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Domestic Violence against women and COVID-19 quarantine: A Systematic review study 针对妇女的家庭暴力与COVID-19隔离:系统回顾研究
IF 0.4 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2023-02-21 DOI: 10.2174/1573404820666230221141754
P. Mirabi, S. Alamolhoda, E. Zare, M. Doulabi
Domestic violence against women is defined as physical, sexual, and emotional abuse, that women experience. During the COVID-19 quarantine, homes have become very dangerous places for domestic violence against women.Following PRISMA guidelines, Medline, Scopus, Embase, Google scholar, and web of science were searched. Two independent authors screened all identified titles, abstracts, and relevant full texts for inclusion in the systematic review. 7 primary studies that were published between December 2019 and March 2021 were examined. The risk of bias in the retrieved articles was assessed by the Newcastle–Ottawa Scale.: During the COVID-19 lockdown, people have experienced different situations that lead to increasing aggressive behavior with possible trauma and violence, especially against women.During the quarantine of the COVID-19 pandemic around the world, we need programs aimed at preventing acts of domestic violence against women, such as trained multi-disciplinary staff, including psychologists, sexologists, and clinical psychiatrists.
针对妇女的家庭暴力被定义为妇女遭受的身体、性和情感虐待。在COVID-19隔离期间,家庭已成为对妇女实施家庭暴力的非常危险的场所。按照PRISMA的指导方针,检索了Medline、Scopus、Embase、Google scholar和web of science。两位独立作者筛选了所有确定的标题、摘要和相关全文,以便纳入系统评价。对2019年12月至2021年3月期间发表的7项主要研究进行了审查。所检索文章的偏倚风险采用纽卡斯尔-渥太华量表进行评估。在COVID-19封锁期间,人们经历了不同的情况,导致越来越多的攻击性行为,可能带来创伤和暴力,特别是针对妇女的行为。在全球隔离COVID-19大流行期间,我们需要旨在防止针对妇女的家庭暴力行为的方案,例如训练有素的多学科工作人员,包括心理学家、性学家和临床精神科医生。
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引用次数: 0
Everything Midwives Need to Know about Postpartum women's Health Care During the COVID-19 Pandemic: An Updated Evidence Review and Practical Guide 助产士需要知道的关于COVID-19大流行期间产后妇女保健的一切:最新的证据审查和实用指南
IF 0.4 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2023-02-17 DOI: 10.2174/1573404820666230217115141
R. L. Roudsari, M. Larki, Farangis Sharifi, E. Manouchehri
Clinical practices vary significantly between countries, so healthcare providers must be aware of the differences in recommendations among guidelines to give the best care possible. It is up to the clinician to decide whether and to what extent to follow guidelines, based on each patient's special situation.This study aimed to review the updated evidence regarding practical aspects required for midwives to do postpartum care for mothers and newborns during COVID-19.The relevant guidelines in English were searched through databases including Cochrane Library, PubMed, EBSCO, and Scopus , from December 2019 to May 17, 2022, using keywords of ‘puerperium ‘, ‘newborn ‘, ‘2019-nCoV’ ‘SARS-CoV-2‘, ‘coronavirus ‘, and ‘guideline‘. Recommendation reports of WHO, FIGO, RCOG, UNFPA, CDC, and APA were also searched. Out of the 40 guidelines retrieved, 15 met the inclusion criteria. Result: Postnatal care is divided into two general categories: maternal and neonatal care. The principles of postpartum care for maternal consisted of maternal assessment, venous thromboembolism prophylaxis, postnatal visits schedule, visitor restriction, vaccination, and postnatal mental support. Also, care for the neonatal included newborn assessment, visitation in the neonatal intensive-care units, breastfeeding, vaccination, circumcision, the decision for location and the separation of the newborn and mother, and discharge.During the COVID-19 pandemic, midwives and other maternal care professionals faced issues due to discrepancies between the guidelines of various global organizations. By obtaining recommendations and guidance and keeping up with the latest data, midwives can help women and their newborns get the best care possible.
各国的临床实践差异很大,因此医疗保健提供者必须了解指南中建议的差异,以便尽可能提供最佳护理。根据每个病人的特殊情况,由临床医生决定是否以及在多大程度上遵循指导方针。本研究旨在回顾关于助产士在COVID-19期间为母亲和新生儿提供产后护理所需的实际方面的最新证据。2019年12月至2022年5月17日,检索Cochrane Library、PubMed、EBSCO、Scopus等数据库,检索关键词为产子期(puerperium)、新生儿(neonatal)、2019- ncov (2019- ncov)、SARS-CoV-2 (SARS-CoV-2)、冠状病毒(coronavirus)和指南(guideline)。还检索了WHO、FIGO、RCOG、UNFPA、CDC和APA的建议报告。在检索到的40个指南中,有15个符合纳入标准。结果:产后护理分为两大类:产妇护理和新生儿护理。产妇产后护理的原则包括产妇评估、静脉血栓栓塞预防、产后随访计划、来访者限制、疫苗接种和产后精神支持。此外,新生儿护理还包括新生儿评估、新生儿重症监护病房探视、母乳喂养、疫苗接种、包皮环切、决定新生儿和母亲的位置和分离以及出院。在2019冠状病毒病大流行期间,由于各全球组织的指导方针之间存在差异,助产士和其他孕产妇保健专业人员面临着问题。通过获得建议和指导以及跟上最新数据,助产士可以帮助妇女及其新生儿获得尽可能最好的护理。
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引用次数: 0
Comparison of the effect of honey, olive, propolis combined vaginal cream with OCP in the treatment of functional ovarian cysts in women of reproductive age referring to health centers, Hamadan, Iran 2020-2021 蜂蜜、橄榄、蜂胶联合阴道乳膏与OCP治疗育龄妇女功能性卵巢囊肿的疗效比较,伊朗,哈马丹,2020-2021
IF 0.4 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2023-02-09 DOI: 10.2174/1573404819666230209104204
S. Masoumi, A. Shayan, H. Parsapour, Mehrnoosh Hosseinpoor, F. Kazemi, S. Moradkhani, Seyed Mohammad Hossein Oliaei, Zeinab Assareh, Mohammad Kazem Rashidi
The prevalence of functional ovarian cysts in women is high, and choosing an appropriate, and uncomplicated treatment is necessary.Compare the effectiveness of honey, olive, and propolis combined vaginal cream with OCP in the treatment of functional ovarian cysts in women of reproductive age in Iran.This randomized clinical trial study was performed on 40 women of reproductive age referred to Hamadan health centers in 2020. Patients were randomized into two groups, A and B. Group A received oral contraception pills for two consecutive cycles from the seventh day of the menstrual cycle tablets for 21 days after the end of menstruation until the beginning of the next menstruation. Group B received honey, olive, propolis combined vaginal cream. In both groups, the treatment continued for two consecutive cycles. Data was collected through a checklist that included clinical symptoms and ultrasound results. The results were analyzed by Stata-13 and the significance level cut-off was considered less than 0.05Intra-group comparisons showed that there was a statistically significant (P<0.05) decrease in cyst size after the intervention in both groups. Intergroup differences were not statistically significant (P ˃0.05).Honey, olive, propolis combined vaginal cream (Nika) can be effective like oral contraceptive pills in reducing the size of ovarian cysts. It can be recommended for the treatment of functional ovarian cysts.
功能性卵巢囊肿在女性中的患病率很高,选择合适的、简单的治疗方法是必要的。比较蜂蜜、橄榄和蜂胶联合阴道乳膏与OCP治疗伊朗育龄妇女功能性卵巢囊肿的效果。这项随机临床试验研究是在2020年对40名转诊到哈马丹保健中心的育龄妇女进行的。将患者随机分为A、b两组。A组患者从月经周期第7天开始服用口服避孕药,连续服用2个周期,服药时间为月经结束后21天至下次月经开始。B组给予蜂蜜、橄榄、蜂胶联合阴道乳膏。在两组中,治疗持续两个连续周期。通过包括临床症状和超声结果的检查表收集数据。结果采用Stata-13进行分析,认为显著性水平临界值小于0.05。组内比较,两组干预后囊肿大小减小,差异均有统计学意义(P<0.05)。组间差异无统计学意义(P < 0.05)。蜂蜜、橄榄、蜂胶联合阴道霜(尼卡)可以像口服避孕药一样有效地缩小卵巢囊肿的大小。它可以推荐用于治疗功能性卵巢囊肿。
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引用次数: 0
Screening for Gestational Diabetes; Can Apelin Help? 妊娠期糖尿病筛查;Apelin能帮上忙吗?
IF 0.4 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2023-02-06 DOI: 10.2174/1573404819666230206102810
Wassan Nori, D. Salman, Z. Hussein, Taif Emad
Gestational diabetes (GDM) is a pregnancy-related endocrinopathy. Its etiology is not well understood. Obesity and insulin resistance coexist in GDM. Apelin is an adipocytokine secreted by fatty cells and expressed in many organs; it can modulate blood glucose. According to research, apelin levels are higher in obese and type 2 diabetes patients. We aimed to examine the value of serum apelin as a reliable marker for GDM at 24-28 weeks of pregnancy.A case-control study recruited 120 pregnant women in an age range of 20–40 years with a singleton pregnancy at 24-28 weeks of pregnancy; all were matched in BMI and gestational age. They are divided into 2 groups: 60/120 GDM cases based on the International Association of Diabetes and Pregnancy and 60/120 matched controls at a gestational age of 24-28 weeks at Al-Yarmouk Teaching Hospital. Demographics data, serum biochemical permeates including HbA1c, fasting blood sugar (FBS), fasting insulin level, 1 h plasma glucose, and 2 h plasma glucose, following a 75-gram glucose loading, and a fasting insulin level were recorded.None of the demographic criteria were significant between the two groups at P<0.05. FBS, fasting insulin, OGTT-1 and 2 hours, HbA1c, and serum apelin were significantly higher in GDM cases with P<0.0001. Pearson's correlations show that Apelin has a statistically significant correlation with BMI, FBS, fasting insulin, OGTT-1 and 2 hours, and HbA1c, with r = (0.34, 0.71, 0.65, 0.72, and 0.63) and P<0.0001. ANOVA confirmed an insignificant effect of BMI centile on serum apelin, P<0.072. ROC estimated the apelin cut-off at >11.3 (ng/l), associated with 84% sensitivity and 100% specificity, P<0.001.Strong and significant apelin correlations with parameters for screening GDM make it a valuable marker, especially when its levels are unaffected by body mass index. Further studies are recommended to unveil therapeutic avenues for apelin.
妊娠期糖尿病(GDM)是一种与妊娠有关的内分泌疾病。其病因尚不清楚。肥胖和胰岛素抵抗在GDM中共存。Apelin是由脂肪细胞分泌的脂肪细胞因子,在许多器官中表达;它可以调节血糖。根据研究,肥胖和2型糖尿病患者的apelin水平更高。我们的目的是检查血清尖蛋白作为妊娠24-28周GDM的可靠标志物的价值。一项病例对照研究招募了120名年龄在20-40岁之间、怀孕24-28周的单胎孕妇;所有人的体重指数和胎龄都相符。他们被分为两组:根据国际糖尿病和妊娠协会的数据,60/120例GDM病例和Al-Yarmouk教学医院的60/120例胎龄为24-28周的匹配对照。记录人口统计学数据、血清生化渗透包括HbA1c、空腹血糖(FBS)、空腹胰岛素水平、75克葡萄糖负荷后1小时血糖和2小时血糖以及空腹胰岛素水平。在P11.3 (ng/l)时,两组间的人口学标准均无显著性差异,敏感性为84%,特异性为100%,P<0.001。apelin与筛查GDM的参数具有强烈而显著的相关性,使其成为一个有价值的标志物,特别是当其水平不受体重指数影响时。建议进一步的研究来揭示apelin的治疗途径。
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引用次数: 0
The Effectiveness of an Integrated Symptom-related Fatigue Management Program (ISFMP) on Pain, Anxiety, Fatigue Score and Lactate Levels in Low-risk Pregnant Woman during Childbirth 综合症状相关疲劳管理方案(ISFMP)对低危孕妇分娩期间疼痛、焦虑、疲劳评分和乳酸水平的影响
IF 0.4 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2023-02-03 DOI: 10.2174/1573404819666230203144039
Kunnikar Chaisitsa-nguan, Puangpaka Kongwattananon, Dawn Hawthrone
Fatigue accumulates throughout the labor period and often occurs in conjunction with pain and anxiety during childbirth, resulting in negative effects on laboring women.The purpose of this study is to investigate the effectiveness of an integrated symptom-related fatigue management program (ISFMP) on pain, anxiety, fatigue score and lactate levels in a low-risk pregnant woman during childbirth.This quasi-experimental study was conducted from August of 2021 to March of 2022 at Prachuap Khiri Khan Hospital. Sixty-five low-risk pregnant women with 32–41+6 weeks gestation were selected by the stratified random-sampling and matching techniques. They were then randomly assigned to either comparison or intervention groups. Data were collected using a demographic questionnaire and a visual analogue scale for pain, anxiety and fatigue. Lactate Pro 2 was used to evaluate lactate levels. Data were analyzed through statistical software (SPSS-26) using independent t-test, chi-square, repeated measure ANOVA and repeated measure multivariate analysis of variance (MANOVA). The significance level was set at p <.05.The participants in the comparison and experimental groups had varying pain, anxiety, fatigue scores and lactate levels throughout their progression of labor. Pain, anxiety and fatigue in the experimental group were significantly lower than in the comparison group (p < 0.001). There were no statistically significant differences in lactate levels between the two groups.The ISFMP was shown to be effective in lowering the symptoms of pain, anxiety and fatigue in women in labor. Midwives should apply the ISFMP in their clinical practice when caring for low-risk pregnant women.
疲劳在整个生产过程中积累,并经常与分娩时的疼痛和焦虑一起发生,对分娩妇女产生负面影响。本研究的目的是探讨综合症状相关疲劳管理程序(ISFMP)对低危孕妇分娩时疼痛、焦虑、疲劳评分和乳酸水平的有效性。这项准实验研究于2021年8月至2022年3月在Prachuap Khiri Khan医院进行。采用分层随机抽样和匹配方法,选择32-41 +6周的低危孕妇65例。然后他们被随机分配到比较组或干预组。数据收集使用人口统计问卷和视觉模拟量表疼痛,焦虑和疲劳。乳酸Pro 2测定乳酸水平。采用SPSS-26统计软件对数据进行独立t检验、卡方检验、重复测量方差分析和重复测量多变量方差分析。显著性水平设为p < 0.05。对照组和实验组的参与者在分娩过程中有不同的疼痛、焦虑、疲劳评分和乳酸水平。实验组疼痛、焦虑、疲劳明显低于对照组(p < 0.001)。两组患者乳酸水平差异无统计学意义。经证实,ISFMP对减轻分娩妇女的疼痛、焦虑和疲劳症状有效。助产士在护理低风险孕妇时应在临床实践中应用ISFMP。
{"title":"The Effectiveness of an Integrated Symptom-related Fatigue Management Program (ISFMP) on Pain, Anxiety, Fatigue Score and Lactate Levels in Low-risk Pregnant Woman during Childbirth","authors":"Kunnikar Chaisitsa-nguan, Puangpaka Kongwattananon, Dawn Hawthrone","doi":"10.2174/1573404819666230203144039","DOIUrl":"https://doi.org/10.2174/1573404819666230203144039","url":null,"abstract":"\u0000\u0000Fatigue accumulates throughout the labor period and often occurs in conjunction with pain and anxiety during childbirth, resulting in negative effects on laboring women.\u0000\u0000\u0000\u0000The purpose of this study is to investigate the effectiveness of an integrated symptom-related fatigue management program (ISFMP) on pain, anxiety, fatigue score and lactate levels in a low-risk pregnant woman during childbirth.\u0000\u0000\u0000\u0000This quasi-experimental study was conducted from August of 2021 to March of 2022 at Prachuap Khiri Khan Hospital. Sixty-five low-risk pregnant women with 32–41+6 weeks gestation were selected by the stratified random-sampling and matching techniques. They were then randomly assigned to either comparison or intervention groups. Data were collected using a demographic questionnaire and a visual analogue scale for pain, anxiety and fatigue. Lactate Pro 2 was used to evaluate lactate levels. Data were analyzed through statistical software (SPSS-26) using independent t-test, chi-square, repeated measure ANOVA and repeated measure multivariate analysis of variance (MANOVA). The significance level was set at p <.05.\u0000\u0000\u0000\u0000The participants in the comparison and experimental groups had varying pain, anxiety, fatigue scores and lactate levels throughout their progression of labor. Pain, anxiety and fatigue in the experimental group were significantly lower than in the comparison group (p < 0.001). There were no statistically significant differences in lactate levels between the two groups.\u0000\u0000\u0000\u0000The ISFMP was shown to be effective in lowering the symptoms of pain, anxiety and fatigue in women in labor. Midwives should apply the ISFMP in their clinical practice when caring for low-risk pregnant women.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"1 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89317723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Maternal, fetal, and neonatal outcomes in pregnant women with COVID-19: a case-control study COVID-19孕妇的孕产妇、胎儿和新生儿结局:一项病例对照研究
IF 0.4 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2023-02-02 DOI: 10.2174/1573404819666230202114101
S. Sepahvand, M. Sattari, B. Samari, Rezvanehsadat Beheshti, M. Farhadian, A. Tiznobaik
COVID-19 is an emerging, highly contagious disease caused by the SARS-CoV-2 virus. Pregnant women appear to be at greater risk for COVID-19 infection and complications. Considering the importance of maternal and fetal healthcare, this study aims to evaluate some of the maternal, fetal, and neonatal outcomes in pregnant women with COVID-19.Pregnant women at the gestational age of 20 weeks or more were recruited and divided into two groups: cases (those with COVID-19 infection) and controls (those without the infection). Maternal complications during the current pregnancy, delivery factors, and fetal/neonatal complications were recorded and compared between the groups.Maternal COVID-19 infection was highly associated with the need for emergency cesarean surgery (p=0.005), preterm labor (p=0.017), and the need for NICU admission for newborns (OR=0.05, p=0.000). Also, high rates of vertical transmission of the infection were observed in the cases.Maternal COVID-19 disease could be associated with a range of complications for both the mother and her newborn. The vertical transmission rate was also observed to be higher than previously reported in the literature. Further studies are required to evaluate this phenomenon.
COVID-19是由SARS-CoV-2病毒引起的一种新出现的高度传染性疾病。孕妇感染COVID-19和出现并发症的风险似乎更大。考虑到母婴保健的重要性,本研究旨在评估COVID-19孕妇的一些孕产妇、胎儿和新生儿结局。招募孕周为20周或以上的孕妇,并将其分为两组:病例组(感染COVID-19的孕妇)和对照组(未感染的孕妇)。记录两组妊娠期间的产妇并发症、分娩因素和胎儿/新生儿并发症并进行比较。孕产妇COVID-19感染与紧急剖宫产手术需求(p=0.005)、早产(p=0.017)和新生儿NICU入院需求高度相关(OR=0.05, p=0.000)。此外,在这些病例中观察到感染的垂直传播率很高。孕产妇COVID-19疾病可能与母亲和新生儿的一系列并发症有关。垂直传播率也高于以往文献报道。需要进一步的研究来评价这一现象。
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引用次数: 0
The impact of hookah smoking on AMH levels in women: a pilot study 水烟吸烟对女性抗真菌激素水平的影响:一项初步研究
IF 0.4 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2023-02-01 DOI: 10.2174/1573404819666230201085749
Soha Albeitawi, R. Obeidat, L. Al-Mehaisen, Q. Shehab, Garavaglia Elisabetta, Almu’atasim Khamees
Hookah (water pipe) smoking, an ancient tobacco smoking method, is gaining widespread popularity worldwide. Although research in this field is still lacking, its harmful effect on human health through the increased risk of cardiovascular disease, infection, and cancer has been proven. Cigarette smoking has been found to have a detrimental effect on reproductive function. However, no data about the effect of hookah smoking on human fertility or reproductive outcomes are available. In this study, we aimed to determine if smoking hookah has a harmful effect on the human ovarian reserve test, anti-Mullerian hormone levels, and cycle regularity.A total of 100 healthy non-cigarette smoking women in the 25-35 age range undergoing laboratory investigations were randomly chosen to participate. After obtaining consent, they completed a questionnaire about smoking habits and menstrual data. Blood samples were withdrawn for anti-Mullerian hormone testing. The anti-Mullerian hormone levels of 50 women hookah-only smokers were compared to 50 non-smoking women.There were no significant differences in mean anti-Mullerian hormone levels and cycle regularity between hookah smokers and non-smokers. However, period pain was significantly associated with hookah smokers relative to non-smokers (p=0.036). According to the generalized linear model of Log10 AMH response, the Log10 smoking index had no significant effect (p-value=0.094). Moreover, binary logistic regression for cycle regularity showed that hookah smoking was associated with an increase in the likelihood of having an irregular cycle, but the effect was not significant (p=0.514) for hookah smoking .Under the conditions of this study, no significant association between hookah smoking and neither AMH levels nor cycle regularity could be observed.
水烟(水烟管)吸烟,一种古老的吸烟方法,正在世界范围内广泛流行。虽然在这一领域的研究仍然缺乏,但它通过增加心血管疾病、感染和癌症的风险对人类健康的有害影响已经得到证实。吸烟已被发现对生殖功能有有害的影响。然而,没有关于水烟吸烟对人类生育能力或生殖结果的影响的数据。在这项研究中,我们旨在确定吸烟水烟是否对人类卵巢储备测试、抗苗勒管激素水平和周期规律有有害影响。在接受实验室调查的25-35岁的健康不吸烟女性中,随机选择了100名。在获得同意后,他们完成了一份关于吸烟习惯和月经数据的调查问卷。抽取血样进行抗苗勒管激素检测。研究人员将50名只吸水烟的女性与50名不吸烟的女性的抗苗勒管激素水平进行了比较。在水烟吸烟者和非吸烟者之间,平均抗苗勒管激素水平和周期规律没有显著差异。然而,与不吸烟者相比,水烟吸烟者的经期疼痛显著相关(p=0.036)。根据Log10 AMH响应的广义线性模型,Log10吸烟指数无显著影响(p值=0.094)。此外,循环规律的二元逻辑回归显示,水烟吸烟与不规则周期的可能性增加有关,但对水烟吸烟的影响不显著(p=0.514)。在本研究条件下,水烟吸烟与AMH水平和周期规律均无显著相关性。
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引用次数: 0
The Effect of Auriculotherapy during Active Phase and the Use of Oxytocin during Labor in Nulliparous Women-A randomized clinical trial 无产妇女产程中使用催产素和活动期听觉治疗的效果:一项随机临床试验
IF 0.4 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2023-01-31 DOI: 10.2174/1573404819666230131153938
K. Vakilian, Mehrnoosh Ghaemmaghami, Narges Sheikhganbari, F. Shabani, Masoomeh Vahedi
Since there was no study on the effect of auriculotherapy on reducing the use of oxytocin and labor length, the present study is aimed to investigate this issue.The present study was a randomized clinical trial with two parallel arms, without blinding, which was performed on 93 nulliparous women. Setting this study was done in one of the referral hospitals in Qom, Iran. The samples were randomly assigned to two groups: oxytocin (n=47) or auriculotherapy and oxytocin (n=46). After hospitalization of mothers in the active phase, in one group, 10-unit oxytocin was administered for augmentation, and in the second intervention group, the auriculotherapy technique, in addition to oxytocin, was performed. the master points zero, Shenmen, endocrine, thalamic, uterine, prostaglandin points, vagina on the earlobe area. The points were stimulated with the Pointer Plus electric device for 30 seconds, and 60 minutes later, the other ear was stimulated. The results were analyzed by SPSS 22, T-test statistical analysis, and Chi-square test.Regarding the main purpose of the study, the results showed that the length of the active phase indicated a significant decrease in the auriculotherapy group compared to the oxytocin group (244.86± 64.19 vs. 284± 62.75, p=0.01). The other purpose of the study showed that the mean of oxytocin consumption significantly decreased in the auriculotherapy group.It seems that auriculotherapy is an appropriate alternative method for labor augmentation.
由于目前尚无耳穴疗法对减少催产素使用和产程长短的影响的研究,本研究旨在探讨这一问题。本研究是一项双平行随机临床试验,无盲法,在93名未生育妇女中进行。本研究是在伊朗库姆的一家转诊医院进行的。这些样本被随机分为两组:催产素组(n=47)或耳疗加催产素组(n=46)。在活动期母亲住院后,一组给予10单位的催产素增强,第二组干预组在催产素的基础上进行耳穴治疗。掌握神门穴、内分泌穴、丘脑穴、子宫穴、前列腺穴、阴道穴上耳垂区。用Pointer Plus电动装置刺激两个穴位30秒,60分钟后再刺激另一只耳朵。结果采用SPSS 22、t检验、卡方检验进行统计分析。关于本研究的主要目的,结果显示,耳穴治疗组与催产素组相比,活动期长度明显缩短(244.86±64.19∶284±62.75,p=0.01)。研究的另一个目的表明,耳科治疗组的催产素平均消耗量显著降低。看来,听觉疗法是一种适当的替代方法,以增加劳动力。
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引用次数: 0
Characteristics of pregnant women satisfying the universal two-child policy requirements in China: a retrospective cohort study 中国满足全面二孩政策要求的孕妇特征:一项回顾性队列研究
IF 0.4 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2023-01-27 DOI: 10.2174/1573404819666230127102711
Chunrong Li, Lina Tang, Tong-Yong Luo, Yonghong Lin, Wei Song, Zhiqiang Wang, Qingfu Lan, Shiji Qin
China officially launched the universal two-child policy in January 2016. No studies in China have examined the characteristics of pregnant women since the implementation of the new family planning policy.We conducted a retrospective cohort study in Chengdu, China, to examine pregnant women's sociodemographic and obstetric characteristics satisfying the new policy requirements. Two thousand pregnant women were enrolled in the case group, 2016-2017. The comparison group included 2,000 pregnant women from the same institutions. Maternal and clinical information was extracted from medical records.Compared to comparisons, the case group tended to have a higher household income and work in a non-state-owned enterprise/institution. Additionally, cases were more likely to be older (OR=1.36; 95% CI 1.09-1.70), have a history of cesarean section (OR=31.68; 95% CI 24.76-40.54), and suffer from gestational hypertension (OR=3.35; 95% CI 1.56-7.19), gestational diabetes mellitus (OR=1.61; 95% CI 1.24-2.10) and placenta previa (OR=4.45; 95% CI 2.70-7.34) than comparisons.We suggest emphasizing the importance of reproductive counseling and assessment, particularly targeting those satisfying the universal two-child policy requirements.
2016年1月,中国正式启动全面二孩政策。自新的计划生育政策实施以来,中国还没有研究调查过孕妇的特征。我们在中国成都进行了一项回顾性队列研究,以检查满足新政策要求的孕妇的社会人口学和产科特征。2016-2017年,2000名孕妇被纳入病例组。对照组包括来自同一机构的2000名孕妇。从医疗记录中提取产妇和临床信息。与对照组相比,案例组往往家庭收入较高,在非国有企业/事业单位工作。此外,病例更可能年龄较大(OR=1.36;95% CI 1.09-1.70),有剖宫产史(OR=31.68;95% CI 24.76-40.54),并患有妊娠期高血压(OR=3.35;95% CI 1.56-7.19),妊娠期糖尿病(OR=1.61;95% CI 1.24-2.10)和前置胎盘(OR=4.45;95% CI 2.70-7.34)。我们建议强调生殖咨询和评估的重要性,特别是针对那些满足全面二孩政策要求的人。
{"title":"Characteristics of pregnant women satisfying the universal two-child policy requirements in China: a retrospective cohort study","authors":"Chunrong Li, Lina Tang, Tong-Yong Luo, Yonghong Lin, Wei Song, Zhiqiang Wang, Qingfu Lan, Shiji Qin","doi":"10.2174/1573404819666230127102711","DOIUrl":"https://doi.org/10.2174/1573404819666230127102711","url":null,"abstract":"\u0000\u0000China officially launched the universal two-child policy in January 2016. No studies in China have examined the characteristics of pregnant women since the implementation of the new family planning policy.\u0000\u0000\u0000\u0000We conducted a retrospective cohort study in Chengdu, China, to examine pregnant women's sociodemographic and obstetric characteristics satisfying the new policy requirements. Two thousand pregnant women were enrolled in the case group, 2016-2017. The comparison group included 2,000 pregnant women from the same institutions. Maternal and clinical information was extracted from medical records.\u0000\u0000\u0000\u0000Compared to comparisons, the case group tended to have a higher household income and work in a non-state-owned enterprise/institution. Additionally, cases were more likely to be older (OR=1.36; 95% CI 1.09-1.70), have a history of cesarean section (OR=31.68; 95% CI 24.76-40.54), and suffer from gestational hypertension (OR=3.35; 95% CI 1.56-7.19), gestational diabetes mellitus (OR=1.61; 95% CI 1.24-2.10) and placenta previa (OR=4.45; 95% CI 2.70-7.34) than comparisons.\u0000\u0000\u0000\u0000We suggest emphasizing the importance of reproductive counseling and assessment, particularly targeting those satisfying the universal two-child policy requirements.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"1 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80880119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Why do Pregnant Mothers prefer to give Birth at Home after they attended Antenatal Care Visits in southern Ethiopia? A Phenomenological Study Design 在埃塞俄比亚南部,为什么孕妇在接受产前检查后更愿意在家分娩?现象学研究设计
IF 0.4 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2023-01-20 DOI: 10.2174/1573404819666230120122906
Zerihun Figa, T. Temesgen
This study aimed to explore why pregnant mothers prefer to deliver at home after antenatal care follow-up in South Ethiopia.Common causes of maternal deaths are direct obstetric complications that can be managed by healthcare providers in health facilities. Women giving birth in the home has a higher contribution to maternal mortality and morbidity as well as poor fetal outcome.To explore why pregnant mothers preferred delivery at home after antenatal care follow-up in South Ethiopia.The phenomenological study design was used to explore the factors that push women home delivery despite antenatal care provided. A purposive technique was used to recruit the twenty pregnant mothers for the focused group discussion and ten healthcare providers for an in-depth interview. The data saturation approach determined the sample size. A focused group discussion was commenced with women who has ANC follow-ups during pregnancy gave birth at home and come for immunization services in health facilities. The in-depth interview was done with physicians, midwives, health officers, and traditional birth attendants. Data was translated into English by a bilingual translator and analyzed thematically using Open Code software.Result: The study includes a total of 20 women for FGDs, seven health professionals, and three traditional birth attendants from selected health facilities. The age of most FGD participants was 25 -35 years. The ideas of the participants were grouped into five themes and subthemes. Fear of health professionals’ disrespect and abuse, a family decision on place of delivery, lack of transport and money, traditional birth attendants’ acceptability by the community, and sociocultural influences were commonly raised as barriers to institutional delivery.Conclusion: Most of the barriers are related to behavioral issues, and effort should be made to change the behavior of the community in general. Improving the quality of the antenatal care service and adequate counseling may be an appropriate intervention to increase health facilities delivery.no
本研究旨在探讨为什么怀孕的母亲更喜欢在家中分娩后产前护理随访在南埃塞俄比亚。产妇死亡的常见原因是直接的产科并发症,可由保健机构的保健提供者加以控制。在家分娩的妇女对产妇死亡率和发病率以及不良胎儿结局的贡献更高。探讨为什么在南埃塞俄比亚,孕妇在产前护理随访后更喜欢在家分娩。本研究采用现象学研究设计,探讨在提供产前护理的情况下,促使妇女回家分娩的因素。采用目的性技术,招募20名孕妇进行重点小组讨论,10名医疗服务提供者进行深入访谈。数据饱和方法决定了样本量。开展了一个重点小组讨论,讨论的对象是在怀孕期间接受了产前监测随访的妇女,她们在家中分娩,然后到保健设施接受免疫接种服务。对医生、助产士、卫生官员和传统助产士进行了深入访谈。数据由双语翻译人员翻译成英文,并使用Open Code软件进行主题分析。结果:该研究共包括20名接受女性生殖器切割的妇女、7名卫生专业人员和3名来自选定卫生机构的传统助产士。大多数FGD参与者的年龄在25 -35岁之间。与会者的想法分为五个主题和副主题。担心卫生专业人员的不尊重和虐待、家庭决定分娩地点、缺乏交通工具和资金、社区对传统接生员的接受程度以及社会文化影响,通常被认为是机构分娩的障碍。结论:大多数障碍与行为问题有关,应努力改变整个社区的行为。提高产前保健服务的质量和提供充分的咨询可能是增加保健设施分娩的适当干预措施
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引用次数: 0
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Current Women s Health Reviews
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