Objective To explore the effect of WeChat-based transitional care on the cognition of pelvic floor rehabilitation in postpartum women, so as to provide a reference for clinical generalization in the future. Methods By convenience sampling, we selected puerpera with childbirth and postpartum reexamination of a class Ⅲ grade A of Beijing from September to October 2016 in the control group (n=47); we selected puerpera with childbirth from December 2016 to January 2017 in the WeChat intervention group (n=47). Puerpera of two groups were all treated with conventional health education in the next day after delivery. Beyond that, puerpera of WeChat intervention group adopted WeChat public platform management. All of them were investigated on cognition of pelvic floor rehabilitation in the next day and 6 to 8 week after delivery. Results The percentage of very unclear cognition of pelvic floor rehabilitation were 38.3% and 6.4% in the control group and the WeChat intervention group respectively 6 to 8 week after delivery with a significant difference (χ2=-2.82,P<0.05). The accuracy of "Childbirth is relevant to pelvic floor muscle injury" and "Incontinentia urinae will show after pelvic floor muscle injury" were all 100% in the WeChat intervention group and 87.2%, 83.0% respectively in the control group with significant differences (P< 0.05). Conclusions WeChat-based transitional care can deepen the cognition of puerpera on the pelvic floor.

Objective To review the midwifery legislation history in the world,and explore the effective strategies for midwifery legislation in China.Methods Literature review and focus group interview were employed to summarize the development process of midwifery legislation home and abroad and the strategies for midwifery legislation in China.Results Many developed countries had developed legal system in midwifery field,however,the legislation related to midwifery access,examination and management was inadequate in China. Midwifery legislation in China should choose reasonable positioning and level,and begin from the definition of midwifery,right and obligation,admission and management system.Conclusions The construction of midwifery legislation system is necessary in China. Legislators should construct and improve the midwifery legislation based on the existing law,and provide good environment for the harmonious development of midwifery and its related industry.

With the extensive use of sentinel lymph node biopsy (SLNB), some breast cancer patients could avoid axillary lymph node dissection (ALND) and its complications. Neoadjuvant chemotherapy plays an important role in the multimodality therapies of breast cancer. After neoadjuvant chemotherapy, some patients with breast cancer were down-staged from positive axillary lymph node (cN+ ) to clinically negative (cN0). For these patients, the feasibility and safety of sentinel lymph node biopsy remains controversial. However, with the application of new technologies, SLNB is expected to become the main treatment for breast cancer patients with stage cN0 after neoadjuvant chemotherapy.

With the extensive use of sentinel lymph node biopsy ( SLNB), some breast cancer patients could avoid axillary lymph node dissection (ALND) and its complications. Neoadjuvant chemotherapy plays an important role in the multimodality therapies of breast cancer. After neoadjuvant chemotherapy, some patients with breast cancer were down?staged from positive axillary lymph node (cN+) to clinically negative ( cN0). For these patients, the feasibility and safety of sentinel lymph node biopsy remains controversial. However, with the application of new technologies, SLNB is expected to become the main treatment for breast cancer patients with stage cN0 after neoadjuvant chemotherapy.

With the extensive use of sentinel lymph node biopsy ( SLNB), some breast cancer patients could avoid axillary lymph node dissection (ALND) and its complications. Neoadjuvant chemotherapy plays an important role in the multimodality therapies of breast cancer. After neoadjuvant chemotherapy, some patients with breast cancer were down?staged from positive axillary lymph node (cN+) to clinically negative ( cN0). For these patients, the feasibility and safety of sentinel lymph node biopsy remains controversial. However, with the application of new technologies, SLNB is expected to become the main treatment for breast cancer patients with stage cN0 after neoadjuvant chemotherapy.

Objective? To evaluate and summarize the best available evidence of kangaroo mother care for premature infants both in China and abroad, and to provide evidence-based support for clinical practice. Methods? Evidence on kangaroo mother care including evidence-based guidelines, best practices, systematic evaluation and so on were systematically retrieved from databases such as UpToDate, Cochrane Library, Ontario Registered Nurses Association of Canada, National Institute for Health and Care Optimization of the United Kingdom and National Guidelines Network of the United States from the establishment of the database to December 15th, 2018. Four researchers were divided into two groups and evaluated the quality of literature and extracted data. Results? Eight papers were included, including one guideline and seven systematic reviews. The best evidence included suitable population, support system, skin contact (timing, duration, operator), breast feeding support, etc. After evidence extraction, evidence aggregationin combination with localized adjustment in clinical situation, this study has formed eight best evidences. Conclusions? It is necessary to strengthen and support the education of relative knowledge about kangaroo mother care, improve the facilities and promote the development of clinical kangaroo mother care based on the evidence and consider the special humanistic attributes with clinical environment at the same time .

Objective:To retrieve and analyze the relevant guidelines for the second and third stages of normal delivery, and summarize the evidence of high-quality guidelines so as to provide references for the formulation of clinical practice programs.Methods:We took Johns Hopkins evidence-based nursing practice model as theoretical guidance and set up an evidence-based team.We systematically searched major guideline publication websites, electronic resource databases, related academic groups and guideline networks at home and abroad, evaluated guidelines and summarized the best evidence, and the search time limit was up to June 1, 2019. The literature quality evaluation and evidence extraction were carried out independently by four researchers with evidence-based training.Results:This study included two guidelines, summarizing the 20 best evidences in 9 aspects of humanistic support, delivery companion, delivery position, fetal monitoring, delayed exertion, perineal protection, fundus compression, prevention of postpartum hemorrhage, and delayed umbilical cord clamping.Conclusions:Based on the existing evidence, it integrates the best evidence of nursing measures for the second and third stages of normal delivery. It is recommended that maternal and child institutions promote the transformation of the best evidence based on their actual conditions.