Adnexal torsion is defined by the existence of a partial or complete torsion of the ovary and a tubal portion around its vascular pedicle. It is a rare gynecological emergency. We report the case of adnexal torsion on...Adnexal torsion is defined by the existence of a partial or complete torsion of the ovary and a tubal portion around its vascular pedicle. It is a rare gynecological emergency. We report the case of adnexal torsion on a large postpartum ovarian cyst in a 40-year-old patient. The diagnosis was suspected based on clinical and ultrasound signs and confirmed by exploratory laparotomy. The appearance of the cyst was suggestive of a mucinous cystadenoma of the ovary. The treatment was radical by performing an adnexectomy. The surgical piece weighed 5.2 kg. The postoperative course was simple. Anatomopathological examination had not been carried out;the parents had buried the operating piece.展开更多
Background: This study aimed to determine the effectiveness of aroma hand treatment in alleviating fatigue and promoting relaxation of mothers in their early postpartum period. Methods: This is a quasi-experimental st...Background: This study aimed to determine the effectiveness of aroma hand treatment in alleviating fatigue and promoting relaxation of mothers in their early postpartum period. Methods: This is a quasi-experimental study with a two-group pretest-post-test design which used purposive sampling and non-random assignment of 242 consenting Japanese early postpartum mothers who were patients from a hospital maternity unit in Tokyo, Japan. The intervention involved a 20-minute aroma hand treatment using an effleurage method. The participants selected from 5 essential oils: pure lavender, ylang-ylang, citron, rosewood, and sweet orange. Relaxation promotion and fatigue alleviation as the main outcomes were measured using self-administered valid and reliable questionnaires. Statistical analysis was performed using the two-sample t-test, two-way factorial ANOVA, and simple main effect test. SPSS ver. 23.0 (SPSS, Chicago, IL, USA) was used for data analysis at a 5% significance level. Results: Of 242 participants (intervention group, n = 122;comparison group, n = 120), 229 participants (intervention group, n = 115;comparison group, n = 114) were analyzed per protocol. The intervention group showed a significant improvement in relaxation (t = 6.43, p < 0.001). A significant difference in the simple main effect test of relaxation (F = 37.58, p < 0.001) was found. However, there was no significant reduction in fatigue. The majority (88.4%) of the participants indicated high satisfaction with the aroma hand treatment, and 90.5% evaluated the length of intervention time as appropriate. Conclusions: The aroma hand treatment effectively promoted relaxation of early postpartum mothers, but was less effective in alleviating their fatigue. Based on their high satisfaction rate, aroma hand treatment using essential oils may be considered effective in promoting relaxation of early postpartum mothers.展开更多
Objectives:This review aimed to explore the independent risk factors of postpartum urinary retention(PUR)after a vaginal delivery.Methods:The Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA)w...Objectives:This review aimed to explore the independent risk factors of postpartum urinary retention(PUR)after a vaginal delivery.Methods:The Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA)was followed and relevant studies were retrieved from eleven databases.The quality of the included articles was assessed using Critical Appraisal Skills Programme tools or the Appraisal tool for Cross-Sectional Studies.The data analysis was performed using Review Manager version 5.3.Results:A total of nine articles were included and five risk factors were identified,namely,episiotomy(OR=2.99,95%CI=1.31e6.79,P=0.009),epidural analgesia(OR=2.48,95%CI=1.09e5.68,P=0.03),primiparity(OR=2.17,95%CI=1.06e4.46,P=0.03),instrumental delivery(OR=4.01,95%CI=1.97 e8.18,P<0.001),and the duration of the second stage of labor(MD=15.24,95%CI=11.20e19.28,P<0.001).However,fetal birth weights of more than 3800 g were not identified as an independent risk factor(MD=64.41,95%CI=-12.59 to 141.41,P=0.10).Conclusion:This systematic review indicated that the independent risk factors for PUR were found to include episiotomy,epidural analgesia,instrumental delivery,primiparity,and a longer second stage of labor.In clinical practice,healthcare providers could pay more attention to women with these factors and prevent postpartum urinary retention.展开更多
OBJECTIVE:To investigate the effect of acupressure on postpartum low back pain(LBP),salivary cortisol,physical limitations,and postpartum depression.METHODS:Participants were 70 postpartum women who were randomly assi...OBJECTIVE:To investigate the effect of acupressure on postpartum low back pain(LBP),salivary cortisol,physical limitations,and postpartum depression.METHODS:Participants were 70 postpartum women who were randomly assigned to either an intervention(n=35)or a control(n=35)group.The intervention group received 10 acupressure sessions(1 session per day,5 d per week).The control group received 10 sham acupressure sessions.Outcomes were assessed using a visual analogue scale(LBP intensity),salivary cortisol values(LBP biomarker),and Chinese versions of the Roland-Morris Disability Questionnaire(daily activity limitations),Oswes-try Disability Index(physical activity limitations),and the Edinburgh Postnatal Depression Scale(postpartum depression).RESULTS:Participants in the intervention group had significantly lower levels of LBP intensity,daily activity limitations,physical activity limitations,and postpartum depression than those in the control group.There was no significant between-group difference in salivary cortisol.CONCLUSION:Acupressure may reduce postpartum LBP intensity and limitations in daily and physical activity,and alleviate postpartum depressive symptoms.Acupressure should be offered in postpartum care settings as an alternative treatment for postpartum women with LBP.展开更多
Background: To evaluate the care given using Roy’s Adaptation Model. Materials and Methods: A pretest-posttest experimental model with a control group. Study population comprised postpartum women (N = 134;65 in the e...Background: To evaluate the care given using Roy’s Adaptation Model. Materials and Methods: A pretest-posttest experimental model with a control group. Study population comprised postpartum women (N = 134;65 in the experimental group, 69 in the control group) who had caesarean full-term delivery in a Turkish maternity hospital between September 2009 and February 2011. Data were collected from the experimental group during seven home visits and from the control group at the end of the 6th week postpartum. Results: Percentage, chi-square, arithmetic mean, standard deviation, and the McNamer test were used to evaluate data establishing 36 nursing diagnoses: Physiological requirements (22), Self requirements (7), Role Function requirements (4), and Interdependence Mode requirements (3). It was determined that the care given during the postpartum period using Roy’s Adaptation Model resolved or prevented the majority of postpartum problems. The difference between most diagnoses was found to be statistically significant (p p < 0.001) during the last week of data collection. Conclusion: The care given in the postpartum period using Roy’s Adaptation Model resolved or prevented postpartum problems.展开更多
目的探讨中国人群产后抑郁症状与泌乳Ⅱ期启动延迟(DOLⅡ)的关系及危险因素。方法通过计算机检索PubMed、Web of Science、Embase、Scopus、Cochrane Library、中国生物医学文献服务系统、中国知网、万方医学网、维普资讯中文期刊服务...目的探讨中国人群产后抑郁症状与泌乳Ⅱ期启动延迟(DOLⅡ)的关系及危险因素。方法通过计算机检索PubMed、Web of Science、Embase、Scopus、Cochrane Library、中国生物医学文献服务系统、中国知网、万方医学网、维普资讯中文期刊服务平台等数据库。检索时限为建库至2024年5月31日。对所有符合纳入/排除标准的研究进行文献质量评价,并提取相关资料,应用STATA15.0统计软件进行数据分析。结果共纳入11项研究,涉及4026例孕产妇。产后抑郁症状女性发生DOLⅡ的风险明显增加,差异有统计学意义(优势比=2.509,95%可信区间1.828~3.445,P<0.001),产后抑郁症状是DOLⅡ的独立影响因素。妊娠糖尿病、高龄、早产、妊娠高血压、初产妇、孕前超重是产后抑郁症状女性发生DOLⅡ的危险因素(优势比=2.068、2.260、1.864、2.503、2.469、2.500,95%可信区间1.576~2.713、1.843~2.773、1.216~2.858、1.839~3.409、2.046~2.979、1.804~3.464,P<0.001、<0.001、0.004、<0.001、<0.001、<0.001)。结论产后抑郁症状是DOLⅡ的独立危险因素,妊娠糖尿病、高龄、早产、妊娠高血压、初产及孕前超重可增加其发生风险。应加强产后抑郁症状筛查及高危人群的早期识别与干预,以降低DOLⅡ的发生率并提高纯母乳喂养率。展开更多
文摘Adnexal torsion is defined by the existence of a partial or complete torsion of the ovary and a tubal portion around its vascular pedicle. It is a rare gynecological emergency. We report the case of adnexal torsion on a large postpartum ovarian cyst in a 40-year-old patient. The diagnosis was suspected based on clinical and ultrasound signs and confirmed by exploratory laparotomy. The appearance of the cyst was suggestive of a mucinous cystadenoma of the ovary. The treatment was radical by performing an adnexectomy. The surgical piece weighed 5.2 kg. The postoperative course was simple. Anatomopathological examination had not been carried out;the parents had buried the operating piece.
文摘Background: This study aimed to determine the effectiveness of aroma hand treatment in alleviating fatigue and promoting relaxation of mothers in their early postpartum period. Methods: This is a quasi-experimental study with a two-group pretest-post-test design which used purposive sampling and non-random assignment of 242 consenting Japanese early postpartum mothers who were patients from a hospital maternity unit in Tokyo, Japan. The intervention involved a 20-minute aroma hand treatment using an effleurage method. The participants selected from 5 essential oils: pure lavender, ylang-ylang, citron, rosewood, and sweet orange. Relaxation promotion and fatigue alleviation as the main outcomes were measured using self-administered valid and reliable questionnaires. Statistical analysis was performed using the two-sample t-test, two-way factorial ANOVA, and simple main effect test. SPSS ver. 23.0 (SPSS, Chicago, IL, USA) was used for data analysis at a 5% significance level. Results: Of 242 participants (intervention group, n = 122;comparison group, n = 120), 229 participants (intervention group, n = 115;comparison group, n = 114) were analyzed per protocol. The intervention group showed a significant improvement in relaxation (t = 6.43, p < 0.001). A significant difference in the simple main effect test of relaxation (F = 37.58, p < 0.001) was found. However, there was no significant reduction in fatigue. The majority (88.4%) of the participants indicated high satisfaction with the aroma hand treatment, and 90.5% evaluated the length of intervention time as appropriate. Conclusions: The aroma hand treatment effectively promoted relaxation of early postpartum mothers, but was less effective in alleviating their fatigue. Based on their high satisfaction rate, aroma hand treatment using essential oils may be considered effective in promoting relaxation of early postpartum mothers.
基金We would like to appreciate Alice May and tutors in the personal development department and library from Birmingham City University for their guidance and assistance.We are grateful to Affiliated Shenzhen Maternity&Child Healthcare Hospital,Southern Medical University.
文摘Objectives:This review aimed to explore the independent risk factors of postpartum urinary retention(PUR)after a vaginal delivery.Methods:The Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA)was followed and relevant studies were retrieved from eleven databases.The quality of the included articles was assessed using Critical Appraisal Skills Programme tools or the Appraisal tool for Cross-Sectional Studies.The data analysis was performed using Review Manager version 5.3.Results:A total of nine articles were included and five risk factors were identified,namely,episiotomy(OR=2.99,95%CI=1.31e6.79,P=0.009),epidural analgesia(OR=2.48,95%CI=1.09e5.68,P=0.03),primiparity(OR=2.17,95%CI=1.06e4.46,P=0.03),instrumental delivery(OR=4.01,95%CI=1.97 e8.18,P<0.001),and the duration of the second stage of labor(MD=15.24,95%CI=11.20e19.28,P<0.001).However,fetal birth weights of more than 3800 g were not identified as an independent risk factor(MD=64.41,95%CI=-12.59 to 141.41,P=0.10).Conclusion:This systematic review indicated that the independent risk factors for PUR were found to include episiotomy,epidural analgesia,instrumental delivery,primiparity,and a longer second stage of labor.In clinical practice,healthcare providers could pay more attention to women with these factors and prevent postpartum urinary retention.
基金Supported by the Chang Gung Memorial Hospital:the Effects of Acupressure on Postpartum Low Back Pain(No.CMRPG8G0941).
文摘OBJECTIVE:To investigate the effect of acupressure on postpartum low back pain(LBP),salivary cortisol,physical limitations,and postpartum depression.METHODS:Participants were 70 postpartum women who were randomly assigned to either an intervention(n=35)or a control(n=35)group.The intervention group received 10 acupressure sessions(1 session per day,5 d per week).The control group received 10 sham acupressure sessions.Outcomes were assessed using a visual analogue scale(LBP intensity),salivary cortisol values(LBP biomarker),and Chinese versions of the Roland-Morris Disability Questionnaire(daily activity limitations),Oswes-try Disability Index(physical activity limitations),and the Edinburgh Postnatal Depression Scale(postpartum depression).RESULTS:Participants in the intervention group had significantly lower levels of LBP intensity,daily activity limitations,physical activity limitations,and postpartum depression than those in the control group.There was no significant between-group difference in salivary cortisol.CONCLUSION:Acupressure may reduce postpartum LBP intensity and limitations in daily and physical activity,and alleviate postpartum depressive symptoms.Acupressure should be offered in postpartum care settings as an alternative treatment for postpartum women with LBP.
文摘Background: To evaluate the care given using Roy’s Adaptation Model. Materials and Methods: A pretest-posttest experimental model with a control group. Study population comprised postpartum women (N = 134;65 in the experimental group, 69 in the control group) who had caesarean full-term delivery in a Turkish maternity hospital between September 2009 and February 2011. Data were collected from the experimental group during seven home visits and from the control group at the end of the 6th week postpartum. Results: Percentage, chi-square, arithmetic mean, standard deviation, and the McNamer test were used to evaluate data establishing 36 nursing diagnoses: Physiological requirements (22), Self requirements (7), Role Function requirements (4), and Interdependence Mode requirements (3). It was determined that the care given during the postpartum period using Roy’s Adaptation Model resolved or prevented the majority of postpartum problems. The difference between most diagnoses was found to be statistically significant (p p < 0.001) during the last week of data collection. Conclusion: The care given in the postpartum period using Roy’s Adaptation Model resolved or prevented postpartum problems.
文摘目的探讨中国人群产后抑郁症状与泌乳Ⅱ期启动延迟(DOLⅡ)的关系及危险因素。方法通过计算机检索PubMed、Web of Science、Embase、Scopus、Cochrane Library、中国生物医学文献服务系统、中国知网、万方医学网、维普资讯中文期刊服务平台等数据库。检索时限为建库至2024年5月31日。对所有符合纳入/排除标准的研究进行文献质量评价,并提取相关资料,应用STATA15.0统计软件进行数据分析。结果共纳入11项研究,涉及4026例孕产妇。产后抑郁症状女性发生DOLⅡ的风险明显增加,差异有统计学意义(优势比=2.509,95%可信区间1.828~3.445,P<0.001),产后抑郁症状是DOLⅡ的独立影响因素。妊娠糖尿病、高龄、早产、妊娠高血压、初产妇、孕前超重是产后抑郁症状女性发生DOLⅡ的危险因素(优势比=2.068、2.260、1.864、2.503、2.469、2.500,95%可信区间1.576~2.713、1.843~2.773、1.216~2.858、1.839~3.409、2.046~2.979、1.804~3.464,P<0.001、<0.001、0.004、<0.001、<0.001、<0.001)。结论产后抑郁症状是DOLⅡ的独立危险因素,妊娠糖尿病、高龄、早产、妊娠高血压、初产及孕前超重可增加其发生风险。应加强产后抑郁症状筛查及高危人群的早期识别与干预,以降低DOLⅡ的发生率并提高纯母乳喂养率。
