Development and validation of a machine learning model for prediction of cephalic dystocia.

Background: Early detection of cephalic dystocia is challenging, and current clinical assessment tools are limited. Machine learning offers unique advantages, enabling the generation of predictive models using various types of clinical data. Our model aims to integrate objective ultrasound data with psychological and sociological characteristics and obstetric treatment data to predict the individual probability of cephalic dystocia in pregnant women.

Effects of lifestyle intervention by a nurse-led app on the prevention of symptoms in postpartum women: a randomized controlled trial.

Background: The incidence of postpartum symptoms such as prolonged lochia, constipation, fatigue, and depression remains high. Providing postpartum lifestyle interventions, including diet and exercise supervision, in clinical practice is challenging. A nurse-led app through diet supervision, exercise supervision and health education is a promising approach to lifestyle intervention.

Improved compliance of midwives with stillbirth prevention and control practices after creating and implementing an educational program in a Chinese obstetric clinic.

Background: This study evaluated midwives' compliance with evidence-based stillbirth prevention practices and the impact of a targeted educational intervention. Five audit criteria were established based on the Safer Baby Bundle and expert consensus: (1) smoking cessation support, (2) fetal growth restriction (FGR) screening, (3) fetal movement education for decreased fetal movement, (4) promotion of safe late-pregnancy sleep positions, and (5) risk-based birth timing decisions.

Methods: Using the Joanna Briggs Institute's Practical Application of Clinical Evidence System (PACES) framework, data from 61 midwives in a Chinese obstetric clinic were collected via baseline and follow-up audits.

Senior midwives' perspectives on the transition experience of newly graduated undergraduate midwives in China: a qualitative study.

Introduction: Newly graduated (NG) midwives face various challenges during their transition from school to clinical practice, which can impact their long-term professional satisfaction and development. In China, there are currently no formal support programs for NG midwives. Senior midwives, as direct supervisors and mentors of NG midwives, hold valuable insights and recommendations that could inform the development of NG midwives training programmes in clinical practice, However, these perspectives remain largely underexplored.

Research progress in estrogen as an adjunctive therapy for schizophrenia.

Schizophrenia is a chronic psychiatric disorder with complex etiology and diverse clinical manifestations, whose pathogenesis and triggering factors remain incompletely understood. Numerous studies have demonstrated significant gender differences in the age of onset, clinical presentation, disease progression, treatment efficacy, and prognosis among patients with schizophrenia. These differences are largely attributed to variations in sex hormone levels, with estrogen emerging as a key focus of research.

Translation, cultural adaptation, and validation of the maternal health promotion behavior scale.

Background: United Nations reports show that maternal health is currently deteriorating in most parts of the world, which is far from achieving the 2030 goal of ensuring good maternal health. Adopting health-promoting behaviors during pregnancy is a safe strategy for maintaining and improving maternal and child health. Owing to the high-dimensional, multivariate, and non-directly measurable characteristics of health-promoting behaviors, a comprehensive assessment of these behaviors will help improve population health.

Impact of Antepartum Case-Based Learning on Glycemic Control and Self-Management Skills in Women with Gestational Diabetes: A Patient-Centered Non-Parallel Quasi-Experimental Study.

Introduction: Gestational diabetes mellitus (GDM) is a growing global concern. GDM increases the risk of complications in both mothers and infants, including preeclampsia, macrosomia, and a higher likelihood of developing type 2 diabetes later in life. This study aimed to assess whether integrating case-based learning (CBL) with traditional education could improve glycemic control and patient outcomes in women with GDM.

The association between interpregnancy intervals and preterm birth: a systematic review and meta-analysis.

Background: Research has shown a relationship between interpregnancy intervals (IPIs) and preterm birth, but a comprehensive understanding remains elusive. The aim of this systematic review and meta-analysis was to examine the effect of different IPIs on the risk of preterm birth METHODS: Systematic searches were conducted in PubMed, Cochrane, Web of Science, and Embase up to June 2, 2023. Studies included in the review provided data on IPIs and preterm birth outcomes, assessed via the NOS quality scale.

Impacts of Lifestyle Intervention by a Nurse-Led Smartphone Application on Blood Pressure, Weight, and Pregnancy Outcomes in Pregnant Women With Gestational Hypertension: A Randomized Controlled Trial.

High blood pressure and excess weight during pregnancy can have adverse outcomes. This randomized controlled trial evaluated the effects of a nurse-led smartphone application-based lifestyle intervention on blood pressure, body weight, and pregnancy outcomes in pregnant women with gestational hypertension between August and December 2023. Pregnant women, between 20 and 28 weeks of gestation, were allocated to the intervention or control group.

Empowering women with fetal malpositions: enhancing childbirth experience and empowerment through educational interventions: a randomized controlled clinical trial.

Background: This study aims to determine the impact of a childbirth educational intervention, based on empowerment theory, on childbirth experience and empowerment in women with fetal occiput posterior and occiput transverse malpositions.

Methods: A randomized controlled trial was conducted from February 2022 to December 2022 involving pregnant women with fetal occiput posterior and occiput transverse malpositions. Eligible women were randomly assigned to either the control or study group.

Effects of different physical exercise types on health outcomes of individuals with hypertensive disorders of pregnancy: a prospective randomized controlled clinical study.

Objective: To explore the impacts of different types of physical exercise on health outcomes of individuals with hypertensive disorders of pregnancy (HDPs).

Methods: Forty individuals with HDPs admitted to a tertiary hospital providing maternal and pediatric care between July 2023 and March 2024 were enrolled in this prospective randomized controlled clinical study and completed a ≥4-week intervention. Data were collected before the intervention and before delivery.

Effects of maternal posture and cognitive-behavioral interventions on labor outcomes in primigravidas with abnormal fetal head position: a randomized controlled clinical trial.

Objective: Fetal head malposition can result in neonatal and maternal complications. Fetal head malposition occurs frequently in labor. Appropriate and timely managements are required.

Status of Horizontal Violence, Level of Psychological Empowerment, and Their Correlation Among Obstetric Nurses: A Cross-Sectional Survey.

Background: China's maternity policy has led to an increase in work pressure, which has prompted horizontal violence among obstetric nurses. To understand this phenomenon better, we attempted to identify the factors that influence horizontal violence as well as the level of psychological empowerment among obstetric nurses.

Methods: This cross-sectional survey was conducted among 522 obstetric nurses from December 2022 to February 2023.

Dietary habit and lifestyle of postpartum women in South China: a mixed methods research.

Objective: To investigate the dietary and hygiene behaviours and influencing factors of women during the puerperium in South China.

Design: A cross-sectional study.

Setting: Three tertiary hospitals in Guangdong Province, China PARTICIPANTS: From November 2022 to March 2023, 327 women with puerperal experience were enrolled using the purposive sampling method, with 323 valid questionnaires collected for data analysis.

The current status of primipara's childbirth experience and its correlation with their reproductive intention: a cross-sectional survey study.

Background: The childbirth experience of primipara profoundly impacts her future physical and mental health, reproductive intention, and choice of childbirth mode. This study aimed to explore the current situation of primipara's childbirth experience, to analyze the factors influencing negative childbirth experience, and to explore the relationship between childbirth experience and reproductive intention.

Methods: A cross-sectional survey of a convenience sample of 522 primipara 1-5 days postpartum was conducted at five hospitals in Guangdong Province (May to July 2024).

Undergraduate midwifery students' experiential learning of perinatal bereavement care: A qualitative analysis.

Background: It is widely acknowledged that midwives are essential in providing care for mothers experiencing perinatal death. However, midwifery students lack the knowledge and skills needed to deal with perinatal death, and. There is limited research on perinatal bereavement care training for midwifery students.

The Associations and Causal Relationships of Ovarian Cancer - Construction of a Prediction Model.

Purpose: To explore the risk and protective factors for developing ovarian cancer and construct a risk prediction model.

Methods: Information related to patients diagnosed with ovarian cancer on the electronic medical record data platform of three tertiary hospitals in Guangdong Province from May 2018 to September 2023 was collected as the case group. Patients with non-ovarian cancer who attended the clinic during the same period were included in the control group.

Thrombospondin-1 Regulates Trophoblast Necroptosis via NEDD4-Mediated Ubiquitination of TAK1 in Preeclampsia.

Preeclampsia (PE) is considered as a disease of placental origin. However, the specific mechanism of placental abnormalities remains elusive. This study identified thrombospondin-1 (THBS1) is downregulated in preeclamptic placentae and negatively correlated with blood pressure.

Reasons, experiences and expectations of women with delayed medical care for ectopic pregnancies in Chinese urban edges: a qualitative study.

Objective: To explore the experiences of patients with ectopic pregnancies with delayed medical care, with the goals to promote timely access to care, reduce subsequent physical and psychological impacts, and provide recommendations for improved management of ectopic pregnancies.

Design: A qualitative study.

Setting: A 1000-bed urban edge hospital located in the suburban area of Guangzhou, China, between December 2022 and February 2023.

Prevalence of workplace violence in Chinese obstetric nurses under the new situation and its correlation with violence prevention knowledge-attitude-practice and climate perception: a cross-sectional study.

Background: Workplace violence severely impacts individual nurses. With the three-child opening policy of China and the impact of the COVID-19 epidemic in the recently years, obstetric nurses face the double attack of heavy workload and staffing shortage. This study aimed to evaluate the current situation of workplace violence among Chinese obstetric nurses under the new situation, assess the level of violence prevention knowledge-attitude-practice and climate perception in Chinese obstetric nurses and explore the correlation between workplace violence and the level of violence prevention knowledge-attitude-practice and climate perception.

Effects of parenting style on depressive symptoms, anxiety symptoms, and their comorbidity during the COVID-19 pandemic lockdown among 3117 Chinese junior high school students.

Introduction: Depressive symptoms, anxiety symptoms, and comorbidity increased in junior high school students due to the outbreak of COVID-19. The objective of this study was to measure the impacts of parenting style on depressive symptoms, anxiety symptoms, and their comorbidity in Chinese junior high school students during the COVID-19 pandemic lockdown period.

Methods: An online survey was conducted in June 2020 among 3117 junior high school students from Shandong Province, China.

Effects of obstetric critical care simulation training on core competency and learning experience of midwives: A pilot quasi-experimental study.

Aim: This study aimed to investigate the effects of maternal critical care simulation training on the core competency and satisfaction of midwives in China.

Background: Midwives play an important role during the peripartum period. Simulation-based training could be an effective tool in improving the core competency of midwives when managing critical obstetric illnesses.

A mental health survey among young front-line clinicians in high-risk areas during the COVID-19 sporadic epidemic in China.

Background: The sporadic coronavirus disease (COVID-19) epidemic has placed enormous psychological stress on people, especially clinicians. The objective of this study was to examine depression, anxiety, quality of life (QOL), and related social psychological factors among young front-line clinicians in high-risk areas during the COVID-19 sporadic epidemic in China and to provide a reference for formulating reasonable countermeasures.

Methods: In this cross-sectional study, demographic information, COVID-19-related questions, anxiety (Generalized Anxiety Disorder-7, GAD-7), depression (Patient Health Questionnaire-9, PHQ-9), insomnia (Insomnia Severity Index, ISI), stress (Perceived Stress Scale-10, PSS-10), and QOL (World Health Organization Quality of Life-brief version, WHOQOL-BREF) were collected.