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Objective To construct a set of systematic and standardized intermediate and senior assessment table for nursing staff by the guidance of the competency theory. Methods Delphi technique was used to complete this study based on the nurse competency requirements. Results The coefficient of variationin the two rounds of experts consultation were 0.1376-0.1947;the authority coefficient was 0.93; the assessment of project and contents were 9.56%-21.79% and 7.14%-19.27%. Conclusions The intermediate and senior assessment table for nursing staff based on the competency is scientific and practical which can be applied to nursing human resource management.
RESUMO
<p><b>OBJECTIVE</b>To discuss the diagnosis of and conservative management for lower uterine segment pregnancy with placenta increta complicating first trimester abortion.</p><p><b>METHODS</b>Four patients with previous caesarean section and severe hemorrhage in induced abortion in the first trimester were studied. Uterine artery embolization (UAE) was used to control bleeding and preserve the uterus.</p><p><b>RESULTS</b>UAE controlled heavy uterine bleeding satisfactorily. One of the four patients asked for a hysterectomy after UAE, and her pathology report confirmed "lower uterine segment pregnancy with placenta increta".</p><p><b>CONCLUSION</b>Previous caesarean section is a risk factor for lower uterine segment pregnancy with placenta increta. UAE is one of the best conservative management methods for heavy hemorrhage, especially for women who desire future fertility.</p>