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GAN Dingzhu, ZHANG Wen, WU Shangchun
Objective: To compare the contraceptive efficacy of GyneFix/soft intrauterine device (IUD) with other common-using IUDs. Methods: We searched medical databases including CNKI (2008-2013), CBMdisc (2008-2013), Wanfang Database (2008-2013), VIP Database (2008-2013) by computer. And we screened randomized control trials and then performed the meta-analysis by using RevMan5.0 software. Results: Five articles from 177 literature were recruited for meta-analysis according to the inclusion and exclusion criteria. The rate of pregnancy with IUD in situ of GyneFix/soft IUD was lower than that of Yuangong copper 300 IUD when followed up at 12, 24 months ［Odd ratio (OR) were 0.06 and 0.09 respectively］. The expulsion rate of GyneFix/soft IUD was lower than that of Yuangong copper 300 IUD when followed up at 12, 24 months (OR were 0.19 and 0.17 respectively). The expulsion rate of GyneFix/soft IUD was lower than that of multiload copper 375 IUD when followed up at 12, 24 months (OR were 0.22 and 0.22 respectively). The removal rate for medical reasons of GyneFix/soft IUD was lower than those of cooper T380A IUD and Yuangong copper 300 IUD when followed up at 12, 24 months, and the differences were statistically significant. Conclusion: The rate of pregnancy with IUD in situ and the expulsion rate of GyneFix/soft IUD are low relatively. It has the favorable contraceptive efficacy and is worth using widely for less side effects and higher continuation rate.
2015 Vol. 23 (2): 81- [Abstract]（
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LIU Kaijia, WANG Zhili, ZHUANG Yaer
Objective: To analyze the current situation and the timing of long-acting contraceptive method use among migrant population. Methods: According to the data from the dynamic monitoring survey of migrant population in China in 2013, the use of contraceptive method of 70 849 married migrant women of reproductive age was evaluated, and the timing for long-acting contraceptive method use by 47 919 married migrant women of reproductive age was also analyzed. Results: About 88.8% of married migrant women of reproductive age selected contraceptive methods, and 756% selected a long-acting method. The median survival time between long-acting contraceptive method use and the last bearing was 6.15 months, and the more children they had, the shorter it was. Conclusion: Modern contraceptive methods are used commonly by married migrant women of reproductive age. The utilization rate and the timing of long-acting contraceptive method are influenced by the type of contraceptive method, the age of fertile women, the number as well as the gender of children they have.
2015 Vol. 23 (2): 87- [Abstract]（
72
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ZHANG Jianying, HUANG Liguang, TAN Yanhong, et al
Objective: To explore a suitable postpartum contraception service mode through family planning and medical institutions collaboration to improve postpartum long-acting contraceptive use and reduce unintended pregnancy. Methods: A total of 1200 pregnant women who delivered in Nanwan People's Hospital between May 2012 and April 2013 were randomly selected and divided into intervention group (n=600) and control group (n=600). Women in the intervention group started lactating contraception service intervention from postpartum 21 days. The duration of breastfeeding, long-acting contraceptive use and the incidence of unintended pregnancy were evaluated. Results: A total of 274 women (45.67%) in the intervention group and 172 (28.67%) in the control group underwent breastfeeding for 6 months (χ2=37.126, P<0.05). A total of 250 (41.67%) women in the intervention group and 172 (28.67%) in the control group used a long-acting contraceptive method within one year after delivery (χ2=19.889, P<0.05). Unwanted pregnancy one year after delivery was found in 29 (4.83%) women in the intervention group and 61 (10.17%) in the control group (χ2=12.3, P<0.05). The scores of contraceptive knowledge were 72.53 in the intervention group and 63.92 in the control group (t=2.63, P<0.05). Conclusion: The intervention of lactating contraception service started from postpartum 21 days through family planning and medical institutions collaboration could increase the duration of breastfeeding, improve the long-acting contraceptive use and the awareness of contraceptive knowledge, and reduce the incidence of postpartum unintended pregnancy and artificial termination of pregnancy.
2015 Vol. 23 (2): 91- [Abstract]（
60
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FENG Zongli, ZHU Qianxi
Objective: To evaluate the prevalence of oral contraceptive (OC) use and to understand relevant problems comprehensively. Methods: A questionnaire survey was conducted among women of childbearing age in Futian District. Information on general demographic characteristics, menstruation, marital status and reproductive history, contraceptive use, knowledge-attitude-practice (KAP) on OC, etc., was surveyed by a questionnaire. SAS software was applied for statistical analysis. Results: The primary ways of getting OC knowledge and of expecting to get propaganda and education on OC were books, newspapers or brochures, TV, video or broadcasting, and network. OC users accounted for only 3.6% of short-acting contraceptive users. Most respondents bought OC from 'drugstore' (77.8%). The proportions of those who got OC from 'family planning service station' and from 'hospital or community health service center' were 15.0% and 7.2%, respectively. Young and well-educated women tended to buy OC from drugstore. However, old and poor-educated women tended to get OC from family planning service station for free. The most frequent reasons for stopping OCs use were 'worrying about the adverse long-term effects on body' (56.1%) or 'intolerable side effects' (259%). Conclusion: It is essential to improve the acceptability of OC by women of child-bearing age with the effort of governments and health institutions. We should diverse the propaganda ways, attach great importance to the network platform construction, and guide correctly. It is also important to improve methods of regular follow-up, pay attention to privacy, and popularize and distribute free, less side-effect and more convenient OC.
2015 Vol. 23 (2): 95- [Abstract]（
66
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SHANGGUAN Xuehong, SUN Lijun
Objective: To explore the situation of disabled child medical authentication in San ming. Methods: A retrospective inquisition analysis method was adopted on the disabled children who took part in the disabled child medical authentication and was conformed to be a disabled child. Results: In 824 disabled children, 674(81.8%) were male, and 150(18.21%) were female. The average age of disabled children was 7.33 years old. Their gender and "urban or rural" demonstrated a weak correlation by statistical analysis (r=0.233). Among disabling diseases, nervous system disease was the largest, which reached the maximum proportion of 45.26 % in 2012, and more non-genetic diseases were found. In light of the disease development trend, acquired eye and ear diseases had a decreasing trend (χ2=12.828, P<0.001), the development trend of other diseases was of no statistical significance. According to the results of chi square test, genetic diseases were on the increase (χ2=4.024，P=0.045), and non hereditary diseases, on the contrary, had a tendency to decrease. On the basis of the single disease, the mental retardation (including autism) had the highest proportion, accounting for 11.88%. In addition to mental retardation, the top 5 diseases included mental retardation, epilepsy, cerebral palsy and congenital heart disease. Conclusion: The nervous system disease is the most common disease among diagnosed diseases of the disabled children. We should strengthen the preconception examination and education to reduce the occurrence of genetic diseases.
2015 Vol. 23 (2): 99- [Abstract]（
73
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XU Min
Objective: To explore the clinical effect of small dose of mifepristone combined with misoprostol in early pregnancy termination within a year after cesarean section. Methods: Totally 200 women with early pregnancy (gestational sac≤25 mm) within a year after cesarean section from January 2013 to December 2013 in Huai'an Maternal and Child Health Care Hospital was chosen as the research subjects, and randomly divided into two groups. Women in the control group (n=100) underwent suction evacuation guided by color Doppler ultrasound, while those in the observation group (n=100) were given small dose of mifepristone (75 mg) the night before and misoprostol (400 ug) sublingually 30 min before the operation. The occurrence rates of dilatation of the uterine neck, abdominal pain, amount of bleeding, artificial abortion syndrome, pregnancy residue and uterine perforation were observed. Results: The rate of dilatation of the uterine neck was 100%（100/100) in the control group and 10% (10/100) in the observation group. The rate of artificial abortion syndrome was 18% (18/100) in the control group and 6% (6/100) in the observation group. The rate of mild, moderate and severe abdominal pain were 80% (80/100), 14% (14/100), 6% (6/100) in the control group respectively, and 95% (95/100), 5% (5/100), 0 (0/100) in the observation group. In the control group, the amount of bleeding was (16.3±2.5) ml, while (12.3±2.1) ml in observation group, shouing a significant difference (P＜0.05). The rate of uterine perforation was 2% (2/100) in the control group, and 0 (0/100) in the observation group (P﹥0.05). There was no significant difference in the pregnancy residue between two groups (P﹥005). Conclusion: Small dose of mifepristone combined with sublingual misoprostol before suction evacuation guided by color Doppler ultrasound in early pregnancy termination within a year after cesarean section is relatively safe, effective and would be worth popularizing.
2015 Vol. 23 (2): 103- [Abstract]（
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ZHENG Xiaomiao, CHEN Li, LU Zhangxia, et al
Objective: To observe the clinical effect of phloroglucinol in patients with prolonged incubation. Methods: Two hundred pregnant women were randomly divided into two groups: phloroglucinol group and control group. Women in phloroglucinol group were intravenous injected 80 mg of phloroglucinol, and those in the control group were treated by conventional obstetric therapy. And then the birth process, cervical opening time, duration of the second labor stage, amount of bleeding 2 hours after delivery, cervical edema rate, cervical laceration rate, cesarean section rate and incidence of neonatal complications were observed. Results: After the use of phloroglucinol, the cervical opening time was shorter than that of the control group ［(4.72±0.83) h vs. (6.43±1.12) h, P<0.05］. There was no significant difference in the duration of the second labor stage between the two groups ［(53.43±11.33) min vs. (55.21±1098) min, P>0.05］. The incidence of cervical edema in phloroglucinol group was significantly less than that of the control group (6% vs. 17%, P<0.05). And there were no significant differences in the incidence of cervical laceration (3% vs. 2%, P>0.05), the amount of bleeding 2 hours after delivery ［(209.5±67.7) ml vs. (213.4±54.9) ml, P>0.05］ and the incidence of neonatal complications (16% vs. 18%, P>0.05) between the two groups. In addition, the cesarean section rate in phloroglucinol group decreased significantly when compared with the control group (7% vs. 21%, P<0.05). Conclusion: The application of phloroglucinol in the incubation period of birth process could obviously accelerate the cervical opening speed, and reduce the incidence of cervical edema and cesarean section and be safe for no effects on the duration of the second labor stage, the amount of bleeding 2 hours after delivery, and the incidence of cervical laceration and neonatal complications .
2015 Vol. 23 (2): 106- [Abstract]（
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CHENG Chunfeng
Objective: To explore the clinical effects and safety of short-acting oral contraceptive (Yasmin) use and medicated-γintrauterine device insertion after artificial abortion. Methods: A total of 292 healthy pregnant women who underwent artificial abortion were recruited and randomly divided into two groups (146 women in each group). Women in IUD group were inserted medicated-γintrauterine device. And those in Yasmin group were given one tablet of Yasmin on the operation day for 21-day cycle as well as five courses of treatment. Postoperative vaginal bleeding amount and duration, vaginal discharge, endometrial thickness, menstrual recovery time and adverse reactions of the two groups were evaluated. Results: The duration of vaginal bleeding of Yasmin group was (4.35±2.22) d, significantly lower than that in IUD group ［(5.87±2.30) d, t=5.7455, P< 0.05)］. The rate of normal vaginal discharge in Yasmin group was 95.2%, significantly higher than that in IUD group (78.1%, χ2=18.496, P<0.05). Endometrial thickness of Yasmin group was more than that of IUD group (t=18.125, P<0.05). And the menstrual recovery time of Yasmin group was shorter than that of IUD group (t=40.257, P＞0.05). Contraceptive failure rates of the two groups were 1.4% and 2.8% respectively, showing no statistically significant difference (χ2=0.681, P＞0.05). The incidence of adverse reactions one month after the operation in Yasmin group was significantly lower than that in IUD group (χ2=5508, P<0.05). Conclusion: Yasmin could be used as the preferred method after abortion, which significantly improves patient's postoperative situation, and helps the body function to recover, while IUD insertion could serve as a preferred way of long-term contraception.
2015 Vol. 23 (2): 109- [Abstract]（
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MAO Yibo
Objective: To explore the personalized nursing intervention on blood glucose levels and pregnancy outcomes in patients with gestational diabetes (GDM). Methods: Eighty-five GDM patients were randomly divided into routine care group (control group, n=42) and nursing intervention group (observation group, n=43). The blood glucose levels during pregnancy and pregnancy outcomes were evaluated. Results: After the intervention, the concentrations of fasting plasma glucose, postprandial glucose, glycosylated hemoglobin were significantly lower than those before treatment. The incidence of complications in the observation group was significantly lower than that of the control group (P<0.05). And the fetus and neonatal conditions were better than that of the control group (P<0.05). Conclusion: The implementation of individualized nursing intervention on GDM patients can more effectively control blood sugar level, and reduce maternal and child complications as well as the risk of childbirth.
2015 Vol. 23 (2): 112- [Abstract]（
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