Supine Hypotensive Syndrome as the Probable Cause of Both Maternal and Fetal Death

Abstract: Supine hypotensive syndrome is characterized by severe supine hypotension in late pregnancy, whose clinical presentation ranges from minimal cardiovascular alterations to severe shock, resulting from inferior vena cava compression by gravid uterus. We report a case of a 41‐year‐old 39‐week‐pregnant woman found dead supine. Autopsy revealed the following: cyanosis of the limbs; congestion of the jugular and subclavian veins; abundant abdominal subcutaneous fatty tissue; uterus displacing intestine and diaphragm; collapsed inferior vena cava; both femoral veins dilated and filled with blood; edematous and congested lungs; and placenta 790 g, fetus 3475 g, amniotic fluid 800 cm³. The diagnosis of supine hypotensive syndrome as the probable cause of death is supported by the position of the body and autopsy findings. This syndrome can be considered as the first stage of the physio‐pathological mechanism that led to death in the case presented herein and should be considered by pathologists as a cause of sudden death.     

孕期、产期、哺乳期内的女职工的法律保护问题研究--一种法律社会学的分析进路

由于我国目前劳动市场人力资源供大于求的紧张关系和用工制度上的身份差别,孕期、哺乳期、产期内女职工的法律保护问题突出,劳动法庭依据用工制度的差别,根据社会实际情况,做出具体的具有可操作性且可适用性的决定,以切实保护三期内的女职工,尤其是女性临时工的合法权益.     

与医源性相关的输卵管妊娠破裂死亡法医病理学研究

目的探讨输卵管妊娠破裂死亡的特点。方法对1990—2005年10月间华西医科大学法医学院14例输卵管妊娠破裂死亡尸检病例进行分析。结果死亡病例以31￣34岁之间居多,职业以农民、个体户、待业多见。孕次和流产的关系分析表明,其妊娠破裂以生育过、怀孕2￣4次、流产2￣4次居多。危险因素以宫内安置节育环、不育症为主。输卵管妊娠死亡多发生在区级医院及个体卫生所,以菌痢治疗多见。尸解所见均为腹腔积血,病理观察见绒毛组织结构,且符合失血性休克的病理改变。结论孕龄期妇女应注意月经期,出现闭经及腹部不适症状应急时到医院做检查,医院同时应做HCG检查及B超检查以便做出正确诊断及治疗。     

抗胆瘀汤治疗妊娠期肝内胆汁淤积症195例

目的：观察中药抗胆瘀汤对治疗妊娠期肝内胆汁淤积症（ICP）的疗效。方法：选择在门诊或病房治疗并在本院生产ICP孕妇，治疗组（195例）口服清热疏肝的抗胆瘀汤，另设对照组（76例），采用西药对症治疗。结果：治疗组总有效率为85．2％，对照组为6．85％；治疗组治疗后血清总胆汁酸（TBA），或血甘胆酸（CG）明显下降，有显性差异（P＜0．01），且剖宫产率低于对照组，新生儿体质量优于对照组。结论：抗胆瘀汤对ICP有明显的治疗作用，对减少剖宫产率、降低早产率、增加新生儿体质量有明显作用。     

红花对大鼠妊娠和胚胎发育的毒性和影响

用含生药０．２４，０．４８和０．９６ｇ／ｋｇ的红花煎剂给妊娠大鼠灌胃，观察其对大鼠妊娠和胚胎发育的影响，结果表明：红花煎剂对母体及其胚胎的明显的毒性，可导致母体流产，体重降低，肾重指数升高，胚胎死亡率和宫内生长迟缓（ＩＵＧＲ）发生率上升，提示红花有终止早期妊娠和对胚胎有致死，致ＩＵＧＲ等毒性，并与剂量密切相关。     

从青少年犯罪案件看道德情感教育的缺失与培养

当前一些青少年犯罪案件折射出一个值得关注的问题 ,就是青少年的道德素养不容乐观 ,尤其是道德情感的淡漠、麻木甚至是冷酷。道德情感教育对青少年道德成长具有重要作用。在道德情感的养成和培养机制方面 ,移情是道德情感养成的重要机制 ,“双主体模式”是培养青少年道德情感的重要德育模式 ,美育是一种行之有效的情感教育方式。     

Reproductive Governance in Nordeste/Northeast (Juan Solanas, 2005, Argentina/France/Belgium/Spain)

Juan Solanas's 2005 film Nordeste/Northeast problematised maternity by presenting two female characters who conform to cultural or trans-cultural norms of the Global North and South and personify the narratives of transnational trade. As Lynn M. Morgan and Elizabeth F. S. Roberts argue, ‘reproductive governance’ is a useful analytical tool for understanding how political rationalities affect the reproductive lives of women in Latin America and globally. Reproductive governance can also be used as a lens to analyse how contradictions and ambivalences are built into the lived experience of abortion and adoption as the complexity of maternity.