The Effect of Skin-to-Skin Contact on Postoperative Depression and Physical Recovery of Parturients after Cesarean Section in Obstetrics and Gynecology Department

Functional recovery after cesarean delivery: a prospective cohort study in rural Rwanda

INTRODUCTION

Women who deliver via cesarean section (c-section) experience short- and long-term disability that may affect their physical health and their ability to function normally. While clinical complications are assessed, postpartum functional outcomes are not well understood from a patient's perspective or well-characterized by previous studies. In Rwanda, 11% of rural women deliver via c-section. This study explores the functional recovery of rural Rwandan women after c-section and assesses factors that predict poor functionality at postoperative day (POD) 30.

METHODS

Data were collected prospectively on POD 3, 11, and 30 from women delivering at Kirehe District Hospital between October 2019 and March 2020. Functionality was measured by self-reported overall health, energy level, mobility, self-care ability, and ability to perform usual activities; and each domain was rated on a 4-point likert scale, lower scores reflecting higher level of difficulties. Using the four functionality domains, we computed composite mean scores with a maximum score of 4.0 and we defined poor functionality as composite score of ≤ 2.0. We assessed functionality with descriptive statistics and logistic regression.

RESULTS

Of 617 patients, 54.0%, 25.9%, and 26.8% reported poor functional status at POD3, POD11, and POD30, respectively. At POD30, the most self-reported poor functionality dimensions were poor or very poor overall health (48.1%), and inability to perform usual activities (15.6%). In the adjusted model, women whose surgery lasted 30-45 min had higher odds of poor functionality (aOR = 1.85, p = 0.01), as did women who experienced intraoperative complications (aOR = 4.12, 95% CI (1.09, 25.57), p = 0.037). High income patients had incrementally lower significant odds of poor physical functionality (aOR = 0.62 for every US$1 increase in monthly income, 95% CI (0.40, 0.96) p = 0.04).

CONCLUSION

We found a high proportion of poor physical functionality 30 days post-c-section in this Rwandan cohort. Surgery lasting > 30 min and intra-operative complications were associated with poor functionality, whereas a reported higher income status was associated with lower odds of poor functionality. Functional status assessments, monitoring and support should be included in post-partum care for women who delivered via c-section. Effective risk mitigating intervention should be implemented to recover functionality after c-section, particularly among low-income women and those undergoing longer surgical procedures or those with intraoperative complications.

Retracted: The Effect of Skin-to-Skin Contact on Postoperative Depression and Physical Recovery of Parturients after Cesarean Section in Obstetrics and Gynecology Department

[This retracts the article DOI: 10.1155/2022/9927805.].

Research on the MEG of Depression Patients Based on Multivariate Transfer Entropy

The pathogenesis of depression is complex, and the current means of medical diagnosis is single. Patients with severe depression may even have great physical pain and suicidal tendencies. Magnetoencephalography (MEG) has the characteristics of ultrahigh spatiotemporal resolution and safety. It is a good medical means for the diagnosis of depression. In this paper, multivariate transfer entropy algorithm is used to study MEG of depression. In this paper, the subjects are divided into the same brain region and the multichannel combination between different brain regions, and the multivariate transfer entropy of patients with depression and healthy controls under different EEG signal frequency bands is calculated. Finally, the significant difference between the two groups of experimental samples is verified by the results of independent sample t-test. The experimental results show that for the same combination of brain channels, the multivariate transfer entropy in the depression group is generally lower than that in the healthy control group, and the difference is the best in γ frequency band and the largest in the frontal region.