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Objective To investigate the service needs in relation to the related behavioral characteristics and reproductive health service for women receiving induced abortion in childbearing age in Wenzhou, providing reference for the protection of reproductive health in women of childbearing age. Methods A questionnaire survey was conducted among a total of 1 065 women of childbearing age who received artificial abortion in 12 medical institutions and maternal and child health care institutions in Wenzhou. Results Of the 1 065 women, 456 (42.82%) were under 24 years old, 609 (57.18%) were over 25 years old.815 (76.53%) with high school / technical secondary school degree or below, 250 (23.47%) with college degree or above.448 unmarried (42.07%), 617 married (57.93%).484 (45.45%) of first abortion and 581 (54.55%) of repeated abortion.Among the direct causes of abortion, 244 (54.46%) were not contraception, 382 (61.91%) were contraception failure.There was a significant difference in the direct causes of induced abortion among women with different marital status(χ2＝28.128, P < 0.05).67.51% of the surveyed women hoped that the family planning clinic would provide contraceptive and reproductive health consulting services after abortion. Conclusion Women of childbearing age with induced abortion in Wenzhou have low education level, high rate of repeated abortion, lack of contraceptive knowledge and high demand for contraceptive and reproductive health consulting services.Therefore, it is necessary to improve reproductive health education, popularize contraceptive knowledge, reduce abortion rate and promote reproductive health.
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Objective To evaluate the effect of three different doses of oxycodone hydrochloride injection on uterine cramping pain and emotion in patients of artificial abortion.Methods Four hundred female patients, aged 17-38 years, BMI 18.5-23.9 kg/m2, falling into ASA physical statusⅠ orⅡ, undergoing elective artificial abortion were randomized into four groups using a random number table:group O1 (oxycodone 0.06 mg/kg), group O2 (oxycodone 0.08 mg/kg), group O3 (oxycodone 0.1 mg/kg), and group F, 100 cases in each.In group O1, group O2 and group O3, oxycodone 0.06, 0.08, 0.1 mg/kg were intravenously injected respectively, while in group F fentanyl1μg/kg was intravenously injected.Then, propofol 2.5 mg/kg was intravenously injected as induced dose.The operation was started when eyelash reflexes disappeared, propofol 0.4 mg/kg was intravenously injected when body movement appeared during the operation.The propofol doses, operation time and recovery time were recorded.HR, MAP, RR before anesthesia (T0), when loss of eyelash reflex (T1), operation (T2) and recovery (T3) were recorded.The uterine cramping pain was assessed with numerical rating scale (NRS) at recovery, 10, 30, 60 min after operation.Patients'satisfaction was recorded after operation.Patients'emotion was assessed with positive and negative affect scale (PANAS) both before and after operation in one hour.Rescue analgesia, nausea and vomiting, dizziness, respiratory depression, pruritus, uroschesis, cognitive dysfunction, sweatiness were recorded.Results The propofol doses and recovery time in groups O2, O3 and F were significantly lower than those in group O1 (P<0.05).The NRS score of uterine cramping pain in groups O1, O2 and O3 were significantly lower than that in group F (P<0.05).Patients'satisfaction in groups O1, O2 and O3 were significantly higher than that in group F (P<0.05).The positive affective score after operation in one hour among the four groups were significantly higher than that before operation (P<0.05), and the negative affective score after operation in one hour among the four groups were significantly lower than that before operation (P<0.05).The positive affective score after operation in one hour in groups O1, O2 and O3 were significantly higher than that in group F (P<0.05), and the rescue analgesia in groups O1, O2 and O3 were significantly lower than that in group F (P<0.05).There were no significant differences among the four groups as to the dizziness, nausea and vomiting.No respiratory depression, pruritus, emergence agitation, cognitive dysfunction, uroschesis and sweatiness were reported.Conclusion Oxycodone 0.08 mg/kg combined with propofol in patients undergoing artificial abortion is effective in preventing uterine cramping pain.Furthermore, the patients'satisfaction and positive affective score can also be improved.
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Objective To explore the clinical effects of immediate placement of Ginny intrauterine devices (IUDs) and IUDs after the artificial abortion.Methods From February 2016 to June 2017,86 artificial abortion patients in the Eighth People's Hospital of Taiyuan were randomly selected,they will be in accordance with randomly divided into study group and control group,with 43 cases in each group.The study group was placed immediately after the operation,and the control group was immediately placed intrauterine device.The patients were followed up for 1 months,3 months,6 months and 12 months respectively.The clinical efficacy,postoperative bleeding and incidence of adverse reactions were compared between the two groups.Results The two groups had no statistically significant difference in pregnancy with contraceptive device(P ＞ 0.05).The rate of exfoliated correlation and the rate of disease removal in the study group were significandy lower than those of the control group(x2 =3.894,6.127,all P ＜ 0.05),and the related termination rate of the study group was 28.0％,which was significantly higher than 11.6％ of the control group(x2 =5.481,P ＜ 0.05).There was no statistically significant difference in bleeding volume between the two groups at first months after operation (P ＞ 0.05).The total bleeding volume in the study group at the 3 month,6 months and 12 months after operation,which were significantly less than those in the control group (x2 =3.885,6.482,7.358,all P ＜ 0.05);The total incidence of adverse events such as increased menstrual volume,prolonged or shortened menstrual period,irregular bleeding,pain and leucorrhea in the study group,were significantly lower than those in the control group (x2 =4.589,7.112,3.947,5.892,7.482,all P＜0.05).Conclusion Immediately after placement of artificial abortion,the beauty of IUD is safe,and it can effectively reduce the incidence of adverse reactions,improve the quality of life of patients,and has high clinical value.
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Objective To explore the effect of ras-related C3 botulinum toxin substrate 3 (RAC3) on the proliferation, migration and invasion abilities of early trophoblast cells. Methods Villius samples from 20 unexplained spontaneous abortion (SA) and 20 induced abortion (IA) patients were collected between May 2015 and May 2016 in Changzheng Hospital of Navy Medical University (Second Military Medical University). qPCR was used to detect the expression of RAC3 mRNA in the villus tissues. mRNA Chip detection was performed on the placental tissues of 6.5, 14.5 and 19.5 days in mice. After interfering or overexpressing RAC3 in early human trophoblast cell line HTR-8/SVneo, the proliferation, migration and invasion abilities were detected by CCK-8 and Transwell assay, respectively. Results The expression of RAC3 mRNA was significantly lower in the villus tissue of unexplained SA patients than that in the villus tissue of IA patients (P0.05). Rac3 mRNA expressions were significantly higher in the placental tissues of 6.5 and 14.5 days in mice than that in the placental tissues of 19.5 days (both P0.05). Compared with the control group, the proliferation, migration and invasion abilities of the HTR-8/SVneo cells were significantly reduced by interfering RAC3 expression (all P0.05), and the proliferation, migration and invasion abilities were significantly enhanced by overexpressing RAC3 (all P0.01). Conclusion RAC3 plays an important role in regulating of the proliferation, migration and invasion of early trophoblast cells.
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Objective To analyze the carbetocin combined with oxytocin for prevention of bleeding after artificial abortion .Methods 110 cases of pregnant women undergoing artificial abortion were randomly divided into observation group and control group.Observation group were treated with carbetocin combined with oxytocin treatment, the control group were treated by oxytocin treatment, the negative blood loss, menstrual recovery changes and curative effect in two groups of patients were compared.Results The total efficiency of the observation group was 96.36%, was significantly higher than the control group 78.18%, the difference was statistically significant (P14d accounted for 3.64%, significantly lower than the control group 21.82%, the difference was statistically significant (Pmenstrual volume accounted for more than 9.09%, was lower than 32.73%in the control group, the difference was statistically significant (P<0.05).The sex hormone in two groups of patients before and after the treatment had no significant difference.The progesterone level in observation group was lower than the control group, estradiol level was higher than the control group, the difference was statistically significant (P<0.05), the adverse reaction rate in control group was 12.73% compared with 7.27% in the observation group, the difference was no statistically significant.Conclusion The abortion patients after treated with carbetocin combined with oxytocin treatment can reduce the amount of vaginal bleeding, shorten the bleeding time and menstrual recovery time, safe and reliable curative effect.
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Objective This experiment will discuss misoprostol combined with psychological intervention for scar uterus abortion effect, and concern for the use of security. Methods The experiment selected from June 2016 to December 2016 in our hospital for termination of gestation in 100 cases of patients with cicatricial uterus as the research object, were randomly divided into control group and observation group, control group using conventional treatment, which USES the local administration of lidocaine cervical to;While the observation group of patients with preoperative after flushing after 2 hours to gauge the vagina blue oxygen dome placing misoprostol tablets, 600 μg for treatment. Results Observation group of patients during surgery, intraoperative blood loss, pain degree, operation time and palace mouth sags were superior to control group, significant difference, the two groups have statistical significance (P<0.05). Conclusion Using misoprostol combined psychological intervention for scar uterus abortion has high security, and through psychological intervention can help patients relieve intraoperative pain degree, improve the coordination, is beneficial to reduce the occurrence of induced abortion syndrome, is worth popularizing in the process of clinical application.
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Objective To study the influence of preoperative and postoperative concern and love service on the perioperative clinical indexes,re-pregnancy and adverse drug reaction risk in females of painless artificial abortion.Methods Three hundred and sixty female patients receiving painless artificial abortion operation in our hospital from June 2014 to May 2015 were selected and divided into the control group and observation group by using the random number table method,180 cases in each group.The control group was explained the conventional considerations before and after operation,while the observation group was given the concern and love service before and after operation.Results The induction amount,total amount of propofol,intraoperative bleeding volume,operation time and postoperative bleeding days in the observation group were less than those in the control group(P＜0.05).The observation group had more cases of accidental re-pregnancy,while the cases number of repeated abortion once or above was less than that in the control group(P＜0.05).The incidence rates of infection,irregular menstruation and mental disorder in the observation group were lower than those in the control group(P＜0.05).The implementing rate of effective contraception measures in the observation group was higher than that in the control group,while the incidence rates of safety period,ejaculation outside body,emergency contraception and no contraception were lower than those in the control group(P＜0.05).Conclusion Conducting the concern and love service before and after painless artificial abortion is conducive to the smooth operation,and the implementation rate of effective contraception measures is good.
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<p><b>OBJECTIVE</b>To observe the clinical effects on analgesia, tranquilization and prevention of abortion syndrome of artificial abortion operation treated with transcutaneous electrical acupoint stimulation (TEAS) with different acupoint combination and explore the optimal acupoint combination of TEAS in artificial abortion operation.</p><p><b>METHODS</b>Two hundred patients intended to artificial operation were randomized into No.1 group[Sanyinjiao (SP 6) + Zusanli (ST 36)], No.2 group[Sanyinjiao (SP 6) + Diji (SP 8)], No.3 group[Sanyinjiao (SP 6) + Taichong (LR 3)], No.4 group (cervical blockage anesthesia with lidocaine) and No.5 group (blank group, without any analgesia measure applied), 40 cases in each one. In the No.1, No.2 and No.3 groups, Sanyinjiao (SP 6) was the main acupoint, combined with Zusanli (ST 36), Dijin (SP 8) and Taichong (LR 3) respectively. TEAS was given 30 min before the operation till the end of operation. Mean arterial pressure, heart rate and oxygen saturation during operation, as well as bleeding amount were observed in the five groups. The visual analogue scale (VAS) score was observed during and 30 min after operation, and Ramsay score was observed during operation. Cervical relaxation degree and the incidence of artificial abortion syndrome were recorded.</p><p><b>RESULTS</b>For VAS score during and 30 min after operation and Ramsay score during operation, the differences were significant statistically in the No. 1, No.2, No.3 and No.4 groups as compared with the No.5 group (<0.01,<0.05). The results in the No.2 group were better than those in the No.1, No.3 and No.4 groups (all<0.05). For cervical relaxationdegree, the result in the No.2 group was better than that in each of the rest groups (<0.01,<0.05). For artificial abortion syndrome, the incidences in the No.2 and No.3 groups were lower than those in the No.4 and No.5 groups (all<0.05). For bleeding amount and hemodynamic changes, the differences were not significant statistically among the five groups (all>0.05).</p><p><b>CONCLUSIONS</b>TEAS apparently reduces pain score during and 30 min after artificial abortion operation and achieves the satisfactory tranguilization effects. The combination of Sanyinjiao (SP 6) and Diji (SP 8) achieves the optimal effect of analgesia, tranquilization, dilating cervix and preventing from artificial abortion syndrome in the operation.</p>
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OBJECTIVE:To observe therapeutic efficacy of Compound Leonurus japonicus oral solution in the treatment of hemorrhage after artificial abortion and its effect and safety on normal menstruation recovery. METHODS:100 cases of artificial abortion selected and randomly divided into treatment group and control group,with 50 cases in each group. Control group re-ceived oxytocin intramuscularly after surgery,10 U/time,12 h/time,for 3 times;treatment group was additionally given Com-pound L. japonicus oral solution,2 piece/time,3 times/d,for 5 days,on the basis of control group. Metrorrhagia duration,hemor-rhage amount,normal menstruation recovery and duration of abdominal pain and ADR were all observed in 2 groups. RESULTS:The metrorrhagia duration [(5.38±0.95)d] of treatment group was significantly lower than that [(8.58±1.32)d] of control group, with statistical significance(P<0.05);hypomenorrhea cases(24 cases)of treatment group was higher than those(9 cases)of con-trol group;menorrhagia cases(8 cases)was lower than those(24 cases)of control group;with statistical significance(P<0.05). The normal menstruation recovery time [(27.34±3.87)d] of treatment group was significantly shorter than that [(40.13±2.58)d] of control group,with statistical significance(P<0.05);the duration of abdominal pain [(2.85±0.89)d] in treatment group was sig-nificantly shorter than [(5.02 ± 1.33)d] in control group,with statistical significance (P<0.05).Obvious ADR was not found in both groups. CONCLUSIONS:Compound L. japonicus oral solution is effective in the treatment of hemorrhage after artificial abor-tion,can significantl shorten metrorrhagia duration and hemorrhage amount,recover normal menstruation early,improve the symp-toms of abdominal pain after operation and is easy to take and good safety.
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Objective To investigate the relationship of Maternal-fetal interface local cytokine GM-CSF and its receptor with the occurrence of early spontaneous abortion. Methods From August 2009 to December 2011,we collected 30 villi tissue samples with artificial abortion and 30 villi tissue samples with spontaneous abortion. At the same time, we collected 30 villi tissue samples with artificial abortion and 30 decidua tissue samples with spontaneous abortion,and 30 decidua tissue samples with spontaneous abortion. The human chorionic gonadotropin ( HCG) was detected by radioimmunoassay in every group. The expressions of granulocyte-macrophage colony-stimulating factor (GM-CSF) and granulocyte-macrophage colony-stimulating factor receptor (GM-CSFR ) were detected by Immunohistochemical staining and Western Blot in the villi tissue and decidua tissue in every group. Results The concentration of HCG in the spontaneous abortion group was lower than that in the artificial abortion group ( <0.05) . The protein expressions of GM-CSF and GM-CSFR were found in villus and deciduas tissues in both groups. The protein expression levels of GM-CSFR in the villus tissues were higher in spontaneous abortion group than those in artificial abortion group ( <0.05), the protein expression of GM-CSF was upregulated, but there was no statistically significant difference between two groups. In deciduas tissues, the protein expressions of GM-CSF and GM-CSFR were upregualted in spontaneous abortion group ( <0.05) . Conclusions The suitable concentrations of GM-CSF and GM-CSFR in decidua tissue maintain the pregnancy continued. However,the higher concentrations of GM-CSF and GM-CSFR in the decidua tissue may be one of reasons of spontaneous abortion.
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Se realizó un estudio descriptivo y transversal de las adolescentes con captación de embarazo o interrupción de este, o ambos, en la provincia de Santiago de Cuba, durante el quinquenio 2007-2011, con vistas a caracterizarles según grupos etarios, métodos y procedimientos de interrupción de la gestación, y además determinar la razón captación e interrupción de embarazo, así como captación de embarazo y aborto provocado. Los resultados mostraron que el método más utilizado para interrumpir la gestación fue la regulación menstrual, con una tendencia descendente a emplearlo; en tanto se observó un ascenso del aborto provocado y el número de embarazos, con una cifra superior de interrupciones respecto a las captaciones. Se recomendó incrementar la labor educativa sobre salud sexual y reproductiva en los jóvenes y sus familiares, para así lograr disminuir la cantidad de embarazos en las adolescentes y las interrupciones de estos, de manera que mejore la calidad de vida de dicha población de féminas.
A descriptive and cross-sectional study of the adolescents under prenatal screening visits, and/or interruption of pregnancy, was carried out in Santiago de Cuba, during the five year period 2007-2011, aimed at characterizing them according to age groups, methods and interruption procedures for pregnancy, and also to determine the reason why the prenatal visit and pregnancy interruption occurred, as well as why prenatal visit and artificial abortion took place. The results showed that the most used method to interrupt pregnancy was the menstrual regulation, with a declining tendency to use it; meanwhile an increase of the artificial abortion and the number of pregnancies was observed, with a higher number of interruptions compared to the prenatal visits. It was recommended to increase the educational work on sexual and reproductive health in the youth and their relatives, so as to decrease the quantity of pregnancies in the adolescents and their interruptions, so that the life quality of this female population improves.
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Objective To analyze the risk factors of unplanned pregnancy after artificial abortion. Methods 4 000 patients after artifi-cial abortion in our hospital from May 2010 to May 2013 were selected for this study. 1 723 patients who conducted unplanned pregnancy after artificial abortion were observation group,then 1 723 patients were selected randomly in patients without unplanned pregnancy after artificial abortion as control group. The number of the age under 19,rural registered permanent residence,income below 2 000 yuan,high school diplo-ma or less,domestic partnership,2 or more sex partners and first sexual behavior under 17 were observed. Results In the 4 000 patients, the rate of unplanned pregnancy after artificial abortion was 43. 08%. Chi-square test and logistics regression analysis revealed that age under 19,rural registered permanent residence,income below 2 000 yuan,high school diploma or less, domestic partnership,2 or more sex partners and first sexual behavior under 17 were the risk factors of unplanned pregnancy after artificial abortion. Conclusion Young age,low educa-tion level,low income and open-minded about sex are the key risk factors of unplanned pregnancy after artificial abortion.
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Objective To observe the control effect of heat preservation infusion on incidence of infection after artificial abortion.Methods 168 cases of patients after artificial abortion were randomly divided into the heat preservation infusion group and normal infusion group with 84 cases in each group.The normal infusion group received routine nursing,and was intravenously infused fluid with non heat preservation method,the heat preservation infusion group was intravenously infused constant temperature liquid heated to 37℃.The incidence of infection was observed in two groups of patients after artificial abortion.Results The infection rate of the heat preservation group was significantly less than the normal infusion group.Conclusions Heat preservation infusion can effectively reduce the infection rate after artificial abortion.
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Objective To estimate the clinical application value of B ultrasound-guided visual painless artificial abortion operation. Methods One hundred and twenty women intented to terminate early pregnancy were randomly divided into 2 groups: group A (observation group) with ultrasound-guided visual painless artificial abortion operation and group B (control group) with traditional artificial abortion. Results Compared with the control group,the observation group has the advantages of less bleeding,less operation time, shorter bleeding time and less complications. There were statistical significances between two groups. Conclusion B ultrasound-guided visual painless artificial abortion operation is a safe and effective method, and it is worth promoting.
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PURPOSE: The purpose of this study was to explore the influence in a planned pregnancy of alcohol related family variables, knowledge and recognition of the effects of alcohol use during pregnancy on actual alcohol use during pregnancy. METHODS: The participants were 284 women who had experienced a pregnancy at some time in their lives. The data were collected from December 2011 to January 2012 and the method of data collection was self-report questionnaires. The instruments for this study were AUDIT-K, Knowledge of alcohol use during pregnancy, and Recognition of alcohol use during pregnancy. RESULTS: There were higher incidences of alcohol use during pregnancy when alcohol consumption was a problem, when there was a family member with an alcohol problem, or after having had an artificial abortion. There was no correlation in alcohol use during pregnancy with knowledge, but a correlation with recognition was found. CONCLUSION: The results of this study suggest that the main factor in alcohol use during pregnancy is recognition of the effects of alcohol use during pregnancy.
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Female , Humans , Pregnancy , Alcohol Drinking , Data Collection , Family Planning Services , Incidence , Surveys and QuestionnairesABSTRACT
Objective To build clinical nursing pathway for artificial abortion operation and explore the effect of this method. Methods The nursing pathway was designed and carried out. The satisfaction degree with nursing, status of patients' awareness about contraception and artificial abortion operation was compared before and after the nursing pathway was implemented. Results Before and after the nursing pathway was implemented,the proportion of missing item of operation record was 0.636 and 0.013, the satisfaction degree with nursing was 77.0% and 92.3%, rate of patients' awareness about contraception and artificial abortion operation was 47.6% and 96.1%. Conclusions The clinical nursing pathway for artificial abortion operation may improve the degree of satisfaction- and the status of patients' awareness about contraception and artificial abortion operation, and decline the proportion of missing item of operation note, it ensures high nursing quality and safety surgery, which is worthy of popularizing.
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Objective To compare different dose of remifentanil combined with propofol for painless abortion and approach to an appropriate dose of remifentanil.Methods Ninety pregnant women with ASA 1 were randomly divided into three groups(n=30)before administrating remifetanil,a bolus midazolam 1 mg was injected inminutes later.These two drugs did not stop administration until three minutes before the end of negative suction.MAP,HR,SpO2,BIS,RR,VT,PET CO2 were monitored.The onset,operation and recovery time,sedation score and adverse reaction were recorded.Results Sedation scores were significantly different between group A and C [(3.90±0.97)and(4.90±0.85),t=4.24,P＜0.01].Three cases in group A were found moving.MAP,HR,BIS decreased as compared witll baseline.HR reduced significantly in group C(P＜0.05,P＜0.01).Respiratory movement was lower and shallower.RR,VT decreased compared to preoperative one.PET C02 increased gradually (P＜0.05,P＜0.01).There were two cases of respiratory depressing in group A,four cases in group B and ten cases in group C(five cases apnea more than three minutes).All patients used oxygen mask to maintain SpO2＞95%.Incidence of adverse reactions such as chest titanic,nausea and vomiting,itching were of no difference among three groups(P＞0.05).All patients were satisfied with anesthesia.Conclusion The appropriate infusing dose of remifetory devices such as oxygen mask and monitoring life signs are very important to prevent respiratory depress and bradycardia during operation.
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Objective To compare the effect of artianterior sacralia foramina block and sacral block on induced abortion.Mathods 263 women for induced abortion were randomly devided into three groups:the group for anteriora sacralia foramina block (n=95),the group for sacral block (n=90),the control group (n=78).Parameters before and after abortion measured include anesthesia area,skin of both legs and anus tempreture,blood pressure,pulse rate,resperatory rate,heart rate,clinical effect and VAS score.Results At 15 minutes after the anteriora sacralia foramina blocking,the anesthesia area involved distribution of medii clunium nerve,glacens nerve,puden-dus nerve,posterior femoris cutaneus nerve,ischiadicus nerve.The skin temperatures of both legs increased significantly (P＜0.01).Blood pressure,pulse rate,resperatory rate,and heart rate didn't vary markedly.The analgisia effect of anteriora sacralia foramina block was superior to sacral block.Conclusion The anteriora sacralia foramina block is simple,safe,effective,practical and can become a new approach for analgisia in induced abortion.
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Objective: To investigate the effect of psychological intervention on mental health status in women who accepted artificial abortion.Methods: 576 cases of women accepted artificial abortion were randomly divided into psychological intervention group and control group,and evaluated their psychological state before artificial abortion and at first visit with SCL-90.Results: Compared with control group,psychological intervention group had obvious improvement in mental health states(P
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Objective To analyze the clinical effect and side effect of the placement of Jenefox intrauterine device(IUD) following artificial abortion.Methods Making follow-up observation on 783 women having been pregnant for 5～12 weeks and undergoing placement of Jenefex IUD following artificial abortion.Results Among 783 cases,3 cases expulsion of intrauterine device,4 cases pregnancy with intrauterine device,21 cases unlode with sign,36 cases increased excretion,23 cases hypogastralgia,19 cases prolonged menstrual period,12 cases dropping bleeding,6 cases of increased menstrual bleeding.Conclusion Cases of women undergoing placement of Jenefox intrauterine device following artificial abortion have certain clinical effect and little side effect,and deserve to perform in clinic.