African journal of reproductive health最新文献

This was a case report and literature review, aimed to strengthen the understanding and therapy of mycoplasma pneumoniae (MP) pneumonia combined with cold agglutinin disease and pulmonary embolism in children. A 7-year-old boy was taken to the hospital with fever for 7 days, cough for 5 days, and recurrent cyanosis at the extremities of one day duration. Pulmonary artery computed tomography angiography (CTA) showed pulmonary embolism, double pneumonia, and pleural effusion. Mycoplasma (MP) antibody IgM, Coombs test, and anti C3d were positive while anti-IgG was negative. After treatment, the patient improved. One month after discharge, the Coombs test was negative, and pulmonary CTA showed no pulmonary embolism. The diagnosis was severe MP with cold agglutinin disease and pulmonary embolism. The cases were reviewed, involving a total of 18 cases. Two patients had pulmonary embolism, and one had Raynaud's phenomenon with superior mesenteric artery and popliteal artery embolism. After treatment, 16 cases recovered while two cases were lost to follow up. We conclude that although the disease may be associated with severe complications such as embolism, acrocyanosis, and gangrene, the prognosis is relatively good for most patients.

This was an original study that mainly explored the effect of probiotic therapy and personalized nursing on immune function in children with acute gastroenteritis. One hundred and twelve (112) children with acute gastroenteritis were selected and divided into an intervention group and a control group. The control group accepted omeprazole enteric-coated capsules and routine nursing. In addition to omeprazole enteric-coated capsules, the intervention group additionally received probiotic therapy. The results showed that in comparison with the control group, the intervention group presented shorter time for relieving fever, vomiting, abdominal pain and diarrhea, lower levels of inflammatory factors, better improvements of immune function. The intervention group also showed higher rate of nursing compliance and nursing satisfaction. We conclude that probiotic therapy combined with personalized nursing can reduce inflammatory response, improve immune function and promote nursing compliance in children with acute gastroenteritis.

This study aimed to develop a questionnaire scale to self-assess the normal childbirth skills. The study was designed as a cross-ectional and methodological. Participants were drawn from two universities in the Aegean region of western Turkey. The study sample consisted of 390 3rd- and 4th-year midwifery students. Data were collected using the Descriptive Information Form and the 36-item draft version of the Childbirth Skills Self-Efficacy Scale. Exploratory and confirmatory factor analysis was performed within the scope of validity. Reliability was evaluated with the Cronbach's alpha method and item-total correlations. A five-factor structure which explained 69.09% of the total variance was obtained by factor analysis. The dimensions indicated by the 5-factor structure were named as follows: delivery preparation and support (10 items), pelvic examination (3 items), vaginal examination (6 items), intervention during delivery (5 items), and postpartum management (10 items). Model fit indices were at an acceptable level. The Cronbach's alpha coefficient of the scale was 0.96. The Childbirth Skills Self-Efficacy Scale can provide an acceptable measurement tool for determining midwifery students' self-efficacy related to their childbirth skills.

During the COVID-19 pandemic, Nigeria, like many other countries, implemented a lockdown policy that restricted all movement except for essential services. Access to medical services is a critical component of an effective healthcare system, and without equitable access across genders, improving the overall health outcomes of the population is unlikely to be achieved. This study analyses gender differential in access to medical services and sexual reproductive health services namely, family planning, child health, adult health, pharmacy, emergency care, vaccination, and other medical services during the COVID-19 lockdown in Nigeria, using both descriptive and inferential analytical techniques. Results indicate that adult health services were the most needed medical services, with females requiring them slightly more than males. However, access to these services was greater for males than females. While some respondents believed that there was a gender differential in access to SRH such as family planning, maternal and new born care, male infertility treatment, abortion prevention and management, healthy sexuality, violence surveillance and prevention among women, others opined that there was none. The study provided evidence-based recommendations for quality policy decisions on appropriate measures to promote gender-equitable and sustainable recovery during a crisis.

The objective of this study was to examine the efficacy of the concurrent utilization of estradiol valerate and kuntai capsule (a Chinese herbal preparation) in addressing premature ovarian failure (POF) and its ramifications for ovarian hemodynamics and sex hormone levels. A retrospective study of 104 patients with POF was conducted, dividing them into control (n=50) and observation groups (n=54). The control group received estradiol valerate, while the observation group received estradiol valerate and KunTai capsules over 12 weeks. Clinical effectiveness, ovarian pulsatility index (PI), resistance index (RI), hormone levels, ovarian function, and adverse reactions were analyzed. The observation group showed significantly improved PI, RI, LH, FSH, E2 levels, and ovarian function in relative to the control group (P<0.05). We conclude that the concurrent use of estradiol valerate and KunTai capsules improves ovarian hemodynamics and hormone levels, offering significant clinical benefits.

This was an original article, and the objective of this study was to clarify the short-term effects of analgesic delivery on the pelvic floor function of primiparous women. Three hundred primiparas who delivered vaginally in The Affiliated Hospital of Kangda College of Nanjing Medical University from January 2022 to July 2022 were enrolled, and were divided into control and intervention groups. The control accepted traditional delivery without special analgesic intervention, while the intervention group accepted intraspinal block analgesia at the time of delivery. The results showed that related to the control group, the intervention group presented shorter first and second stages of labour, higher pelvic organ prolapse quantification (POP-Q) scores (0 and 1 degree) and hand-measured pelvic floor muscle strength scores, lower abnormal rate of muscle fatigue (class I and II), higher values of rapid contraction stage, tension contraction stage, and endurance contraction stage, lower values of pre-resting stage and post-resting stage, lower incidences of urinary retention and incontinence and higher VLQ and SSQ scores. We conclude that the implementation of analgesic delivery in primiparous women can effectively shorten the first and second stages of labor, suppress the damage to pelvic floor function, and elevate maternal satisfaction with sexual life.

The aim of this study was to evaluate the quality of prenatal care among pregnant women in Mardin Artuklu. Study data were collected in August and September 2022. A total of 335 pregnant women participated in this descriptive research. The socio-demographic information form and Prenatal Care Quality Scale were used as data collection tools. The mean total score of the Prenatal Care Quality Questionnaire was 168.66-30.69. Results showed that prenatal visits more than 4 times, giving care from health centers, mothers educational level more than 12 years old, having health insurance are predisposing factors of quality of prenatal care (p<0.05). Although quality prenatal care is the right of every woman, there are still women who do not receive this care sufficiently and who are not aware of the care they receive. The role of midwives is important in raising awareness in women about the quality of prenatal care.

The objective of this study was to evaluate the effect of coronavirus disease perception on somatic sensations and cognitive emotion regulation in pregnant women. The study is a descriptive cross-sectional study. The sample consisted of 144 pregnant women. In the study, the Cognitive Emotion Regulation Scale (CERS) short form, Coronavirus disease perception scale (CVDPS), Coronavirus anxiety scale (CVAS), and Exaggeration of Somatic Sensations Scale (ESSS) were used. In CERS, high scores of "Catastrophizing", "Blaming Others" sub-dimension are the significant variables that predict the scores of Coronavirus Anxiety Scale. Significant variables that predict scores of ESSS within the order of their importance are having high scores for "Rumination", low scores for the presence of smoking and "Positive R-Refocusing" that are the sub-dimensions of CERS. Pregnant women use cognitive distortions such as catastrophizing and blaming others to generate coronavirus anxiety, predictors of exaggerating bodily sensations are increased ruminations and decreased positive refocusing.

This study evaluated the factors affecting maternal satisfaction during labor and neonatal outcomes. This cross-sectional study was conducted with 319 mothers who gave birth in a hospital (01.10.2023-31.03.2024) and volunteered for the study. Data were collected using a personal information form including socio-demographic and obstetric characteristics of the mothers and the 'Birth Satisfaction Scale'. The mean age of the mothers who participated in the study was 28.07±6.44 years. The mean score of the Birth Satisfaction Scale was 22.29±5.03. The sub-dimensions of the scale were found to be significantly affected by mode of delivery, various factors (p<0.05). Positive birth experience also affects maternal satisfaction. This study showed that maternal satisfaction in labor was at a moderate level. It explains that maternal satisfaction in labor is affected by the mode of delivery and other factors. In addition, it is seen that the method of delivery has various negative effects on the newborn.

Women of childbearing age constitute a vital part of the workforce, and some may be working when they start and continue breastfeeding. This study aims to determine the relationship between working mothers' breastfeeding motivation, workplace breastfeeding support, and job satisfaction. This descriptive and correlational study was conducted in Turkey between January and March 2020. Data from 195 mothers, who worked in three different public institutions, were collected in person using the Questionnaire Form and Workplace Breastfeeding Support Scale, Breastfeeding Motivation Scale, and the Minnesota Satisfaction Questionnaire Short Form. We used the statistical tests analyses of variance (ANOVA), Kruskal-Wallis H test, and Spearman's rho correlation analysis, with a significance level of p < 0.05. There was a weak positive correlation between the workplace breastfeeding support total score and breastfeeding intrinsic motivation (r = 0.151, p < 0.05). A weak positive correlation was found between the total score of the job satisfaction scale and the peer and environmental support subscale (r = 0.182, p < 0.05). Participants self-evaluated their breastfeeding competence. The difference between workplace breastfeeding support and breastfeeding competence was significant (F = 4.443, p < 0.05). Working mothers who perceived greater peer and environmental support also reported more breastfeeding intrinsic motivation and higher job satisfaction. Mothers with high breastfeeding competence had positive perceptions of workplace breastfeeding support. The study found no significant relationship between facility support and technical support subscales and job satisfaction.