妊娠期抗微生物药物的合理选用

论述了各类抗微生物药物对胎儿、新生儿的主要影响 ,明确指出了妊娠不同时期禁用及可以安全使用的抗微生物药物 .     

出血性输卵管炎临床诊断及误诊分析

[目的]探讨出血性输卵管炎的临床特征,以提高早期诊断率,减少误诊误治.[方法]对1 9 9 8年1月~1999年12月间收治出血性输卵管炎32例进行回顾性分析.[结果]32例中5例初诊为出血性输卵管炎,确诊率为15.6%.18例主诊为输卵管妊娠,6例误诊为黄体破裂,3例误诊为卵巢子宫内膜异位囊肿破裂,误诊率为84.4%.[结论]对出血性输卵管炎早期诊断和治疗应该受到重视以避免误诊.     

早孕妇女甲状腺激素的测定结果分析

探讨人绒毛膜促性腺激素(hCG)是否具有垂体促甲状腺激素(TSH)样作用。方法:应用放射免疫方法(RIA)对65例旱孕妇女hCG与甲状腺激素水平进行测定。结果:早孕妇女Ⅰ组(停经35—50天)3,3’,5’-三碘甲状腺原氨酸(rT_3)水平升高,与正常对照组差异显著(P<0.01);早孕妇女Ⅱ组(停经51—80天)甲状腺素(T_4)、游离甲状腺素(FT_4)、rT_3水平均升高,与正常对照组差异显著(P<0.01);而两组早孕妇女的三碘甲状腺原氨酸(T_3)、游离三碘甲状腺原氨酸(FT_3)水平与正常对照组无明显差异(P>0.05)。结论:hCG具有TSH样作用,早孕妇女甲状腺激素水平升高为hCG促使甲状腺功能增强所致。     

Mothers' Worries During Pregnancy: A Content Analysis of Reddit Posts

Qualitative investigations into maternal worries during pregnancy are limited. The aim of this study was to identify the content of women''s pregnancy-related worries by completing a content analysis of posts on Reddit. A total of 217 posts by 196 unique users were analyzed. Most worries related to infant factors (32.6%), individual factors (27.1%), and antenatal care factors, such as medical procedures (25.2%). The remaining worries related to situational factors (10.9%) and the partner relationship (4.3%). Although most fears related to fetal well-being, other concerns included problems with family members, women''s own mental health, and not being a “good mother.” These findings support calls for antenatal education to more adequately address women''s psychosocial concerns.     

应用腹腔镜治疗卵巢良性囊肿及异位妊娠分析

目的:探讨腹腔镜手术在妇科手术中的应用和治疗效果.方法:对23例卵巢良性肿瘤患者,实行了腹腔镜下肿瘤囊壁剥除术,保留了卵巢;对3例多囊卵巢行打孔术;对9例异位妊娠患者,6例行患侧输卵管切除术,3例行保守手术.结果:35例患者手术均成功,无1例中转开腹,无1例出现并发症,近期随访无复发.异位妊娠保守手术者均于术后二周复查血HCG为阴性,无持续妊娠,无术后出血.结论:腹腔镜手术具有损伤小,恢复快,并发症少,治疗效果可靠及住院时间短等优点.尤其附件良性病变是腹腔镜手术的最佳适应证,值得有条件的医院推广应用.     

米索前列醇用于晚期妊娠促宫颈成熟与引产的效果分析

为了观察晚期妊娠引产使用米索前列醇的可行性、有效性和安全性,选择有引产指征、无米索前列醇使用禁忌证的胎膜完整、单胎、头位晚期妊娠妇女150例,随机分为A、B两组,其中米索组80例,缩宫素组70例,并且对该两组引产时效、母儿并发症的发病情况作分析比较．结果表明：米索组较缩宫素组可明显改善宫颈成熟度,缩短引产至分娩时间（P〈0．01）,两组母儿并发症差异均无统计学意义（P〉0．05）．因此,在严格掌握米索前列醇引产的适应症情况下米索前列醇用于晚期妊娠引产及促宫颈成熟有价格低、性质稳定、易于保存、效果肯定,安全易掌握、引产成功率高等优点,值得临床推广尤其适合基层医疗机构应用．     

Incompatibility between pregnancy and educational projects,from the perspective of socially vulnerable adolescent women and men in Mexico

Research focused on adolescent pregnancy reports that this event acquires significance and has different consequences according to the context and social subjects who experience it. In this study, by means of a sample formed by adolescent women and men who are socially vulnerable in Mexico, with and without a history of pregnancy, we can see how this reproductive event turns into a factor of educational vulnerability and how their possibilities and expectations with respect to continuing in school are determined in a differentiated manner, according to gender. The findings show that adolescent pregnancy in vulnerable sectors is scarcely compatible with educational projects and that possibilities and expectations to continue in or re-enter the school system are determined by gender differences; these usually lead to fewer opportunities for adolescent women to return to school during or after pregnancy.     

妊娠与运动

为了指导妊娠期妇女进行合理的运动。通过综述的方式 ,反映国外运动医学界有关方面的研究情况。研究表明 :孕妇有规律的适度的运动可防止体质下降 ,并可使肌肉力量保持良好、妊娠和分娩更轻松 ,而不会显著影响妊娠期的长短和新生儿体重。因而合理的运动对母亲有益 ,不会给胎儿带来危害。大多数妇女都可在妊娠期开始或继续运动。但有些运动项目应避免参加或需对练习方法做调整。     

代孕及其相关法律问题初探

代孕技术作为一项人工辅助生殖技术,改变了传统生育方式,给没有生育能力的夫妻带来了福音,同时对传统的生育观和法律制度提出了挑战。为了保障代孕母亲、代孕子女以及委托夫妻的合法权益,在不违背社会公共利益的前提下,应对代孕生育的主体和生育协议进行法律规制。     

Childbirth Education at the Crossroads

In this column, a reader expresses concern that attendance at childbirth classes is declining at the same time the cesarean rate is rising. The history of childbirth education is discussed in the context of both access to information and changes in maternity care since the introduction of formal childbirth education. Changing goals and contemporary challenges facing childbirth education are discussed. The need for a new model of educating and empowering women is identified, and ideas for changes are explored.