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1.

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   
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Urban Ecosystems - Urban streams provide important ecosystem services to cities’ population, from the maintenance of urban biodiversity, temperature, humidity and air quality to improving...  相似文献   
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Suppose that a group of individuals owns collectively a technology which produces a consumption good by means of a (possibly heterogeneous) input. A sharing rule associates input contributions with a vector of consumptions that are technologically feasible. We show that the set of allocations obtained by any continuous sharing rule contains Pareto efficient allocations. We also present a mechanism that implements in Nash equilibrium the Pareto efficient allocations contained in an arbitrary sharing rule. Received: 29 June 1998/Accepted: 15 November 2000  相似文献   
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Consumer Confidence Indexes can be sensibly used in economic and social research conducted in theoretical and methodological framework of social indicators research. They are good predictors of other attitudes, such as voting preferences. Voting preferences are determined much more strongly by expectations of changes in economic conditions than by evaluations of present situation. On the other hand, Consumer Sentiment Indexes — irrespective whether they concern future or present times — are correlated more strongly with leading than with coincident indexes of economic cycles. That proves very important role of predictions, expectations and hopes in attitude formation.  相似文献   
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The Spanish Civil War (1936—1939) interrupted the evolution and development of social pedagogy, which in Spain had reached similar levels as in other European countries. This was followed by a period when Spain was isolated from developments in social welfare and the changes that go along with the economic and social transformations of cities and give rise to community action, self-help and popular education programmes. The reinstatement of democracy and of new City Councils that are genuinely devoted to solve the problems of the population are the starting point for new social services, that is for social work and social pedagogy. Initially it was practical work that gave an answer to emerging demand, followed by theoretical analysis and efforts of conceptualisation. The professionals and later the universities lead the debate on methodology. The interest and involvement of the universities increased as the Diploma in Social Education was introduced as a new university degree.  相似文献   
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Research examining impacts of teenage childbearing on economic and social outcomes have focused on completed schooling and labor force outcomes. In this paper, we examine outcomes that have remained largely unexplored, soft skills and personality. We use Add Health data to construct relevant controls for teenage mothers and explore a set of measures that proxy for what is usually deemed in economics as “non-cognitive” or “soft skill” traits. We find that teenage childbearing increases impulsivity, a trait that has been found to have negative effects on a large set of outcomes and has a negative effect on other personality traits perceived as positive, such as openness to experiences. Our results remain consistent through a set of robustness checks, and we interpret our findings to suggest that adolescence may be a sensitive period for the development of soft skills and that childbearing may interrupt this process.  相似文献   
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