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Ma Liguang,Peng Zuqi,Zhao Jun,Wang Yuanyuan,Li Bing,Ma Xu
As a public service, the free contraceptive distribution is facing new opportunities and problems in the urban area with the rapid development of mobile internet and the process of urbanization. It is an important task to ensure the balance between public demands for the free contraceptive and the free contraceptive supply at the information age. It is necessary to expand the public service coverage, improve the public awareness and availability of the free contraceptive distribution, enhance the influence of the distribution and the public service capacity, and promote the equalization of public services. The socialization and the service diversification of the free contraceptive distribution in urban area were promoted by using the mobile internet technology, integrating social and public resources, innovating and reforming the free contraceptive distribution pattern in urban area in this study, resulting in the improvement of the management efficiency.
2013 Vol. 21 (8): 512-517 [Abstract]（
53
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Wang Ruiling,Shi Hong,Zhang Hui
To explore the effect of the semen on the endometrial receptivity and the implantation rate in mice. Methods: Ninety female mice were divided into three groups. In the semen group, 30 female mice underwent the bilateral tubal ligation, then three weeks later mated with males after inducing ovulation. In the seminal plasma group, 30 female mice with the induction of ovulation mated with males experiencing the bilateral vasectomy. And in the control group, 30 female mice underwent the induction of ovulation, but didn't cage with male mice. On the day 2 to 6 after the treatment, endometria of three groups were sampled respectively. The expression of endometrial pinopodes was determined by the scanning electron microscopy and the level of interleukin (IL)-6 was measured by enzyme-linked immunosorbent assay (ELISA). Blastocysts were transferred to female mice of three groups, then 11 days later the number of gestational sacs was observed. Results: The expression of pinopodes in the endometrial surface in groups of seminal plasma and semen were more abundant than that in the control group. The level of IL-6 in groups of seminal plasma and semen were significantly higher than that of the control group (P both<0.05). The blastocyst implantation rate in groups of seminal plasma and semen group (62.9%, 63.9%) were significantly higher than that in the control group (37.3%, P both<0.01). But there were no significantly differences in these parameters between the seminal plasma group and the semen group (P>0.05). Conclusion: Compared to the semen group, there is no spermatozoa in the seminal plasma group, but the result is not influenced. It is suggested that the seminal plasma could obviously improve the pinopodes expression in the endometrial surface, and obviously induce IL-6 expression of endometrium in the implantation period in mice, also obviously improve the blastocyst implantation rate in mice. The seminal plasma could improve the uterine receptivity and facilitate the blastocyst implantation.
2013 Vol. 21 (8): 518-523 [Abstract]（
70
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Mu Hongxin,Wang Jie,Zhang Ping
To explore the expression level of S100A1 protein, a calcium-binding protein, in normal ovaries and ovarian cancer samples. Methods: The tissues were sampled from 20 women with normal ovary, 30 women with serous ovarian carcinoma, and 18 women with non-serous ovarian cancer. The expression level of S100A1 protein in specimens collected was evaluated using the immunohistochemical method. And the relationship between its expression and clinicopathologic parameters was analyzed. Results: The expression of S100A1 protein in the ovarian cancer sample (5.78±0.39) was higher than that of normal ovary (1.82±0.18, P<0.05). And it was higher in the serous ovarian carcinoma sample (5.98±0.28) than that in the non-serous ovarian cancer one (5.45±0.15, P<0.05). The expression level of S100A1 protein in the serous ovarian carcinoma sample had positive correlation with the pathological grade of ovarian cancer (P<0.05), but had no correlation with the surgical-pathological stage and lymph node metastases of ovarian cancer(P>0.05). And no correlations were found between the expression level of S100A1 protein in the serous ovarian carcinoma sample and the surgical-pathological stage, the pathologic grade and lymph node metastases of ovarian cancer (P>0.05). Conclusion: S100A1 protein is related with the occurrence of ovarian cancer. Difference is found in the mechanism of S100A12 between non-serous and serous ovarian cancer. The expression level of S100A1 protein has positive correlation with the malignancy of serous ovarian cancer. S100A1 maybe an oncogene, and ovarian cancer could be suggested when abnormal expression level of S100A1 protein occurs.
2013 Vol. 21 (8): 524-527 [Abstract]（
65
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Li Dan,Xu Xiaofang,Yao Min,Wu Lingxia,Chen Hongbo
To explore the situation of family planning operations in the last ten years at Xuhui District of Shanghai, and therefore to provide constructive comments on the quality care of family planning services. Methods: A total of 12 hospitals were licensed to conduct family planning operations at Xuhui District. According to the regulation of Shanghai Public Health Bureau, all these hospitals sent the quality report of family planning operations trimestrially to the Maternal and Child Health Institute of Xuhui District which was in charge for monitoring and the quality control. Statistical analyses were conducted by using trend Chi-square test mainly. Results: Between 2002 and 2011, the number of annul family planning operation and induced abortion were reduced from 45 353 and 27 530 to 38 800 and 23 084, respectively. Meanwhile, the proportion of vacuum aspiration and removal of intrauterine device (IUD) were increased from 35.22% and 24.79% to 43.76% and 29.54%, respectively. The proportion of medical abortion and IUD insertion were declined from 23.21% and 13.98% to 13.07% and 10.22%, respectively. Among women who experienced induced abortion, the proportion of women who registered in Shanghai household system was reduced gradually, especially for unmarried women, and the proportion of women who were not registered in Shanghai household system was elevated. Conclusion: Besides vacuum aspiration, IUD removal becomes a major part of whole family planning operations. For improving the effectiveness of contraceptives and reducing the risk of unwanted pregnancy, the education program on contraceptive use and reproductive health should also focus on childbearing women who are unmarried and not registered in Shanghai household system.
2013 Vol. 21 (8): 528-531 [Abstract]（
52
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Feng Qi,Lai Zhaoxing,Ao Guiwen,Huang Limin
To explore the procreation intention and its influencing factors of the new generation of floating population among enterprise employees so as to provide references for providing equalized services and administration to the floating population. Methods: A self-administered questionnaire survey was conducted among enterprise employees who were non-registered household residents of Shenzhen and born between 1980 and 1999. Both married and unmarried ones were recruited. The questions involved general demographic characteristics, the procreation intention (number of children, gender, child-bearing age, birth interval), and other influential factors (social status, government policy, personal and family situation). Results: About 89.3 percent of questionnaires were completed by rural respondents, among which 60.1% were married and 65% of the married group had given birth. The average ideal number of children was 1.87, the ideal child-bearing age was 25.5 years old and the optimal birth interval was 3.57 years. The expectation for one boy and one girl accounted 97.8%. The preference for boys limited to only 48.0% in the circumstance of one child policy; 71.6% would like to have the second child if the policy allowed. Gender, age, occupation, educational level, income, resident time in Shenzhen and the status of the only child of the family all had impacts on reproductive willingness. In addition, purposes of birth, ways of pension, social pressure of barren and some other factors were also not neglectable. Conclusion: The modern concept of marriage and birth, i.e. late child bearing, less births, eugenics, no sexual preference has already become the conscious behavior persisting among the new generation while the traditional concept of preference of boys to girls and raising children to provide against old age still exists and can not be ignored. Different birth purposes will affect people's desire for child, while government policy is the key factor for determining the actual child bearing behavior.
2013 Vol. 21 (8): 532-537 [Abstract]（
66
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Xie Hua,Li Binling,Ma Wenxia
To explore clinical effects of three types of intrauterine devices (IUDs), GyneFix IN IUD, active γ-IUD and TCu380A IUD, to provide evidence for rural women of childbearing age to choose IUDs.Methods: Three types of IUDs were randomly inserted in 2994 rural women of childbearing age, and 12 months of follow-up was conducted. Results: The contraceptive effects of three IUDs were not significantly different (P﹥0.05). The termination rates of GyneFix IN IUD, active γ-IUD and TCu380A IUD were 0.048, 0.077 and 0.116, respectively, showing a significant difference (P<0.05). No significant difference was found in side-effects between GyneFix IN IUD and active γ-IUD (P>0.05), but both were significantly lower than those of TCu380A IUD (P<0.05), and side-effects decreased as the time went by. Conclusion: GyneFix IN IUD is an ideal choice for its lower termination rate and less side-effects. It is especially suitable for rural women.
2013 Vol. 21 (8): 538-541 [Abstract]（
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Zhang Bingxin
To explore clinical effects of Gynifix IN intrauterine devices (IUD) and Active γ-Ⅱ IUD insertion for lactating women. Methods: A total of 431 lactating healthy women independently decided to insert Gynifix IN IUD or active γ-Ⅱ IUD, 207 women with Gynifix IN IUD and 224 with active γ-ⅡIUD. All the subjects were regularly followed-up in the third,sixth and twelfth month after insertion. Results: Twelve months after the operation, pregnancy rates with device were 0.5/100 woman year in Gynifix IN IUD group and 4.2/100 woman year in active γ-ⅡIUD group, showing statistically significant difference (P<0.05). Expulsion rates were 1.5/100 woman year in Gynifix IN IUD group and 2.7/100 woman year in active γ-ⅡIUD group. And IUD removal rates due to complications were 1.0/100 woman year and 1.8/100 woman year, with both no statistically significant difference (P>0. 05). Retention rates were 97. 1/100 woman year in Gynifix IN IUD group and 91.5/100 woman year in active γ-Ⅱ IUD group, showing statistically significant difference (P<0.05). Conclusion:Gynifix IN and Active γ-Ⅱ IUDs are both safe and effective for lactating women. However, Gynifix IN IUD has better flexibility for lactating uterus, so it is more suitable for lactating women.
2013 Vol. 21 (8): 542-544 [Abstract]（
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Tong Suxiao
To explore the application value of clinical nursing pathway in termination of mid-trimester pregnancy. Methods: A total of 180 women seeking for termination of mid-trimester pregnancy between November 2010 and February 2013 were randomly divided into the study group (n=90) and the control group (n=90). Women in the control group were treated with the routine care, and the study group with clinical nursing pathway. The postpartum hemorrhage, satisfaction and anxiety, depression, fear and other indicators of the two groups were compared. Results: In the study group, the amount of postpartum hemorrhage and the satisfaction rate were 152.7±23.8ml and 97.78%, respectively. And in the control group, the amount of postpartum hemorrhage and the satisfaction rate were 203.5 ±35.4ml and 74.44%, respectively. Significant differences in the amount of postpartum hemorrhage and the satisfaction rate were found between the two groups (t = 4.836, t=3.752, respectively, P＜0.05). After the operation, scores of anxiety, depression and fear of the study group were 38.2±4.6, 41.5±5.0 and 1.47±0.25, respectively. And those in the control group were 47.8±5.4, 48.6±5.9 and 1.92±0.46, respectively. Significant differences in scores of anxiety, depression and fear were found between the two groups (t = 2.461, t=2.683, t=2.015, respectively, P all＜0.05). Conclusion: The clinical nursing pathway is beneficial to physical and mental health of women in termination of mid-trimester pregnancy. It is worthy of promotion for clinical use.
2013 Vol. 21 (8): 546-548 [Abstract]（
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