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Epidural abscess after multiple lumbar punctures for labour epidural catheter placement

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The Journal of Biomedical Research 2010年第4期24卷 332-335页

作者： Sundeep S.Tumber Department of Anaesthesiology and Pain Medicine University of California

Epidural catheterization is routinely used by anaesthesiologists to provide labour and post-operative analgesia. In most cases, catheter placement is without serious side effects and uneventful. However, epidural abscess is a rare complication that may result in severe morbidity. We present a case of epidural abscess after labour epidural catheter placement in a healthy 36-year-old female who presented on post-partum d 10 with complaints of fever and back pain. She was treated with intravenous antibiotics and fully recovered.

关键词： labour epidural abscess catheters analgesia

Ultrasound Evaluation of Caesarean Scar of Prelabour and labour Caesarean Sections: A Cross Sectional Analytical Study

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Open Journal of Obstetrics and Gynecology 2023年第7期13卷 1287-1306页

作者： Nisansala Perera Thiran Dias Colombo North Teaching Hospital Ragama Sri Lanka Faculty of Medicine University of Kelaniya Kelaniya Sri Lanka

Caesarean section is dramatically increased throughout the world in recent years. Rupture of the uterus is a devastating complication in trial of labour following previous Caesarean section. Evidence suggests that the size of the uterine scar and the residual myometrial thickness (RMT) are associated directly with the risk of uterine rupture and risk of dehiscence in subsequent deliveries. Impact of the prelabour and labour Cesarean section on the RMT has not been studied in detail. Objectives: To compare RMT, Caesarean scar defects and to evaluate the elasticity of the Caesarean scar between women who underwent prelabour and labour Caesarean sections. Methods: This was a Cross sectional analytical study. Women who underwent Caesarean section in their first pregnancy were recruited. Sample was stratified to prelabour and labour Caesarean section groups. Transvaginal ultrasound scan was performed six months following the Caesarean section. Dimensions of the uterus, uterine scar defect, RMT and elastosonography of the uterine scar were assessed. Results: A total of 240 postpartum women were analyzed. Uterine niche was detectable in 194 subjects. Prelabour CS group had demonstrated 91.7% (n = 110) scar defects (uterine niche) out of 120 cases and the rate among labour CS group was 70% (n = 84). There was a significant difference in the presence of uterine niche among 2 groups as Prelabour group was found to have more scar defects (p mm (SD 1.2) and 4.99 mm (SD 1.3) respectively and there was no significant difference (t = 0.38, p = 0.71). There was no significant difference between the dimensions of the uterine CS defects of the studied groups. Prelabour CS group had significantly higher Target strain [0.28 vs. 0.24 (t = 2.12, p = 0.04)] and significantly less strain ratio [1.45 vs. 1.55 (t -2.42, p = 0.04)] than labour CS group indicating a better scar in prelabour group. Conclusion: There was no significant difference in RMT and uterine scar defects between prelabour and labour Caesarean section groups. But prelab

关键词： Caesarean Section Scar Residual Myometrial Thickness labour

Experience of Analgesia during labour in a Sub-Saharan Hospital Setting

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Open Journal of Anesthesiology 2022年第4期12卷 135-145页

作者： Junie Annick Ntsama Metogo Junette Arlette Mbengono Metogo Felix Essiben Clinton Kamga Albet Ludovic Amengle Ferdinand Ndom Ntock Wilfried Loïc Tatsipie Pascal Foumane Jacqueline Ze Minkande Department of Obstetrics and Gynaecology Yaounde Hospital Centre for Research and Application in Endoscopic Surgery and Human Reproduction Faculty of Medicine and Biomedical Sciences University of Yaound&eacute I Yaound&eacute Cameroon Department of Anaesthesiology and Intensive Care Douala General Hospital Faculty of Medicine and Pharmaceutical Sciences University of Douala Douala Cameroon Department of Obstetrics and Gynaecology Central Hospital of Yaound&eacute Faculty of Medicine and Biomedical Sciences University of Yaound&eacute I Yaound&eacute Cameroon Faculty of Medicine and Biomedical Sciences University of Yaound&eacute I Yaound&eacute Cameroon Department of Anaesthesiology nd Intensive Care Yaound&eacute Gyneaco-Obstetric and Paediatric Hospital Faculty of Medicine and Biomedical Sciences University of Yaound&eacute I Yaound&eacute Cameroon Department of Obstetrics and Gynaecology Gynaeco-Obstetric and Paediatric Hospital of Yaoundé Faculty of Medicine and Biomedical Sciences University of Yaound&eacute I Yaound&eacute Cameroon

The pain experienced during labour varies from one person to another. The objective of this study is to evaluate the experience of analgesia during labour in three maternity hospitals in Cameroon. Methodology: This was a cross-sectional analytical study conducted over 4 months, from 1 December 2019 to 31 March 2020, at the Yaoundé Gynaecological-Obstetric Hospital, the Yaoundé Central Hospital and the Douala General Hospital. We compared 35 parturients who delivered vaginally under analgesia and 79 parturients who delivered without analgesia. The data collected were compared using Chi 2 and Fischer tests with a significance level of P Results: Parturients aged 30 - 40 years (P = 0.03), public sector employees (P = 0.002) and private sector employees (P Conclusion: Analgesia delivery offers a better birth experience, however it may have negligible side effects.

关键词： Experience Analgesia labour Pain

Marx and Modernity： Rethinking labour, Capital, and Capitalism

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Frontiers of History in China 2012年第3期7卷 330-343页

作者： Moishe Postone Department of History The University of Chicago Chicago IL 60637 USA

This article argues that China＇s modern historical development and, more generally, modern global developments can be illuminated by a renewed encounter with Marx＇s critical analysis of capitalism. This renewed encounter entails a fundamental critique of traditional Marxism＇s understanding of capitalism and of socialism. It seeks to explain the historically dynamic character of capitalist society as a system of ongoing constraints. This central feature of the contemporary world cannot be grasped adequately by intellectual paradigms, such as theories of identity or of politics, which have been dominant in recent decades. The approach outlined here analyzes capitalist modernity as structured by a historically unique social function of labour, and is based on a fundamental reevaluation of the meaning of labour in Marx＇s analysis as the object, rather than the standpoint of his critique. The Marx＇s analytic categories also calls transhistorically valid social science. focus on the historical specificity of into question any conception of a

关键词： Marx historical dynamic labour capital historical specificity

Imagining a Different Future--Anarchist Equality and the Form of labour in the Journal of Natural Justice

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Frontiers of History in China 2012年第3期7卷 376-403页

作者： Zhihang Qiao The School of Information and Communication Meiji University Tokyo 1688555 Japan

In the late Qing, China entered the capitalist world-system and this brought about a structural change in society. In this context, late Qing intellectuals felt a double imperative： they had to combat imperialist invasion and economic plunder and therefore they had to establish a nation-state, which presupposed capitalist development. However, on the other hand, they saw the various problems associated with capitalism, and as they were developing their narratives of identity, they needed to find conceptual resources to counter Eurocentric narratives of history. Consequently, these intellectuals harbored a desire to overcome capitalism. This desire produced various post-capitalist utopias, which we can see in Kang Youwei, Tan Sitong and Zhang Taiyan. These utopias are especially meaningful today, in an age where capitalist domination is heightened, but hope for a post-capitalist future has greatly diminished. ＂Equality＂ is a keyword with which late Qing intellectuals mapped out the future. Moreover, ＂equality＂ expresses precisely the above doubled movement： on the one hand, it constitutes the condition for the nation state, but on the other hand, it is also a concept that late Qing intellectuals used to imagine a different future. Discussions of equality directly dealt with issues of labour, women, and so on. This essay takes as its focus the Journal of Natural Justice, which was organized by the Society for the Restoration of Women＇s rights organized by He Zhen, Liu Shipei and others. This journal published for less than one year, but it was one of the main joumals promoting socialism and anarchism. It was also the first to directly discuss ＂labour,＂ and it proposed an ideal of equality in which ＂everyone has work and everyone labours.＂ Throughout the rest of China＇s twentieth century, leftist and Marxist intellectuals continued this emphasis on labour. But capitalism presupposes that everyone is equal as a free-labourer. In this case, what is the relationship between the utopia proposed by the Journal of Natural

关键词： He Zhen Tianyi bao （the Journal of Natural Justice） Liu Shipei,Chinese Anarchism equality labour Marxism Capitalism Utopia

SOME ASPECTS OF EXPORT labour SERVICE IN CHINA

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Chinese Geographical Science 1996年第1期6卷 1-14页

作者：阎小培

ＳＯＭＥＡＳＰＥＣＴＳＯＦＥＸＰＯＲＴＬＡＢＯＵＲＳＥＲＶＩＣＥＩＮＣＨＩＮＡ阎小培ＳＯＭＥＡＳＰＥＣＴＳＯＦＥＸＰＯＲＴＬＡＢＯＵＲＳＥＲＶＩＣＥＩＮＣＨＩＮＡ￥ＹａｎＸｉａｏｐｅｉ（ＣｅｎｔｒｅｆｏｒＵｒｂａｎ＆... 详细信息

ＳＯＭＥＡＳＰＥＣＴＳＯＦＥＸＰＯＲＴＬＡＢＯＵＲＳＥＲＶＩＣＥＩＮＣＨＩＮＡ阎小培ＳＯＭＥＡＳＰＥＣＴＳＯＦＥＸＰＯＲＴＬＡＢＯＵＲＳＥＲＶＩＣＥＩＮＣＨＩＮＡ￥ＹａｎＸｉａｏｐｅｉ（ＣｅｎｔｒｅｆｏｒＵｒｂａｎ＆ＲｅｇｉｏｎａｌＳｔｕｄｉｅｓ，Ｚ...

关键词： export labour service international migration.

labour analgesia effects on foetal heart rate. A mini-review

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Open Journal of Obstetrics and Gynecology 2011年第3期1卷 113-120页

作者： Nicole Maria Anna Adela Engel Marc Van de Velde Jan Gerrit Nijhuis M. A. E. Marcus 不详

Foetal well-being during labour is of utmost importance. One of the ways to attempt to assess foetal well-being is by recording foetal heart rate (FHR). Loss of variability and deceleration patterns are known to be associated with foetal distress. Decelerations and foetal bradycardia have been described after any type of effective labour analgesia. This review addresses the questions if certain analgesic techniques and/or analgesics lead to clinically relevant FHR changes, what is their aetiology, and how we should manage these FHR changes.

关键词： labour Analgesia Foetal Heart Rate Changes Epidural Analgesia Combined Spinal Epidural Intravenous Analgesia

Pain Relief in labour: How Can We Improve Intrapartum Care?

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Open Journal of Obstetrics and Gynecology 2016年第13期6卷 785-793页

作者： Sally Byford Edward Weaver Nambour General Hospital Nambour Australia University of Queensland Brisbane Australia

Background: Pain in labour is perceived differently for every individual. We can improve the outcomes and patient satisfaction with intrapartum care by ensuring adequate education and appropriate use of requested pain relief options. Encouraging informed personal control contributes to a women’s overall satisfaction. Aims: To assess current practice and identify improvement areas in the perception, planning and use of pain relief options, and how this impacts satisfaction of pain relief in labour. Methods: 114 retrospective anonymous patient questionnaires were returned by women delivering by spontaneous vaginal delivery, instrumental delivery or emergency caesarean section at Nambour General Hospital between April and July 2011. Data were collated and analysed using STATA. Results: 83% and 65% of women had their pain relief options explained antenatally and on admission respectively. 92% reported their pain relief was adequately provided. There was a significant difference (p Conclusions: Education of pain relief options for labour antenatally and on birth suite admission, with adequate discussion and documentation of their wishes encourages informed planning and use of pain relief. This promotes personal choice and control, resulting in improved overall satisfaction of pain relief in labour.

关键词： Pain Relief Childbirth labour

Relationship between Bishop Score and Success of Induction of labour in Federal Teaching Hospital, Abakaliki, Ebonyi State

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Open Journal of Obstetrics and Gynecology 2018年第11期8卷 980-992页

作者： Arinze Chidiebele Ikeotuonye Chidebe Christian Anikwe Johnson Akuma Obuna Bartholomew Chukwunonye Okorochukwu Brown Nnamdi Ejikeme Chinedu Chukwuemeka Ifemelumma Ifeoma Cecilia Ekwunife Francis Chigozie Okoroafor Department of Obstetrics and Gynaecology Federal Teaching Hospital Abakaliki Ebonyi State Abakaliki Nigeria Department of Obstetrics and Gynaecology Federal Medical Centre Owerri Nigeria

Background: The ripeness of the cervix is of critical importance to the probability of successful labour induction. Aim: To determine the relationship between successful induction of labour and Bishop score. Materials and Methods: A retrospective study of all obstetric patients who had induction of labour between January 1st 2012 and December 31st 2015 was done in Federal Teaching Hospital Abakaliki. The information obtained from patients’ case notes was analyzed using descriptive and inferential statistics at an alpha level of 0.05 for all statistical tests. Results: During the study period, there were 9548 deliveries;2.76% (264) was by induction of labour with success rate of 75.4%. The mean age of the women was 28.4 ± 5.8 years;majority where nulliparous (45.45%). The most common indication for induction of labour was postdatism (43.94%). Success of induction of labour was most likely at Bishop score of 8 to 10 (OR = 0.79, 95% CI 0.72 - 0.84). Induction delivery interval was shortest with use of Foley catheter and misoprostol. Conclusion: Our study has shown that success of induction of labour was most likely at Bishop Score of 8 - 10. We advocate the use of Foley catheter and misoprostol for cervical ripening especially when there is need to expedite delivery.

关键词： Bishop Score Induction of labour Induction Delivery Interval Latent Period Interval Misoprostol