PPH in CS can be treated with peeled sterile normal saline ice blocks, a simple and reliable method for stopping bleeding. Nonetheless, there needs to be a large randomized control trial for confirmation.

(BJOG. 2016;123:1620–1628) Cesarean delivery (CD) rates have been on the rise in several countries in the world, including China. The CD rate in China has increased from 18% to 50% over the past 20 years. In addition, a World Health Organization survey found that nearly 12% of CDs in China were performed without a medical indication, which was the highest such rate in the world. In response to this information, health care institutions in the country started promoting vaginal deliveries to address this problem. This current article summarizes a retrospective cohort study undertaken at one of the largest obstetric centers in Shanghai which evaluated the impact of this intervention on obstetric practice and trends of CD over time.

Background: The value of early postoperative radiographs is generally questioned after volar plate fixation(VLP) for distal radius fractures(DRFs). The purpose of this study was to evaluate the utility of early routine radiographs following volar plate fixation.Methods:A restropective study was developed on distal radius fractures treated with volar plate fixation between 1 January 2016 and 1 January 2020 in our hospital. We obtain relevant information from patient electronic records including basic patient information and treatment information.Reoperation or further checking after early postoperative radiographs was defined as management change，which illustrates early postoperative radiographs influence postoperative treatment.Results: A total of 213 patients treated with VLP were included. There are 179 patients having early postoperative radiographs in included patients. Two out of 179 patients were altered management,which underwent further imaging with computed tomography(CT) due to pain and swelling.This two patients were in line with Type C(AO/OTA classification). No patient has surgery again.Conclunsion: Early postoperative radiographs can not bring about an adjustment in postoperative management with VLP after DRF.But intra-articular fractures may still benefit from early postoperative radiographs compared with extra-articular fractures.

Background: At present, there is a higher complication rate after treatment of femoral neck fractures with three parallel hollow nails (PHN) in the young Pauwels type Ⅲ femoral neck fractures.For better effect,F-shape hollow nails(FHN) is used to treat femoral neck fractures.The purpose of this study is to compare the clinical efficacy of FHN and PHN and provide reference for clinical application.Methods: Thirty-eight consecutive patients admitted from January 2017 to January 2020 were selected for the study. According to random number table method, the patients were divided into two groups:group A (FHN) and group B (PHN). The gender, age, BMI, comorbidities, time from injury to operation and other general preoperative demographics were not statistically different (P>0.05). The data of the two groups can be comparable.The occurrence of avascular osteonecrosis of the femoral head (AVN), femoral neck shortening, hollow screw withdrawal was recorded in follow-up.Then, Harris hip score (HHS), pain visual analog score (VAS) of two group were obtained at the last follow-up. Results: The mean follow-up period after surgery was 21.4±10.1 (range, 14–29) months. There were 18 cases(mean age, 47.5±9.6) in group A, 20 cases (mean age, 48.6±10.1) in group B. There was no significant difference between the two groups in AVN, femoral neck shortening (P>0.05), the two groups had statistically significant differences in screw withdrawal (F=4.416, P<0.05). There was no significant difference in HHS and VAS between the two groups at the last follow-up (P>0.05).Conclusion: Three parallel hollow nails (PHN) and F-shape hollow nails (FHN) have similar short-term effects in the young Pauwels type Ⅲ femoral neck fractures, but the nail withdrawal rate of FNH is lower.