Shanghai Jiading District Maternal and Child Care Service Center

Shanghai, China

Shanghai Jiading District Maternal and Child Care Service Center

Shanghai, China
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Jiang L.,Shanghai Jiading District Maternal and Child Care Service Center | Wu Q.-K.,Shanghai JiaoTong University | Xi J.,Shanghai Jiading District Maternal and Child Care Service Center
Journal of Shanghai Jiaotong University (Medical Science) | Year: 2012

Objective: To evaluate whether Cesarean for the first pregnancy can lower the incidence of stress urinary incontinence (SUI) during the second pregnancy. Methods: Two hundred and forty-six pregnant multiparas aged between 20 to 35 years who had one term of delivery were selected. The weight of newborn infants was 2 500 to 4 000 g. The duration between two pregnancy was no more than five years. There was no pregnancy-related complications. These women were divided into vaginal delivery group (gave birth to the first child through vagina, n=128) and cesarean group (terminated the first term of pregnancy by cesarean, n=118). All of them were followed up by telephone two weeks after the second delivery, the incidences of SUI during two terms of pregnancy were obtained, and the incidences of SUI were compared between two groups. Results: The incidence of SUI during the second term of pregnancy in cesarean group was 40.7%, which was higher than that in vaginal delivery group (36.7%), and there was no significant difference between two groups (P>0.05). Multiple Logistic regression analysis of age, body weight, gestation week at delivery, time from the first delivery and way of first delivery indicated that there was no correlation of way of first delivery with incidence of SUI during the second term of pregnancy (P>0.05). Conclusion: Cesarean has no protective effect on SUI during the subsequent pregnancy.


Yang F.-Y.,Shanghai Jiading District Maternal and Child Care Service Center | Yang B.,Shanghai Jiading District Maternal and Child Care Service Center | Gu P.,Shanghai Jiading District Maternal and Child Care Service Center | Hu R.,Shanghai Jiading District Maternal and Child Care Service Center | And 3 more authors.
Journal of Shanghai Jiaotong University (Medical Science) | Year: 2012

Objective: To investigate the values of colposcopic cervical biopsy, pathology after loop electrosurgical excision procedure (LEEP) and the combined examinations of colposcopic cervical biopsy and LEEP in the early diagnosis of cervical precancerous lesions and cervical cancer. Methods: Five hundred and fifty-four patients with abnormal findings in cervical cytology and/or human papillomavirus (HPV) test or with normal findings in these screening tests while having moderate to severe cervical columnar eversion were subject to colposcopic cervical biopsy and LEEP, and the pathological findings were compared before and after LEEP. Results: The total coincidence rate of colposcopic cervical biopsy and pathology after LEEP was 49.82%. In patients diagnosed as cervical intraepithelial neoplasia (CIN) I by cervical biopsy, 14.36% were diagnosed as CINII/III after LEEP. In patients diagnosed as CIN II/III (including carcinoma in situ) by cervical biopsy, 3.89% were diagnosed as invasive carcinoma after LEEP. Kappa coefficient was 0.62 in the consistency of diagnosis of CINII/III by two methods. Kappa coefficient was 0.80 in the consistency of diagnosis of CINII/III by colposcopic cervical biopsy and combined examinations of colposcopic cervical biopsy and LEEP, and that was 0.84 by pathology after LEEP and combined examinations of colposcopic cervical biopsy and LEEP. The total accuracy of colposcopic cervical biopsy was 81.77%, and the misdiagnosis rate of CINII/III was 20.64%. Conclusion: Colposcopic cervical biopsy and pathology after LEEP are effective measures for diagnosis of CIN and microinvasive cervical carcinoma. Colposcopic cervical biopsy may misdiagnose high-level CIN and microinvasive cervical carcinoma, and the combined examinations can improve the accuracy of diagnosis.

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