Journal of pregnancy and child health最新文献_第10页

Late Onset Congenital Adrenal Hyperplasia Presenting at Puberty with Ambiguous Genitalia: Surgery with Dexamethasone Resulting in Live New-born Normal Child 青春期出现的迟发性先天性肾上腺增生伴生殖器模糊：地塞米松手术可使新生儿存活

Journal of pregnancy and child health Pub Date : 2017-04-05 DOI: 10.4172/2376-127X.1000310

K. Kaur, G. Allahbadia, M. Singh

引用次数: 0

Analysis on Medical Insurance Status of the Elderly in Urban Shaanxi Province of China 陕西省城镇老年人医疗保险现状分析

Journal of pregnancy and child health Pub Date : 2017-04-04 DOI: 10.4172/2376-127X.1000309

Shu-Mei Li, C. Shan, Yue Yang, Qianyun Wang, L. Xiong

{"title":"Analysis on Medical Insurance Status of the Elderly in Urban Shaanxi Province of China","authors":"Shu-Mei Li, C. Shan, Yue Yang, Qianyun Wang, L. Xiong","doi":"10.4172/2376-127X.1000309","DOIUrl":"https://doi.org/10.4172/2376-127X.1000309","url":null,"abstract":"Objective: This paper contributed to summarize researches of population aging and medical insurance in China and Shaanxi Province and worked out the health service demands and medical insurance status of the elderly in Shaanxi Province. Moreover, it demonstrated the present situation and challenges of medical insurance of the elderly in urban areas in Shaanxi Province and explored effective ways of optimizing the medical insurance system of the elderly in urban China. Methods: Methods including cluster random sampling, questionnaire survey and interview were conducted. Data analysis was performed by SPSS 21.0. And logistic regression analysis was used to analyse factors that affected the satisfaction rate. Results: 1. The covering rate of China’s urban basic medical insurance among interviewees is high (96.0%). 2. The ratio of reimbursement of hospitalization expenses (73.2%) was much higher than that of outpatient services (22.0%). 3. Self-paid expenses for outpatients on hypertension, hyperlipidemia and diabetes were high for 90.3%, 87.7% and 85.2%. 4. Interviewees who lived close to the nearest medical institution, participated in commercial medical insurances, had no physical examinations within one year and had bad subjective health status were more possible to be satisfied with the social basic medical insurance system. Conclusion: The country should provide the elderly with convenience and new ways to meet their medical demands by strengthening preventions of chronic diseases of the elderly, improving the security level of the urban basic medical insurance and perfecting reimbursement system of medical expenses paid in other cities.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-127X.1000309","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49474996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Does a Vanishing Twin Affect Perinatal Outcome 双胞胎消失会影响围产期结果吗

Journal of pregnancy and child health Pub Date : 2017-03-31 DOI: 10.4172/2376-127X.1000320

Kozue Akamine, K. Mekaru, C. Heshiki, Y. Chinen, Tadatugu Kinjyo, H. Masamoto, Y. Aoki

{"title":"Does a Vanishing Twin Affect Perinatal Outcome","authors":"Kozue Akamine, K. Mekaru, C. Heshiki, Y. Chinen, Tadatugu Kinjyo, H. Masamoto, Y. Aoki","doi":"10.4172/2376-127X.1000320","DOIUrl":"https://doi.org/10.4172/2376-127X.1000320","url":null,"abstract":"Background: The impact of vanishing twin (VT) syndrome on obstetric outcome is currently unknown. The aim of this study was to compare obstetric and neonatal outcomes of VT with singleton and twin deliveries after assisted reproduction and to evaluate the impact of VT on pregnancy outcome. Methods: We analyzed 130 births at our hospital between January 2000 and February 2012 that resulted from assisted reproduction. Among these, 96 were singleton, 10 were VT, and 24 were twin deliveries. Vanishing twin was defined as a first-trimester (≤ 12 gestational weeks) embryonic loss of one of the twins. We compared the obstetric and neonatal outcomes of VT with singletons and twins, respectively. Results: The obstetric and neonatal outcomes were similar between VT and singleton deliveries, although there was a trend towards an increased rate of preterm delivery (9.4% vs. 20%, p=0.28), extremely preterm delivery (5.2% vs. 20%, p=0.13), and low birth weight <2500 g (30% vs. 73.3, p=0.023) in the VT group. Outcomes were significantly better in the VT group than in the twin group. The rate of preterm delivery was significantly higher in the twin group than in the VT group (20% vs. 70.8%). Furthermore, birth weight was significantly lower in the twin group than in the VT group (2798 ± 187 vs. 2046 ± 97), and the rate of low birth weight was higher in the twin group than in the VT group (30% vs. 73.3%). Conclusion: Obstetric and neonatal outcome after assisted reproduction may deteriorate according to pregnancy status in the following order: singleton, VT and twin pregnancy.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-127X.1000320","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44515003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

In Vitro Fertilization Pregnancy is One of the Risk Factor for Atonic Bleeding in Problem-Free Pregnancy 体外受精妊娠是无问题妊娠中发生特异性出血的危险因素之一

Journal of pregnancy and child health Pub Date : 2017-03-20 DOI: 10.4172/2376-127X.1000308

A. Yanaihara, S. Ohgi, K. Motomura, A. Hirano, Shin Takenaka, T. Yanaihara

引用次数: 3

Neutrophil Lymphocyte Ratio and Red Cell Distribution Width as a Marker of Preeclampsia: A Retrospective Study 中性粒细胞淋巴细胞比率和红细胞分布宽度作为子痫前期的标志物:回顾性研究

Journal of pregnancy and child health Pub Date : 2017-03-19 DOI: 10.4172/2376-127X.1000307

Damar Prasmusinto, Rosalyn C Jono, Yuyun Lisnawati

{"title":"Neutrophil Lymphocyte Ratio and Red Cell Distribution Width as a Marker of Preeclampsia: A Retrospective Study","authors":"Damar Prasmusinto, Rosalyn C Jono, Yuyun Lisnawati","doi":"10.4172/2376-127X.1000307","DOIUrl":"https://doi.org/10.4172/2376-127X.1000307","url":null,"abstract":"Background: Preeclampsia occurs in 3-7% of pregnancy and contributes to 18% maternal mortality. Unfortunately, proper diagnosis and prompt treatment for preeclampsia are lim ited in rural area due to limited facilities. Neutrophils, lymphocytes, and red distribution width, some of the inflammatory response, are considered as marker for preeclampsia. We evaluated the NTR and RDW as a reliable marker for preeclampsia in limited facilities health care. Methods: A retrospective study was conducted to 254 pregnancies at Persahabatan Hospital, Jakarta, Indonesia. We obtained NTR and RDW data from the complete blood count panels and differed to two groups: pregnancies with preeclampsia and not, early and late onset of preeclampsia. We analyzed with T-test and Mann- Whitney test using SPSS 20.0 and performed diagnostic analysis in investigating sensitivity and specificity of NTR and RDW as marker tools. Results: There were 136 pregnancies with preeclampsia and 118 normal pregnancies. Pregnancies with preeclampsia showed higher NTR with mean 4.41 (95% CI 1.41-32.54, p<0.001) and RDW with median 14.2 (95% CI 1.48-23.90, p<0.001). Onset of preeclampsia did not influence the NTR with median of early onset preeclampsia 4.35 (95%CI 1.41-17.56) and late onset of preeclampsia 4.41 (95% CI 1.69-32.54). Hence, RDW showed statistically significance (power 97.29%, p<0.001) as higher range was obtained in the late onset of preeclampsia (95% CI 14.91 ± 2.16) that in the early onset of preeclampsia (95% CI 13.50 ± 1.47). In ROC (Receiver Operating Characteristic) curve analysis, NTR become an important marker for preeclampsia with sensitivity 80.1% and specificity 87.3% (95%CI 0.85-0.93, cut off value 3.295). RDW shows sensitivity 50.7% and specificity 71.2% (95%CI 0.55-0.69, cut off value 14.17). Conclusion: NTR and RDW can be markers for preeclampsia as higher NTR and RDW, as inflammatory responses, may be related to preeclampsia.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-127X.1000307","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42764129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Posterior Vaginal Wall Cyst Mimicking Rectocele 阴道后壁囊肿酷似直肠前突

Journal of pregnancy and child health Pub Date : 2017-03-18 DOI: 10.4172/2376-127X.1000306

H. Dağdeviren, Ç. Helvacıoğlu, Ammar Kanawati, C. Kaya, H. Cengiz

引用次数: 2

Management of Extremely Preterm Births in the Level III Maternity Unit atStrasbourg University Hospital Centre (CHU) 斯特拉斯堡大学医院中心（CHU）三级产科病房的极早产管理

Journal of pregnancy and child health Pub Date : 2017-02-28 DOI: 10.4172/2376-127X.1000304

L. Audrey, C. Martel-Billard, N. Sananès, B. Viville, B. Langer

{"title":"Management of Extremely Preterm Births in the Level III Maternity Unit atStrasbourg University Hospital Centre (CHU)","authors":"L. Audrey, C. Martel-Billard, N. Sananès, B. Viville, B. Langer","doi":"10.4172/2376-127X.1000304","DOIUrl":"https://doi.org/10.4172/2376-127X.1000304","url":null,"abstract":"Introduction: Active management of extreme prematurity, defined as birth occurring before 26WG, has medical and familial repercussions on account of the uncertain future of these infants. The aim of this paper is to describe our experience in the obstetrical and paediatric management of extreme preterm births based on choices made by the families. Methods: We retrospectively included all infants born between 22WG and 25WG+6days in our level III maternity unit in the period from January 2010 to December 2014. These births were documented along with family choices, methods of obstetrical management and birth outcomes. Results: 166 infants were included. After 24WG, active management was requested by the parents in 90% of cases versus 13% at 23WG and none at 22WG. Corticosteroid therapy was administered in 0% of cases at 22WG, 19% at 23WG, 92% at 24WG and 94% at 25WG. Caesarean section was performed in 0% of cases before 24WG, 10% at 24WG and 48% at 25WG. Six per cent of infants at 22WG, 32% at 23WG, 89% at 24WG and 92% at 25WG were live births. The survival rate for infants admitted to neonatal intensive care was 17% at 23WG, 47% at 24WG and 71% at 25WG. Conclusion: Optimal management of extreme preterm births requires a solidly cooperative obstetrical-paediatric team guided by respect for parental choice.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-127X.1000304","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41561353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Supplementation of Magnesium in Pregnancy 妊娠期补充镁

Journal of pregnancy and child health Pub Date : 2017-02-28 DOI: 10.4172/2376-127X.1000302

L. Spatling, H. Classen, K. Kisters, U. Liebscher, R. Rylander, W. Vierling, B. Ehrlich, J. Vormann

引用次数: 12

Community Based Magnitude of Obstetric Emergencies in Rural Women withLow Resources 低资源农村妇女产科急诊的社区程度

Journal of pregnancy and child health Pub Date : 2017-02-27 DOI: 10.4172/2376-127X.1000303

S. Chhabra

{"title":"Community Based Magnitude of Obstetric Emergencies in Rural Women withLow Resources","authors":"S. Chhabra","doi":"10.4172/2376-127X.1000303","DOIUrl":"https://doi.org/10.4172/2376-127X.1000303","url":null,"abstract":"Background: Rural women with low resources do not get timely and appropriate care for obstetric emergencies. Awareness in women, communities about emergencies, action needed, helps in getting quick, right therapy for prevent ion of maternal, perinatal morbidity, mortality. Objective: To know community based numbers, types of emergencies for which rural women sought care during pregnancy, labour, postpartum. Methodology: Present article is based on analysis of records of women who sought referral care for emergencies during pregnancy, labour, postpartum from communities of 53 villages with low resources, being served through nurse midwives. Results: Of 10117 births in 53 villages during analysis period, 656 (6.48 %) women sought emergency care. 458 (7.52% of 6087 births) were from nearby villages, being served since more than two and half decades (called old), 198 (4.91% of 4030 births) from far off villages, being served since around one and half decade (called new). Emergency services were for placental abruption, hypertensive disorders, obstructed labour (due to cephalopelvic disproportion or abnormal presentation), non-progress of labour or postpartum haemorrhage, with no significant change over years. Maternal deaths due to pregnancy, labour, post-partum complications have been almost eliminated. Perinatal mortality has reduced, though it is still high. No woman reported with septic abortion or rupture uterus in last decade. In old villages, 44% were home births between 1987-1990, 6.2% between 2011-2014. In new 38.2% were home births between 1996 to 1999 and 12.40% between 2011-2014. Conclusion: Nurse midwives can do a lot for prevention of fatal emergencies, maternal, perinatal deaths with some limitations. About some disorders more information is needed for best of heal7th of women. Research needs to continue.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44476195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Asthma and Obesity during Childhood: A Review of More than an OccasionalAssociation 儿童时期哮喘和肥胖:一项不仅仅是偶然关联的综述

Journal of pregnancy and child health Pub Date : 2017-02-14 DOI: 10.4172/2376-127X.1000305

A. Rocha, H. Machado

引用次数: 2