Objective To evaluate the reliability and validity of the pregnancy intention scale which can be used in different pregnancy status in the context of contemporary China.Methods On the basis of the conceptual model of pregnancy intention developed by qualitative research,the measurement of unplanned intention was preliminary established.A total of 438 samples including pregnant (continuing pregnancy and seeking for abortion) and postnatal women recruited from two maternal and child health hospitals in Hubei Province from August 20 to November 25,2016 were surveyed.Internal consistency was assessed using the Cronbach's α Statistic and item-total correlation coefficient,and construct validity was assessed using exploratory factor analysis and hypothesis testing.Results A twelve item measure of pregnancy intention was produced,women's pregnancy intention/planning was represented by the range of scores (0-24).The Cronbaeh'α coefficient of the scale was 0.777,and all item-total correlations were ＞0.2.Three factors were extracted through exploratory factor analysis,the cumulative variance contribution rate was 51.86％,and all items' factor loadings were ＞0.4.All hypotheses to test construct validity were met.Conclusion The pregnancy intention scale was reliable,valid,and acceptable for Chinese women.The scale can be used as an effective tool for improving our understanding,quantitative measurement and evaluation of women's pregnancy intention,thus providing better contraception,family planning,and reproductive health service to women.

目的 本研究旨在探讨湖北省黄石市妇幼保健院女性阴道分娩后产科肛门括约肌损伤(OASIS)的发生率及危险因素.方法 本研究为回顾性队列研究,纳入了2013年1月至2017年12月在湖北省黄石市妇幼保健院分娩的所有的单胎,足月,头位阴道产妇(n=22 741).统计OASIS的发生率,进行多元Logistic回归模型以确定OASIS的风险因素.结果 OASIS的总体发生率为4.9％(自然阴道分娩产妇3.6％,真空辅助阴道分娩产妇24.0％,P＜0.001,CI:18.1％～22.6％).在双变量和多变量分析中,OASIS发生率在第二产程超过2h,初产妇,剖宫产后阴道分娩,会阴切开术和真空辅助阴道分娩产妇中更高.接受真空辅助阴道分娩的产妇发生肛门括约肌损伤概率为自然阴道分娩产妇的4倍(调整后的比值比OR=4.23,95％ CI:3.59～4.98).第二产程时间超过180分钟的产妇发生肛门括约肌损伤几率为第二产程时间低于60 min的产妇的3倍(调整后的OR 3.20,95％ CI:2.62～3.89).结论 初产、第二产程时间延长、VBAC、接受会阴切开术、接受真空辅助阴道分娩以及出生体重＞3 500 g是OASIS的独立风险因素.了解这些风险因素及其复杂的相互作用可以减少OASIS的发生率.

目的 探究黄芪注射液在预防子宫肌瘤术后腹部切口脂肪液化的价值.方法 选取2016年6月至2017年3月于鄂东医疗集团黄石市妇幼保健院妇产科行开腹手术的34例子宫肌瘤患者作为研究对象进行前瞻性研究分析,随机分成两组后,对照组采用碘伏常规处理术后伤口,研究组加用黄芪注射液外敷伤口.Logistic多因素回归分析可能影响切口脂肪液化的因素,包括年龄、体重指数及外敷药物.培养人脐静脉内皮细胞,不同浓度(0、25、50、100 mg/L)黄芪注射液处理细胞,检测细胞增殖及血管内皮细胞生长因子A的mRNA表达. 结果 研究组的切口脂肪液化发生率显著降低;Logistic多因素回归分析显示年龄及体重指数对切口脂肪液化的发生无显著影响,而黄芪使用则有显著影响(r=0.456,P=0.0156);黄芪注射液可显著促进人脐静脉内皮细胞的增殖(P＜0.001)及血管内皮细胞生长因子A mRNA的表达(P＜0.001). 结论 术后切口护理中加用黄芪注射液外用后可显著减少切口脂肪液化的发生率,可能与黄芪能够促进血管内皮细胞增殖及血管内皮细胞生长因子A的表达有关.

Objective To explore the influential factors of female pregnancy intention in Wuhan and Huangshi City. Methods Adopting a method of prevalence study, self-administrated questionnaire survey was conducted among women who went to both of city-level maternal and child healthcare hospital in Hubei Province for antenatal care, induced abortion or childbirth from August to November in 2016. We established an ecological theoretical framework to describe the influential factors of the pregnancy intention in terms of individual, interpersonal, institutional, community and policy. Results Results of the univariate analysis showed that age (P=0.027), marital status (P 0.05). Conclusion Female pregnancy intention has association with factors of individual, interpersonal and policy, and the association can be explained preferably with ecological theoretical framework. It is helpful to recognize women with pregnancy intention of different levels and the women can enjoy specific service from obstetrical and health department. Key words: Pregnancy intention; Influential factors; Multifactor analysis

目的:观察分析安列克联合宫腔球囊填塞治疗前置胎盘剖宫产产后出血的效果.方法:本次观察随机选取了我院2016年8月-2018年8月期间收治的前置胎盘剖宫产产后出血86例产妇,将其按入院顺序分成观察组和对照组各43例,给予对照组安列克治疗,观察组给予安列克联合宫腔球囊填塞治疗,并对比分析两组治疗效果.结果:与对照组相比,观察组临床治疗效果较高,两组数据差异存在可比性(<0.05);同时观察组产妇术后出血量与对照组相比也较少(<0.05).结论:针对前置胎盘剖宫产产后出血产妇给予安列克联合宫腔球囊填塞治疗,可有效提高临床治疗效果,减少产妇术后出血量,确保产妇生命安全.

Objective The aim of this study was to investigate women's pregnancy circumstances,to explore the frame of reference and the language used by them in discussing this topic,and to develop an indigenous conceptual model of pregnancy intention scale in China.Methods This qualitative study was carried out in two maternal and child health hospital in Hubei province.In order to investigate women＇s circumstances before pregnancy,brief surveys and semi-structured were conducted with 40 consenting postpartum and currently pregnancy women.A thematic framework approach was used to analyze the data aud identify key themes about women＇s pregnancy intention.Results Among the 40 women,34 were in the pregnancy period,and 6 were currently hospital inpatients on the postpartum unit.Some areas related to their motivations towards pregnancy were found:intentions,feelings towards motherhood,number of children to intend,contraceptive use,pregnancy timing,partner's influences,parent's influences,gender preference,and pre-conceptual preparations,Those ten areas were clustered into three domains using the Theory of Planned Behavior:women＇s stance related to pregnancy,women＇s behavior,and the context of their lives.Conclusion The results suggested that,from a planned behavior perspective,the current conceptual framework that views pregnancy-related stances and behaviors in Chinese women may be appropriate.The findings could help development of pregnancy intention scale for next step in china.

头位难产是异常分娩中常见的也是最难诊断的。早期处理非常重要，可改善母儿预后。头位难产的临床表现有胎膜早破，原发性或继发性宫缩乏力，胎头不衔接或延迟衔接，产程异常等。

Objective:To approach the diagnositic and treated method of cervical pregnancy.Method To retrospective analysis 5 cases cervical pregnancy and to compare the diagnositic and treated result.Result 2 cases final diagnosis cervical pregnancy by B ultrasound were succeed treatment using MTX,mifepristone and traditional Chinese medicine.The three misdiagnosed cases occured vagin hemorrhea during scraping uterus. 2 case cured by uterine artery embolism.1 case cured by cervix gauze padded and MTX.Conclusion B ultrasound have significant value to early diagnosis cervical pregnancy.Early final diagnosis and expectant treatmen using drug can avoid scraping uterus.Uterine artery embolism treating cervical pregnancy vagin hemorrhea can avoid hysterectomia and reserve patient breed function