Comparison of labour and birth outcomes between nulliparous women who used epidural analgesia in labour and those who did not: A prospective cohort study

ObjectiveTo compare labour and birth outcomes between nulliparous women who used versus did not use intrapartum epidural analgesia.DesignProspective cohort study.SettingTwo maternity hospitals in Ireland.PopulationA total of 1221 nulliparous women who gave birth vaginally or by emergency caesarean section.MethodsMultinomial logistic regression was used to analyse categorical outcomes, with results presented as ratios of relative risks (RRR). For dichotomous outcomes we used logistic regression, with results presented as odds ratios (OR).Main outcome measuresMode of birth, IV syntocinon use, pyrexia (≥38 °C), antibiotic treatment, first stage labour ≥10 h, second stage labour ≥2 h, blood loss (≥500 mls, ≥1000 mls), perineal trauma. Neonatal outcomes included Apgar score ≥7 at 1 min and 5 min, admission to neonatal intensive care unit, and infant feeding method.ResultsWomen using EA were more likely to require a vacuum-assisted birth (RRR 3.35, p < 0.01) or forceps-assisted birth (RRR 11.69, p < 0.01). Exposure to EA was associated with significantly greater risk of ≥10 h first (OR 6.72, p = 0.01) and ≥2 h second (OR 2.25, p < 0.01) stage labour, increased likelihood of receiving IV syntocinon (OR 9.38, p < 0.01), antibiotics (OR 2.97, p < 0.01) and a greater probability of pyrexia (OR 10.26, p < 0.01). Women who used EA were half as likely to be breastfeeding at three months postpartum (OR 0.53, p < 0.01). No differences were observed between groups in neonatal outcomes.ConclusionsOur data shows significant associations between EA use and several intrapartum outcomes.     

Evaluation of an intervention supporting breastfeeding among late-preterm infants during in-hospital stay

BackgroundLate-preterm infants show lower breastfeeding rates when compared with term infants. Current practice is to keep them in low-risk wards where clinical guidelines to support breastfeeding are well established for term infants but can be insufficient for late-preterm.ObjectiveThe aim of this study was to evaluate an intervention supporting breastfeeding among late-preterm infants in a maternity service in the Basque Country, Spain.MethodsThe intervention was designed to promote parents’ education and involvement, provide a multidisciplinary approach and decision-making, and avoid separation of the mother-infant dyad. A quasi-experimental study was conducted with a control (n = 212) and an intervention group (n = 161). Data was collected from clinical records from November 2012 to January 2015. Feeding rate at discharge, breast-pump use, incidence of morbidities, infant weight loss and hospital stay length were compared between the two groups.ResultsInfants in the control group were 50.7% exclusive breastfeeding, 37.8% breastfeeding, and, 11.5% formula feeding at discharge, whereas in the intervention group, frequencies were 68.4%, 25.9%, and 5.7%, respectively (p = 0.002). Mothers in the intervention group were 2.66 times more likely to use the breast-pump after almost all or all feeds and 2.09 times more likely to exclusively breastfeed at discharge. There were no significant differences in morbidities and infant weight loss between groups. Hospital stay was longer for infants who required phototherapy in the intervention group (p = 0.009).ConclusionThe intervention resulted in a higher breastfeeding rate at discharge. Interventions aimed to provide specific support among late-pretem infants in maternity services are effective.     

学校领导干部的自我发展素质及培养

自我发展素质是学校领导干部综合素质的重要组成部分 ,它反映了社会发展、领导职位和人的本性发展的要求。形成学校领导干部自我发展素质的主要方式是干部培训和教育实践中的探索与反思     

成人高校人才培养模式解析

成人高校目前人才培养与劳动力市场的关系模式,基本上可以归结为“对口”与“适应”两种取向。但是,无论取向何种模式,透过毕业生就业以及就业后的发展实际看,都各有利弊。因此,成人高校在人才培养的取向上,不能单纯追求或固守其中的某一种模式,而应根据社会主义市场经济发展和劳动力市场的需求,建立起多元化、多层次的人才培养模式。     

高职教育学制改革的问题及对策

高职教育两年制学制改革,是为了更好地突出高职教育灵活、快捷、适应性强的特点,进一步明确高职教育定位和方向的重要举措,它将涉及教育观念、培养质量、课程设置、运行管理等一系列问题。只有正确认识和处理这些问题,才能保证学制改革的顺利进行。     

清代蒙古族学堂教育及其语言教育

从 2 0世纪初开始 ,清朝教育制度发生了极大变化 ,出现了近代教育的萌芽。在这样一个大环境下 ,蒙古族近代学校教育的艰苦实践和探索也走上新的道路。蒙古族学堂教育是新教育思想的产物 ,虽然同旧的官学有一定的继承关系 ,但它打破封闭的传统教育 ,提倡开放的近代教育 ,由此教育种类和等级开始多样化、多层次化 ,出现普通教育、留学生教育和内地求学等形式。在学堂教育中 ,各种语言教育模式是同时并存的 ,这些模式经过分化和重组后 ,出现向汉语和蒙古语两个单语教育模式或蒙古语汉语双语教育模式集中的倾向。     

广西贫困地区村级寄宿制完全小学基本建设研究

台湾影光基金会在广西贫困地区捐助的 14所村级寄宿制完全小学的基本建设体现了“学校即社会 ,生活即教育 ,村民是学校的主人”的办学宗旨 ,与国家的《农村中小学基本建设试行标准》进行比较 ,作为“社区文化中心”的寄宿制学校的基本硬件应包括教室、师生宿舍、多功能厅和厕所浴室等基建参数的指标 ,在基本建设中应遵循校舍建设优先、满足社会需求、村校合作、村民共管等 8项原则     

“科玄论战”对中国文化哲学思潮发展的影响

“科玄论战”作为一个极富有象征意义的文化哲学事件 ,深刻地影响着 2 0世纪中国文化哲学思潮发展的走向。“科玄论战”中玄学派、科学派、唯物史观派所论争问题及其言说方式对 2 0世纪中国保守主义、自由主义、唯物史观诸派文化哲学的影响以及“科玄论战”中三方话语的撒播带来的 2 0世纪中国文化哲学思潮发展的内在困境及其消除的理路 ,表明对“科玄论战”的历史反思仍将对 2 1世纪中国哲学发展产生影响。     

两汉文献中的经籍传注——《两汉全书》编纂杂识之一

在全部两汉文献中，为前代或当世古籍所作的各种“传”、“注”、“解”、“说” 、“笺”、“诂训”、“章句”等，占有很大的比重。这些经籍传注是基于对一定专书整体考察而作出的系统注解，与此前散见的训诂资料有所不同，已具有一定的学术个性，是一批具有相对独立意义的学术著作。它们的应时产生，是经学繁盛的直接结果，也反映了经学发展对一般古籍研究的影响，以及经学占主导地位的情况下汉代社会之多元文化的发展。《孟子章句》与《楚辞章句》是一直为后世所重的两种章句体传注，前者推崇孟子、后者赞颂屈原，曾在中国思想史、学术史上产生过深远的影响。     

试论我国新闻学的学科地位及学科发展

新闻学有自己的理论内涵和科学品质,也有自己的学术积累和发展基础,其学科地位应得到 充分肯定。新闻学不仅要研究新闻事业史、新闻理论、新闻业务,也应研究媒介经济、传媒业经营与管理。为 适应新世纪新闻事业和学科发展的需要,应努力构建有中国特色社会主义新闻学理论体系。