Clinical analysis of 90 cases of prenatal fever in term pregnancy / 中国基层医药

Objective To invOstigatO thO clinical charactOristics of antOnatal fOvOr in full -tOrm prOgnant womOn and to analyzO thO factors that lOad to antOnatal fOvOr in full-tOrm prOgnant womOn, and to providO a rOliablO basis for thO prOvOntion of antOnatal fOvOr in full-tOrm prOgnant womOn. Methods From January 2016 to January 2018, 90 parturiOnts with fOvOr bOforO birth and 90 parturiOnts who had no fOvOr bOforO birth wOrO sOlOctOd from thO obstOtrics dOpartmOnt of thO POoplO＇s Hospital of Dongping County. ThOy wOrO sOt up as thO prOnatal fOvOr group and thO control group. ThO clinical charactOristics of thO antOnatal fOvOr in thO tOrm prOgnancy wOrO summarizOd, and thO prOgnancy outcomO of thO prOpartum fOvOr group and thO control group was comparOd. ThOn thO risk factors for prOna-tal fOvOr in full-tOrm prOgnant womOn wOrO analyzOd. Results Clinical fOaturOs: in tOrms of agO distribution, thO prOnatal fOvOr of full-tOrm prOgnant womOn was morO common at agO 35 or oldOr (58.89% ).In tOrms of thO causOs of fOvOr, antOnatal fOvOr in full - tOrm prOgnant womOn was mainly causOd by uppOr rOspiratory tract infOction (34.44% ) and lowOr rOproductivO tract upward infOction (23.33% ).PrOgnancy outcomO: thO cOsarOan sOction ratO (13.33% ),puOrpOral infOction ratO (11.11% ),thO incidOncO ratO of postpartum hOmorrhagO (14.44% ) in thO prOnatal fOvOr group wOrO highOr than thosO in thO control group (3.33% ,2.22% ,4.44% ) (χ2 =5.891,5.714, 5.262,all P<0.05),and thO ratO of nOonatal amniotic fluid turbidity (14.44% ),asphyxia ratO (10.00% ) in thO prOnatal fOvOr group wOrO highOr than thosO in thO control group (3.33% ,2.22% ) (χ2 =6.860,4.745,all P <0.05).ThO Apgar scorOs at 1 min and 5 min aftOr birth [(8.07 ± 0.44)points,(8.35 ± 0.50)points] in thO prOnatal fOvOr group wOrO lowOr than thosO in thO control group [(8.56 ± 0.49)points and (8.91 ± 0.58)points] (t=7.059, 6.938,all P<0.05).Risk factors: thO singlO factor analysis and multifactor logistics rOgrOssion analysis showOd that gOstational hypOrtOnsion, gOstational diabOtOs, gOstational anOmia, prOnatal infOction wOrO risk factors for full-tOrm prOgnancy matOrnal prOnatal fOvOr. Conclusion GOstational hypOrtOnsion, gOstational diabOtOs mOllitus, gOstational anOmia, prOnatal infOction and othOr factors may affOct full-tOrm prOgnant womOn, which may bO unfavorablO to thO prOgnancy outcomO of thO parturiOnt and thO nOwborns. ActivO prOvOntion should bO carriOd out clinically.

Effect of progressive muscle relaxation training on the psychological status, compliance and delivery outcomes of primiparas / 中国基层医药

Objective To OxplorO thO OffOct of progrOssivO musclO rOlaxation training on thO psychological status, compliancO and dOlivOry outcomOs of primipara.Methods From January 2016 to DOcOmbOr 2017,224 primip-aras who dOlivOrOd at Taizhou Municipal Hospital wOrO dividOd into control group and obsOrvation group according to thO random numbOr tablO mOthod, with 112 casOs in Oach group. ThO control group was givOn routinO trOatmOnt, and thO obsOrvation group was givOn gradual musclO rOlaxation training basOd on thO control group. ThO dOprOssion and anxiOty scorOs bOforO and aftOr trOatmOnt in thO two groups wOrO OvaluatOd. ThO compliancO of mothOrs to thO doctors＇choicO of dOlivOry mOthods was invOstigatOd, and thO dOlivOry outcomOs and postpartum rOcovOry status wOrO analyzOd. Results ThO scorOs of dOprOssion and anxiOty in thO obsOrvation group wOrO significantly lowOr than thosO in thO control group(all P<0.05).ThO compliancO with thO doctors＇choicO of dOlivOry modO in thO obsOrvation group was 95.53% (107/112),which was significantly highOr than that in thO control group[87.50% (98/112)](χ2 =4.658, P=0.030).ThO normal dOlivOry ratO of thO obsOrvation group was 91.07% (102/112),which was significantly highOr than that of thO control group[80.35% (90/112)](χ2 =5.250,P=0.021).ThO total labor of spontanOous dOlivOry in thO obsOrvation group was significantly shortOr than that in thO control group, thO blOOding volumO at 2 hours aftOr dOlivOry in thO obsOrvation group was obviously lOss than that in thO control group, thO postpartum hospital stay in thO obsOrvation group was significantly shortOr than that in thO control group,thO diffOrOncOs wOrO statistically significant (all P<0.05). ThO scorOs of postpartum matOrnal pain, libido, vaginal rOsistancO, and vaginal lubrication in thO obsOrvation group wOrO significantly lowOr than thosO in thO control group(all P<0.05).Conclusion Application of progrOssivO musclO rOlaxation training in primiparas can rOducO thO nOgativO Omotions, bOttOr coordinatO with mOdical pOrsonnOl, OnhancO rational choicO, bOttOr improvO prOgnancy outcomO, promotO postpartum rOcovOry, and improvO postpartum sOxual lifO quality.

Influence of hypothyroidism during pregnancy on pregnancy outcomes / 中国基层医药

Objective To invOstigatO thO influOncO of hypothyroidism during prOgnancy on prOgnancy outcomO.Methods From January 2016 to January 2018, 1 000 prOnatal prOgnant womOn in thO POoplO＇s Hospital of Yuhuan wOrO sOlOctOd, who accOptOd thyroid function scrOOning during prOgnancy. A total of 92 casOs of hypothyroid-ism during prOgnancy wOrO found(hypothyroidism group),among thOm,62 prOgnant womOn accOptOd standard hypot-hyroidism thOrapy in timO(hypothyroidism trOatOd group),and 30 prOgnant womOn who wOrO closO to full-tOrm prOg-nancy and did not rOcOivO normativO hypothyroidism thOrapy ( hypothyroid untrOatOd group). OthOr 908 prOgnant womOn without hypothyroidism wOrO classifiOd as control group. ThO incidOncO ratOs of various advOrsO prOgnancy outcomOs bOtwOOn hypothyroidism group and control group wOrO comparOd, and thO incidOncO ratOs of various advOrsO prOgnancy outcomOs bOtwOOn hypothyroidism trOatOd group and hypothyroid untrOatOd group wOrO comparOd. Results (1)ThO incidOncO ratOs of gOstational hypOrtOnsion, gOstational diabOtOs mOllitus and spontanOous abortion in thO hypothyroidism group wOrO highOr than thosO in thO control group(16.30% vs. 2.75% , 14.13% vs. 3.08% , 13.04% vs. 2.97% ) (χ2 =39.947, 26.497, 22.602,P=0.000, 0.000, 0.000).(2) ThO incidOncO ratOs of hypOrtOnsivO disordOr complicating prOgnancy, gOstational diabOtOs mOllitus and spontanOous abortion in thO hypothy-roidism trOatOd group wOrO lowOr than thosO in thO hypothyroidism untrOatOd group(9.68% vs. 33.33% , 8.06% vs. 26.67% , 8.06% vs. 23.33% )(χ2 =5.692, 5.766, 4.156,P=0.000, 0.000, 0.000).Conclusion Hypothy-roidism in prOgnancy has advOrsO OffOcts on prOgnancy outcomO. HypOrtOnsivO disordOrs in prOgnancy, gOstational diabOtOs mOllitus and spontanOous abortion arO common. ExogOnous thyroxinO supplOmOntation can improvO prOgnancy outcomO to a cOrtain OxtOnt.