Impact of having a high-risk pregnancy on future postpartum contraceptive method choice

BackgroundTo compare the knowledge and preference of preconceptional contraception to future postpartum contraceptive method choice in high-risk pregnancies.Research questionDoes a high-risk pregnancy condition affect future postpartum contraceptive method choice?MethodWomen hospitalised at the High Risk Pregnancy unit of a tertiary research and training hospital were asked to complete a self-reported questionnaire that included demographic characteristics, presence of unintended pregnancy, contraceptive method of choice before the current pregnancy, plans for contraceptive use following delivery and requests for any contraceptive counselling in the postpartum period.FindingsA total of 655 pregnant women were recruited. The mean age, gravidity and parity of the women were 27.48 ± 6.25 years, 2.81 ± 2.15 and 1.40 ± 1.77, respectively. High-risk pregnancy indications included 207 (31.6%) maternal, 396 (60.5%) foetal and 52 (7.9%) uterine factors. All postpartum contraceptive choices except for combined oral contraceptives (COCs) usage were significantly different from preconceptional contraceptive preferences (p < 0.001). High-risk pregnancy indications, future child bearing, ideal number of children, income and education levels were the most important factors influencing postpartum contraceptive choices. While the leading contraceptive method in the postpartum period was long-acting reversible contraceptive methods (non-hormonal copper intrauterine device Cu-IUD, the levonorgestrel-releasing intrauterine system (LNG-IUS) (40%), the least preferred method was COCs use (5.2%) and preference of COCs use showed no difference between the preconceptional and postpartum periods (p = 0.202). Overall 73.7% of the women wanted to receive contraceptive counselling before their discharge.ConclusionA high-risk pregnancy condition may change the opinion and preference of contraceptive use, and also seems to affect the awareness of family planning methods.     

家庭功能变迁中的养老选择

进入人口老龄化的中国正处于高速转型期。社会结构、社会的价值观念等都发生着剧烈的变化。而这一切又正冲击着家庭的养老功能,形成养老方式多样化的格局。不过无论这些养老方式走向何方,居住方式皆是养老选择的一项重要影响因素。     

何处是归程?--从徐坤小说《厨房》看当代中国女性解放的困境与出路

本文从对当代女作家徐坤的小说<厨房>的解读中,分析当代中国女性解放面临的家庭困境和社会困境,探讨了解决女性家庭角色与社会角色矛盾冲突的出路,认为女性解放最理想和最终的出路是男女两性共同建构平等和谐的两性世界.     

韦氏墓志校补《元和姓纂》几则——兼与张蕴先生商榷

根据对已出土和整理出版的郿城公房本房支部分成员墓志的研究,考以正史,可以发现郿城公房房祖韦范与阆公房成员韦范为不同的两个人、岳子和景骏应为兄弟关系而非父子关系、韦聿和韦皋的父亲为韦贲等史实,并可据以对《元和姓纂.郿城公房》作进一步的校补。     

Seeking Help for Same-Sex Relationship Abuses

Abstract

Four hundred ninety-nine ethnically diverse gay men, lesbian, bisexual, and transgendered people were surveyed regarding use of resources to stop same-sex relationship abuses. Just over half (54%) reported seeking help, and most resources, with the exception of police, shelter and crisis hotlines, were considered helpful. When asked about perceived services needed, most participants focused on intra-psychic solutions rather than use of community or macrosystem institutions. Perceived or actual homophobia is the biggest barrier to seeking help. Women and people of color expressed a statistically significant preference for caregivers of the same gender and ethnicity, respectively, but indicated that this would not stop them from seeking assistance.     

韩氏源流辨析

韩氏著姓,源远流长。在关于韩愈世系的研究中,韩氏的源流问题也成为其重要内容。韩氏源流的探讨自韩氏始祖韩万开始到汉弓高侯颓当结束。本文利用文献记载来考证韩氏的源流。韩氏的源流大致应以修武《韩文公门谱》所记载的为准。     

Conceptualizing community in the context of work and family

In recent years, many work-family scholars and practitioners have called for expanding the analysis of work and family to include community. This paper uses the ecological systems approach as a framework for selecting and reviewing community concepts thought to be relevant to the analysis of work, community, and family. Based on the work-family literature and the review of community concepts, the paper creates a set of common categories of characteristics for the analysis of relationships among community, work, and family. The development of such categories is a first step in understanding work, community, and family as interrelated domains. Hopefully, they will be useful for developing and testing hypotheses regarding interrelationships among work, community, and family and the effects of work, community, and family characteristics on domain quality and individual well-being. On a vu, au cours de ces dernières années, de nombreux professeurs et praticiens demander que soit étendue l'analyse du travail et de la famille pour inclure la communauté. Cet article utilise l'approche des systèmes écologiques comme base de sélection et d'étude des principes de communauté considérés pertinents dans l'analyse du travail, de la communauté et de la famille. Ensuite, en s'appuyant sur la littérature visant le travail et la famille, ainsi que sur l'étude des principes de communauté, l'article établit un jeu de catégories communes des caractéristiques permettant l'analyse de rapports entre communauté, travail et famille. L'établissement de telles catégories constitue un premier pas envers une meilleure compréhension de l'interrelation entre les domaines du travail, de la communauté et de la famille. Il est à espérer que cela sera utile envers le développement et l'évaluation des hypothèses visant à établir une relation entre le travail, la communauté et la famille, ainsi que l'influence qu'auraient les caractéristiques du travail, de la communauté et de la famille sur la qualité du domaine et la qualité de la vie.     

Professional Responses to Government-Endorsed Premarital Counseling

Abstract

This paper presents preliminary findings about the manner in which public policies that promote premarital counseling impact professionals who conduct premarital counseling. The purpose of this paper is to describe findings from a survey of premarital counseling providers in a state in which the government endorses premarital counseling. A total of 194 premarital counseling providers described their responses to their state government's endorsement of premarital counseling. Results indicated that a majority of providers held a favorable opinion of this policy, although a number of providers held either unfavorable opinions of the policy or were uncertain about the policy's effectiveness. Implications for practice and future research are discussed.     

北朝元氏与勋臣八姓婚姻研究

勋臣八姓是平城时期元氏最主要的婚配对象,其中穆氏子弟所占比例要大大高于其他部族子弟,是元氏最固定的婚姻群体。元氏与勋臣八姓的婚姻也是可以达到民族融合的,而这种融合和迁都后相比是隐性的和有限的。这些婚姻带有浓郁的政治色彩。     

《人物志》与《颜氏家训》才性观之比较

才性问题是中国古代人才思想中的重要论题之一，对其讨论在魏晋南北朝时期达到高潮，而以刘邵《人物志》与颜之推的《颜氏家训》最具代表性。刘邵的人才思想虽受到了曹操“唯才是举”思想的影响，但更注重从名理学的角度探讨人的天赋素质与人德行、才能的关系，并坚持“学习有限论”。颜之推则对汉代以来“唯德是用”的人才观提出了异议，并强调后天学习对人自身发展的巨大作用。二人均主张“德才兼备”的选才标准，体现出了共有的批判性和独立思考精神。