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11.

Aim

To assess the relationship between the duration of the second stage of labour and postpartum anaemia during vaginal birth.

Methods

An observational, analytical retrospective cohort study was performed at the “Mancha-Centro Hospital” (Spain) during the 2013–2016 period. Data were collected from 3437 women who had a vaginal birth. Postpartum anaemia was defined as a haemoglobin level below 11 g/dL at 24 h postpartum. A univariate analysis was used for potential risk factors and a multivariate analysis with binary logistic regression to control for possible confounding factors.

Findings

The incidence of postpartum anaemia was 42.0%. The risk of postpartum anaemia did not increase in nulliparous women whose duration of the second stage of labour exceeded 4 h. Compared with multiparous women who delivered between 0 and 3 h, multiparous women with a duration of the second stage of labour beyond 3 h were at higher risk of postpartum anaemia (OR = 2.43 [1.30–4.52]).

Conclusion

The duration of the second stage of labour beyond 4 h is safe for postpartum anaemia in nulliparous women. However in multiparous women, monitoring should increase if the second stage of labour exceeds 3 h given the increased risk of postpartum anaemia.  相似文献   
12.
机械产品的设计一直注重于市场需求和产品功能的开发,随着科学和技术的发展,环境因素变得越来越重要。 提出一种基于功能一环境一结构分析( FESA)与TRIZ的机械产品创新设计方法,通过分析机械产品结构之间的功能要素 以及功能要素与环境要素的相互作用关系,确定机械产品中存在的问题。建立根原因模型图,寻找结构设计上的不足和 缺陷,利用TRIZ创新理论来实现机械产品的改进创新。通过污水处理系统的创新设计实例验证了该方法的可行性。  相似文献   
13.
The week beginning 29 June 2015 is not just historic for the closure of the Independent Living Fund in the United Kingdom, but for me was the week they decided that my life is not worth investing in; they being NHS England, NICE and, with them, the Department of Health. They chose not to support the enzyme replacement therapy that has been not only keeping me alive, but giving me a quality of life – enabling me to return to finish my Disability Studies PhD exploring how Christian leaders explain disability, where ethics have become the main topic, and to rebuild my career – or so I thought.  相似文献   
14.
15.
In this article, the employment characteristics of pre-industrial and industrial cohorts of deaf men and women are compared with each other, as well as with a cohort of non-disabled siblings. The aim is to determine the extent to which the employment patterns of deaf persons lined up with those of non-disabled people and to see how nineteenth-century industrialization processes influenced their employment opportunities. This article challenges the widely held assumption that the nineteenth century constituted a definitive break by arguing that the professional lives of deaf people were not necessarily better before industrialization. Moreover, I demonstrate that the development of deaf schools in the course of the nineteenth century opened a new range of career opportunities for deaf individuals.  相似文献   
16.
马克思主义大众化传播是一个极其复杂、艰巨的社会系统工程。学术界对于马克思主义大众化传播应该坚持什么样的原则和方法也是众说纷纭。从当代世界和中国现实情况、信息传播技术飞速发展的时代背景,以及马克思主义理论创新发展的内在规律出发,马克思主义大众化传播应坚持指导思想一元和文化价值多元的统一、理论逻辑和生活逻辑的统一、科学性与通俗性的统一、传承性和开放性的统一等四个基本原则。  相似文献   
17.
政府公信力是政府凭籍自身信用赢得公众信任的能力,十六大以来,党在施政理念上强调"以人为本",在执政行为上关注"民生";在绩效上彰显公平正义,施政方略渗透着人文关怀因素,政府公信力得到了有效提升。但由于腐败现象没有得到有效控制,党风廉政与制度化建设相对滞后,政府公信力也受到了冲击。在新一代领导集体治国理政中,"改革"成为新的常态,防腐败斗争与党风廉政建设取得了伟大成就,政府公信力的重振业已开启。  相似文献   
18.
新中国成立初期,马克思主义在新疆地区的传播,历经了从边缘走向中心、从隐蔽走向公开,进而发展为常态化的历史过程。这一过程,蕴涵着马克思主义理论的内在诉求,是中国共产党执政的在场体现,也深度契合了新疆地区各族人民的迫切需求。面对传播过程中出现的话语、文本和媒介等现实问题,党和政府通过加强党组织建设以建构话语路径、翻译出版经典著作以建构文本路径、完善本土大众传媒以建构媒介路径等来化解问题,从而为新疆维吾尔自治区成立奠定了思想与理论基础,强化了中国共产党在新疆地区的组织建设,也推进了本土传播媒介的发展与提升,更为马克思主义在民族地区传播的理论探究提供了现实参考。  相似文献   
19.
As part of the celebration of the 40th anniversary of the Society for Risk Analysis and Risk Analysis: An International Journal, this essay reviews the 10 most important accomplishments of risk analysis from 1980 to 2010, outlines major accomplishments in three major categories from 2011 to 2019, discusses how editors circulate authors’ accomplishments, and proposes 10 major risk-related challenges for 2020–2030. Authors conclude that the next decade will severely test the field of risk analysis.  相似文献   
20.
This study demonstrates the analytical leverage gained from considering the entire college pipeline—including the application, admission and graduation stages—in examining the economic position of various groups upon labor market entry. The findings, based on data from three elite universities in Israel, reveal that the process that shapes economic inequality between different ethnic and immigrant groups is not necessarily cumulative. Field of study stratification does not expand systematically from stage to stage and the position of groups on the field of study hierarchy at each stage is not entirely explained by academic preparation. Differential selection and attrition processes, as well as ambition and aspirations, also shape the position of ethnic groups in the earnings hierarchy and generate a non-cumulative pattern. These findings suggest that a cross-sectional assessment of field of study inequality at the graduation stage can generate misleading conclusions about group-based economic inequality among workers with a bachelor’s degree.  相似文献   
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