported in children born to LT recipients.展开更多
Objectives: The aim of this study is to introduce protocols for choosing trans-arterial embolization (TAE) or surgical hemostasis as an initial therapy for obstetric hemorrhage. Materials and Methods: From 2002 to 201...Objectives: The aim of this study is to introduce protocols for choosing trans-arterial embolization (TAE) or surgical hemostasis as an initial therapy for obstetric hemorrhage. Materials and Methods: From 2002 to 2011 at our hospital, the medical records of the patients who underwent TAE or surgical hemostasis for obstetric hemorrhage were reviewed to assess the following data: The causes of obstetric hemorrhage, Shock Index (SI) and obstetrical disseminated intra-vascular coagulation (DIC) score, amount of bleeding, transfusion, and operation time. Results: Twenty-five patients underwent TAE and six underwent surgical hemostasis. SI and obstetrical DIC score of the TAE group were 1.0 (0.4 - 2.2) and 6.0 (1 - 32), respectively. They were significantly lower than those of the surgical hemostasis group (SI: 1.6, obstetrical DIC score: 12.5, p < 0.05). Though the hemorrhage could be controlled sufficiently in 23 cases of the TAE group, 5 cases went into shock during TAE. The SI and obstetrical DIC score of shock group were 1.2 (1 - 2) and 10 (2 - 32), respectively. Conclusion: Though TAE is a useful therapy to control obstetric inevitable hemorrhage, special attention should be paid to the vital signs during TAE, especially in cases where SI and/or obstetrical DIC score are higher than 1.2 and 10, respectively.展开更多
To investigate the clinical value of three dimensional ultrasonography (3DUS) in obstetrics, various 3DUS rendering methods including surface mode, transparent mode and multiplanar mode were employed to scan 30 fetuse...To investigate the clinical value of three dimensional ultrasonography (3DUS) in obstetrics, various 3DUS rendering methods including surface mode, transparent mode and multiplanar mode were employed to scan 30 fetuses in second and third trimester by using the transabdominal volume transducer. The results showed that surface mode could vividly demonstrate the surface morphologic features of the fetuses, as well as the stereo shape and the spatial relationship among the surface structures. The face, limbs, umbilical cord and outer genitalia of the fetus could be well displayed by surface mode. Transparent mode could reveal the bony structures under the surface, such as ribs, vertebrae, crania, etc. The result was not affected by the sophisticated curvature of these bony structures and the success rate was up to 100 %. When rendered by multiplanar mode, the region of interest (ROI) could be viewed from different directions. It should be concluded that 3DUS could serve as a supplement to two dimensional ultrasonography (2DUS). 3DUS might play an important role in prenatal diagnosis and enhance the diagnostic confidence level of the physicians.展开更多
Background: Complications linked to postpartum & pregnancy are one of the major causes of female death. In order to understand the causes of complications and encourage women to take sufficient action in order to ...Background: Complications linked to postpartum & pregnancy are one of the major causes of female death. In order to understand the causes of complications and encourage women to take sufficient action in order to receive emergency treatment, a critical step should therefore be taken to minimize complications related to pregnancy, in order to ensure the safety of both women and newborns. Aim of the work: Evaluate the effectiveness of the education programs for pregnant women on obstetric danger signs in rural areas and help minimize the incidence of pregnancy loss and comorbidities. Methods: A quasi-experimental design on 70 women from a population of through 372 women in six-month in antenatal clinics recruited from the previously mentioned settings with pre- and post-test was conducted at antenatal clinics (M.C.H centers) affiliated to the available geographical health zones in EL-fayoum rural area including: Al-sheikh hassan at sanorse. We collected the data of women characteristics by a self-administered interview questionnaire & a structured reported knowledge and practices checklist to evaluate pregnant women practices and knowledge. Follow up was done to the studied groups & histopathology assessments of the product of conception in cases of abortion secondary to the complications to compare between effect of antenatal care program on the woman who followed the program and those who did not. Results: There is an improvement in 63% of pregnant women knowledge and practices after educational program in all aspects. The most common danger signs that may occur during pregnancy were miscarriage and vaginal bleeding, intrauterine fetal death as reported by women & confirmed by the histopathology reports. Conclusion: The educational program had an efficient improving women knowledge and practice regarding danger signs for pregnant women in rural areas, with highly statically significant differences in all the tested items between pre/post program implementation (P 0.001). Recommendations: Establishment of in-service training programs and continuous supervision in rural areas to a raise women knowledge and practice regarding educational pregnant women and developing antenatal classes for all pregnant women about obstetric danger signs.展开更多
To discuss the best way of treatment for obstetric brachial plexus palsy (OBPP). Method: The 102 cases of OBPP were randomized into two groups: the observation group (51 cases) and the control group (51 cases)...To discuss the best way of treatment for obstetric brachial plexus palsy (OBPP). Method: The 102 cases of OBPP were randomized into two groups: the observation group (51 cases) and the control group (51 cases). The observation group was treated by point injection with nerve growth factor (NGF), acupuncture, and moxibustion. The control group was treated by acupuncture and moxibustion. Result: The result was compared after two courses of treatment. The curative rate of observation group was 35.3% and that of control group 11.8%. The curative and remarkably effective rate was 78.4% and 43.2% respectively. In the two-two comparison, the difference was significant ( P〈 0. 01 ). Conclusion: The effect of NGF point injection as the main treatment for OBPP was good, worth spreading.展开更多
摘要BACKGROUND Although obstetric patients account for only 1%-2%of general intensive care unit(ICU)admissions,they constitute a distinct population with unique physiological characteristics and risk profiles.Therefore,understanding the clinical profile of these patients is essential for their appropriate management.AIM To evaluate clinical characteristics,outcomes,and mortality predictors among obstetric patients admitted to a multidisciplinary ICU,and to assess the performance of established severity scoring systems in this unique population.METHODS We conducted a retrospective study of all obstetric patients(pregnant or≤6 weeks postpartum)admitted to the ICU of a tertiary care teaching hospital from January 2020 to April 2022.Primary outcomes included mortality rates and length of stay.Secondary outcomes included evaluation of Acute Physiology and Chronic Health Evaluation Ⅱ,Sequential Organ Failure Assessment,Simplified Acute Physiology Score Ⅱ,and Modified Early Obstetric Warning Score systems for mortality prediction.RESULTS During the research period,101 patients were admitted to the ICU.The documented mortality rate was 27.7%among these patients admitted to the ICU.The predominant reason for ICU hospitalization was hypertensive disorders of pregnancy(20.7%),followed by postpartum hemorrhage(19.8%).Mechanical ventilation was necessitated in 67.3%of parturient.Cesarean delivery was the most common mode of delivery(58.4%).Fetal outcomes included 81.1%live births,12.8%intrauterine deaths,and 2.9%stillbirths.Acute Physiology and Chronic Health Evaluation Ⅱ,Simplified Acute Physiology Score Ⅱ,Modified Early Obstetric Warning Score,and Sequential Organ Failure Assessment scores of 21(14-26.5),36(28.7-43),6(4-7),and 5(4-6)significantly predicted mortality(P<0.05)in non-survivors.CONCLUSION Parturient may present to the critical care unit with hypertensive disorders,hemorrhage,morbidly adherent placenta,and other non-obstetric causes demanding obstetric and critical care.The availability of a dedicated obstetric critical care unit with specialized personnel would help decrease the mortality in this subset of patients.
基金Supported by Ningbo Public Welfare Research Project,No.2024S147。
摘要BACKGROUND Postpartum depression(PPD)is a prevalent perinatal mood disorder,marked by persistent low mood,anhedonia,and impaired maternal-infant bonding within six weeks postpartum.PPD impairs maternal quality of life,leads to long-term harms,and poses a notable public health burden.AIM To investigate the effect of labor-delivery-recovery-postpartum(LDRP)familycentered obstetrics care combined with painless delivery on PPD in primiparas.METHODS This retrospective cohort study enrolled 523 primiparas(singleton,term,cephalic,spontaneous labor)from January 2023 to April 2025.The participants were divided into a control group(n=266,conventional care)and an observation group(n=257,LDRP+painless delivery).Labor progression,comfort[General Comfort Questionnaire(GCQ)and pain Visual Analog Scale(VAS)],mental health[Childbirth Attitude Questionnaire(CAQ),Pregnancy-Related Anxiety Scale(PAQ),and Edinburgh Postnatal Depression Scale(EPDS)],maternal-neonatal outcomes,and nursing satisfaction were compared between the two groups.Logistic regression was used to identify the risk factors for PPD.RESULTS Baseline characteristics were comparable between the two groups(all P>0.05).The observation group exhibited shorter first/second stages of labor(P0.05).Nursing satisfaction was higher in the observation group(95.72%vs 70.30%,P<0.001).Logistic regression analysis identified gestational complications,lack of family accompaniment,nursing dissatisfaction,absence of painless delivery,and no-use of LDRP as independent risk factors for PPD(P<0.05).CONCLUSION LDRP family-centered care combined with painless delivery reduces PPD by shortening labor and improving comfort and nursing satisfaction,supporting its clinical adoption.Clinically,this integrated care model may help improve the childbirth experience and reduce the risk of PPD in primiparas.Future multicenter prospective studies with longer follow-up are needed to further validate these findings and assess their long-term impact on maternal mental health.
摘要The application of psychological nursing combined with humanistic care in obstetrics has become an inevitable trend in the future development of obstetric nursing.Based on the current development needs of the obstetric nursing field,this paper first conducts an in-depth analysis of the application effect of psychological nursing combined with humanistic care in obstetrics,and then proposes effective application paths,aiming to lay a solid foundation for improving the level of obstetric nursing work.
基金2024 Undergraduate Teaching Reform Research Project,Department of Education of Shandong Province,2025 Key Project of University-Level Education and Teaching Reform and Research,Research Title:Research on Talent Demand in the Biomedical Industry Chain and Strategies for High-Quality Higher Education Talent Cultivation in Shandong Province under the Background of New Quality Productivity(Project No.:Z2024208)Shandong Second Medical University,Research Title:Construction and Application of an Integrated Teaching Platform Combining Virtual Simulation and High-Fidelity Simulators in Obstetrics and Gynecology Practice Teaching,Project No.:2025SJZX053)。
摘要Objective:To analyze the effectiveness of an integrated teaching platform combining virtual reality(VR)technology and high-end simulators in practical obstetrics and gynecology teaching.Methods:A total of 39 interns who underwent obstetrics and gynecology internships from March 2023 to March 2024 were included in the reference group and received conventional practical teaching methods.Another 39 interns who underwent internships from April 2024 to April 2025 were included in the observation group and received the integrated teaching platform combining VR and high-end simulators.The teaching effects of the two groups were compared.Results:The observation group achieved higher assessment scores than the reference group,with higher scores in self-directed learning ability and clinical thinking ability after teaching,as well as higher teaching satisfaction(p<0.05).Conclusion:The integrated teaching platform combining VR and high-end simulators can improve the assessment scores of obstetrics and gynecology interns,cultivate their self-directed learning ability and clinical thinking ability,and achieve high teaching satisfaction.
摘要Objective Vaginal bleeding is a common and complex clinical symptom in obstetrics and gynecology, which is caused by multiple etiological factors and may induce anemia, pelvic infection and even life-threatening massive hemorrhage if not treated timely. Conventional Western medicine treatment has definite hemostatic effect but presents limitations of single mechanism, high recurrence rate and obvious adverse reactions. This study aimed to explore the clinical efficacy and safety of integrated traditional Chinese and Western medicine therapy for vaginal bleeding in obstetrics and gynecology, so as to provide evidence for optimizing clinical treatment schemes. Methods A total of 148 patients with obstetric and gynecological vaginal bleeding were enrolled and randomly divided into control group (conventional Western medicine treatment, n=74) and research group (integrated traditional Chinese and Western medicine treatment, n=74). The clinical efficacy, hemostatic indicators, hormonal levels, endometrial recovery status and adverse reaction incidence were statistically compared between the two groups. Results The total effective rate of the research group was significantly higher than that of the control group (P<0.05). The research group showed shorter hemostasis time, less bleeding volume, more improved sex hormone levels and better endometrial thickness recovery (P<0.05). Besides, the incidence of adverse reactions and recurrence rate in the research group were significantly lower than those in the control group (P<0.05). Conclusion Integrated traditional Chinese and Western medicine therapy for obstetric and gynecological vaginal bleeding can exert complementary therapeutic advantages, improve clinical hemostatic effect, regulate endocrine function, promote endometrial repair, reduce adverse reactions and recurrence risk, with reliable safety and high clinical application value.
基金supported by the National Science Foundation of China(No.81873843)the National Science and Technology Pillar Program of China during the Twelfth Five-Year Plan Period(No.2014BA105B05)the Fundamental Research Funds for the Central Universities(No.2017 KFYXJJ102 and No.2019 KFYXKJC053).
摘要Objective Great obstetrical syndrome(GOS)represents a group of pregnancy-related diseases that result in inadequate placentation.Most GOS cases end in preterm,either spontaneously or indicatively,and the use of antenatal corticosteroids(ACS)is inevitably discussed.The placenta is an important,transient fetal-derived organ and is the embodiment of maternal or fetal well-being.However,few studies provide histological evidence of the placenta in GOS.This study aims to address these issues.Methods A total of 831 pregnant women were prospectively recruited.Placenta tissue was collected immediately and fixed with 4%paraformaldehyde solution for future H&E analysis.A novel checklist was devised to evaluate maternal vascular malperfusion sections on the basis of the commonly accepted Amsterdam placental workshop group consensus statement.Results A total of 131 patients were classified as having GOS.Comparisons between those with and without GOS revealed significant differences,including higher levels of distal villous hypoplasia,increased syncytial knots,accelerated villous maturation,and higher total scores in GOS.We found significant negative associations between GOS and neonatal weight,neonatal height,head circumference,placental surface area,placental volume,and placenta gross examination score.GOS neonates were 1.25 times more likely to have hyperbilirubinemia.Regarding the effect of ACS,a significant reduction in birthweight,height,and head circumference was observed,along with an increased risk of hyperbilirubinemia.Conclusion This study provides histological evidence of the GOS that supports the defective deep placentation hypothesis.Our research also contributes to benefit-risk consultation in the GOS,such as in cases of PE and FGR,where a balance between fetal lung maturation and short-term neonatal outcomes is crucial.
基金Supported by the Joint Funds of the National Natural Science Foundation of China,No.U23A20434National Natural Science Foundation of China,No.82301738,No.82371535,and No.82171518+1 种基金the National Key Research and Development Program of China,No.2021YFF1201204the Science and Technology Innovation Program of Hunan Province,No.2023RC3083.
摘要BACKGROUND Antenatal depression is a disabling mental disorder among pregnant women and may cause adverse outcomes for both the mother and the offspring.Early identification and intervention of antenatal depression can help to prevent adverse outcomes.However,there have been few population-based studies focusing on the association of social and obstetric risk factors with antenatal depression in China.AIM To assess the sociodemographic and obstetric factors of antenatal depression and compare the network structure of depressive symptoms across different risk levels based on a large Chinese population.METHODS The cross-sectional survey was conducted in Shenzhen,China from 2020 to 2024.Antenatal depression was assessed using the Chinese version of the Edinburgh Postnatal Depression Scale(EPDS),with a score of≥13 indicating the presence of probable antenatal depression.Theχ2 test and binary logistic regression were used to identify the factors associated with antenatal depression.Network analyses were conducted to investigate the structure of depressive symptoms across groups with different risk levels.RESULTS Among the 44220 pregnant women,the prevalence of probable antenatal depression was 4.4%.An age≤24 years,a lower level of education(≤12 years),low or moderate economic status,having a history of mental disorders,being in the first trimester,being a primipara,unplanned pregnancy,and pregnancy without pre-pregnancy screening were found to be associated with antenatal depression(all P<0.05).Depressive symptom networks across groups with different risk levels revealed robust interconnections between symptoms.EPDS8("sad or miserable")and EPDS4("anxious or worried")showed the highest nodal strength across groups with different risk levels.CONCLUSION This study suggested that the prevalence of antenatal depression was 4.4%.Several social and obstetric factors were identified as risk factors for antenatal depression.EPDS8("sad or miserable")and EPDS4("anxious or worried")are pivotal targets for clinical intervention to alleviate the burden of antenatal depression.Early identification of highrisk groups is crucial for the development and implementation of intervention strategies to improve the overall quality of life for pregnant women.
基金Supported by National Key R and D Program of China,No.2022YFC3500704National Natural Science Foundation of China,No.82305376+1 种基金Project of Supporting Young Scientific and Technological Talents in Jiangsu Province in 2024,No.JSTJ-2024-380College Students'Innovative Entrepreneurial Training Plan Program,No.202310315029Z.
摘要Heart failure(HF)during pregnancy presents unique challenges due to the complex interplay between physiological changes and underlying cardiac conditions.Pregnancy-induced increases in blood volume,cardiac output,and heart rate can exacerbate pre-existing heart diseases or trigger new-onset HF,such as peripartum cardiomyopathy and preeclampsia-related HF.With pregnancy-related physiological changes altering pharmacokinetics,dosage adjustment becomes crucial,making its application limited to carefully selected cases where benefits outweigh the risks.Medication management for these patients requires a meticulous approach.Beta-blockers like metoprolol and bisoprolol are preferred despite limited evidence,and carvedilol may be cautiously used per clinical experience;atenolol is contraindicated for low-birth-weight risk.Diuretics(furosemide,bumetanide)are safe for congestion relief but warrant judicious dosing.Digoxin is generally safe but requires dose adjustment and regular monitoring due to pregnancy-induced pharmacokinetic alterations.Among positive inotropes,dobutamine exhibits favorable safety in pregnancy,whereas milrinone should be used cautiously for hypotension risk.Renin-angiotensin system inhibitors,mineralocorticoid receptor antagonists and sodium-glucose cotransporter 2 inhibitors are all contraindicated owing to risks of fetal malformations,male fetal feminization,and insufficient safety evidence,respectively.
摘要Introduction: Access to the best quality of obstetrical care sometimes conceals acts and behaviors that fail to respect women’s physical, mental and social integrity. These negative experiences are referred to as obstetrical violence. The aim of this study is to contribute to improving the quality of maternal health care. Patient and Method: This was a cross-sectional study with a quantitative component carried out in the obstetrics and gynecology department of the Maman Elisabeth Domitien University Hospital from November 1 to 30, 2024. All women in childbed seen for postnatal consultations within 42 days of delivery were included. Results: We included 109 women. Age ranged from 16 to 44 years with a mean of 26.9 (±6.02). The majority of women were living in common-law unions with 79.8% and 57.8% of mothers having a secondary education level. More than half of the participants (52.9%) said that they had not been prepared for childbirth during prenatal follow-up and 44.0% had not freely chosen their path of delivery. The vaginal route was the most observed route of delivery (97.3%). Of all vaginal deliveries, episiotomy was performed in 21.7% and uterine revision in 66.0%. For episiotomies, 26.1% of women in childbed were informed about its performance and 87.0% had had a bad experience with this event. For women who had undergone a uterine revision, 52.9% had been informed of its performance and 77.1% had a bad experience with the event. Women in childbed had been victims of inappropriate acts and verbal aggression in 18.4% and 14.7% respectively. Of all the participants, 45.0% said they had experienced the birth episode badly. Conclusion: This study has given us an idea of the subject. However, a large-scale study will enable us to understand the different facets of this subject.
摘要Introduction: Obstetric Fistulas (OF) constitute a major public health problem in developing countries in general and in Central African Republic (CAR) in particular because of its numerous consequences. The objective of this work is to contribute to the management of OF cases in CAR. Patients and Methods: This was a retrospective, descriptive and analytical study, including data from several OF care services. The study included 245 cases of OF, operated on from 2009 to 2018. The parameters studied were maternal and obstetrical data, sociodemographic data, the specific characteristics of the fistulas as well as the modalities and outcome of surgical treatment. The data collected came from six (6) OF surgical repair campaigns organized by the Ministry of Health and Population with the support of UNFPA. Results: We recorded 245 patients, representing a prevalence of 0.77% of OF per year. Among these patients, almost half (45.3%) were treated at the Sino-Central African Friendship University Hospital Center (CHUASC). The average age of the patients was 30 years (range 14 to 78 years). They were unschooled (53.9%) and primigravidas (35%). The fistulas had an average duration of evolution of 7.58 years. They were vesicovaginal in 25.3%. Types V and I dominated in 17.4% and 9.2%, respectively. In 85.9% of cases, fistulorrhaphy was performed, half of which (50.2%) via the upper route. The cure rate was 83.3%. Note that our study reveals statistically significant links between the evolution after surgery with age (p = 0.04 Conclusion: OF mainly affected women of childbearing age, uneducated, primiparous. Vesicovaginal fistula was the frequently encountered type and was manifested by urine loss clinically with a positive methylene blue test.
摘要This study focuses on the relationship between job stress and intention to leave among obstetric(OB)nurses in the context of China's birth policy adjustment,and provides a scientific basis for policymakers and healthcare administrators.This study used a non-experimental descriptive correlation design with a purposive sampling of 230 OB nurses from three tertiary hospitals in Jinan,Shandong Province.Participants were surveyed using three questionnaires and descriptive analysis;ANOVA and correlation analyses were used to analyze the relationship between participants'stressor levels and turnover intention.Pearson's correlation coefficient analysis showed that there was a positive correlation between nurses‘work stressors and turnover intention,with a correlation coefficient of r=0.53,a moderate positive correlation(P<0.001).Based on the survey data from three tertiary hospitals in Shandong Province,the obstetric nurses group has a medium level of work stressors,but a high turnover intention,highlighting the professional identity crisis.
摘要This paper analyzes the current research status of job satisfaction among obstetric nurses at home and abroad,including research methods,influencing factors,correlation relationships,and countermeasures to improve job satisfaction of obstetric nurses.It aims to provide a reference for subsequent studies on job satisfaction of obstetric nurses.
摘要In the new era,curriculum ideological and political education has become one of the core approaches for higher education to implement the fundamental task of moral education.Obstetrics and gynecology nursing is a professional basic course for medical nursing majors,featuring professionalism,humanism,and sociality,which has a natural fit with the integration of curriculum ideological and political education.Based on the professional characteristics of obstetrics and gynecology nursing teaching,this paper constructs a“six-in-one”integration path from six dimensions:integration goals,element excavation,content penetration,method innovation,evaluation system,and teacher team construction.It provides a reference for cultivating obstetrics and gynecology nursing talents with both exquisite professional skills and noble professional literacy.
摘要Clinical nursing in obstetrics and gynecology is far more than mere disease treatment and technical operations;it also carries profound humanistic care connotations.Through clinical practice analysis,this study systematically elaborates on the risks existing in clinical obstetrics and gynecology nursing,analyzes the importance of humanized nursing,and proposes corresponding application countermeasures.It is found that the application of the humanized nursing model in clinical obstetrics and gynecology nursing can effectively meet the physical,psychological,and social needs of patients,establish a harmonious nurse-patient relationship,and have positive clinical value in promoting the physical and mental rehabilitation of patients.It is worthy of extensive promotion and application in clinical practice.
基金supported by The National Social Science Fund of China(No.15BRK023)
摘要Objective: The aim of this study was to explore the correlation between psychological resilience and social support and anxiety in obstetric nurses and to provide theoretical basis for improving the mental health of obstetric nurses.Methods: In this study, 190 obstetric nurses were included, using the general information questionnaire and The Connor-Davidson Resilience Scale(CD-RISC), Social Support Rating Scale, and survey of Self-evaluation of Anxiety Scale.Results: There are differences in the type of work and the score of psychological resilience(P<0.05), obstetric nurses’ resilience score was 65.58±10.65; self-rating anxiety score of obstetric nurses was 36.89±6.87; and social support score of obstetric nurses was44.3717.86. The psychological elasticity score and anxiety were negatively related(P<0.01), whereas the resilience score and total score of social support were positively related(P<0.01).Conclusions: Obstetric nurses have many responsibilities and stress. Nursing managers should focus on obstetric nurses’ mental health, lighten the obstetric nurses’ anxiety, and thus improve their mental flexibility and optimize the quality of nursing service better,with more passion into work.
摘要An increasing number of childbearing agewomen undergo liver transplantation(LT)in the United States.Transplantation in this patient subgroup poses a significant challenge regarding the plans for future fertility,particularly in terms of immunosuppression and optimal timing of conception.Intrapartum LT is only rarely performed as the outcome is commonly dismal for the mother or more commonly the fetus.On the other hand,the outcomes of pregnancy in LT recipients are favorable,and children born to LT recipients are relatively healthy.Counseling on pregnancy should start before LT and continue after LT up until pregnancy,while all pregnant LT recipients must be managed by amultidisciplinary team,including both an obstetrician and a transplant hepatologist.Additionally,an interval of at least 1-2 years after successful LT is recommended before considering pregnancy.Pregnancy-induced hypertension,pre-eclampsia,and gestational diabetes mellitus are reported more commonly during the pregnancies of LT recipients than in the pregnancies of non-transplant patients.As adverse fetal outcomes,such asmiscarriage,abortion,stillbirth,or ectopic pregnancy,may occur more often than in the non-transplant population,early planning or delivery either through a planned induction of labor or cesarean section is critical to minimize the risk of complications.No significant long-term physical or phycological abnormalities have been reported in children born to LT recipients.
摘要Objectives: The aim of this study is to introduce protocols for choosing trans-arterial embolization (TAE) or surgical hemostasis as an initial therapy for obstetric hemorrhage. Materials and Methods: From 2002 to 2011 at our hospital, the medical records of the patients who underwent TAE or surgical hemostasis for obstetric hemorrhage were reviewed to assess the following data: The causes of obstetric hemorrhage, Shock Index (SI) and obstetrical disseminated intra-vascular coagulation (DIC) score, amount of bleeding, transfusion, and operation time. Results: Twenty-five patients underwent TAE and six underwent surgical hemostasis. SI and obstetrical DIC score of the TAE group were 1.0 (0.4 - 2.2) and 6.0 (1 - 32), respectively. They were significantly lower than those of the surgical hemostasis group (SI: 1.6, obstetrical DIC score: 12.5, p < 0.05). Though the hemorrhage could be controlled sufficiently in 23 cases of the TAE group, 5 cases went into shock during TAE. The SI and obstetrical DIC score of shock group were 1.2 (1 - 2) and 10 (2 - 32), respectively. Conclusion: Though TAE is a useful therapy to control obstetric inevitable hemorrhage, special attention should be paid to the vital signs during TAE, especially in cases where SI and/or obstetrical DIC score are higher than 1.2 and 10, respectively.
基金This project was a science research- planning scheme sponsored by Educational Com mittee of Hubei Province (No:99C0 6 9)
摘要To investigate the clinical value of three dimensional ultrasonography (3DUS) in obstetrics, various 3DUS rendering methods including surface mode, transparent mode and multiplanar mode were employed to scan 30 fetuses in second and third trimester by using the transabdominal volume transducer. The results showed that surface mode could vividly demonstrate the surface morphologic features of the fetuses, as well as the stereo shape and the spatial relationship among the surface structures. The face, limbs, umbilical cord and outer genitalia of the fetus could be well displayed by surface mode. Transparent mode could reveal the bony structures under the surface, such as ribs, vertebrae, crania, etc. The result was not affected by the sophisticated curvature of these bony structures and the success rate was up to 100 %. When rendered by multiplanar mode, the region of interest (ROI) could be viewed from different directions. It should be concluded that 3DUS could serve as a supplement to two dimensional ultrasonography (2DUS). 3DUS might play an important role in prenatal diagnosis and enhance the diagnostic confidence level of the physicians.
摘要Background: Complications linked to postpartum & pregnancy are one of the major causes of female death. In order to understand the causes of complications and encourage women to take sufficient action in order to receive emergency treatment, a critical step should therefore be taken to minimize complications related to pregnancy, in order to ensure the safety of both women and newborns. Aim of the work: Evaluate the effectiveness of the education programs for pregnant women on obstetric danger signs in rural areas and help minimize the incidence of pregnancy loss and comorbidities. Methods: A quasi-experimental design on 70 women from a population of through 372 women in six-month in antenatal clinics recruited from the previously mentioned settings with pre- and post-test was conducted at antenatal clinics (M.C.H centers) affiliated to the available geographical health zones in EL-fayoum rural area including: Al-sheikh hassan at sanorse. We collected the data of women characteristics by a self-administered interview questionnaire & a structured reported knowledge and practices checklist to evaluate pregnant women practices and knowledge. Follow up was done to the studied groups & histopathology assessments of the product of conception in cases of abortion secondary to the complications to compare between effect of antenatal care program on the woman who followed the program and those who did not. Results: There is an improvement in 63% of pregnant women knowledge and practices after educational program in all aspects. The most common danger signs that may occur during pregnancy were miscarriage and vaginal bleeding, intrauterine fetal death as reported by women & confirmed by the histopathology reports. Conclusion: The educational program had an efficient improving women knowledge and practice regarding danger signs for pregnant women in rural areas, with highly statically significant differences in all the tested items between pre/post program implementation (P 0.001). Recommendations: Establishment of in-service training programs and continuous supervision in rural areas to a raise women knowledge and practice regarding educational pregnant women and developing antenatal classes for all pregnant women about obstetric danger signs.
摘要To discuss the best way of treatment for obstetric brachial plexus palsy (OBPP). Method: The 102 cases of OBPP were randomized into two groups: the observation group (51 cases) and the control group (51 cases). The observation group was treated by point injection with nerve growth factor (NGF), acupuncture, and moxibustion. The control group was treated by acupuncture and moxibustion. Result: The result was compared after two courses of treatment. The curative rate of observation group was 35.3% and that of control group 11.8%. The curative and remarkably effective rate was 78.4% and 43.2% respectively. In the two-two comparison, the difference was significant ( P〈 0. 01 ). Conclusion: The effect of NGF point injection as the main treatment for OBPP was good, worth spreading.