International Journal of Women's Health and Reproduction Sciences最新文献

{"title":"Comparison of the Effect of Cooling the Lower Abdomen and Oxytocin on Postpartum Blood Loss in Vaginal Delivery","authors":"Zeinab Zarabadipour, H. Pakniat, M. R. Niaraki, N. Azh","doi":"10.15296/IJWHR.2021.19","DOIUrl":"https://doi.org/10.15296/IJWHR.2021.19","url":null,"abstract":"Postpartum hemorrhage (PPH) refers to the blood loss of more than 500 cc after completing the third stage of labor (1,2). Nonetheless, this estimation is generally only half of the actual blood loss based on the evidence (3). In addition, PPH is known as one of the major reasons for maternal mortality (4). In other words, 28% and 10% of maternal deaths in developing and developed countries are related to PPH, respectively (2,5,6). Further, PPH is characterized by a 10% drop in hematocrit levels and the need for postpartum blood transfusions (7). It could lead to hypovolemic shock, disseminated intravascular coagulation, and acute renal failure (8, 9). Treatments should address the causes of PPH. The possible causes of uterine postpartum bleeding are trauma, retained placenta, and uterine atony (10-12). Uterotonic drugs such as oxytocin, ergo derivatives, and misoprostol are used as the first line of treatments for PPH in Iran (7). Except for uterine massage, the other treatments of PPH have disadvantages on the mother (e.g., headache, vomiting, the elevation of blood pressure, and the like) or breastfeeding (1,13). Consequently, preventing PPH is highly important. Reducing hemorrhage is usually implemented by the routine active management of placenta delivery by drug using to contract the uterus such as oxytocin (11). Today, ice therapy is used as one of the new methods for the treatment of many diseases, even cancer by lessening pain, inflammation, and vasoconstriction (14). It can be one of the useful methods for preventing uterine atony and PPH (15). Based on the evidence, placing an icebag on the lower abdomen for cooling the uterus is one of the standard non-pharmacological prophylactic strategies to prevent PPH in low-risk women in Japan (15), and its argument is that cold compresses would contract the myometrium and decreases the amount of blood flow (16). In contrast, some studies have reported conflicting results about the effectiveness of icebag in preventing uterine atony in normal delivery (16,17). This study was designed to reduce maternal deaths as an important factor for children’s growth, specifically in poor countries (18) by using available methods such Abstract Objectives: Using uterotonic drugs to prevent postpartum hemorrhage is recommended in the health centers. However, the related studies are contradictory, thus the evaluation of non-invasive methods with minimal side-effects such as icepack would be useful. Traditionally, icepack has been applied, along with drugs in most deliveries in postpartum hemorrhage (PPH) in Iran although it has not evidenced yet. Therefore, the present study aimed to evaluate the effect of the icepack on blood loss. Materials and Methods: This study was a randomized controlled trial. The sample size included 58 women including 29 intervention and 29 control groups. The intervention group benefited from an icepack placed on the lower abdomen 2 hours after placental delivery while the control group","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"22 5 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82301693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of the Intrauterine Infusion of Platelet-Rich Plasma on Pregnancy Outcomes in Patients With Repeated Implantation Failure: A Randomized Control Trial","authors":"L. Safdarian, A. Aleyasin, M. Aghahoseini, Parvaneh Lak, Sedigheh Hoseini Mosa, F. Sarvi, A. Mahdavi, Aida Najafian, Parvin Falahi, S. Khazaei","doi":"10.15296/ijwhr.2022.08","DOIUrl":"https://doi.org/10.15296/ijwhr.2022.08","url":null,"abstract":"Objectives: The aim of the present study was to evaluate the effect of the intrauterine administration of platelet-rich plasma (PRP) before embryo transfer (ET) on pregnancy outcomes in women with repeated implantation failure (RIF). Materials and Methods: This randomized controlled trial included 120 RIF women who were candidates for frozen-thawed ET. In the PRP group (n=60), the intrauterine infusion of 0.5 mL PRP was performed 48 hours before ET, and the control group (n=60) underwent ET without intrauterine administration. Results: The implantation rate (28% vs. 11.9%, P<0.001), clinical pregnancy (51.6% vs. 26.6%, P=0.005), and live birth rate (58.3% vs. 28.3%, P=0.001) in PRP group were significantly higher compared to the control group. Based on the results, there was no significant difference with regard to miscarriage (12.5% vs. 12.9%, P=0.97) and multiple pregnancy rate (0.133% vs. 0.05%, P=0.11) between the two groups. Finally, preterm delivery was significantly higher in the PRP group (P<0.001). Conclusions: According to this study, the result revealed that PRP is effective in the improvement of pregnancy outcomes in RIF patients. Further studies are needed to identify the group of patients who would benefit from this intervention.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"17 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2020-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82887806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the Effects of COVID-19 Pandemic on Stress, Anxiety, Depression, Self-care Behaviors, and the Quality of Life of Women at Risk of Preterm Labor","authors":"R. Dargahi, Zahra Bahrami-asl, A. Dorosti, F. Mallah","doi":"10.15296/ijwhr.2022.09","DOIUrl":"https://doi.org/10.15296/ijwhr.2022.09","url":null,"abstract":"Objectives: The coronavirus disease 2019 (COVID-19) pandemic increased the severity of the psychological problems of pregnant women, which can have severe consequences. The current study aimed to investigate the effects of COVID-19 on the stress, anxiety, depression, self-care behaviors, and the quality of the life of women at the risk of preterm labor. Materials and Methods: The current descriptive-analytical study was conducted from March 20, 2020 to June 21, 2020. In total, 88 women who were at risk of preterm labor in Tabriz (Iran) participated in this study. The association between the Depression, Anxiety and Stress Scale-21 Items (DASS-21) questionnaire, Hart’s self-care behaviors during pregnancy, and SF-36 (for the quality of life) were investigated using Pearson and Spearman correlations in SPSS 20 at P<0.05. Results: Based on the results of the Pearson correlation test, stress and self-care scores (P=0.003, r=-482), self-care and depression scores (P=0.006, r=-396), as well as anxiety and self-care scores (P=0.001, r=-511) had significant inverse linear correlations. According to the regression model, only the stress variable had a significant association with self-care (P=0.039). There was a positive and significant (P<0.05) correlation between self-care behaviors and three dimensions of marital quality including physical function, mental function, and the feeling of pain and discomfort. Conclusions: The results of the current study showed the significant inverse association between self-care and depression and stress and anxiety during pregnancy in women at risk of preterm labor during the COVID-19 pandemic. Low quality self-care behaviors also led to a decrease in the quality of life of these women.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"7 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2020-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82505487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-Associated Respiratory Distress Syndrome (CARDS) in Pregnancy; What Makes it so Different?","authors":"N. Nader, A. Mahmoodpoor","doi":"10.15296/IJWHR.2020.54","DOIUrl":"https://doi.org/10.15296/IJWHR.2020.54","url":null,"abstract":"<jats:p>\u0000 </jats:p>","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"185 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2020-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74085184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the Factors Affecting the Severity of Neuropathic Pain Before and After the Coronavirus Infection in Patients Having Breast Cancer Surgery","authors":"S. Charsouei, Loghman Ghaderi, H. Mohammadipour Anvari, R. Eghdam Zamiri","doi":"10.15296/ijwhr.2021.35","DOIUrl":"https://doi.org/10.15296/ijwhr.2021.35","url":null,"abstract":"Objectives: Approximately one-third of women having breast surgery experience neuropathic pain although no study has so far identified its risk factors. It seems that the coronavirus infection increases the likelihood of neuropathic pain through influencing the neuropsychological system. Therefore, the current study aimed to investigate factors affecting the severity of neuropathic pain before and after coronavirus disease 19 (COVID-19) in patients who had breast cancer surgery. Materials and Methods: The current descriptive-analytical study was conducted six months before June 4, 2020. In total, 40 women having breast surgery participated in this study. Postoperative neuropathic pain and its influencing factors were evaluated using demographic tools, Spielberger anxiety, and a 36-item short-form health survey for measuring the quality of life (QoL). Finally, data were analyzed by multivariate regression. Results: Neuropathic pain significantly increased during the COVID-19 pandemic. Mastectomy (P=0.009), removal of lymph nodes (P=0.011), number of radiotherapy sessions (P=0.003), history of chemotherapy (P=0.009), disease stage (P=0.015), hidden anxiety (P=0.005), and explicit anxiety (P=0.001), and all domains of QoL (P<0.05) significantly predicted neuropathic pain. Conclusions: In general, adverse effects of coronavirus pandemic reduced the QoL while increasing anxiety (hidden and explicit), thus leading to an increase in the severity of postoperative neuropathic pain.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"10 11","pages":""},"PeriodicalIF":0.7,"publicationDate":"2020-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72481757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Interval Training on Oxidative Stress Indices Among Women in Preterm Labor Underwent Coronary Artery Bypass Graft","authors":"K. Hashemzadeh, M. Dehdilani, M. Khanbabayi Gol","doi":"10.15296/ijwhr.2020.65","DOIUrl":"https://doi.org/10.15296/ijwhr.2020.65","url":null,"abstract":"\u0000 Objectives: Oxidative stress indices are one of the factors that cause and exacerbate cardiovascular diseases in postpartum women, which can be changed with interval training. Therefore, the current study aimed at investigating the effect of interval training on oxidative stress indices among women in preterm labor undergoing the coronary artery bypass graft (CABG). Materials and Methods: This randomized clinical trial was conducted on 21 participants (the sample size was determined based on a similar study) from December 2018 to May 2019 at Shahid Madani hospital of Tabriz, Iran. After the random allocation of subjects to the training (n=11) and control (n=10) groups, demographic information was collected and their physical activity level was assessed using the Kaiser physical activity survey before and after the intervention. In addition, the levels of oxidative stress indices were measured 24 hours before and after the intervention using the blood sample. The participants completed an eight-week invention including 24 one-hour sessions according to the available protocol. Finally, data were analyzed by means of statistical tests such as the Shapiro-Wilk, Leven, and Student’s t-test at a significant level of <0.05. Results: The effect of the aerobic exercise program on body weight loss, as well as body mass index (BMI) and body fat percentage changes was significant in the training group (P=0.011, P=0.004, and P=0.001, respectively). Based on the results, the serum and urine levels of 8-hydroxy-2-deoxyguanosine reduced significantly after the completion of the intervention (P=0.002 and P=0.001, respectively) in the training group. Conclusions: In general, aerobic exercise after CABG decreased the fat percentile, BMI, and oxidative stress indices in the subjects. Thus, these trainings could reduce oxidative stress indices by increasing tissue metabolism and oxygen consumption.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"57 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90411898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association Between Vaginal Candidiasis and Health-promoting Lifestyle in Iranian Women: A Cross-sectional Study","authors":"Parvin Azhrak, M. Kamalifard, M. Mirghafourvand, S. Khedri, Shirin Hasanpour","doi":"10.15296/ijwhr.2020.66","DOIUrl":"https://doi.org/10.15296/ijwhr.2020.66","url":null,"abstract":"\u0000 Objectives: Vulvovaginal candidiasis is the second most common gynecological infection in the world that can bring about unfavorable consequences for the health and life of the women of reproductive age. Accordingly, the purpose of this study was to determine the prevalence of vulvovaginal candidiasis and its relationship with the health-promoting lifestyle in Boukan, Iran. Materials and Methods: This cross-sectional study was conducted with the participation of 320 married women aged 15-49 years who referred to all health centers of Boukan. The subjects were selected using a convenience sampling technique from October 2018 to March 2019. Written informed consent was obtained from the participants who were then asked to complete a demographic questionnaire and the Health- Promoting Lifestyle Profile-II (HPLP-II). Finally, the data were analyzed in SPSS, version 24. Results: A total of 124 women (38.8%) had vulvovaginal candidiasis, and the total mean (standard deviation) score of health-promoting lifestyle was 2.4 (0.2) from the possible range of 1-4. None of the demographic characteristics and vulvovaginal candidiasis were significantly related based on the results (P<0.05). The highest (2.8±0.3) and lowest (1.6±0.4) mean scores belonged to \"nutrition\" and \"physical activity\" subdomains, respectively. In addition, no statistically significant relationship was found between vulvovaginal candidiasis and the total mean score of health-promoting lifestyle and its subdomains (P>0.05). Conclusions: In general, more than one-third of the participants had vulvovaginal candidiasis. Eventually, the infection had no statistically significant relationship with any of the characteristics of demographic information and health-promoting lifestyle.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"24 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75560961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Predictors for Safe Motherhood Among Tribal Women in Bangladesh Chittagong Hill Tracts","authors":"A. R. Rezaul Karim, S. M. Mostafa Kamal","doi":"10.15296/ijwhr.2020.57","DOIUrl":"https://doi.org/10.15296/ijwhr.2020.57","url":null,"abstract":"\u0000 Objectives: Bangladesh is a country which is known for its flora and fauna in South Asia. Despite embracing safe motherhood and adhering to the advice of the International Community, with remarkable progress towards achieving the maternal mortality Millennium Development Goals (MDG) 5 goal, its development contrasts with the tribal people who reside in the remote hilly regions of the country. Therefore, this study was intended to identify the predictors that affect secure maternity practices among the tribal women of Chittagong Hill Tracts (CHT), Bangladesh. Materials and Methods: This study adopted a cross-sectional approach and was performed with live births of 556 married tribal females aged 15 to 49 years from three districts of CHT when the age of their children was not more than 1 year. Semi-structured questionnaires were used to interview the subjects. Finally, the statistical analysis was conducted with SPSS20 to estimate the odds ratios and strength of the relationship between the variables at P<0.10. Results: The results of the study revealed that safe maternity practices are not the standard in CHT. Only 12.7% met the standard of maternity services in CHT. At the time of pregnancy, more than 2/3 of females received no prenatal care. The results further demonstrated that only 34% of the women gave birth to the baby at a hospital while 66% of the births occurred at home and over 50% were assisted by untrained traditional midwives. Conclusions: In general, the results revealed that socioeconomic, demographic, cultural, and behavioral factors affected the adoption of maternal health care services (MHCS) by the women of CHT. Therefore, improving the economic conditions by introducing ‘eco-friendly’ industries can help enhance the uptake of safe motherhood practices.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"5 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87099967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of General Anesthesia With Spinal Anesthesia on the Quality of Recovery of Patients With Selective Abdominal Hysterectomy in Patients Vising the Largest Women’s Disease Hospital in Northwestern Iran","authors":"M. Mortazavi, M. Parish, A. Dorosti, H. Mohammadipour Anvari","doi":"10.15296/ijwhr.2022.06","DOIUrl":"https://doi.org/10.15296/ijwhr.2022.06","url":null,"abstract":"Objectives: The quality of recovery can affect the results of abdominal hysterectomy although this effect is unknown in different methods of anesthesia. Therefore, the present study was conducted to compare general anesthesia (GA) and spinal anesthesia (SA) methods on the quality of the recovery of patients with selective abdominal hysterectomy in patients visiting the largest women’s disease hospital in Northwestern Iran. Materials and Methods: This cross-sectional descriptive study was conducted with the participation of 350 patients with abdominal hysterectomy, who were selected by convenience sampling in Al-Zahra hospital, Tabriz, Iran in 2019. Demographic data, visual pain scale, hemodynamic status, and Aldrete-Kroulik index were recorded for each patient. Data were analyzed using Mann-Whitney, t-test, multivariate regression, and Kolmogorov-Simonov tests in SPSS 20, and P<0.05 was considered statistically significant. Results: In the hemodynamic status, it was found that the SA group was more stable than the GA group but this difference was not significant (P>0.05). Regarding the need for pethidine, the results revealed that the mean (± standard deviation) of the GA group was significantly higher (35.14 ± 10.14) than that of the SA group (20.15 ± 05.25, P=0.039) while there were no significant differences between the two groups in the use of the antiemetic drug (P=0.203). Finally, the evaluations of the quality of recovery showed that the mean±) SD) of the quality of recovery in SA patients was significantly higher compared to GA patients (P=0.015). Conclusions: In general, the quality of recovery was higher in the SA compared to the GA regarding abdominal hysterectomy.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"118 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2020-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87645080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Migration of Neglected Vaginal Pessaries: A Case Report","authors":"Hyun A Bae, Jeong In Choi, Soo-Ho Chung, J. Sang","doi":"10.15296/ijwhr.2021.42","DOIUrl":"https://doi.org/10.15296/ijwhr.2021.42","url":null,"abstract":"Introduction: Vaginal pessaries are commonly used to manage pelvic organ prolapse. Pessaries are usually tolerated although some severe complications can occur in cases of negligence, including vesicovaginal and rectovaginal fistulas. Case Presentation: This is a report of two cases of a neglected vaginal pessary and migration into the rectovaginal space to form a vaginal orifice. Based on examinations, no vaginal pessaries in both cases migrated into the rectum. These pessaries were removed by cutting and rotating movements. Finally, the two patients were discharged after surgery without any complications. Conclusions: Neglected pessaries can lead to serious complications. Thus, patient education, local estrogen treatment, and careful follow-ups are important to prevent such complications.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"10 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2020-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80886801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}