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Wu LX, Jin M, Yang J. Status, outcome, and related factors of postpartum hypertension in the Shanghai community. World J Clin Cases 2024; 12:4632-4641. [DOI: 10.12998/wjcc.v12.i21.4632] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/24/2024] [Revised: 05/23/2024] [Accepted: 06/11/2024] [Indexed: 06/30/2024] Open
Abstract
BACKGROUND Postpartum hypertension poses a considerable health risk. Despite research on gestational hypertension, comprehensive studies focusing on postpartum hy-pertension in communities are limited. Understanding its prevalence and associated risk factors is crucial for effective prevention and management.
AIM To provide insights for postpartum hypertension’s prevention and management.
METHODS In total, 3297 women who gave birth between June 2021 and December 2022 in Xuhui District, Shanghai were selected. Blood pressure was measured thrice within one month post-delivery during home visits. Eighty-six women with hypertension were followed up for four months to analyze hypertension per-sistence and its related risk factors. A predictive model for persistent postpartum hypertension was established and verified using the Nomo diagram model.
RESULTS Hypertension prevalence 1 month post-delivery was 2.61% (86/3297). Among the 86 pregnant women, 32 (37.21 %) had persistent hypertension at four months post-delivery. Multivariate logistic regression analysis revealed that older age [odds ratio (OR) = 1.212; 95% confidence interval (CI): 1.065–1.380] and higher pre-pregnancy body mass index (BMI) (OR = 1.188; 95%CI: 1.006–1.404) were associated with hypertension (OR = 10.781; 95%CI: 1.006–1.404) during pregnancy. A 95%CI of 1.243–93.480 is a risk factor for persistent postpartum hypertension. The Nomograph model accurately predicted the risk of persistent postpartum hypertension, demonstrating high precision.
CONCLUSION In Xuhui, older age, higher pre-pregnancy BMI, and gestational hypertension are risk factors for persistent postpartum hypertension. Our prediction model can identify high-risk individuals, thereby improving patient quality of life.
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Affiliation(s)
- Ling-Xia Wu
- Department of Women's Health, Xuhui District Maternal and Child Health Hospital, Shanghai 200235, China
| | - Man Jin
- Department of Women's Health, Xuhui District Maternal and Child Health Hospital, Shanghai 200235, China
| | - Jian Yang
- Department of Women's Health, Xuhui District Maternal and Child Health Hospital, Shanghai 200235, China
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Xu F, Jiang S, Ge P, Yang J, Lu S. Intention to have a third child among millennial parents with two children in eastern China: A cross-sectional survey. Nurs Open 2024; 11:e2178. [PMID: 38757435 PMCID: PMC11099693 DOI: 10.1002/nop2.2178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2023] [Revised: 02/21/2024] [Accepted: 04/24/2024] [Indexed: 05/18/2024] Open
Abstract
AIM This Study Aimed to Assess the Intention to Have a Third Child among Millennial Parents (25-40 years old) with Two Children in a City in Eastern China and to Explore the Influencing Factors Related to Fertility Intention. DESIGN A cross-sectional design study. METHODS A convenience sampling method was used to enrol participants of childbearing age who visited two tertiary hospitals in Hang zhou, a city in eastern China, from June 2021 to March 2022. We conducted a face-to-face questionnaire survey with 520 participants and calculated the prevalence of intention-related factors. Multivariate logistic regression was used to analyse the independent influencing factors of fertility intention. RESULTS In total, 105 (20.2%) participants had the intention to have a third child. The results showed that 'employment status', 'age', 'reasons for wanting a third child', the considered 'biggest barrier to having a third child', 'views on the three-child policy', 'desired free services', 'supporting work policies' and 'assistance policies' were significant independent influencing factors of intention to have a third child (p-value < 0.05). The intention of the participants 'over 30 years old' was 2.466 times that of those '30 years old and under', and 'older age/personal health status' was considered the 'biggest barrier to having a third child'. Regarding policy and social reasons, the participants who need 'medical assistance' policy negatively affect the intention to have a third child (OR = 0.453, 95% CI = 0.247-0.830). IMPLICATIONS FOR HEALTHCARE/NURSING Nursing plays an important role in health promotion. Nurses can help couples make wise decisions about fertility by providing professional consultation, education, evaluation and support. They can also provide corresponding nursing and guidance to improve couples' health quality and overall reproductive success. CONCLUSIONS The general level of intention to have a third child of Millennial parents with two children is still low. The participants who are 'housewives/househusbands', 'over 30 years old', and satisfied with the state of 'medical assistance' have higher fertility intentions. PATIENT OR PUBLIC CONTRIBUTION It is particularly meaningful for the policymakers to improve the social support system and raise universal awareness to encourage childbirth.
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Affiliation(s)
- Fen Xu
- Department of Nursing Science, Faculty of MedicineUniversity of MalayaKuala LumpurMalaysia
| | - Shen‐jun Jiang
- Department of MedicineHangzhou Third HospitalHangzhouPeople's Republic of China
| | - Pan‐pan Ge
- Department of NursingHangzhou Women's Hospital (Hangzhou Maternity and Child Health Care Hospital)HangzhouPeople's Republic of China
| | - Jue Yang
- Department of NursingHangzhou Women's Hospital (Hangzhou Maternity and Child Health Care Hospital)HangzhouPeople's Republic of China
| | - Sha Lu
- Department of Obstetrics and GynecologyHangzhou Women's Hospital (Hangzhou Maternity and Child Health Care Hospital)HangzhouPeople's Republic of China
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Ning N, Tan X, Li Y, Tang J, Lommel L, Sun M. Changes in fertility intention among married Chinese couples with two children during COVID-19: a cross-sectional study. BMJ SEXUAL & REPRODUCTIVE HEALTH 2024:bmjsrh-2022-201759. [PMID: 38503472 DOI: 10.1136/bmjsrh-2022-201759] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/20/2022] [Accepted: 02/12/2024] [Indexed: 03/21/2024]
Abstract
BACKGROUND A three-child policy was implemented in China to stimulate a rise in fertility levels and coincided with the COVID-19 pandemic. Data suggested that COVID-19 has a negative impact on fertility intention. AIM To describe married couples' changes in intention to have a third child during the COVID-19 pandemic and determine factors associated with altered intentions. METHODS An online survey was conducted in October 2021, including sociodemographic characteristics, change of intention to have a third child after the COVID-19 pandemic outbreak, reasons for increased or decreased intention, and the Fertility Intention Scale (FIS). Bivariate and multivariable logistic regression were used to test the potential factors associated with changes in intention. RESULTS A total of 1308 participants provided responses. Following the COVID-19 outbreak, 35.8% of participants decreased their third-child intention, while 2.8% of participants increased their third-child intention. Males (aOR 1.90, 95% CI 1.42 to 2.54), youngsters (aOR 1.77, 95% CI 1.08 to 2.93) and those living in Estern China (aOR 2.12, 95% CI 1.13 to 3.98) were more likely to decrease their third-child intention. Perceived risk (aOR 1.07, 95% CI 1.03 to 1.10) and policy support (aOR 1.06, 95% CI 1.03 to 1.09) as measured on the FIS decreased couples' intention to have a third child. Social support (aOR 0.94, 95% CI 0.91 to 0.98) as measured on the scale protected participants from decreased intention. CONCLUSIONS During severe public health emergencies, strong prevention and control policies, together with enhancing support from partners and healthcare professionals for women, are necessary to improve intentions to give birth.
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Affiliation(s)
- Ni Ning
- Graduate School of Innovation and Practice for Smart Society, Hiroshima University, Hiroshima, Japan
- Xiangya School of Nursing, Central South University, Changsha, China
| | - Xiangmin Tan
- School of rural health, Monash University, Melbourne, Victoria, Australia
| | - Ying Li
- School of Nursing, Sun Yat-Sen University, Guangzhou, China
| | - Jingfei Tang
- Xiangya School of Nursing, Central South University, Changsha, China
| | - Lisa Lommel
- School of Nursing, University of California San Francisco (UCSF), San Francisco, California, USA
| | - Mei Sun
- School of Nursing, Xinjiang Medical University, Urumqi, China
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Zheng J, Wang X, Xie S, Wang H, Shen J, Zhang T. The mediating role of trust in government in intergenerational transmission of fertility intentions. Front Public Health 2024; 12:1338122. [PMID: 38496397 PMCID: PMC10941980 DOI: 10.3389/fpubh.2024.1338122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Accepted: 02/12/2024] [Indexed: 03/19/2024] Open
Abstract
China's one-child policy was in effect from 1982 to 2015. However, the literature examining the association between people's trust in local government and intergenerational transmission of fertility intentions is scarce. To fill this gap, we investigated the impact of individuals' sibship size on their ideal number of children, the mediating effect of their trust in local government on the issue of fertility between two successive generations, and the moderating effect of education level on sibship size related to trust in local governments. Based on the 2019 Chinese Social Survey data, 2,340 respondents aged 18-35 participated in the analysis. The results showed that (i) individuals' number of siblings significantly positively predicted their ideal number of children; (ii) individuals' number of siblings significantly negatively predicted their trust in the local government, which in turn significantly negatively influenced fertility intentions; (iii) the mediating mechanism was significant in residents with higher levels of education, but not in people with lower degrees of education. Fertility-boosting incentives can prioritize couples who are the only child in their family. It is necessary for local governments to improve their credibility and strengthen their pregnancy-related communication with groups with higher levels of education.
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Affiliation(s)
| | | | | | | | | | - Tao Zhang
- Faculty of Humanities and Social Sciences, Macao Polytechnic University, Macao, Macao SAR, China
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Chen Q, Wang A, Song X, Liu X, Liu Y, Wei J, Shu J, Sun M, Zhong T, Luo M, Wang T, Zhang S, Xie D, Qin J. Fertility intentions to have a second or third child among the childbearing-age population in Central China under China's three-child policy: A cross-sectional study. J Glob Health 2023; 13:04072. [PMID: 37448328 DOI: 10.7189/jogh.13.04072] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/15/2023] Open
Abstract
Background On May 31, 2021, the Chinese authorities announced that couples can have up to three children, aiming to stimulate a rise in fertility levels. However, there is limited research on second and third birth intentions of the childbearing-age population under China's three-child policy, and the existing results are inconsistent. Methods A cross-sectional survey was performed in Central China from June to August 2022. A total of 13 479 respondents aged 20-49 were enrolled in the study through a multi-stage sampling method. Data on the intentions to have a second or third child were collected using anonymized questionnaires. Descriptive statistics were performed to assess fertility intentions. Multivariate logistic regression analyses were used to assess the associations between fertility intentions and the related factors. Results Among families with a single child, 29.7% (1444 / 4859) of the respondents intended to have a second child, while among two-child families, 10.6% (750 / 7056) respondents intended to have a third child. Overall, participants indicated that the ideal number of children was 1.85 ± 0.52. The age-specific fertility intentions of the one-child families were always higher than those of two-child families; however, based on couples' age groups, the number of ideal children reported by two-child families was always higher than that of one-child families. Fertility intentions were influenced by the respondents' gender, age, residence, marital status, educational level, average working time, childcare support, marital satisfaction, accessibility of educational resources, health condition of both spouses, loan situation, size of living house and the gender of the first child or second child. Conclusions The general prevalence of the second and third birth intention of the childbearing-age population in Central China is not high. To increase the birth rate, it is necessary to create a favourable fertility context and offer supportive measures.
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Affiliation(s)
- Qian Chen
- Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, China
| | - Aihua Wang
- Department of Information Management, Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China
| | - Xinli Song
- Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, China
| | - Xiaoying Liu
- Department of Changsha Medical University Public Health Institute, Changsha, Hunan, China
| | - Yiping Liu
- Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, China
| | - Jianhui Wei
- Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, China
| | - Jing Shu
- Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, China
| | - Mengting Sun
- Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, China
| | - Taowei Zhong
- Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, China
| | - Manjun Luo
- Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, China
| | - Tingting Wang
- Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, China
| | - Senmao Zhang
- Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, China
| | - Donghua Xie
- Department of Information Management, Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China
| | - Jiabi Qin
- Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, China
- NHC Key Laboratory of Birth Defect for Research and Prevention, Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China
- Hunan Provincial Key Laboratory of Clinical Epidemiology, Changsha, Hunan, China
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Liu L, Liu C, Liu X, Yang Y. Summary of the effect of an exercise intervention on antenatal depression and the optimal program: a systematic review and Meta-analysis. BMC Pregnancy Childbirth 2023; 23:293. [PMID: 37101306 PMCID: PMC10131439 DOI: 10.1186/s12884-023-05629-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Accepted: 04/20/2023] [Indexed: 04/28/2023] Open
Abstract
OBJECTIVE This study aimed to examine the effect of exercise intervention for antenatal depression using meta-analysis and to propose the best exercise intervention program. METHODS Review Manager 5.3 was used to analyze 17 papers with 2224 subjects by setting five moderators, including type, time, frequency, period, and format of exercise intervention, and a random-effects model was used to test for overall effect, heterogeneity, and publication bias. RESULTS (1) The effect size of the exercise intervention on antenatal depression was d = -0.56, which reached a good effect and was statistically significant; b (2) The effect size of the exercise type on antenatal depression was Yoga and a combination of aerobic exercise in order of intervention; (3) the single intervention duration of 10-75 min all had a good effect on antenatal depression, and 30-60 min had the best effect; (4) the intervention frequency of 3 to 5 times/week had the greatest amount of intervention effect on maternal depression; (5) exercise lasting 6-10 weeks had a good intervention effect on antepartum depression, and the amount of effect decreased gradually with the extension of time; (6) In terms of exercise format, the amount of intervention effect on maternal depression was in the order of group exercise, individual + group exercise. CONCLUSIONS Exercise intervention can significantly alleviate antenatal depression symptoms. The best exercise program for exercise intervention for antenatal depression is: Yoga and a combination of aerobic exercise intervention effects are more prominent, and the intervention effect of Yoga is the best. The use of group exercise 3-5 times per week for 30-60 min for 6-10 weeks was more likely to achieve the desired intervention effect of improving antenatal depression.
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Affiliation(s)
- Lanjuan Liu
- College of Physical Education, Shanghai Normal University, Shanghai, 200234, China
| | - Cheng Liu
- Department of Sports, Donghua University, Shanghai, 201600, China.
| | - Xiaotang Liu
- College of Physical Education, Shanghai Normal University, Shanghai, 200234, China
| | - Yang Yang
- College of Physical Education, Shanghai Normal University, Shanghai, 200234, China
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Jin Y, Wu Y, Li J. Midwife empathy and its association with the childbirth experience: a cross-sectional study. BMC Pregnancy Childbirth 2022; 22:960. [PMID: 36550461 PMCID: PMC9774080 DOI: 10.1186/s12884-022-05309-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2022] [Accepted: 12/15/2022] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND Although pregnancy and childbirth comprise a life-course that most midwives experience, whether their own experiences of childbirth resonate with other women during childbirth remains to be determined. In this study, we therefore characterized midwives' empathic capabilities and defined their underlying factors. METHOD We conducted a cross-sectional study with data from 464 midwives in Guangdong, China, that were collected through the "Chinese version of the Jefferson Scale of Empathy for Health Professionals (JSE-HP)." This questionnaire contains sections related to midwife demographics and delivery characteristics. We then implemented multivariate logistic regression analysis to identify empathy-related factors. RESULTS Our analysis revealed 303 (65.3%) participants in the high-empathy group while 161 (34.7%) were in the middle-empathy group. Compared with the reference groups, these results indicated that higher empathy was associated with an elevated educational level (OR, 1.83; 95% CI, 1.04-3.25), high monthly salary (OR, 2.30; 95% CI, 1.11-4.80), and no shift work (OR, 2.89; 95% CI, 1.09-7.63). The odds of a high empathy score were higher for midwives who experienced two childbirths (2.27, 1.11-4.66) and for those who had children under the age of 3 years (2.81, 1.34-5.92). CONCLUSION Midwives possess a moderate-to-high level of empathy, and the greater the number of childbirths they experienced and the younger their children, the higher their reported empathy score. This study contributes novel information regarding the empathic behavior of midwives toward women who give birth in China.
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Affiliation(s)
- Yuhua Jin
- Department of Obstetrics and Gynecology, Shenzhen Samii Medical Center, Shenzhen, 518118 Guangdong Province China
| | - Yanpeng Wu
- grid.8547.e0000 0001 0125 2443School of Public Health, Fudan University, Shanghai, 200433 China
| | - Jing Li
- grid.488521.2Department of Obstetrics and Gynecology, Shenzhen Hospital, Southern Medical University, Shenzhen, 518100 Guangdong Province China ,grid.443187.d0000 0001 2292 2442School of Nursing, Philippine Women’s University, 1743 Taft Avenue, 1004 Malate, Manila, Philippines
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