The psychological effects of aromatherapy-massage in healthy postpartum mothers

This study examined the effect of aromatherapy-massage in healthy postpartum mothers. A quasi-experimental between-groups design was used. Mothers who received aromatherapy-massage were compared with a control group who received standard postpartum care. Thirty-six healthy, first-time mothers with vaginal delivery of a full-term, healthy infant participated in this study. Sixteen mothers received a 30-minute aromatherapy-massage on the second postpartum day; 20 mothers were in the control group. All mothers completed the following four standardized questionnaires before and after the intervention: 1) Maternity Blues Scale; 2) State-Trait Anxiety Inventory; 3) Profile of Mood States (POMS); and 4) Feeling toward Baby Scale. In the aromatherapy-massage group, posttreatment scores significantly decreased for the Maternity Blues Scale, the State-Anxiety Inventory, and all but one of the Profile of Mood States subscales. Posttreatment scores in the intervention group significantly increased in Profile of Mood States-Vigor subscale and the Approach Feeling toward Baby subscale. Scores in the intervention group significantly decreased in Conflict Index of Avoidance/Approach Feeling toward Baby subscale. Our results suggest that aromatherapy-massage might be an effective intervention for postpartum mothers to improve physical and mental status and to facilitate mother-infant interaction.     

消结止痛汤辅助治疗产褥期急性乳腺炎100例

目的:观察消结止痛汤辅助治疗产褥期急性乳腺炎的临床疗效。方法:选择2013年1月—2015年1月本院200例产褥期急性乳腺炎患者作为研究对象,随机分为常规治疗组和消结止痛汤治疗组,每组100例,常规治疗组采用常规治疗,消结止痛汤治疗组在常规治疗的基础上给予消结止痛汤辅助治疗,比较两组患者临床疗效、临床症状改善情况。结果:常规治疗组治愈62例,显效19例,有效7例,无效12例,有效率为88.0%,消结止痛汤治疗组治愈84例,显效13例,有效1例,无效2例,有效率为98.0%,两组有效率比较,差异有统计学意义(P0.05);常规治疗组患者临床症状改善时间明显长于消结止痛汤治疗组,差异有统计学意义(P0.05);消结止痛汤治疗组患者生活质量总评分明显高于常规治疗组,组间比较差异有统计学意义(P0.05)。结论:采用消结止痛汤辅助治疗产褥期急性乳腺炎可有效提高患者临床疗效,提升患者生活质量。     

Assessment of pregnancy-associated,within-woman change in uterine length

Abstract

Objective: To evaluate how absolute uterine length changes as a result of pregnancy.

Methods: Longitudinal repeated-measures study of all women presenting to a university-affiliated clinic for uterine sounding prior to in vitro fertilization (IVF) who went on to deliver at term and return for repeat measurement from 2002 to 2012. Change in uterine length was assessed by the Wilcoxon signed-rank test.

Results: Among 495 women, mean pregnancy-associated change in uterine length was 0.0?cm (SD?±?0.7, p?=?0.84), with 31% of women experiencing no change and 75% of women experiencing a change ≤0.5?cm. Mean uterine lengths at pre-cycle and repeat measurement were 7.2?cm (SD?±?0.7) and 7.2?cm (SD?±?0.7) with medians of 7.0?cm (IQR 7.0–7.5) and 7.0?cm (IQR 6.8–7.8), respectively. Change in uterine length did not vary by gestational number or within time interval between measurements (all p?>?0.5).

Conclusions: There was no difference in uterine length before and after term pregnancy. The finding of minimal variation in uterine length both across and within women suggests uterine length may be relatively stable such that patients undergoing IVF after term IVF pregnancy may not require repeat measurement. Future studies might assess pregnancy-associated sonographic changes in uterine volume and the relationship between uterine length and IVF outcomes.     

The clinical course of Behçet's disease in pregnancy: a retrospective analysis and review of the literature

Although Behçet's disease is mainly diagnosed during the reproductive periods of life, we know little about the influence of pregnancy on the clinical course of Behçet's disease. Therefore, we analyzed the relationship between Behçet's disease and pregnancy retrospectively, in order to detect any possible interaction between the two multisystemic processes, particularly in regard to the influence of pregnancy on the clinical course of Behçet's disease. We studied 44 pregnancies in 28 women with Behçet's disease. The diagnoses were made according to the criteria of the International Study Group for Behçet's disease. The patients were observed during pregnancy and puerperium periods at monthly intervals. The existence and incidence of symptoms were recorded during these periods. There was remission of Behçet's disease during 23 (52.3%) pregnancies, although the disease had been in a stage of exacerbation before pregnancy. The disease became exacerbated during 12 (27.3%) pregnancies, although it had been in a stage of remission before pregnancy. There were no changes in the clinical course of Behçet's disease in 9 (20.4%) pregnancies. The most frequent manifestations of the clinical exacerbation were increases in the intensity and severity of outbreaks of oral ulcers during pregnancy. Outbreaks of genital ulcers, eye inflammations, and arthritis were other signs of exacerbation. Other than spontaneous abortion in three patients, we did not observe maternal or fetal complications. Although Behçet's disease tends toward remission during pregnancy, the influence of pregnancy on its clinical course is quite variable between patients and even during different pregnancies in the same patient. On the basis of our and previous results, we speculate that pregnancy in general does not seem to markedly affect the natural course of Behçet's disease.     

影响产褥期妇女坚持盆底肌功能锻炼的原因与护理对策

盆底肌功能锻练是以锻炼耻骨和尾骨肌为主的一种主动式盆底肌锻炼康复的方法。产后长期坚持盆底肌肉锻炼是目前公认的防治产后尿失禁的简单易行、无痛、有效的方法,同时能有效提高盆底肌肉张力,改善阴道前壁脱垂。但目前仍有部分产褥期妇女缺乏对盆底肌功能锻炼的认识,产后未能坚持进行盆底肌功能锻炼,这很大程度上增加了女性盆底功能障碍性疾病的发生。现将影响产褥期妇女坚持盆底肌功能锻炼的原因及采取的护理对策分析如下。     

孕产期因素对早产儿青春期智力水平的影响

目的: 探索孕产期因素对早产儿青春期智力发育的影响。方法: 运用病例对照研究的方法,对99名11~16岁的早产儿病例组和99名足月产对照组(按同性别、同年级、年龄相差不超过0.5岁、家庭环境相似等配对),采用中国韦氏儿童智力量表(C-WISC)进行智力测试,并分析孕产期因素对早产儿青春期智力水平的影响。结果: 影响早产儿青春期智力水平的因素有母亲孕早期阴道出血、孕中晚期阴道出血、胎膜早破与分娩方式;孕产期因素对足月产儿青春期智力发育无影响。结论: 预防妊娠期阴道出血、胎膜早破以及采取剖宫产的分娩方式有利于早产儿的智力发育。     

Bacterial flora in the uterine endometrial cavity of healthy subjects on the first and fifth days of the puerperium

This study was designed to investigate bacterial flora of the endometrial cavity in healthy puerperae. Thirty puerperae who underwent an uneventful course in pregnancy, delivery or postpartum were subjects for this study. Intrauterine contents were collected on the first and fifth days of the puerperium and submitted for microbiologic examination. On the puerperal first day, a total of 76 strains (53 strains of aerobic bacteria, 21 strains of anaerobic bacteria, and 2 strains of fungi) were detected in the uteri of the 30 subjects. More than 2 strains were detected in 97% (29/30 subjects). The incidence of aerobic gram-positive cocci, aerobic gram-negative bacilli, and anaerobic bacteria was 51%, 16%, and 28% of 76 strains, respectively. On the puerperal fifth day, a total of 102 strains (68 strains of aerobic bacteria, 30 strains of anaerobic bacteria, and 4 strains of fungi) were detected in the uteri of the 30 subjects. More than 2 strains were detected in 97% (29/30 subjects). The incidence of aerobic gram-positive cocci, aerobic gram-negative bacilli, and anaerobic bacteria was 46.1%, 18.6%, and 29.4% of the 102 strains, respectively. The population of the former seemed to decrease, and that of the latter 2 seemed to increase during the postpartum course. However, the number of strains detected for these 3 classifications of bacteria increased from the first to fifth postpartum day. There is no significance between bacterial strains and frequency detected, using the 2×39 chi-square test (P=0.571). There is no significance between classification of bacteria and frequency detected, using the 2×7 chi-square test.     

妊娠合并糖尿病对产妇剖宫产后产褥期感染病原菌特点及耐药性的影响

目的 探讨妊娠合并糖尿病对产妇剖宫产后产褥期感染病原菌特点及耐药性的影响。方法 回顾性分析2018年5月—2021年7月贵阳市妇幼保健院79例剖宫产后产褥期感染患者的临床资料,根据妊娠期是否合并糖尿病分为研究组47例（妊娠合并糖尿病）和对照组32例（妊娠未合并糖尿病）。比较两组患者的一般资料、不同感染部位病原菌特点、产褥期感染病原菌分布情况、产褥期感染的主要革兰阳性菌（金黄色葡萄球菌、表皮葡萄糖菌）和主要革兰阴性菌（大肠埃希菌、铜绿假单胞菌）对常见抗菌药物的耐药性。结果 两组孕周、喂养方式、感染部位、年龄、产程比较,差异无统计学意义（P>0.05）;79例剖宫产后产褥期感染患者中共分离检出94株菌株（对照组41株、研究组53株）,两组病原菌感染部位比较,差异无统计学意义（P>0.05）;94株菌株中革兰阳性菌50株（53.19%）,革兰阴性菌32株（34.04%）,真菌12株（12.77%）,两组产褥期感染的革兰阳性菌、真菌数比较,差异无统计学意义（P>0.05）,研究组产褥期感染的革兰阴性菌多于对照组（P <0.05）;研究组产褥期感染的革兰阴性菌中大肠埃希菌...     

产后延续性护理的实施及护理效果评价

目的了解产后延续性护理的实施及护理效果。方法将医院2016年4月-2018年7月的100例产妇,随机分组,对照组给予常规护理干预,观察组开展产后延续性护理干预。比较两组纯母乳喂养率;产后自我护理认知水平、产后的遵医行为水平;护理前后HAMD抑郁量表分值以及SDS量表分值;产褥期并发症发生率。结果观察组纯母乳喂养率、HAMD抑郁量表分值以及SDS量表分值、产后自我护理认知水平、产后的遵医行为水平、产褥期并发症发生率对比对照组有优势,P<0.05。结论产妇实施产后延续性护理干预效果确切,并提高产妇自理能力和遵医行为,减少产褥期并发症的发生,提高产妇的纯母乳喂养率水平。     

孕产期因素影响339例儿童智力发展的10年随访结果

目的为了解孕产期因索对儿童智力发展的影响。方法采用自编《孕产期因素调查表》对408例儿童及其家庭情况进行调查并定期随访。10年后再采用《韦氏五合一智商测定表》对随访资料完整的339例进行智商测定。结果IQ≤85者为62例（18．29％），IQ≤75者为11例（3．24％）；经多元逐步回归分析发现，母亲文化程度、家庭经济水平及城乡差别与儿童智力发展呈显著相关；Logistic回归分析发现，母孕产期妊娠剧吐、母亲文化程度、早破水、以及是否混合喂养是影响儿童智力发展的主要因素。结论加强母孕产期保健及重视后天环境回素是儿童智力发展的重要条件。