Introduction: Postpartum family planning is the prevention of pregnancies during the 12 months following childbirth. Few studies have been devoted to postpartum family planning in Mali. Our work will contribute to red...Introduction: Postpartum family planning is the prevention of pregnancies during the 12 months following childbirth. Few studies have been devoted to postpartum family planning in Mali. Our work will contribute to reducing unmet need for family planning. Objective: To study the use of contraceptive methods in the postpartum period in the obstetrics and gynecology unit of Timbuktu hospital. Materials and Methods: This was a descriptive and analytical cross-sectional study with prospective collection of data from January 1, 2022 to December 31, 2023. All women who gave birth having chosen and benefited from a contraceptive method were included. The statistical test used was the Fisher test with a significance threshold fixed at 5%. Results: The frequency of contraception in the postpartum period was 17.03%. The average age of clients was 26.14% with extremes of 14 and 45 years. They were paupiparous at 56.4% with an inter-birth interval of less than 12 months at 12.3%. More than half of the counseling (58.5%) was done during postnatal visits. The methods chosen were implants at 48.1%, injectable progestins at 21.3%, intrauterine device at 14.7%, miro-progestin pills at 13.5%, tubal ligation at 1 .4% and condoms at 1%. The regular follow-up rate was 51.1% of cases and 25.6% had no follow-up. Conclusion: The overall rate of postpartum family planning of 17.08% remains low. Improving FP staff skills will reduce unmet needs and contribute to increasing contraceptive prevalence in Timbuktu.展开更多
目的观察腹针结合性心理疏导治疗产后女性性功能障碍的临床疗效。方法选取2017年1月至2018年12月广东省妇幼保健院接收复查,经过女性性功能量表(Female Sexual Function Index)评分,符合纳入标准的70例产后性功能障碍患者作为研究对象...目的观察腹针结合性心理疏导治疗产后女性性功能障碍的临床疗效。方法选取2017年1月至2018年12月广东省妇幼保健院接收复查,经过女性性功能量表(Female Sexual Function Index)评分,符合纳入标准的70例产后性功能障碍患者作为研究对象。随机将其分为对照组和观察组,每组35例患者。对照组患者予性心理疏导治疗;观察组患者在性心理疏导的基础上进行腹针治疗,腹针取穴以引气归元穴组为基础方,配合中极、天枢、归来、气穴。每周2次,2个月后观察治疗效果。结果观察组患者的有效率高于对照组患者,其差异具有统计学意义(P<0.05);两组患者女性性功能各项指标评分均高于治疗前;观察组各项性功能指标评分高于对照组,其差异均具有统计学意义(均P<0.05)。结论腹针结合性心理疏导法能有效促进产后性功能改善,治疗效果较好,值得推广。展开更多
文摘Introduction: Postpartum family planning is the prevention of pregnancies during the 12 months following childbirth. Few studies have been devoted to postpartum family planning in Mali. Our work will contribute to reducing unmet need for family planning. Objective: To study the use of contraceptive methods in the postpartum period in the obstetrics and gynecology unit of Timbuktu hospital. Materials and Methods: This was a descriptive and analytical cross-sectional study with prospective collection of data from January 1, 2022 to December 31, 2023. All women who gave birth having chosen and benefited from a contraceptive method were included. The statistical test used was the Fisher test with a significance threshold fixed at 5%. Results: The frequency of contraception in the postpartum period was 17.03%. The average age of clients was 26.14% with extremes of 14 and 45 years. They were paupiparous at 56.4% with an inter-birth interval of less than 12 months at 12.3%. More than half of the counseling (58.5%) was done during postnatal visits. The methods chosen were implants at 48.1%, injectable progestins at 21.3%, intrauterine device at 14.7%, miro-progestin pills at 13.5%, tubal ligation at 1 .4% and condoms at 1%. The regular follow-up rate was 51.1% of cases and 25.6% had no follow-up. Conclusion: The overall rate of postpartum family planning of 17.08% remains low. Improving FP staff skills will reduce unmet needs and contribute to increasing contraceptive prevalence in Timbuktu.
文摘目的评价中药方剂治疗产后抑郁的临床效果。方法通过计算机检索中国知网(CNKI)、维普数据库(VIP)、万方数据库(Wanfang Database)、PubMed及Cochrane library,收集中药方剂治疗产后抑郁的随机对照试验,按照Jadad量表中随机隐藏的质量标准来评价所纳入研究的质量。采用Rev Man 5.3软件进行Meta分析。结果共纳入7篇研究,包括683例产后抑郁患者。Meta分析结果显示:①治疗产后抑郁的HMAD量表积分上中药方剂疗效优于基础药物或心理疏导治疗[MD=-6.61,95%CI(-7.54,-4.78),Z=8.74,P<0.00001]。②中药方剂治疗组在SAS评分所反映的疗效优于基础药物组[MD=-9.5695%CI(-10.31,-8.819),Z=35.55,P<0.00001]。③中药方剂治疗组在MADRS评分所反映的疗效优于基础药物组[MD=-0.74,95%CI(-0.86,-0.61),Z=11.47,P<0.00001]。④中药方剂治疗组在中医证候评分所反映的疗效优于基础药物组[MD=-0.43,95%CI(-0.45,-0.41),Z=39.25,P<0.00001]。⑤中药方剂治疗组在血清内性激素含量所反映的疗效优于基础药物组[MD=-11.88,95%CI(-12.21,-11.56),Z=72.44,P<0.00001]。⑥中药方剂治疗产后抑郁抑制5-HT及NE分泌的能力优于基础药物组[MD=52.12,95%CI(47.52,56.72),Z=22.22,P<0.00001]。结论中药方剂治疗产后抑郁优于单纯基础药物治疗,但中药方剂各具体组方药物的起效机制尚需有待研究。
文摘目的观察腹针结合性心理疏导治疗产后女性性功能障碍的临床疗效。方法选取2017年1月至2018年12月广东省妇幼保健院接收复查,经过女性性功能量表(Female Sexual Function Index)评分,符合纳入标准的70例产后性功能障碍患者作为研究对象。随机将其分为对照组和观察组,每组35例患者。对照组患者予性心理疏导治疗;观察组患者在性心理疏导的基础上进行腹针治疗,腹针取穴以引气归元穴组为基础方,配合中极、天枢、归来、气穴。每周2次,2个月后观察治疗效果。结果观察组患者的有效率高于对照组患者,其差异具有统计学意义(P<0.05);两组患者女性性功能各项指标评分均高于治疗前;观察组各项性功能指标评分高于对照组,其差异均具有统计学意义(均P<0.05)。结论腹针结合性心理疏导法能有效促进产后性功能改善,治疗效果较好,值得推广。
