Music for the Childbearing Family

The therapeutic values of music apply to many experiences in life. The author illustrates how exercise, relaxation, controlled breathing, and sensory stimulation are enhanced by the use of music in childbirth education classes, labor and delivery, nursery, postpartum, and in the home. Charts provide suggestions of musical selections that may be used as well as a guide to tempo and intensity. Adaptations to the clinical setting are also illustrated.     

Music

正推荐理由如果,一种声音,代表着一种品质,那么,赵鹏代表的就是人声低音品牌的高标准测试指标。歌名:早春演唱者:赵鹏(翻唱)赵鹏的声音很特别,人称"人声低音炮"。温暖、磁性的男声轻轻吟唱着老歌,浑厚的低沉嗓音在简单的乐器配合下将旋律摇曳出一种动人的沁心感觉,有着一种沧桑后的温暖,透彻后的了然。     

Music

正推荐理由歌名:送你一朵山茶花演唱者:好妹妹乐队越来越多的人知道他们的名字——好妹妹乐队,越来越多的人知道他们的笑容和他们的歌曲一样温暖,越来越多的人出现在他们的演出现场,沉浸于他们的表演。好妹妹乐队出道两年首张童谣专辑《送你一朵山茶花》。特别写给小朋友的,是一堂课就能学会并全班合唱的歌,用心良苦。     

Very low maternal plasma alpha-fetoprotein concentration. An indication for follow-up

In the course of a screening programme for the detection of fetal neural tube abnormalities by measurement of maternal plasma alpha-fetoprotein (AFP), 57 patients were identified who had plasma AFP levels of less than 7 units/ml at 15-20 weeks gestation. follow-up at the time of screening included requests to confirm that the patient was pregnant and also to repeat the AFP test. Tow patients were lost to follow-up and of the remaining 55, 17 patients (31 per cent) were subsequently shown not to have a live fetus and 31 patients (56 per cent) had incorrect estimates of gestation. No particular reason for the very low plasma AFP could be identified in the other seven patients.     

Individualized Developmental Care for Very Low-Birth-Weight Infants: A Critical Review

Developmental care has been widely accepted and implemented in neonatal intensive care units across the country. Its proponents suggest that individualized developmental care is effective in reducing infant morbidity and length of hospital stay and improving neurodevelopmental outcomes. Although individual components of developmental care have been researched in more depth, few studies have examined a total developmental care protocol. This article critically examines the research base on individualized developmental care and discusses implications for clinical practice and future research.     

Management of Pregnancies With Cervical Shortening: A Very Short Cervix Is a Very Big Problem

Preterm birth (PTB), defined as birth before 37 weeks of gestation, is the leading cause of perinatal morbidity and mortality. PTB is a major cause of long-term health problems in neonates, including respiratory distress syndrome, chronic lung disease (bronchopulmonary dysplasia), infection, intraventricular hemorrhage, and severe neurologic deficit. In the absence of reliable clinical predictors of PTB, obstetric care providers should focus their attention on the 2 best and most widely accepted methods of identifying women at high risk of PTB in both nullipara and multipara: fetal fibronectin and cervical length measurements.Key words: Preterm birth, Cervical length measurement, Cervicovaginal fetal fibronectinPreterm birth (PTB), defined as birth before 37 weeks of gestation, complicates more than 12% of deliveries and is the leading cause of perinatal morbidity and mortality.^1–5 Of all neonatal deaths, 75% to 95% occur as a result of preterm delivery.⁶ The prognosis for individual preterm infants depends primarily on gestational age at birth. Mortality rises from about 2% for infants born at or after 32 weeks to more than 90% for those born at 23 weeks.⁷ The risk of severe handicap in survivors is more than 60% for those born at 23 weeks and less than 5% by 32 weeks.^8–10 PTB is also a major cause of long-term health problems in neonates, including respiratory distress syndrome, chronic lung disease (bronchopulmonary dysplasia), infection, intraventricular hemorrhage, and severe neurologic deficit.^11,12 Unfortunately, despite intensive research efforts, we cannot effectively stop preterm labor and there has been no decrease in the overall incidence of PTB over the past 30 years.^13–16     

Contained Morcellation of Very Large Uterus

A 38-year-old woman was referred to our centre for symptomatic leiomyoma. The patient had a large uterus, heavy menstrual bleeding, and compressive symptoms refractory to medical treatments. The patient was then scheduled for total laparoscopic hysterectomy with contained morcellation.After circular colpotomy completion, a strong, folded, 4-L bag with an additional sleeve for the optics was inserted into the abdominal cavity through the vagina. The colored tabs on the edge of the bag mouth served as landmarks during bag deployment. After ensuring optimal positioning, the entire bag was fully deployed, and the specimen was placed inside. Thereafter, the coloured tabs were joined together, and a monofilament drawstring was cinched to close the bag and pulled out through the suprapubic trocar. Next, the small extra sleeve was brought up through the umbilical incision. The bag was then insufflated, and the power morcellator was inserted through the suprapubic incision. After completing the morcellation, the pneumo bag was evacuated, and knots were made in both openings of the bag to avoid spillage. The closed bag was finally removed through the vagina, with final laparoscopic closure of the vaginal vault.     

Very early pregnancy detection with endovaginal ultrasound

There are many situations in which the earliest possible detection of an intrauterine pregnancy would enhance clinical management. Current radioimmunoassays for hCG can detect pregnancy as early as eight to 12 days post-conception. The ability to document an intrauterine pregnancy with ultrasound has lagged behind by two to three weeks. New high-frequency endovaginal transducers offer the promise of narrowing this gap. This study was undertaken prospectively on 235 patients all amenorrheic for seven weeks or less and requesting either pregnancy testing or termination. All had endovaginal ultrasound scans. We obtained hCG levels when no sac was seen or when the sac was less than 1.0 cm (initial experience revealed that all sacs over 1.0 cm were associated with hCG levels over 6000 mIU/mL) (International Reference Preparation). Ultrasound findings were correlated with pathology specimens and/or hCG levels where appropriate. Results indicated that normal pregnancies can be imaged when: 1) The sac is greater than 0.4 cm; 2) hCG is greater than 1025 mIU/mL (International Reference Preparation); and 3) the uterus is normal with a homogeneous echo pattern. This was not true in three of our cases with diffuse myomatous changes or a coexisting intrauterine device.