Objective: To investigate the prevalence of term low birth weight (TLBW) and its risk factors. Methods: A follow-up study with 7, 872 couples was conducted from 1987 to 199o beginning from the time they got marriage l...Objective: To investigate the prevalence of term low birth weight (TLBW) and its risk factors. Methods: A follow-up study with 7, 872 couples was conducted from 1987 to 199o beginning from the time they got marriage licenses in two districts defined in Shanghai. They were interviewed in the third month and again in the fifteenth month and in the fifth to sixth year afterwards individually at home. The total follow up rate reached 98%. Couple’s background characteristics as well as the information on their general health. reproductivc history and contraceptive use etc.. were collected dynamically. All of the single live births with term delivery were Included for data analysis in this paper. Adjusted odd ratios and population attributable risk (PAR%) were computed. Results: The prevalence of TLBW in Shanghai single term live births was 2. 0% (134,/6.573), represents 54. 7% (134/245) of the total low birth weights in our sam pie. Significant social and behaviour risk factors relating with TI-BW were wife’s dissat- isfaction with marriage; low education level of husband; co-residence with parents during pregnancy; heavy housework done by the wife while being pregnant. Significant biomedical risky factors were menarche age greater than 16 years old; maternal age at delivery greater than 29 years old; maternal body mass index less than 19. 8; wife suf- fered from serious disease prior to conceiving; having pregnancy complication; gestational weight gain less than 20 % of pre-pregnancy weight; having abortion, stillbirth and fetal death history. Conclusion: TL.BW constituted over half of all low birth weights in Shanghai. Special attention should be paid to the determinants mentioned above in TLBW intervention program. Improving couples’ economic and living condition and husband ’s education at tainment, and caloric supplementation with women while being pregnant would all be particularly effective in reducing the occurrence of TLBW in Shnaghai.展开更多
OBJECTIVE: To identify how acupressure on the acupoint Yintang(EX-HN 3) impacts oxygen saturation, pulse rate, and peripheral perfusion in term-born infants without underlying disease.METHODS: Infants born between wee...OBJECTIVE: To identify how acupressure on the acupoint Yintang(EX-HN 3) impacts oxygen saturation, pulse rate, and peripheral perfusion in term-born infants without underlying disease.METHODS: Infants born between weeks 37 and 42 of gestation were included in this study. The polyclinic's neonatology room was noise-controlled and made half-dark to prevent the perfusion index from being confounded. A pulse oximeter was linked to the baby's left lower extremity. Acupressure was applied on Yintang(EX-HN 3) for 30 s clockwise, held for 30 s, and then acupressure was applied for another 30 s counterclockwise. The baby's SaO_2, pulse rate, and perfusion index were recorded for each minute before and after acupressure.RESULTS: When pre- and post-acupressure pulse rate values were compared, a significant decrease in pulse rate values after acupressure application was observed. When pre- and post-acupressure oxygen saturation values were compared, a significant increase in post-acupressure oxygen saturation was observed. In addition, peripheral perfusion increased significantly after acupressure.CONCLUSION: Acupressure application has been used in traditional medicine for many years. However, it is not yet widely used in modern medicine.This study shows the impact of acupressure on neonatal skin perfusion, oxygen saturation, and pulse rate.展开更多
Perinatal asphyxia is defined as harm to the fetus or the newborn caused by hypoxia and/or ischemia of various organs with intensity to produce biochemical and/or functional changes. Understanding the risk factors for...Perinatal asphyxia is defined as harm to the fetus or the newborn caused by hypoxia and/or ischemia of various organs with intensity to produce biochemical and/or functional changes. Understanding the risk factors for this clinical condition allows the identification of vulnerable groups, enabling an improvement in care planning in the perinatal period in neonatal intensive care units. In this sense, this research aimed to identify risk factors for perinatal asphyxia present in newborns term that showed record for this clinical condition. This was a cross-sectional, retrospective documentary, quantitative and descriptive, conducted from data from medical records of 55 infants admitted to a neonatal intensive care unit. As for maternal characteristics (78.0%) had between 16 and 35 years, only one child (53.0%) and (76.0%) had no prior history of miscarriage. As for pre-existing diseases or pregnancy (38.0%) developed by Hypertensive Pregnancy Specific disease (02.0%) were suffering from Hypertension and (02.0%) of Diabetes Mellitus. As for newborns, most infants had birth weight (43.6%) and correlation with gestational age (78.2%) compatible for good conditions of birth. Only (20.0%) of the infants had a difficult labor. It stood out although there was a slight predominance of severe asphyxia (50.9%) in the first minute and (45.5%) of the infants had record release intrauterine meconium. It was concluded that most mothers and newborns did not have risk factors for perinatal asphyxia, thus, this fact could be attributed to the structural conditions of service, especially in the care during labor, delivery and immediate assistance newborn.展开更多
Introduction: The underweight at birth is recognized as a major cause of morbidity and mortality in childhood. Objective: To identify maternal and obstetric sociodemographic factors associated with low birth weight. P...Introduction: The underweight at birth is recognized as a major cause of morbidity and mortality in childhood. Objective: To identify maternal and obstetric sociodemographic factors associated with low birth weight. Patients and Methods: This is a retrospective study of analytical type that examined the records of women who gave birth in the Obstetrics and Gynecology department of Ignace Deen National University Teaching Hospital from 1st December 2016 to 30th April 2017. The analysis was made with the R version 3.3.1 software. We did a univariate and multivariate analysis. Outcomes: Out of the 1633 live births of single pregnancies that occurred during the study period, 109 children were born with a low weight (<2500 g) corresponding to a rate of 6.7%. In univariate analysis, we found a significant association between low birth weight and maternal single status (p = 0.019), maternal weight less than 60 kg (p = 0.038), primary parity (p = 0.018), maternal history of abortion (p = 0.001), history of preterm birth (p < 0.001), arterial hypertension (p < 0.001), anemia (p < 0.001) and malaria (p < 0.001). In multivariate analysis, the variables associated with low birth weight were: history of preterm delivery with OR of 8.5 [1.8 - 40.1], history of abortion (OR = 4.4 [1.4 - 13.9]), malaria (OR = 23.8 [6.1 - 92.5]), anemia (OR = 11.8 [3.7 - 38.2]) and high blood pressure (OR = 5.4 [1.6 - 17.9]). Conclusion: The decrease in frequency of low birth weight in Guinea will be done by improving the quality of prenatal care with an emphasis on screening, prevention and treatment of malaria, anemia and high blood pressure during pregnancy, prevention of abortion and premature birth.展开更多
目的:观察醋酸阿托西班注射液联合硫酸镁注射液治疗宫颈机能不全宫颈环扎术后患者的效果。方法:选取2023年2月至2024年8月该院收治的66例宫颈机能不全宫颈环扎术后患者进行前瞻性研究,按照随机数字表法分为观察组与对照组各33例。对照...目的:观察醋酸阿托西班注射液联合硫酸镁注射液治疗宫颈机能不全宫颈环扎术后患者的效果。方法:选取2023年2月至2024年8月该院收治的66例宫颈机能不全宫颈环扎术后患者进行前瞻性研究,按照随机数字表法分为观察组与对照组各33例。对照组采用硫酸镁注射液治疗,观察组在对照组基础上联合醋酸阿托西班注射液治疗,比较两组妊娠结局、新生儿不良结局发生率、分娩时孕周、新生儿出生1 min阿氏(Apgar)评分、新生儿体质量和并发症发生率。结果:观察组足月产率为87.88%,明显高于对照组的66.67%,差异有统计学意义(P<0.05);观察组早产率为6.06%,低于对照组的24.24%,差异有统计学意义(P<0.05);观察组新生儿不良结局发生率为12.90%,低于对照组的36.67%,差异有统计学意义(P<0.05);观察组分娩时孕周大于对照组,新生儿出生1 min Apgar评分、新生儿体质量高于对照组,差异均有统计学意义(P<0.05);两组术后1个月并发症发生率比较,差异无统计学意义(P>0.05)。结论:醋酸阿托西班注射液联合硫酸镁注射液治疗宫颈机能不全宫颈环扎术后患者可提高足月产率、新生儿出生1 min Apgar评分、新生儿体质量,降低早产率和新生儿不良结局发生率,增加分娩时孕周,效果优于单纯硫酸镁注射液治疗。展开更多
文摘Objective: To investigate the prevalence of term low birth weight (TLBW) and its risk factors. Methods: A follow-up study with 7, 872 couples was conducted from 1987 to 199o beginning from the time they got marriage licenses in two districts defined in Shanghai. They were interviewed in the third month and again in the fifteenth month and in the fifth to sixth year afterwards individually at home. The total follow up rate reached 98%. Couple’s background characteristics as well as the information on their general health. reproductivc history and contraceptive use etc.. were collected dynamically. All of the single live births with term delivery were Included for data analysis in this paper. Adjusted odd ratios and population attributable risk (PAR%) were computed. Results: The prevalence of TLBW in Shanghai single term live births was 2. 0% (134,/6.573), represents 54. 7% (134/245) of the total low birth weights in our sam pie. Significant social and behaviour risk factors relating with TI-BW were wife’s dissat- isfaction with marriage; low education level of husband; co-residence with parents during pregnancy; heavy housework done by the wife while being pregnant. Significant biomedical risky factors were menarche age greater than 16 years old; maternal age at delivery greater than 29 years old; maternal body mass index less than 19. 8; wife suf- fered from serious disease prior to conceiving; having pregnancy complication; gestational weight gain less than 20 % of pre-pregnancy weight; having abortion, stillbirth and fetal death history. Conclusion: TL.BW constituted over half of all low birth weights in Shanghai. Special attention should be paid to the determinants mentioned above in TLBW intervention program. Improving couples’ economic and living condition and husband ’s education at tainment, and caloric supplementation with women while being pregnant would all be particularly effective in reducing the occurrence of TLBW in Shnaghai.
文摘OBJECTIVE: To identify how acupressure on the acupoint Yintang(EX-HN 3) impacts oxygen saturation, pulse rate, and peripheral perfusion in term-born infants without underlying disease.METHODS: Infants born between weeks 37 and 42 of gestation were included in this study. The polyclinic's neonatology room was noise-controlled and made half-dark to prevent the perfusion index from being confounded. A pulse oximeter was linked to the baby's left lower extremity. Acupressure was applied on Yintang(EX-HN 3) for 30 s clockwise, held for 30 s, and then acupressure was applied for another 30 s counterclockwise. The baby's SaO_2, pulse rate, and perfusion index were recorded for each minute before and after acupressure.RESULTS: When pre- and post-acupressure pulse rate values were compared, a significant decrease in pulse rate values after acupressure application was observed. When pre- and post-acupressure oxygen saturation values were compared, a significant increase in post-acupressure oxygen saturation was observed. In addition, peripheral perfusion increased significantly after acupressure.CONCLUSION: Acupressure application has been used in traditional medicine for many years. However, it is not yet widely used in modern medicine.This study shows the impact of acupressure on neonatal skin perfusion, oxygen saturation, and pulse rate.
文摘Perinatal asphyxia is defined as harm to the fetus or the newborn caused by hypoxia and/or ischemia of various organs with intensity to produce biochemical and/or functional changes. Understanding the risk factors for this clinical condition allows the identification of vulnerable groups, enabling an improvement in care planning in the perinatal period in neonatal intensive care units. In this sense, this research aimed to identify risk factors for perinatal asphyxia present in newborns term that showed record for this clinical condition. This was a cross-sectional, retrospective documentary, quantitative and descriptive, conducted from data from medical records of 55 infants admitted to a neonatal intensive care unit. As for maternal characteristics (78.0%) had between 16 and 35 years, only one child (53.0%) and (76.0%) had no prior history of miscarriage. As for pre-existing diseases or pregnancy (38.0%) developed by Hypertensive Pregnancy Specific disease (02.0%) were suffering from Hypertension and (02.0%) of Diabetes Mellitus. As for newborns, most infants had birth weight (43.6%) and correlation with gestational age (78.2%) compatible for good conditions of birth. Only (20.0%) of the infants had a difficult labor. It stood out although there was a slight predominance of severe asphyxia (50.9%) in the first minute and (45.5%) of the infants had record release intrauterine meconium. It was concluded that most mothers and newborns did not have risk factors for perinatal asphyxia, thus, this fact could be attributed to the structural conditions of service, especially in the care during labor, delivery and immediate assistance newborn.
文摘Introduction: The underweight at birth is recognized as a major cause of morbidity and mortality in childhood. Objective: To identify maternal and obstetric sociodemographic factors associated with low birth weight. Patients and Methods: This is a retrospective study of analytical type that examined the records of women who gave birth in the Obstetrics and Gynecology department of Ignace Deen National University Teaching Hospital from 1st December 2016 to 30th April 2017. The analysis was made with the R version 3.3.1 software. We did a univariate and multivariate analysis. Outcomes: Out of the 1633 live births of single pregnancies that occurred during the study period, 109 children were born with a low weight (<2500 g) corresponding to a rate of 6.7%. In univariate analysis, we found a significant association between low birth weight and maternal single status (p = 0.019), maternal weight less than 60 kg (p = 0.038), primary parity (p = 0.018), maternal history of abortion (p = 0.001), history of preterm birth (p < 0.001), arterial hypertension (p < 0.001), anemia (p < 0.001) and malaria (p < 0.001). In multivariate analysis, the variables associated with low birth weight were: history of preterm delivery with OR of 8.5 [1.8 - 40.1], history of abortion (OR = 4.4 [1.4 - 13.9]), malaria (OR = 23.8 [6.1 - 92.5]), anemia (OR = 11.8 [3.7 - 38.2]) and high blood pressure (OR = 5.4 [1.6 - 17.9]). Conclusion: The decrease in frequency of low birth weight in Guinea will be done by improving the quality of prenatal care with an emphasis on screening, prevention and treatment of malaria, anemia and high blood pressure during pregnancy, prevention of abortion and premature birth.
文摘目的:观察醋酸阿托西班注射液联合硫酸镁注射液治疗宫颈机能不全宫颈环扎术后患者的效果。方法:选取2023年2月至2024年8月该院收治的66例宫颈机能不全宫颈环扎术后患者进行前瞻性研究,按照随机数字表法分为观察组与对照组各33例。对照组采用硫酸镁注射液治疗,观察组在对照组基础上联合醋酸阿托西班注射液治疗,比较两组妊娠结局、新生儿不良结局发生率、分娩时孕周、新生儿出生1 min阿氏(Apgar)评分、新生儿体质量和并发症发生率。结果:观察组足月产率为87.88%,明显高于对照组的66.67%,差异有统计学意义(P<0.05);观察组早产率为6.06%,低于对照组的24.24%,差异有统计学意义(P<0.05);观察组新生儿不良结局发生率为12.90%,低于对照组的36.67%,差异有统计学意义(P<0.05);观察组分娩时孕周大于对照组,新生儿出生1 min Apgar评分、新生儿体质量高于对照组,差异均有统计学意义(P<0.05);两组术后1个月并发症发生率比较,差异无统计学意义(P>0.05)。结论:醋酸阿托西班注射液联合硫酸镁注射液治疗宫颈机能不全宫颈环扎术后患者可提高足月产率、新生儿出生1 min Apgar评分、新生儿体质量,降低早产率和新生儿不良结局发生率,增加分娩时孕周,效果优于单纯硫酸镁注射液治疗。
