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Nursing model of midwifery and postural and psychological interventions:Impact on maternal and fetal outcomes and negative emotions of primiparas

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World Journal of Psychiatry 2023年第8期13卷 543-550页

作者： Ping Gao Cai-Qiong Guo Ma-Yu Chen Hui-Ping Zhuang Department of Obstetrics and Gynecology Quanzhou Maternity and Child Healthcare HospitalQuanzhou 362017Fujian ProvinceChina School of Nursing Fujian Medical UniversityQuanzhou 350108Fujian ProvinceChina Department of Obstetrics and Gynecology The 910th Hospital of the People's Liberation Army Joint Logistic Support ForceQuanzhou 362008Fujian ProvinceChina

BACKGROUND Primiparas are usually at high risk of experiencing perinatal depression,which may cause prolonged labor,increased blood loss,and intensified pain,affecting maternal and fetal ***,interventions are necessary to improve maternal and fetal outcomes and alleviate primiparas’negative emotions(NEs).AIM To discusses the impact of nursing responsibility in midwifery and postural and psychological interventions on maternal and fetal outcomes as well as primiparas’*** As participants,115 primiparas admitted to Quanzhou Maternity and Child Healthcare Hospital between May 2020 and May 2022 were *** them,56 primiparas(control group,Con)were subjected to conventional midwifery and routine *** remaining 59(research group,Res)were subjected to the nursing model of midwifery and postural and psychological *** groups were comparatively analyzed from the perspectives of delivery mode(cesarean,natural,or forceps-assisted),maternal and fetal outcomes(uterine inertia,postpartum hemorrhage,placental abruption,neonatal pulmonary injury,and neonatal asphyxia),NEs(Hamilton Anxiety/Depressionrating Scale,HAMA/HAMD),labor duration,and nursing *** The Res exhibited a markedly higher natural delivery rate and nursing satisfaction than the ***,the Res indicated a lower incidence of adverse events(e.g.,uterine inertia,postpartum hemorrhage,placental abruption,neonatal lung injury,and neonatal asphyxia)and shortened duration of various stages of *** also showed statistically lower post-interventional HAMA and HAMD scores than the Con and pre-interventional *** The nursing model of midwifery and postural and psychological interventions increase the natural delivery rate and reduce the duration of each labor *** are also conducive to improving maternal and fetal outcomes and mitigating primiparas’NEs and thus deserve popularity in clinical practice.

关键词： Nursing model of midwifery Postural intervention Primipara maternal and fetal outcomes Negative emotions

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Effects of Aspirin on Pregnancy Outcome and Serum Endothelin-1 and Thrombomodulin Levels in Pregnancy Patients with Chronic Hypertension

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Open Journal of Obstetrics and Gynecology 2021年第8期11卷 1073-1080页

作者： Yu Cai Jianjun Zhai Bibo Feng Rui Chen Xingyue Tian Department of Gynecology and Obstetrics Beijing Tongren Hospital Affiliated to Capital Medical University Beijing China Department of Laboratory Medicine Beijing Tongren Hospital Affiliated to Capital Medical University Beijing China

Objective: To investigate the effect of aspirin on pregnancy outcome and serum levels of endothelin-1 (ET-1) and thrombomodulin (TM) in pregnancy patients with chronic hypertension. Methods: Selected patients with chronic hypertension (mild to moderate) during pregnancy, who were enrolled and delivered in the Beijing Tongren Hospital Department of Obstetrics and Gynecology between January 1, 2019 and December 30, 2020. The patients were randomly divided into control group (60) and experimental group (60). The control group was treated with labetalol and the test group was treated with labetalol and aspirin. The therapeutic effect and pregnancy outcome of the two groups were compared. The serum levels of ET-1 and TM were measured before treatment and one week after treatment. Results: Systolic blood pressure (SBP) decreased significantly one week after treatment in the two groups (P Conclusion: Besides routine treatment, aspirin can improve the outcome of pregnant women with chronic hypertension, which may be related to the regulation of ET-1 and TM by aspirin.

关键词： Pregnancy with Chronic Hypertension Aspirin maternal and fetal outcomes ET-1 TM

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Clinical Presentation, Management and Materno-fetal Outcome of Patients with HELLP Syndrome at the Yaoundé Gyneco-Obstetrics and Pediatric Hospital

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Open Journal of Obstetrics and Gynecology 2023年第8期13卷 1432-1451页

作者： Nzometia Crysantus Yimlefack Foumane Pascal Dohbit Julius Sama Kenn Chi Ndi Daniel Tarh Ketchen Claude Hector Mbia Robinson Enow Mbu Faculty of Medicine and Biomedical Sciences University of Yaounde 1 Yaoundé Cameroon

Background: HELLP (Hemolysis, Elevated Liver enzymes and Low Platelets) syndrome is a common complication of severe preeclampsia, with a high maternal and perinatal mortality rate. Data on HELLP syndrome is scanty in our setting. We sought to study the clinical presentation, management, and materno-fetal outcome of patients with HELLP syndrome at the Yaoundé Gyneco-Obstetrics and Pediatric Hospital (YGOPH). Methods: This was a cross-sectional, analytical study with a retrospective data collection of patients, diagnosed with HELLP syndrome at the YGOPH between 1st January 2020 and 31st July 2021. Data were analyzed using the software R version 4.0.2. Results are presented as mean ± standard deviation, frequencies and percentages. P values fetal outcome was: still birth (31.2%), intra-uterine growth restriction/low birth weight (12.5%), term delivery (≥37 weeks) (31.3%), and preterm deliveries (<37 weeks) (68.7%). Three (18.8%) of the neonates delivered alive presented with a poor Apgar score at the 5th minute. Conclusi

关键词： HELLP Syndrome Clinical Presentation Management maternal and fetal outcomes

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Application of Laparoscopy in the Diagnosis and Treatment of Pregnancy Complicated with Uterine Myomas

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maternal-fetal Medicine 2023年第3期5卷 199-202页

作者： Siyun Wang Ruixi Zhan Ling Yin Department of Obstetrics and Gynecology Peking University First HospitalBeijing 100034China

To editor:Uterine myomas are the most common benign tumors of the female reproductive system,with a reported prevalence of 0.1%to 3.9%during pregnancy.1 Among these,10%to 30%cause severe pregnancy complications including miscarriage,placenta previa,fetal growth restriction,preterm labor,fetal malpresentations,and postpartum hemorrhage related to the number,volume,and location of myomas.2,3 Uterine myomas are usually asymptomatic but occasionally may cause acute abdominal pain secondary to pedunculated myoma torsion or compression of urinary and gastrointestinal organs.

关键词： Laparoscopy Uterine myomectomy maternal and fetal outcomes Pregnancy

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