Objective:To evaluate the efficacy of Anshen-Shenghua Decoction combined with Paroxetine hydrochloride tablets in treating postpartum depression. Methods:Eighty-two postpartum depression patients admitted to our hospital from September of 2017 to November of 2018 were selected and were randomly divided into control group and observation group with 41 cases in each group by random number table methode. The control group received paroxetine hydrochloride tablets. The observation grouptook Anshen-Shenghua Decoction based on the control group. Both of the two groups were treated for 6 weeks. Hamilton Depression Scale (HAMD) factors and Edinburgh Postpartum Depression Scale (EPDS) were used to evaluate the depression degree. The ELISA method was used to detect serum levels of hypersensitive C-reactive protein (hs-CRP) and homocysteine (Hcy). The efficacy was evaluated for both groups. Results:The total clinical effective rate of observation group and control group was 97.6% (40/41) and 78.0% (32/41) respectively, with statistically significant difference ( χ2=5.581, P=0.018). The scores of anxiety, day and night, sleep disorders, weight, feelings of hopelessness, cognitive impairment, block of the observation group were obviously lower than those of the control group after the treatment ( t values were 12.391, 10.941, 14.764, 12.261, 8.446, 10.005, 8.871 respectively, all Ps<0.01). The scores of EPDS in observation group were significantly lower than that of the control group after the treatment ( t=7.893, P<0.01). After the treatment, the serum levels of hs-CRP and Hcy in the observation group were significantly lower than those of the control group ( t values were 8.005 and 6.553, respectively, all Ps<0.01). Conclusions:Anshen-Shenghua Decoction combined with paroxetine hydrochloride tablets in treating postpartum depression can effectively relieve the depression symptoms of postpartum depression patients, and the down-regulation of serum levels of hs-CRP and Hcy.

Objective:To explore the trend of postpartum hemorrhage after two-child policy and to analyze the high-risk risks of postpartum hemorrhage so as to put forward intervention measures to reduce the postpartum hemorrhage.Methods:We retrospectively selected 8 784 delivery women with routine production inspection and hospitalized at a ClassⅢ Grade A hospital from 2014 to 2018. We collected the general information, record of production inspection, delivery record and analyzed the trend of postpartum hemorrhage rate, blood loss and related high-risk factors.Results:From 2014 to 2018, there were statistical differences in the postpartum hemorrhage rate, serious postpartum hemorrhage rate and blood loss ( P<0.05) . The trend showed an increasing trend. In 2017, the postpartum hemorrhage rate, serious postpartum hemorrhage rate and blood loss were 16.9%, 6.1% and (540.1±758.2) ml respectively highest in those years. From 2014 to 2018, the percentage of delivery women with advanced ages, multiple pregnancy, pregnancy times≥2, history of cesarean section≥2 were increasing; delivery women with the prenatal hemoglobin≤110 g/L and percentage of natural labor were decreasing with a statistical difference ( P<0.05) ; the percentage of emergency cesarean section was on the rise; the percentage of placental expulsion time from 15 to 30 minutes declined with statistical differences ( P<0.05) ; the percentage of placental expulsion time≥30 minutes and above was no significant trend. Conclusions:From 2014 to 2018, the postpartum hemorrhage rate, serious postpartum hemorrhage rate and blood loss did not show an increasing trend. However, the percentage of high-risk pregnant and delivery women increased gradually. Therefore, we should carry out the pregnancy risk assessment rating for pregnant and delivery women and formulate a suitable high-risk assessment tool for postpartum hemorrhage so as to reduce the incidence of postpartum hemorrhage.

Objective:To explore the influencing factors of the failure of labor induction by oxytocin and delivery outcome, and provide a basis for standardizing pregnancy management and process management of labor induction by oxytocin.Methods:Using a self-designed data collection form, the data of 1 705 pregnant women who underwent labor induction by oxytocin in the Department of Obstetrics of China-Japan Friendship Hospital from 2014 to 2018 were retrospectively collected, and the influencing factors of the failure of labor induction by oxytocin and the outcome of delivery were analyzed.Results:A total of 1 705 primary mothers were included in the study. Multiple factor analysis show that, amniotic fluid pollution, macrosomia, and the duration of labor induction by oxytocin were independent influencing factors for the failure of labor induction by oxytocin. The duration of labor induction by oxytocin was related to the method of delivery, weight of the newborn, and amount of postpartum hemorrhage, and the difference was statistically significant ( P<0.01) . The outcome of delivery labor induction by oxytocin was the cause of cesarean delivery, and "intrauterine fetal distress" and "cephalopelvic disproportion" accounted for the highest proportion. Conclusions:The main influencing factors for the failure of labor induction by oxytocin are amniotic fluid pollution, macrosomia, etc., and the influencing factors will gradually increase with the process of labor induction, thereby reducing the natural delivery rate. Therefore, it is necessary to strengthen pregnancy management, control pregnancy weight and fetal weight, and reduce pregnancy complications. It is also necessary to strengthen clinical management of labor induction by oxytocin, provide sound education and guidance for labor induction by oxytocin, and increase the vaginal delivery rate after labor induction by oxytocin.

Malignant peripheral nerve sheath tumors(MPNST) of the bladder is a very rare malignant tumor, usually secondary to neurofibromatosis type 1 (NF-1), with a few sporadic cases. This paper reports a case of 70-year-old man with bladder MPNST who underwent transurethral resection. Adjuvant intravesical instillation with gemcitabine was given after surgery, and there was no local recurrence and distant metastasis after 12-month follow-up. This paper also made a corresponding literature review.

Under the macro background of the comprehensive liberalization of the "three-child policy" and the strengthening attention to the health of women and children, China has increasingly attached importance to the topic of women’s health education and made various attempts in health education during pregnancy and childbirth period, including traditional education, situational teaching, health lecture, health salon and other forms. However, there are still some problems, such as serious stereotype and homogenization, and rigid education. The effectiveness of health education during pregnancy and childbirth period needs to be improved. By drawing on the practical experience of health education during pregnancy and childbirth period abroad, this paper aimed to comprehensively improve maternal health literacy in China, and provide a assistance for building a healthy China.