Advances in Obstetrics and Gynecology Research

Application of Intracavitary Three-Dimensional Ultrasound Volume Contrast Imaging Combined with Free Anatomy Section in the Diagnosis of Intrauterine Adhesions and Classification

2025-09-26T14:11:18+08:00

Objective: To study the clinical value of three-dimensional ultrasound volume contrast imaging combined with free anatomy section in the diagnosis of intrauterine adhesions. Methods: 321 patients with suspected intrauterine adhesions admitted to Suzhou High-tech Zone People’s Hospital from July 2024 to July 2025 were selected. 94 cases were confirmed by hysteroscopy gold standard. All patients underwent separate examination of three-dimensional ultrasound volume contrast imaging (single examination) and a combined diagnosis scheme with free anatomy section (hereinafter referred to as combined diagnosis). The detection situation was analyzed, the diagnostic efficacy was calculated, and the results were compared with the gold standard to evaluate the advantages of combined diagnosis in disease classification. Results: The sensitivity and accuracy of the combined diagnosis were better than those of the single examination (P < 0.05). However, there was no significant difference in the detection rate of disease types between the two schemes (P > 0.05). Conclusion: The combination of three-dimensional ultrasound volume contrast imaging and free anatomy section can play a significant role in the diagnosis and classification of intrauterine adhesions, greatly improving the clinical detection rate.

Clinical Observation of the Effect of Sodium Ion Concentration on the Test Dose of Lidocaine in Patients Undergoing Epidural Block Cesarean Section

2025-09-26T14:11:15+08:00

Objective: To investigate the effect of changes in sodium ion concentration on the onset time of lidocaine in obstetric epidural block test doses. Methods: Eighty pregnant women scheduled for elective cesarean section, with no age or weight restrictions and ASA grade I or II, were selected. Lidocaine was diluted to two concentrations of 1% and 1.5% using normal saline (NS) and sterile water for injection (SW). The patients were randomly divided into four groups (n = 20): Group A (1% SW), Group B (1% NS), Group C (1.5% SW), and Group D (1.5% NS). A 3 mL test dose of epidural block was administered. The onset time, sensory and motor block levels, and adverse reactions were observed in each group. Results: The onset time was slowest in Group A (mean onset time 4.79 ± 0.65 minutes) and fastest in Group D (mean onset time 3.59 ± 0.61 minutes). Comparison between groups showed that the onset time was significantly shorter in Group B compared to Group A (P < 0.05), but there was no significant difference compared to Group C (P > 0.05). Group C had a faster onset time compared to Group A (P < 0.05), but a slower onset time compared to Group D, with a statistically significant difference. Group D had the fastest onset time, which was statistically significant compared to the other three groups. There were no significant differences in sensory and motor block levels or adverse reaction rates between the four groups (P > 0.05). Conclusion: Compared to sterile water for injection, diluting lidocaine with normal saline can shorten the onset time of the test dose. The 1.5% normal saline group had the shortest onset time, which is related to the increased sodium ion concentration in the solution, thereby reducing the onset time of lidocaine.

Effects of Duloxetine Combined with Cognitive Behavioral Therapy on Patients with Postpartum Depression

2025-09-26T14:11:13+08:00

Objective: To explore the effectiveness of duloxetine combined with cognitive behavioral therapy in the treatment of patients with postpartum depression. Methods: A total of 64 patients with postpartum depression who visited our hospital from July 2024 to July 2025 were included as study subjects. The observation group and the control group were divided using a random number table method, with 32 patients in each group. Relevant treatment indicators were compared between the two groups. Results: The total effective rate in the observation group was higher than that in the control group (P < 0.05). After treatment, there were significant differences in HAMD scores, PSQI scores, DAS scores, and serum inflammatory cytokine levels between the observation group and the control group (P < 0.05). However, there was no significant difference in the total incidence of adverse reactions between the two groups (P > 0.05). Conclusion: The combination of duloxetine and cognitive behavioral therapy is effective in the clinical treatment of patients with postpartum depression. It is beneficial for improving sleep quality, depressive symptoms, and dysfunctional cognition, and significantly regulates inflammatory cytokine levels with higher safety. This treatment approach can be widely promoted.

Summary of the Relationship between Postpartum Depression Symptoms, Perceived Social Support, Sleep Quality, and Postpartum Stress in Elderly Parturient Women

2025-09-26T14:10:59+08:00

Objective: To analyze the relationship between postpartum depression symptoms, perceived social support, sleep quality, and postpartum stress in elderly parturient women. Methods: 76 elderly parturient women who were admitted to the hospital for delivery between January 2023 and January 2025 were selected. Based on the Edinburgh Postnatal Depression Scale (EPDS) score, 21 cases with a score of ≥ 10 were identified as having postpartum depression symptoms, while 55 cases with a score of < 10 were identified as not having postpartum depression symptoms. The Perceived Social Support Scale (PSSS) score, Pittsburgh Sleep Quality Index (PSQI) score, and Maternal Postpartum Stress Scale (MPSS) score were compared between the two groups. The correlation between each score and postpartum depression symptoms was evaluated, and logistic regression analysis was performed to assess the influencing factors of postpartum depression symptoms. Results: The PSSS score of those with postpartum depression symptoms was lower than those without, while the PSQI score and MPSS score were higher (P < 0.05). Pearson linear correlation showed a negative correlation between postpartum depression symptoms and PSSS total score and dimension scores, a negative correlation with PSQI score, and a positive correlation with MPSS total score and dimension scores (P < 0.05). Logistic regression analysis showed that PSSS score, PSQI score, and MPSS score were all influencing factors of postpartum depression symptoms (P < 0.05). Conclusion: Postpartum depression symptoms in elderly parturient women are closely related to perceived social support, sleep quality, and postpartum stress. Targeted intervention for elderly parturient women is necessary to effectively prevent postpartum depression.