ABSTRACT
Objective To investigate related factors of pelvic adhesions and its effect on fallopian tube recanalization in infertile patients.Methods Infertile patients undergoing hysteroscopy and laparoscopic surgery in Department of Obstetrics and Gynecology,Kangning Women and Children Hospital of Jinyun were studied retrospec-tively.They were divided into adhesion group and non -adhesion group.The differences of past medical history, complication,prognosis between the two groups were determined.Results There were 301 patients in this study, including 97 patients with pelvic adhesions in adhesion group and 204 patients without pelvic adhesions in non -pelvic adhesion group.Among those events of past medical history,the incidence rates of abortion,pelvic inflammation,pelvic cavity and abdominal operation in the adhesion group were significantly higher than those in the non -adhesion group (χ2 =7.39,20.27,29.99,all P 0.05).Among the events of complications,concurrent rates of pelvic tuberculosis,tubal effusion or fester,ovary endometriosis cyst in the adhesion group were statistically higher than those in the non -adhesion group(χ2 =9.39,24.71,22.89,all P 0.05 ).At the time of 3 months after curing,the rate of recanalization fallopian tube of patients cured by salpingostomy in the two groups had no statistical difference(χ2 =0.00,P >0.05 ).And the rate of recanalization fallopian tube of patients cured by interventional therapy in the adhesion group was statistically higher than that in the non -adhesion group(χ2 =5.87,P <0.05 ).Conclusion Abortion,pelvic inflammation,pelvic cavity and abdominal operation,pelvic tuberculosis,tubal effusion or fester and ovary endometriosis cyst are the risk factors of pelvic adhesion in the reproductive age women,and pelvic adhesion has significant effect on the fallopian tube recanalization in infertile patients.
ABSTRACT
Objective We aimed to study the effects of women's knowledge about painless childbirth on their fear of childbirth (FOC)and delivery way,so as to provide reference for antenatal education.Methods the pregnant women came to our hospital for childbirth were selected as study objects.Their obstetric characteristics,the FOC, knowledge about painless childbirth,and delivery way were investigated by W -DEQ questionnaire and our designed questionnaire,and then according to their information,these subjects were divided into different groups and were com-pared.Results The mean W -DEQ score of the cognitive group was (65.76 ±10.53)points,which was higher than (72.45 ±9.28)points of the non -cognitive group (t =8.7,P <0.05).The number of pregnant women with FOC in the cognitive group was 54cases(13.27%),while the number of pregnant women with FOC in the non -cognitive group was 59 cases (20.14%),and the difference between the two groups was statistically significant (χ2 =5.94, P <0.05).The numbers of cesarean section and vaginal delivery in the pregnant women with FOC in the cognitive group were 6 cases (11.11%)and 48 cases (88.89%),respectively,while the corresponding numbers in the preg-nant women with FOC in the non -cognitive group were 54 cases (91.53%)and 5 cases (8.47%),respectively, and the difference between the two groups was statistically significant (χ2 =73.21,P <0.01).The numbers of cesar-ean section and vaginal delivery in the pregnant women without FOC in the cognitive group were 42 cases (11.89%) and 311 cases (88.11%),respectively,while the corresponding numbers in the pregnant women without FOC in the non -cognitive group were 78 cases (33.33%)and 156 cases (66.67%),respectively,and the difference between the two groups was statistically significant (χ2 =39.74,P <0.01).Conclusion Women's knowledge about painless childbirth will reduce their FOC,and then urge them to choose the delivery way they like for childbirth (vaginal deliv-ery).Thus,it is essential to provide antenatal education for pregnant women.