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Mediating effect of mindfulness level on the relationship between marital quality and postpartum depression among primiparas

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World Journal of Clinical Cases 2023年第12期11卷 2729-2739页

作者： Jian Yang Xin-Zhu Lin Qian-Wen Guo Cheng-Ling Wang Ren-Yan Yang Jun-Wen Zhang Yan Zeng Department of Gastroenterology The First Affiliated Hospital of Chongqing Medical UniversityChongqing 400016China Department of Psychology The Second Affiliated Hospital of Chongqing Medical UniversityChongqing 400010China Department of Obstetrics the Second Affiliated Hospital of Chongqing Medical UniversityChongqing 400010China Department of Obstetrics Chongqing Shizhu Tujia Autonomous County People’s HospitalChongqing 409100China

BACKGROUND Postpartum depression refers to a depressive episode or depressive symptoms up to 12 mo after *** mindfulness has presented a protective factor for postpartum depressive symptoms and proved efficient in improving relationship satisfaction among *** To investigate the correlations among mindfulness,marital quality,anxiety,and depression in a large city in western China during the post-corona virus infectious disease-2019 era and determine whether trait mindfulness mediates the relationship between marital quality and postpartum anxiety and depression among *** A cross-sectional study was *** self-administered questionnaire was submitted online through *** levels of mindfulness,anxiety,depression,and marital quality were respectively investigated by the mindful attention awareness scale(MAAS),the self-rating anxiety scale(SAS),the selfrating depression scale(SDS),and the marriage perception scale(MPS)in these enrolled Han and Tujia *** No statistical significance was observed in the prevalence of postpartum anxiety and depression,nor scores of MAAS and MPS-Total in different regions or ethnicities(P>0.05).However,MPSMarital interaction(Pprimiparas were higher than those of rural *** MPS-MC score of Han primiparas was higher than that of Tujia primiparas(P<0.05).Negative correlations were observed between MAAS and SAS(r=-0.457,P<0.01),and MAAS and SDS(r=-0.439,P<0.01).SAS has revealed a highly positive correlation with SDS(r=0.720,P<0.01)and a weak negative correlation with MPS(r=-0.200,P<0.05).Besides,a weak negative correlation was observed between MAAS and MPS-MC(r=-0.184,P<0.05),and a weak positive correlation was noticed between SAS and MPS-MC(r=-0.225,P<0.01).Mediation analysis demonstrated a full mediation effect of mindfulness level on the relationship between MPS-FR a

关键词： Mediating effect Mindfulness Marital quality Postpartum depression Postpartum anxiety primiparas

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How Effective Is Cervical Ripening Using the Controlled-Release Dinoprostone Vaginal Delivery System for primiparas with Unruptured Membranes?

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Open Journal of Obstetrics and Gynecology 2024年第8期14卷 1185-1196页

作者： Yoshino Kinjyo Yukiko Chinen Tadatsugu Kinjo Shuko Chinen Keiko Mekaru Department of Obstetrics and Gynecology Graduate School of Medicine University of the Ryukyus Okinawa Japan

Background: Labor induction has a low success rate, especially in primiparas with unruptured membranes. Previous studies focused on pregnant women with unruptured membranes, but none specifically targeted primiparas. Aims: To compare the effectiveness of a controlled-release dinoprostone vaginal delivery system for cervical dilatation (PROPESS) with that of mechanical dilation for labor induction in primiparous women with unruptured membranes. Materials and Methods: We retrospectively analyzed the data of 90 primiparas with unruptured membranes (41 and 49 in the PROPESS and mechanical dilation groups, respectively). The primary outcome was the cesarean section (CS) rate. The secondary outcomes were the prevalence of vaginal delivery within 12 or 24 h after the initial insertion, oxytocin usage rate, chorioamnionitis, additional use of mechanical dilation in the PROPESS group, and neonatal outcomes. Results: The CS rate was significantly lower in the PROPESS group than in the mechanical dilation group (p = 0.02). A total of 13 patients (31.7%) delivered within 24 h with PROPESS alone, indicating a significantly higher rate of delivery within 24 h in the PROPESS group (p = 0.02). Fewer patients required additional oxytocin in the PROPESS group than in the mechanical dilation group (p = 0.001). However, 14 (34%) patients in the PROPESS group required additional mechanical cervical dilation, resulting in a longer time to delivery than mechanical dilation. Conclusions: PROPESS significantly reduced CS rates and increased delivery rates 24 h after the initial insertion in primiparas with unruptured membranes compared to mechanical dilatation. However, failure to respond to PROPESS resulted in an overall longer delivery time than that of the conventional mechanical dilation group;therefore, identifying predictors of response to PROPESS is necessary.

关键词： PROPESS Labor Induction primiparas Cervical Ripening Unruptured Membranes

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Direct Interventional Discussion Effectively Improves Awareness and Knowledge about Modern Contraceptive Methods

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Advances in Reproductive Sciences 2020年第1期8卷 1-13页

作者： Abdelhaseib S. Saad Amr Sharafeldeen Departments of Obstetrics & Gynecology Faculty of Medicine Menoufia Universities Al Minufya Egypt Departments of Obstetrics & Gynecology Faculty of Medicine Benha Universities Benha Egypt

Objectives: Determination of influence of direct interview of postpartum women about their awareness and knowledge regarding contraception and modern contraceptive methods. Patients & Methods: 1437 women joined the intervention and underwent evaluation of their knowledge about the concept and methods of contraception. Then, an interview was conducted with each woman to clarify advantages and appropriateness of various contraceptives and the proper time for initiation of contraception. All women were asked to discuss these data with their families and return to give their decision. Study outcomes included evaluation of women’s knowledge about contraception and its modalities, frequency of non-users who accepted to use contraception and is considered as success of the intervention and frequency of requesting each modality of contraception. Results: TV programs and discussion with local health provider, relatives or friends are the main sources of knowledge of primiparas. 182 primiparas had good knowledge and chose the appropriate method of contraception during the 1st session of discussion, and 81 primiparas required >2 sessions to choose the method appropriate for them, while 21 primiparas insisted not to use contraception for an acceptance rate of 92.6% among primipara. Among multiparas, 222 multiparas were non-users, but after discussion 133 couples accepted to use contraception. Thus, 396 non-users had accepted to use contraception for an intervention success rate of 78.3%. Collectively 692 women (52.1%) received IUD and 635 women (47.9%) received hormonal contraception;432 orally (32.6%) and 203 parenterally (15.3%). Conclusion: Ignorance, low financial status and cultural beliefs deleteriously affect knowledge about contraception options and its methods, so direct interview is mandatory. The applied intervention succeeded to replenish women’s knowledge about benefits of using contraception. primiparas had knowledge about contraception but their knowledge about m

关键词： Knowledge Contraception Modern Methods primiparas Intrauterine Device

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Materno-Foetal Morbidity in the Second Stage of Labour: A Cohort Study in Primiparous Women in Yaounde

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Open Journal of Obstetrics and Gynecology 2021年第12期11卷 1725-1734页

作者： Félix Essiben Khadidja Bayero Hapsatou Ahmadou Djoulatou Maye Ange Ngo Dingom Julius Sama Dohbit Cliford Ebontane Ebong Pascal Foumane Faculty of Medicine and Biomedical Sciences the University of Yaoundé I Yaoundé Cameroon Department of Obstetrics and Gynecology Faculty of Medicine and Biomedical Sciences Yaoundé Central Hospital Yaoundé Cameroon Central Maternity Yaoundé Central Hospital Yaoundé Cameroon Department of Obstetrics and Gynecology Yaounde Gyneco-Obstetric and Pediatric Hospital Yaoundé Cameroon

Introduction: Prolonged Second Stage of Labor (SSL) is known to increase maternal and foetal morbidity. We, therefore, aimed to assess for the occurrence of complications of the SSL in relation to its duration in primiparous women in Yaounde. Methods: It was a cohort study carried out at the Yaounde Gynaeco-Obstetric and Paediatric Hospital over a period of 6 months, from December 19, 2018 through May 3, 2019. We included for the study nulliparous pregnant women with singleton pregnancies and normal uteri. Data collected were analysed using EPI info 7 and SPSS version 2.0 software. Results: Amongst 327 nulliparas, the SSL lasted more than one hour in 120 (36.7%), and more than two hours in 42 (12.8%). The most common maternal complications observed were genital lacerations (23.6%;28/120), instrumental deliveries (20.2%, 24/120), post-partum haemorrhage (8.9%). Foetal complications included caput succedaneum (15.2%;18/120) and perinatal asphyxia (7.5%;9/120). Maternal complications were significantly increased in women with an SSL lasting 1 - 2 hours (44.9% versus 22.7%;p 0.001) and >2 hours (42.9% versus 22.7%;p = 0.007). Similarly, for foetal complications 23.1% occurred with SSLs between 1 -

关键词： Second Stage of Labour Duration primiparas Morbidity Yaounde

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