-
Zhang Min, Jia Xianjie, Zhang Qin, et al
Objective: To analyze stakeholders' demands on total quality management (TQM) of IUD insertion in primary family planning institutions of two provinces in China's central and western regions. Methods: A questionnaire survey and the specialist consultation were carried by using TQM and organizational behavior theoretical framework. Results: Stakeholders of TQM of IUD insertion in primary family planning institutions showed a significant difference (P<0.01). The approval rates of managers and providers were 83.3% and 82.0%, respectively, which were higher than that of service recipients (53.3%, P both <0.01). Providers and managers had a stronger willingness and ability to implement IUD TQM for being eager to improve their technical level for providers and eager to improve the service quality and management level for manager. Conclusion: It is informative and illustrative in showing a feasible way, in which the management of IUD services in rural China could be significantly improved by adapting the theories and approaches of TQM.
2014 Vol. 22 (4): 224- [Abstract]（
43
）
HTML
(1 KB)
PDF
(0 KB)
(
101
)
-
Zhang Lihua, Jing Xiu, Liu Jiarong, et al
Objective: To investigate the pathway and effects of induced abortion in family planning outpatients. Methods: Two hundred women seeking for induced abortion in family planning clinics were randomly divided into experimental (n=100) and control (n=100) groups. In the experimental group, a clinical pathway was implemented according to the quality control of medical practice. And in the control group, a traditional pathway was performed. The score of health education, the effect of treatment and care as well as the satisfactory rate were compared. Results: In the experimental group, the average score of health education was 81.5 ± 11.58, the satisfactory rate was 96.00%, which were significantly higher (P<0.05) than those of the control group. Meanwhile, in the experimental group, the average treatment time and cost were (2.63±0.88) h and (425.14±56.54) Yuan, which were significantly lower than those of the control group (P<0.05). There were no significant differences in incidences of complications and nosocomial infection (P>0.05). Conclusion: The clinical pathway for women seeking for induced abortion in family planning clinics could improve health education and service satisfaction, shorten the treatment time, reduce the cost of treatment and care though no promotion of effects of treatment and care is found.
2014 Vol. 22 (4): 228- [Abstract]（
43
）
HTML
(1 KB)
PDF
(0 KB)
(
112
)
-
Tang Li, Su lingyun, Shi Yi, et al
Objective: To investigate the correlation between the expression of Stathmin and the pathogenesis of early spontaneous abortion. Methods: The expression of Stathmin in the villus and decidua tissues of women presenting for early spontaneous abortion (n=30, group A) and seeking for early artificial abortion (n=30, group B) were detected by the methods of Western blotting and immunohistochemistry. Results: The result of immunohistochemistry showed that Stathmin was positive expressed mainly in cytoplasm of the villus and decidua cells. The positive expression rates of Stathmin in the villus tissues were 25/30 in group A and 17/30 in group B. The positive expression rates of Stathmin in the decidua tissues were 23/30 in group A and 14/30 in group B. The expression levels of Stathmin in the villus and decidua tissues of group A was significantly higher than those of group B (both P<0.01). Conclusion: Stathmin may be revolved in the pathogenesis of early spontaneous abortion.
2014 Vol. 22 (4): 231- [Abstract]（
39
）
HTML
(1 KB)
PDF
(0 KB)
(
105
)
-
Bao Guo, Wang Ning, Zhang Shucheng, et al
Objective: To explore the effect of pregnancy nutrition supplement on the resistance of fatigue, cold and high temperature in mice. Methods：SPF Kunming mice were randomly divided into 4 groups. Twenty-one days after oral administration, the resistance of fatigue, cold and high temperature were evaluated. Results: The swimming time of female mice were significantly increased in 3 does groups (P all <0.05), and that was significantly increased in the medium- and high-does groups of male mice (P<0.05). The survival time of low temperature of female mice were significantly increased in medium- and high-does groups （P<0.01）, and that was significantly increased in all 3 does groups of male mice (P all <0.05). The survival time of high temperature of both male and female mice were significantly increased in the medium- and high-does groups (P<0.05). Conclusion: Pregnancy nutrition supplement could improve the resistance of fatigue, cold and high temperature in mice.
2014 Vol. 22 (4): 235- [Abstract]（
34
）
HTML
(1 KB)
PDF
(0 KB)
(
73
)
-
Wang Hui, Liu Hongyan, Gong Shuangyan, et al
Objective: To explore constraints of family planning service of female migrants and provide related suggestion to improve access of service free of charge. Methods: Qualitative and quantitative analyses including data analysis of 2012 surveillance of migrants in China and individual depth interview and focus group discussion among migrants and service providers were conducted. Results: The proportion of family planning operation free of charge was limited in comparison with condom/oral contraceptive supply. Free proportions were varied in different areas. Constraints were as follows: lack of periodical adjust of standard of free of charge, lack of various standard levels for service institutions at different levels, requirement of "marriage and child rearing proof of migrants" as premise of free of charge, unsuitable service time, lack of information of service provision such as address and contact information of service clinics. Conclusion: It is recommended to increase the timeliness of IEC on related service information among migrant, and to improve information network construction, and cancel the provision of "Marriage and child rearing proof of migrants" as a requirement of free service. Moreover, it is suggested to adjust price of services periodically, and to balance the price among service centers at different levels, and to strengthen the scientific monitoring and evaluation.
2014 Vol. 22 (4): 239- [Abstract]（
38
）
HTML
(1 KB)
PDF
(0 KB)
(
111
)
-
Mao Qunxia, Dong Shaoren, Xiao Yuanhong
Objective: To describe the currently awareness of woman's condom among Chinese young volunteers and to explore the related influence factors. Methods: In September 2012, an epidemiological survey on the awareness rate of woman's condom was conducted among the young volunteers of childbearing age sampled by cluster sampling in Nanjing, Qingdao and Xi'an Cities with a self-made questionnaire. SPSS was used to analyze data. Results: A total of 332 eligible young volunteers were recruited and 332 valid questionnaires were recovered. The awareness rate of woman's condom among the respondents was 48.8%. After multi-variables adjustment, areas, occupational categories, marital status and the number of sexual behaviour per week were the potential influence factors of the awareness of woman's condom among the respondents in this study (Pall <0.05). According to the results, ORQingdao vs. Nanjing=2.600， ORXi'anvs. Nanjing=6.627; ORwhite collars vs. students=0.284，ORworkers and service workers vs. students=0.451; ORcommunication /cohabitation vs. single=0.327，ORmarried vs. single=0.282; and OR ≥3 vs. 0-2 times of sexual behaviour/week=1.944. Conclusion: A low rate of awareness of woman's condom is found. Related health education and awareness rate as well as the use of woman's condom should be improved, in order to supply an effective method to prevent sexually transmitted diseases and reduce unwanted pregnancy.
2014 Vol. 22 (4): 243- [Abstract]（
23
）
HTML
(1 KB)
PDF
(0 KB)
(
109
)
-
Wu Xiaoyan, Li Zhiling, Lin Hong, et al
Objective: To investigate the effects of different endometrium preparation for frozen thawed embryos transfer in patients with repeated failure of embryo transfer. Methods: Women with repeated failure of embryo transfer who underwent frozen-thawed embryos transfer were analyzed retrospectively, and were divided into three groups: 45 cases in group A experienced natural cycle, 33 cases in group B were given hormone replacement and 43 cases in group C received hormone replacement with down-regulation. Results: There were no significant differences among three groups in age, body mass index, infertility duration, the number of thawed embryo, the number of transplanted embryo, estradiol level and endometrial thickness on the day of endometrial transformation, the preovulatory endometrial thickness under natural cycle, and the early miscarriage rate (P both >0.05). The preovulatory endometrial morphologies of group A and B were significantly superior as compared to group C (P both <0.05). Embryo implantation rates and clinical pregnancy rates of group B and C were higher than those of group A, showing significant differences (P both <0.05), but no significant difference was found between group B and C (P>0.05). Only the number of high-quality post-implantation embryo in group B was higher as compared to group C (P<0.05), no significant difference was found otherwise. The endometrium types on the day of endometrial transformation of group A and B were significantly superior as compared to group C under natural cycle or frozen embryo transfer cycle (P both <0.05). Conclusion: Using hormone replacement and hormone replacement after down-regulation to prepare the endometrium for frozen-thawed embryos transfer in patients with multiple transplant failure may obtain better pregnancy outcomes, and hormone replacement after down-regulation is recommended for those with poor endometrial morphology.
2014 Vol. 22 (4): 248- [Abstract]（
49
）
HTML
(1 KB)
PDF
(0 KB)
(
121
)
-
Yuan Xiaowei, Zhang Yanping, Deng Jihong, et al
Objective: To explore the effect of metformin on glycolipid metabolism of non-obese women with polycystic ovary syndrome. Methods: Non-obese women with polycystic ovary syndrome were recruited and randomly divided into two groups. Women in the study group (n=243) were given metformin and Diane-35 for 3 months, and women in the control group were administrated with Diane-35 for 3 months. Seventy-four (30.45%) and 70 (3271%) women were found insulin resistance in the study and control groups, respectively. The glycolipid metabolism was evaluated. Results: In the study group, there were significant differences in the levels of fasting insulin, total cholesterol and low density lipoprotein before and after the treatment (P<0.05), while in the control group, there were no significant differences in the indicators mentioned above (P>0.05). Conclusion: Regardless of the exist of insulin resistance, the therapy of metformin is effective on insulin sensitivity and lipid metabolism of non-obese women with polycystic ovary syndrome's.
2014 Vol. 22 (4): 252- [Abstract]（
46
）
HTML
(1 KB)
PDF
(0 KB)
(
88
)
-
Gao Lingjuan, Shi Xiaoxia
Objective: To compare clinical effects of levonorgestrel-releasing intrauterine system (LNG-IUS) inserted immediately after induced abortion, during menstruation and after the menstrual period. Methods: Two hundred and two women were divided into 3 groups. Women in group I underwent LNG-IUS insertion immediately after surgical abortion in group I, during the menstrual period in group II, and on 3-7 days after the menstruation in group III. All the women were followed up for 12 months. The contraceptive effectiveness, side effects, removal rate for medical reasons and continuation rate were evaluated. Results: During 12 months of follow up, no pregnancy and LNG-IUS expulsion were found. The continuation rate was more than 92/100 women per year, and no statistical differences were found among 3 groups (P>0.05). The major side effects were menostaxis and irregular spotting, which influenced the satisfaction and continuation rates. Within 6 months, Women in group I experienced menorrhea earlier, and menostaxis and vaginal irregular bleeding was less than those of the other two groups, showing statistical differences(P<0.01). While there were no significant differences in the incidence rates of menostaxis and vaginal irregular bleeding between group II and group III (P>0.05). The incidence rates of menostaxis and vaginal irregular bleeding declined obviously close to a year later, and no statistical differences were found among the three groups (P>0.05). Conclusion: LNG-IUS is considered to be a safe and reliable long-term contraceptive method due to a higher satisfaction and better compliance. It is suggested to insert LNG-IUS immediately after surgical abortion, during the menstrual period, and on 3-7 days after the menstruation.
2014 Vol. 22 (4): 255- [Abstract]（
37
）
HTML
(1 KB)
PDF
(0 KB)
(
104
)
-
Chen Hua, Wu Xinmei, Hou Xiaohong, et al
Objective: To compare the developmental potentials of immature oocytes collected from different kinds of assisted reproductive technology (ART) cycles. Methods: in vitro maturation (IVM) group consisted of 25 patients following IVM treatments. Oocytes in follicle aspiration group resulted from follicle fluids collected from 12 patients with in vitro fertilization cycle, who were at risk of developing ovarian hyperstimulation syndrome. Ten patients following intracytoplasmic sperm injection (ICSI) treatment were served as denuded oocyte group. After IVM, matured oocytes were inseminated by ICSI with their husbands' sperm. Then the fertilization rate and embryo development were evaluated. Results: There were no statistical differences in the fertilization rate (P>0.05), the cleavage rate (P>005) and the proportion of highquality embryo (P>0.05) among three groups. Conclusion: Immature oocytes collected from different kinds of ART cycles could reach MⅡ, and highquality embryo could obtained from the oocyte after fertilization by ICSI.
2014 Vol. 22 (4): 259- [Abstract]（
29
）
HTML
(1 KB)
PDF
(0 KB)
(
94
)
