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Objective To measure the health human resource demand of maternal and child health institutions in China, and to analyze the spatial and temporal characteristics of maternal and child health human resource allocation. Methods The data of health personnel in maternal and child health care institutions from 2018 to 2022 were used, the health human resource density index was used to analyze the change trend of the allocation level of maternal and child health human resources in China from 2017 to 2021, and the actual demand, shortage and proportion of health personnel in maternal and child health institutions in 2021 were calculated. At the same time, global and local spatial autocorrelation was used to explore the spatial characteristics of the allocation level of maternal and child health human resources. Results From 2017 to 2021, the density index of health personnel in maternal and child health institutions in China increased year by year, but the LISA diagram showed that the allocation of human resources among provinces was uneven, showing a 'east - west' differentiation distribution. In 2021, the number of practicing（ assistant） physicians per thousand population, registered nurses per thousand population, pharmacists per thousand population and technicians per thousand population in China were 11. 30, 14. 91, 1. 31 and 2. 73, respectively, and the ratio of doctors to nurses was 1: 1. 32. The Global Moran index and Local Moran index of each health human resource index were greater than 0. Condusion The number of health human resources in maternal and child health institutions in China is increasing, but the inter 一 regional allocation is not balanced. The internal structure of resource allocation needs to be optimized, and there is obvious spatial aggregation of the same attribute in resource allocation. [ABSTRACT FROM AUTHOR]

To summarize the influencing factors of maternal parenting sense of competence (PSOC) in China. Methods: The literatures of PubMed, EMbase, Web of Science, CINAHL, CNKI, VIP, and Wanfang Data from the establishment to November 2022 were searched by computer, and the research on the influencing factors of maternal PSOC in China was included. Two researchers independently completed literature screening, quality evaluation and information extraction, and used Stata15 software for statistical analysis. Results: Six cross-sectional studies and one cohort study were included, including 3 284 maternal women. The results of the Meta-analysis show that maternal women aged 26-30 have lower PSOC than those aged over 30 (SMD=－0.39, 95%CI: －0.64-－0.14), mothers with a high school diploma or below have a lower PSOC than those with a college degree or higher (SMD=－0.38, 95%CI: －0.52-－0.23), primiparas have lower PSOC than multiparas (SMD=－0.47, 95%CI: －0.81-－0.12); the maternal PSOC with family income less than 5 000 yuan per month is lower than 5 000 yuan per month or more (SMD=－0.28, 95%CI: －0.38-－0.18); and the maternal PSOC with breast feeding is higher than that with formula feeding (SMD=0.28, 95% CI: 0.19 -0.38), mothers attending maternity school have a higher PSOC than those not attending maternity school (SMD=0.14, 95%CI: 0.03-0.25). Conclusions: Age, educational background, parity, household income, feeding patterns and attending maternity school are the main influencing factors of maternal PSOC. Hospitals and communities can develop personalized intervention strategies based on different influnencing factors to improve maternal PSOC. [ABSTRACT FROM AUTHOR]

Objective To explore the clinical efficacy of microneedle radiofrequency combined with minocycline hydrochloride in the treatment for facial moderate and severe acne. Methods From January 2022 to December 2022, 65 patients with moderate to severe acne were randomly divided into a treatment group and a control group in the dermatology outpatient department of Zibo Maternal and Child Health Hospital.The control group (n=35) was given oral minocycline hydrochloride for 6 weeks for moderate to severe acne; the treatment group (n=30) was given oral minocycline hydrochloride for 6 weeks, and microneedle radiofrequency therapy was conducted once.Photos were taken before treatment, 2 weeks, 6 weeks and 12 weeks after the treatment. The global acne grading system (GAGS) was adopted to evaluate the efficacy and compare the scores between the two groups. The inflammatory lesion count was calculated, any related adverse reactions and acne recurrence were recorded during the follow-up care. Results After 6 weeks of treatment, the effective rate of the treatment group (86.6%) was significantly higher than that of the control group (62.8%); the difference was statistically significant (P < 0.05). After treatment and during follow-up care, GAGS score and inflammatory lesion count were improved in both groups, and the treatment group was significantly better than the control group, with statistical significance (P<0.05). At 12 weeks of follow-up care, the recurrence rate in the treatment group (19.2%) was significantly lower than that in the control group (54.5%), the difference being statistically significant (P<0.05). The two groups had no obvious adverse reactions during the treatment and follow-up care. Conclusion The combination of minocycline and microneedles in the treatment of acne is safe, effective and has a low recurrence rate. [ABSTRACT FROM AUTHOR]

Pregnancy with pulmonary hypertension is a life-threatening disease to both maternal and fetal. Pulmonary hypertension is currently listed as a pregnancy contraindication, no matter what the primary causes. Maternal deaths are mostly related to pulmonary hypertension crisis, right heart failure, and embolism. The main impacts on the fetus include intrauterine death, miscarriage, premature delivery, and fetal growth restriction. After pregnancy, women with pulmonary hypertension often have no obvious clinical symptoms in the early stage, and they are easily confused with pregnancy status, which poses challenges for early recognition. Echocardiography, which is convenient, simple, non-invasive and non-radiation, can be used as a screening method for high-risk populations. Once pregnant patients with pulmonary hypertension are diagnosed, they should be transferred to a maternal and fetal medicine center, with relevant management experience. Individualized management and multidisciplinary teamwork should be emphasized, and the timing, method and anesthesia method of delivery should be determined based on the maternal and fetal conditions to reduce the risks and ensure the safety. [ABSTRACT FROM AUTHOR]

Objectives: To improve prenatal care utilization and birth outcomes, prenatal care coordination for pregnant women is internationally regarded as a critical strategy. Since 2017, a care coordination pilot program for high-risk (socioeconomic- and pregnancy-related risks) pregnant women has been implemented in Taiwan. The objective of this study was to examine the preliminary impact of this program on prenatal care utilization and birth outcomes among high-risk pregnant women. Methods: Data provided by the Health Promotion Administration on all women who gave birth at any time between May 2017 and May 2018 were employed. Propensity score matching and multivariate binary logistic regression were performed to examine whether the program intervention reduced the odds of having fewer than 4 or 8 prenatal care visits, a caesarean section, a baby with low birth weight, a preterm baby, or obstetric complications. Results: Each group included 621 pregnant women after matching. Pregnant women who participated in the program had lower odds of having fewer than 4 prenatal visits or a baby with low birth weight compared with those who did not participate (odds ratio: 0.11, 95% confidence interval: 0.03– 0.44; odds ratio: 0.42, 95% confidence interval: 0.23–0.77). Conclusions: The preliminary impact of the care coordination pilot program is, first, an increase in the proportion of high-risk pregnant women who undergo at least 4 prenatal care visits and, second, a decrease in the proportion of babies with low birth weight in this group. [ABSTRACT FROM AUTHOR]

In the past, maternal mortality (MMR) was an important indicator of women′s health and socio-economic development in a country or region. In 2019, the U.S. Centers for Disease Control and Prevention collected information on maternal deaths across the country and concluded that up to half of all maternal deaths are preventable if action is taken. With the introduction of the millennium development goals (MDGS) in 2000 and countries′ emphasis on maternal health, maternal death has become a very low probability event, while the incidence of severe maternal morbidity (SMM), that is, the incidence of critical maternal events, has become a more common and useful indicator of obstetric care than mortality. For every maternal death in the United States, about 50 women experience SMM. Although MMR has traditionally been a key indicator of maternal outcomes, the prevalence of SMM can provide more comprehensive information on perinatal health and is a way to monitor maternal outcomes. At the same time, SMM is usually a precursor of maternal death, and as a dynamic process leading to maternal death and a preliminary indicator, it has important clinical significance for strengthening maternal management and thus reducing MMR. Many countries have begun to take the incidence of SMM as one of the important indicators to evaluate the quality of obstetrics. Controlling the occurrence and development of severe maternal morbidity can reduce maternal mortality. Prevention and control of SMM, in addition to conventional strategies, to avoid medically related delays, the use of maternal early warning trigger tool (MEWT) has important clinical value. [ABSTRACT FROM AUTHOR]

Maternal health care during pregnancy and the health play an important role in promoting safe delivery and postnatal care. With the further improvement of maternal health care in China and the implementation of the national second-child policy.The concept of eugenics advocated by modern clinical medicine has gradually been widely recognized by the society. However, in our country's ethnic minority areas, there are many problems such as economic backwardness, remote location, old ideas and so on, leading to the low level of maternal health care for pregnant women in China during pregnancy. Maternal health status needs improvement. Preventing birth defects in minority areas. Reducing the rate of birth defects, increasing the rate of eugenics, and improving the quality of birth population in ethnic minority areas. We should improve the health care system and the medical environment and the rational nutrition intervention. We should also strengthen the family visits. Then we can improve pre-pregnancy check compliance to achieve eugenics, and the health education during pregnancy and childbirth. They can reduce the risk factors occurring throughout the pregnancy. This article reviews the maternal health and health of pregnant women in China. [ABSTRACT FROM AUTHOR]

Corona virus disease 2019 (COVID-19) is a highly infectious disease that can induce severe disease. There is no effective treatment for COVID-19 at present. The COVID-19 was classified as class B infectious disease by the Chinese Health Committee on January 20, 2020 and managed it as a class A infectious disease. Due to the low immunity, the pregnant women are easy to be infected by upper respiratory tract infection affected by estrogen. Once combined with COVID-19, it is easy to lead to adverse outcomes for mothers and infants. Our hospital is located in the severe disaster area of the outbreak. How to take into account the prevention and control of COVID-19 and the diversion of COVID-19 on the premise of completing the obstetrical work is a close concern of the obstetrical out-patient doctors during the epidemic prevention and control period. The obstetrics clinic of our hospital has formulated outpatient management and prevention and control measures for pregnant and lying-in women under the epidemic situation, providing experience for the safe and effective operation of obstetric clinics in public health emergencies. [ABSTRACT FROM AUTHOR]

Objective: To investigate the therapeutic effect of bolus for woman diseases combined with motherwort infusion on the pregnant women after miscarriage. Methods: 120 cases of pregnant women receiving medical abortion to terminate the pregnancy in our hospital from January 2016 to December 2016 were selected and randomly divided into the research group and the control group according to the digital random table method, with 60 cases in each group. The research group was given motherwort infusion after the discharge of gestational sac from the uterine cavity, bolus for woman diseases, 1 bag/time, 3 times/day, bolus for woman diseases was given after 2 weeks, 1 pill/time, 2 times/day until the menstruation returned to normal. The control group was given motherwort infusion alone during the same time period. The abdominal pain and normal menstrual cycle, menstrual cycle, menstrual cycle and treatment efficiency were compared between two groups. The abdominal pain disappearance time of two groups were 7.62± 1.33 d and 3.17 ± 0.76 d, the returned to normal menstrual time were 69.62± 8.45 d and 43.21± 6.65 d, which were obviously shorter in the control group than those of the control group (P<0.05); the rate of gravid with normal menstruation in research group was higher than that of the control group (P<0.05). In the control group, there were 45 normal periods of menstruation. In the study group, 54 cases were normal, and the normal rate of research group was higher than control group (P<0.05). The percentage of normal menstrual amount in the research group was higher than that of the control group (P<0.05). The clinical curative effect of bolus for woman diseases combined with compound motherwort medicine was better than compound motherwort medicine alone in the treatment of post-abortion of pregnant women. [ABSTRACT FROM AUTHOR]

To investigate the prevalence of passive smoking among pregnant women in Shanghai and to analyze its influencing factors and to provide the basis and suggestion for making related intervention measures to reduce the harm of secondhand smoke on the health of pregnant women. Methods ·From July to October 2014, pregnant women and their spouses were recruited for a questionnaire investigation at the antenatal care clinics of 3 maternity hospitals and 3 community hospitals in Shanghai. The questionnaire included demographic information, family basic situation and cognitive status of passive smoking. Results · The passive smoking rate before pregnancy in the 2 831 pregnant women, who were involved in the investigation, was 17.1%. The passive rate during pregnancy was 7.8%. The difference between these two rates was statistically significant (P<0.05). 71.0% of the pregnant women have passive smoking for 15~59 min each day. Relative to home and work place, the passive smoking rate of pregnant women in public place was the highest (P<0.05). The passive smoking rate of pregnant women was significantly associated with the educational level of smoking spouses and the attitude of pregnant women when they faced the smokers. Conclusion · The passive smoking rate of pregnant women is influenced by the educational level of their spouses and the pregnant women’s feedback to the smokers face to face. Public places are the most important exposure places to secondhand smoke for pregnant women. In order to reduce the harm from passive smoking to pregnant women and their fetuses, the related measures of smoking control at home education and smoking ban in public place should be made. [ABSTRACT FROM AUTHOR]

Objective; To investigate the incidence of gestational diabetes mellitus (GDM) in mobile population in Shenzhen, and to analyze those factors related to glucose metabolism. Methods: From January 2012 to June 2013, there were 850 pregnant women receiving prenatal check-up in our Department of obstetrics. The oral 75 g glucose tolerance test (OGTT) was conducted. Results: The incidence of GDM diagnosed by OGTT was 9.65% in Shenzhen area. Those pregnant women with risk factors, such as ageing over 35 years, abnormal labor history, repeated positive glycosuria, body weight >75 kg before pregnancy, BMI ≥25 kg/m², macrosomia, positive HBsAg, three or more times of pregnancy, had higher rate of positive OGTT (P<0.01). Conclusions: All pregnant women should be asked OGTT test. The new diagnostic criteria of GDM is great benefit to diagnosis of GDM. Those pregnant women with high risk factors should be carefully follow-up visited. [ABSTRACT FROM AUTHOR]