Advances in Obstetrics and Gynecology Research

Knowledge and Acceptability of Water Birth Among Chinese Women in Taian City, Shandong Province

2025-11-11T11:43:38+08:00

Objective: This study explored the level of expertise and acceptability of water birth among Chinese women in Taian City, Shandong Province. Methods: A descriptive correlational research design was used. One hundred six women of reproductive age (18–35 years old) from a selected community in Taian City were surveyed using a validated Water Birth Knowledge Questionnaire and Water Birth Acceptability Questionnaire, both based on the Theory of Planned Behavior (TPB). Statistical tools such as frequency, percentage, mean, standard deviation, and Spearman’s rank correlation coefficient were applied for data analysis. Results: Findings revealed that most participants had moderate knowledge of water birth, particularly regarding its benefits, but lacked understanding of the risks and procedural details. Acceptability levels were generally positive, especially in attitude and behavioral intention. A significant correlation (p < 0.05) between knowledge and acceptability was found. Educational level and monthly income were significantly associated with higher learning and greater acceptability of water birth. Conclusion: Increased knowledge of water birth does not necessarily lead to greater acceptance; it may instead foster more cautious decision-making.

A Case Report of Nursing Intervention for a Patient with Uterine Incarceration at 14th Weeks of Gestation Complicated by Acute Urinary Retention

2025-11-11T11:43:36+08:00

This paper summarizes the management and nursing experience of a rare case involving uterine impaction with acute urinary retention in mid-pregnancy (14^th week). Following the failure of conservative treatment, a multidisciplinary team (comprising obstetricians, sonographers, and specialist nurses) collaborated to perform manual reduction under real-time ultrasound guidance, achieving successful resolution. Nursing priorities spanned three phases of manual reduction: pre-, intra-, and post-procedure stages. Comprehensive measures encompassed clinical observation, positioning interventions, bladder management, psychological support, and infection control, yielding favourable maternal and neonatal outcomes. This case underscores that early recognition of entrapment signs and tailored, precision nursing management according to the patient’s condition are pivotal for favourable outcomes.

Promotion and Application of Combined Spinal- Epidural Block Analgesia Technique with Ropivacaine and Sufentanil for Labor Analgesia in Ngari Prefecture

2025-11-11T11:43:34+08:00

Objective: To observe the promotion and application of combined spinal-epidural analgesia with ropivacaine and sufentanil in plateau areas. Methods: Sixty primiparous women who gave birth in our hospital from March 2023 to March 2025 were selected and randomly divided into a control group (Group A) and an analgesia group (Group B) using the random number method. Group A underwent routine obstetric natural childbirth, while Group B received combined spinal-epidural analgesia. VAS scores, changes in labor duration, postpartum hemorrhage, delivery methods (including instrumental delivery), and neonatal Apgar scores were observed in both groups. Results: There was no statistically significant difference in VAS scores between the two groups before analgesia (P > 0.05). However, there were statistically significant differences in VAS scores at various time points after analgesia (P < 0.05). The first stage of labor in Group B (210 ± 45 min) was shorter than that in Group A (252±44 min), with a statistically significant difference (P < 0.05). Similarly, the second (38 ± 11 min vs. 50 ± 14 min) and third (9 ± 4 min vs. 16 ± 5 min) stages of labor were also shorter in Group B compared to Group A, with statistically significant differences (P < 0.05). The cesarean section rate was lower in Group B (6.7%) compared to Group A (10.0%), with a statistically significant difference (P < 0.05). There were no statistically significant differences in postpartum hemorrhage or neonatal Apgar scores at 1, 5, and 10 minutes after birth between the two groups (P > 0.05). Conclusion: The combined use of ropivacaine and sufentanil in combined spinal-epidural anesthesia can significantly alleviate the pain experienced by parturients during childbirth in plateau regions, shorten the duration of labor, and have no effect on the neonatal Apgar score. This method is worthy of promotion in plateau regions.

Epidemiological Analysis of Female Menopausal Syndrome and Exploration of Cognitive Levels Regarding Hormone Replacement Therapy

2025-11-11T11:43:32+08:00

Objective: To investigate and statistically analyze the prevalence of female menopausal syndrome, while assessing their understanding of hormone replacement therapy (HRT). Methods: A total of 3,200 women who visited Huangpu District Maternal and Child Health Hospital in Guangzhou from October 2021 to June 2023 were selected as the subjects of this survey. Data on their basic information, disease symptoms, and understanding of HRT were collected through questionnaires. Results: Out of the 3,200 questionnaires distributed, the top three symptoms reported were hot flashes, insomnia, and joint pain, which occurred significantly more frequently than other symptoms (P < 0.05). Regarding HRT awareness, only 11.47% of the women were relatively familiar with it, primarily sourcing their knowledge from the internet, followed by information from family, friends, and colleagues, and then from health lectures and other promotional materials. Among the menopausal symptoms, 183 women had moderate Kupperman scores, and 116 had severe scores, accounting for 5.51% and 3.49% of the total surveyed, respectively. Conclusion: The majority of women demonstrated a significant lack of understanding regarding HRT. Enhanced education and awareness campaigns, professional medical consultations, personalized treatment plans, and the correction of past misconceptions can empower more menopausal women to make informed health choices tailored to their needs, thereby improving their quality of life. Monitoring patients’ hormone levels can provide a basis for intervention and evaluating treatment effectiveness. The relatively low proportion of women with severe symptoms is a primary reason why menopausal symptoms are often overlooked by women.

Analysis of the Clinical Effect of Traditional Chinese Medicine Stimulation Decoction on Promoting Cervical Maturation in the Third Trimester of Pregnancy

2025-11-11T11:43:30+08:00

Objective: To explore the clinical effect of traditional Chinese medicine stimulation decoction in promoting cervical maturation in the third trimester of pregnancy, in order to enhance the safety and success rate of delivery. Methods: A retrospective analysis was conducted on the clinical data of 500 pregnant women in the third trimester who received the intervention of traditional Chinese medicine stimulation decoction from June 2022 to June 2025. The cervical maturity score (Bishop score) and the mode of delivery were used as effect indicators and compared with the control group that did not receive the stimulation decoction. Results: The Bishop score of the intervention group significantly increased (7.8 ± 1.2, 5.3 ± 1.1 in the control group, P < 0.01), the vaginal delivery rate was higher than that of the control group (78% vs. 65%, P < 0.05), and the average delivery time was shortened to 6.2 ± 1.4 hours (8.5 ± 1.6 hours in the control group, P < 0.01). Conclusion: The traditional Chinese medicine stimulation decoction has a good effect on promoting cervical maturation in the third trimester of pregnancy, which is helpful to reduce the rate of cesarean section and increase the rate of vaginal delivery.

Application Effect of Phloroglucinol Combined with Lamaze Breathing Method and Doula in Promoting Natural Delivery

2025-11-11T11:43:28+08:00

Objective: To explore the application effect of phloroglucinol combined with the Lamaze breathing method and doula in promoting natural delivery. Methods: From April 2022 to April 2024, 110 full-term singleton cephalic presentation natural delivery parturients were randomly divided into 2 groups, with 55 cases in each group. The control group received the Lamaze breathing method and doula delivery, while the observation group received phloroglucinol-assisted delivery in addition to the above methods. The duration of labor, pain degree, postpartum bleeding volume, and maternal and infant outcomes were compared between the two groups. Results: The duration of the first, second, third, and total labor in the observation group was shorter than that in the control group, and the pain degree during labor was less than that in the control group. The postpartum 2-hour bleeding volume and postpartum 24-hour bleeding volume in the observation group were less than those in the control group (P < 0.05). The cesarean section rate, soft birth canal injury rate, postpartum bleeding rate, and urinary retention rate in the observation group were 3.64%, 5.45%, 1.82%, and 5.45% respectively, which were lower than those in the control group (18.18%, 20.00%, 14.55%, and 18.18%) (P < 0.05); there was no statistical significance in the comparison of intrauterine distress and neonatal asphyxia between the two groups (P > 0.05). Conclusion: Implementing phloroglucinol combined with the Lamaze breathing method and doula delivery in natural delivery can shorten the labor duration, reduce labor pain, reduce postpartum bleeding volume and related complications, and have no effect on the newborn, with high safety, and is worthy of promotion.