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

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Social Capital and Related Factors in Women With Gestational Diabetes Mellitus in the North of Iran 伊朗北部妇女妊娠期糖尿病的社会资本及其相关因素
IF 0.7
International Journal of Women's Health and Reproduction Sciences Pub Date : 2020-07-08 DOI: 10.15296/ijwhr.2022.05
J. Ganji, Elham Yousefi Abdolmaleki, M. Afzali, Sedigheh Hasani Moghadam
{"title":"Social Capital and Related Factors in Women With Gestational Diabetes Mellitus in the North of Iran","authors":"J. Ganji, Elham Yousefi Abdolmaleki, M. Afzali, Sedigheh Hasani Moghadam","doi":"10.15296/ijwhr.2022.05","DOIUrl":"https://doi.org/10.15296/ijwhr.2022.05","url":null,"abstract":"Objectives: Gestational diabetes mellitus (GDM) is one of the most important medical conditions in high-risk pregnancies. Social capital is one of the essential factors affecting the prevention and control of diabetes and the blood glucose level. The purpose of this study was to investigate the level of social capital and its related factors in GDM in the north of Iran. Materials and Methods: This cross-sectional study was conducted on 212 GDM women who referred to diabetes centers at Razi hospital in Ghaemshahr and Imam Khomeini hospital in Sari in 2019. The women were selected through the convenience sampling method. The data collection tools included Medical-Demographics Information Form and Onyx-Bullen’s Social Capital Questionnaire. Finally, data were analyzed by SPSS (version 25) using descriptive and inferential statistics (multiple regression analysis). Results: The results of this study showed that the mean (standard deviation, SD) of age for GDM women was 29.28 (±5.75). The majority of women (58%) had an academic education. The mean (SD) of social capital was 96.46 (±21.17). Based on the results, a positive and significant correlation was observed between spouse’s education (lower than high school, P=0.001 and academic education, P=0.001), wife’s occupation (employee, P=0.015), spouse’s occupation (employee, P=0.027), and fasting blood sugar (FBS) (P=0.048), as well as a significant negative correlation with 2-hour FBS (P=0.048), 1-hour postprandial glucose level (P=0.001), economic status (dissatisfied, P=0.42), overweight (P=0.009), and obesity (P=0.020). Conclusions: The social capital of GDM women is influenced by various socio-economic factors. According to the findings of this study, women who are economically disadvantaged, overweight, obese, and at high blood sugar levels are at greater risk of rejecting treatment due to low social capital, resulting in poor blood sugar control. Therefore, interventions related to promoting social capital in these groups should be pursued more vigorously, and strengthening of social capital and its influencing factors should be considered as one of the main approaches of health promotion.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"53 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2020-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88517484","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}
引用次数: 0
Assessment of Strategies for the Reduction of Cesarean Section Rate in Iranian and Foreign Studies: A Narrative Review 伊朗和国外研究降低剖宫产率的策略评估:叙述性回顾
IF 0.7
International Journal of Women's Health and Reproduction Sciences Pub Date : 2020-06-06 DOI: 10.15296/ijwhr.2021.45
Sedigheh Hasani Moghadam, F. Alijani, Nastaran Bagherian Afrakoti, M. Bazargan, J. Ganji
{"title":"Assessment of Strategies for the Reduction of Cesarean Section Rate in Iranian and Foreign Studies: A Narrative Review","authors":"Sedigheh Hasani Moghadam, F. Alijani, Nastaran Bagherian Afrakoti, M. Bazargan, J. Ganji","doi":"10.15296/ijwhr.2021.45","DOIUrl":"https://doi.org/10.15296/ijwhr.2021.45","url":null,"abstract":"Objectives: This study was conducted aiming at exploring strategies for reducing cesarean section (C-section) in Iranian and foreign studies. Materials and Methods: The present study was carried out using a matrix approach and searching keywords including \"Cesarean\", \"Effective Intervention\", and \"Cesarean Section Reduction Strategy\" to find studies (2000-2019) in databases such as PubMed, SID, Science Direct, Google Scholar, and WHO. Results: CS reduction strategies were classified into 3 categories of psychological, clinical, and structural-policy interventions. The first category supports women throughout labor and childbirth by the midwife, doula, coping skills with fear and pain of labor, changes in the attitudes of service providers and pregnant women. Clinical interventions include vaginal birth after CS, vaginal breech delivery, external cephalic version (ECV) for breech presentation, encouragement of service providers into intermittent auscultation for the fetal heart rate instead of continuous electronic fetal monitoring (EFM), and training of service providers, pregnant woman, and her family. The last category encompassed managing insurance and financial services, receiving one-to-one care and midwifery care throughout active labor, and updating policy of labor induction in post-term pregnancy, as well as women’s admission policy with cervical dilatation of more than 4 cm with regular uterine contractions, active team care in labor, and auditing and feedback. Conclusions: It seems that multi-dimensional interventions are required to reduce the CS rate. Concerning some of the strategies (e.g., ECV), it is suggested that further research should be performed by addressing the limitations and drawbacks of previous studies before applying clinical procedures due to contradictory results.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"42 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2020-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82161875","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}
引用次数: 1
Effect of Cognitive-Behavioral Therapy Focused on Self-esteem on Fear of Childbirth: A Counseling Approach in Prenatal Care and a Randomized Clinical Trial 以自尊为中心的认知行为疗法对分娩恐惧的影响:产前护理的咨询方法和随机临床试验
IF 0.7
International Journal of Women's Health and Reproduction Sciences Pub Date : 2020-05-17 DOI: 10.15296/ijwhr.2022.07
Maryam Poorjandaghi, K. Vakilian, M. Khorsandi, Mansour Abdi
{"title":"Effect of Cognitive-Behavioral Therapy Focused on Self-esteem on Fear of Childbirth: A Counseling Approach in Prenatal Care and a Randomized Clinical Trial","authors":"Maryam Poorjandaghi, K. Vakilian, M. Khorsandi, Mansour Abdi","doi":"10.15296/ijwhr.2022.07","DOIUrl":"https://doi.org/10.15296/ijwhr.2022.07","url":null,"abstract":"Objectives: This study aimed to evaluate the effect of cognitive-behavioral therapy focused on self-esteem (CBT-S) on fear of childbirth in nulliparous women. Materials and Methods: In this randomized clinical trial, 24 nulliparous women willing to cesarean section delivery referred to Milad hospital, Tehran, Iran, between July to August 2015 were enrolled with a convenient sampling method. Participants were assigned into two CBT-S and control groups (24 in each group) using randomized blocks of 4. Seven sessions were performed for the CBT-S group, but the control group received routine prenatal classes. FOC was assessed using Harman’s childbirth attitudes questionnaire. The Rosenberg self-esteem scale was used to assess self-esteem at the beginning of the study. Two weeks after the intervention, both groups filled out the FOC and self-esteem questionnaire. Results: The mean score of fear at the end of the study in the CBT-S and control group was significantly different (P=0.001). Also, self-esteem scores increased after intervention in the CBT-S counseling group (4.77 ± 4.07vs -1.79 ± 2.26; P=0.001). Conclusions: This study confirms the importance of the CBT-S approach focusing on self-esteem in reducing FOC.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"20 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2020-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82557004","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}
引用次数: 0
The Association of Hair Coloring During Pregnancy With Pregnancy and Neonatal Outcomes: A Cross-sectional Study 怀孕期间染发与妊娠和新生儿结局的关系:一项横断面研究
IF 0.7
International Journal of Women's Health and Reproduction Sciences Pub Date : 2020-05-08 DOI: 10.21203/rs.3.rs-24851/v1
M. K. Shishavan, M. Sayyah-Melli, Mohammad Reza Rashid, P. M. Gharabaghi, M. Ghojazadeh, V. Rahmani, Zohreh Tahmasebi
{"title":"The Association of Hair Coloring During Pregnancy With Pregnancy and Neonatal Outcomes: A Cross-sectional Study","authors":"M. K. Shishavan, M. Sayyah-Melli, Mohammad Reza Rashid, P. M. Gharabaghi, M. Ghojazadeh, V. Rahmani, Zohreh Tahmasebi","doi":"10.21203/rs.3.rs-24851/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-24851/v1","url":null,"abstract":"\u0000 Background: Hair colorant use has spread globally and rapidly in recent years. Concerns have arisen about the safety of hair dyes usage during pregnancy. The primary goal of this study was to examine the association between hair coloring during pregnancy, intrapartum, and neonatal outcomes.Methods: This explorative cross-sectional study was carried out at Talegani Teaching Hospital of Tabriz University of Medical Sciences from Jan 2017 to Dec 2019. Three trained midwives inquired mothers about the hair coloring history on the admission to the labor room and recorded intrapartum, and neonatal outcomes. Chi-Square test of independence with post hoc tests and Logistic regression analysis were used for data analysis. Odds Ratios with a 95% confidence interval and contributing effect sizes were reported. The significance level was set at α ≤ 0.05Results: We studied 2040 women aged 14 to 48 years. Most of the participants (75.24%) dyed their hair during pregnancy, and the majority (62.67%) colored their hair in the third trimester. There was no statistically significant association between hair coloring and neonate 1-minute (p=0.23) and 5-minute Apgar score (p=0.99). The logistic regression model did not confirm a rise in overall neonatal complications (NC) associated with hair coloring at any time during the pregnancy (OR:0.027 p<0.001). Higher rates of Low birth weight (LBW) were seen among those dyed their hair in the preconception period and third trimester compared to the woman who colored their hair in the first and second trimester (p<0.001).Conclusions: We observed associations between hair coloring and LBW, but there were no increased odds for NC. The evidence for recommending hair dye safety during pregnancy is still limited. Perinatal health professionals should advise their patients on possible adverse outcomes and inform them about the uncertainties about hair dyes.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"96 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2020-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78080035","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}
引用次数: 0
Effects of Syzygium aromaticum (Clove) Extract on Male Fertility Factors and Oxidative Stress After Torsion/ Detorsion in Adult Male Rats Using Intrauterine Insemination Method 丁香提取物对宫内人工授精成年雄性大鼠扭转/扭转后雄性生殖因子及氧化应激的影响
IF 0.7
International Journal of Women's Health and Reproduction Sciences Pub Date : 2020-03-17 DOI: 10.15296/ijwhr.2022.24
M. Halimi, Tala Pourlak, H. Kalarestaghi, Bita Barghi, M. Moghimian, H. Niazkar, M. Shokoohi
{"title":"Effects of Syzygium aromaticum (Clove) Extract on Male Fertility Factors and Oxidative Stress After Torsion/ Detorsion in Adult Male Rats Using Intrauterine Insemination Method","authors":"M. Halimi, Tala Pourlak, H. Kalarestaghi, Bita Barghi, M. Moghimian, H. Niazkar, M. Shokoohi","doi":"10.15296/ijwhr.2022.24","DOIUrl":"https://doi.org/10.15296/ijwhr.2022.24","url":null,"abstract":"Objectives: The current study was conducted on adult male models to assess the impact of the Syzygium aromaticum (clove) extract on male fertility factors and oxidative stress after torsion/detorsion using the intrauterine insemination (IUI) method. Materials and Methods: This experimental study was performed on 56 adult male Wistar rats including 28 males and 28 females. The male subjects were randomly assigned to four groups of sham (G1), 4 hours of testicular torsion following a surgical torsion/detorsion (TD/G2), TD treated with the clove extract (4 mg/kg, orally/G3) 30 minutes before detorsion, and healthy subjects treated with the clove extract (4 mg/kg/G4). The levels of blood testosterone and some oxidative stress indices were investigated in the testis tissue. In addition, some sperm parameters were evaluated, including the concentration, motility, and morphology of the sperm. Finally, the fertilization potential of adult female rats was assessed through the IUI method. Results: The histological evaluation revealed considerable adverse changes in the G2 in comparison with the sham group. The serum levels of testosterone, and glutathione peroxidase, and superoxide dismutase meaningfully reduced in the testis of rats in the G2. In addition, the malondialdehyde level was significantly higher during the ischemia although all the mentioned changes improved in the treated groups. Nonetheless, the sperm quality and fertility power considerably reduced in the G2 compared to the sham group. Conclusions: The results of the current experimental study demonstrated that the testicular torsion/detorsion has an adverse impact on the testis function and decreases the fertilization potential, and finally, treatment with the clove extract can improve these adverse changes.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"103 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2020-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80766896","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}
引用次数: 1
Effects of Psycho-education Interventions on Perceived Childbirth Fear and Anxiety by Pregnant Women: A Systematic Review and Meta-analysis 心理教育干预对孕妇分娩恐惧和焦虑的影响:系统回顾和荟萃分析
IF 0.7
International Journal of Women's Health and Reproduction Sciences Pub Date : 2020-01-02 DOI: 10.15296/ijwhr.2021.44
Masomeh Adeli Gargari, Khalil Esmailpour, M. Mirghafourvand, Roghaiyeh Nourizadeh, E. Mehrabi
{"title":"Effects of Psycho-education Interventions on Perceived Childbirth Fear and Anxiety by Pregnant Women: A Systematic Review and Meta-analysis","authors":"Masomeh Adeli Gargari, Khalil Esmailpour, M. Mirghafourvand, Roghaiyeh Nourizadeh, E. Mehrabi","doi":"10.15296/ijwhr.2021.44","DOIUrl":"https://doi.org/10.15296/ijwhr.2021.44","url":null,"abstract":"Objectives: Phobia of natural childbirth is one of the most important and influencing factors leading women to request cesarean sections. The present study aimed to prepare a systematic review and meta-analysis to investigate the type of interventions related to fear of childbirth (FOC). Materials and Methods: The data collection was based on an extensive search of articles related to clinical trials (1990-2019) posted on Google Scholar, Cochran, SID, Magiran, Web of Science, Scopus, and PubMed electronic databases. In general, 109 abstracts were selected after eliminating similar publications. As a result of the qualitative evaluations of these articles, 11 studies were kept for investigation. Results: The studies were categorized into three groups including prenatal education with childbirth counseling, yoga courses, and psychoeducational-based interventions. Based on the meta-analysis, psychoeducational interventions have a significant effect on childbirth fears and anxiety in comparison with the control group (mean difference: 0.85, 95% CI: -1.20–0.45, P < 0.0001, I2 = 82%). Conclusions: Psychologically-based interventions, can creatively play an essential role in reducing the FOC during pregnancy and even childbirth. It can also create a pleasant and traumatic-free experience which is essential for encouraging women to have a natural childbirth.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"30 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2020-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81711014","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}
引用次数: 0
Comparison of Menstrual Effluent Vascular Endothelial Growth Factor Immunocytochemistry Expression Between Endometriosis and Non-Endometriosis Patients 子宫内膜异位症与非子宫内膜异位症患者月经流出液血管内皮生长因子免疫细胞化学表达的比较
IF 0.7
International Journal of Women's Health and Reproduction Sciences Pub Date : 2020-01-01 DOI: 10.15296/ijwhr.2021.34
Ruswana Anwar, S. Sunardi, Siti Salima, S. Irianti, B. Purwara, T. Djuwantono, W. Permadi, T. H. Madjid
{"title":"Comparison of Menstrual Effluent Vascular Endothelial Growth Factor Immunocytochemistry Expression Between Endometriosis and Non-Endometriosis Patients","authors":"Ruswana Anwar, S. Sunardi, Siti Salima, S. Irianti, B. Purwara, T. Djuwantono, W. Permadi, T. H. Madjid","doi":"10.15296/ijwhr.2021.34","DOIUrl":"https://doi.org/10.15296/ijwhr.2021.34","url":null,"abstract":"Objectives: This study aimed to measure the vascular endothelial growth factor (VEGF) expression in menstrual effluent from patients with endometriosis compared to non-endometriosis through immunocytochemical methods. We also measured the degree of pain level, endometrioma cyst size, and infertility status whether it is affected by VEGF expression. Materials and Methods: The present case-control study was conducted in Hasan Sadikin General Hospital, Bandung. Thirty productive-age women diagnosed with endometrioma and 30 productive-age women without endometriosis as the control group were included in this study. Menstrual effluent was taken from the posterior fornix on the second day of menstruation and stained using immunocytochemistry staining for VEGF. Results: The results demonstrated a significant difference between the two study groups in terms of VEGF intensity and histoscore although no difference was found in VEGF distributions between the study groups. The subjects in the endometriosis group had significantly higher VEGF intensity and significantly higher VEGF histoscore compared to the control group. Women with VEGF histoscore more than 6 has 9.33 times risk of developing endometriosis compared to those with lower histoscore. There were no significant correlations between VEGF and pain scale, infertility, and the cyst size. Finally, the cyst size was proportionally related to pain. Conclusions: VEGF distribution and expression in endometriosis women were significantly higher than VEGF levels in non-endometriosis women. Women with menstrual effluent containing higher VEGF levels had more chances of developing endometriosis compared to those with lower VEGF levels. Eventually, larger endometrioma size was proportionally related to higher pain levels in subjects with endometrioma.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"73 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80125971","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}
引用次数: 0
Obstetric Risk and Outcomes of Teenage Pregnancy in a University Teaching Hospital, North-Central, Nigeria 尼日利亚中北部一所大学教学医院少女怀孕的产科风险和结果
IF 0.7
International Journal of Women's Health and Reproduction Sciences Pub Date : 2020-01-01 DOI: 10.15296/ijwhr.2021.33
B. Utoo, Unazi Elias Ubah, P. Eka
{"title":"Obstetric Risk and Outcomes of Teenage Pregnancy in a University Teaching Hospital, North-Central, Nigeria","authors":"B. Utoo, Unazi Elias Ubah, P. Eka","doi":"10.15296/ijwhr.2021.33","DOIUrl":"https://doi.org/10.15296/ijwhr.2021.33","url":null,"abstract":"Objectives: Teenage pregnancy has generated much interest in Obstetrics practice due to increasing risk to the baby and the mother. In this regard, this study was done to ascertain its incidence, obstetric risk, and outcomes. Materials and Methods: This study reviewed the obstetric data sheets of all teenage pregnancies managed between January 2013 and December 2017 at the Benue State University Teaching Hospital, Makurdi, North -Central, Nigeria. Results: Teenage deliveries included 43 cases constituting 2.06% of the total 2084 deliveries within the period. The mean age (SD) was 17.88 (±1.77) years. The commonest antenatal complications were malaria (39.5%), anaemia (37.2%), and hypertension in pregnancy (20.9%). The augmentation of labour was done for 16 parturient mothers (37.2%) and 16.3% had the induction of labour. The caesarean section rate was 16.3% and it was mostly related to obstructed labour (47.1%). In addition, episiotomy was done in 11.6% of parturient mothers and 46.5% had perineal tear. There were 37 live births out of which, 6 cases were neonatal admissions and 6 other cases were perinatal deaths. Finally, the perinatal mortality rate among the teenage deliveries was 139.5 per 1000. Conclusions: The incidence of teenage births was 2.06% with associated obstetric risks and adverse pregnancy outcomes necessitating improved obstetric care during pregnancy and delivery.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"34 2 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77694590","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}
引用次数: 0
Randomised Control Trial of 3 IU Intravenous Oxytocin Bolus With 7 IU Oxytocin Infusion Versus 10 IU Intramuscular Oxytocin in the Third Stage of Labour in the Prevention of Postpartum Hemorrhage 3 IU静脉注射催产素加7 IU催产素输注与10 IU肌注催产素在分娩第三期预防产后出血的随机对照试验
IF 0.7
International Journal of Women's Health and Reproduction Sciences Pub Date : 2020-01-01 DOI: 10.15296/ijwhr.2021.32
Aruna M Biradar, Rajasri G Yaliwal, S. Kori, Sangamesh S Mathapati, Shobha S Shiragur, S. Mudanur
{"title":"Randomised Control Trial of 3 IU Intravenous Oxytocin Bolus With 7 IU Oxytocin Infusion Versus 10 IU Intramuscular Oxytocin in the Third Stage of Labour in the Prevention of Postpartum Hemorrhage","authors":"Aruna M Biradar, Rajasri G Yaliwal, S. Kori, Sangamesh S Mathapati, Shobha S Shiragur, S. Mudanur","doi":"10.15296/ijwhr.2021.32","DOIUrl":"https://doi.org/10.15296/ijwhr.2021.32","url":null,"abstract":"Objectives: Intravenous (IV) oxytocin during vaginal delivery has been rarely used since an intramuscular (IM) route or IV infusion have been preferred in this regard. The trial aimed to compare the low-dose IV bolus 3 IU of oxytocin, along with 7 IU oxytocin infusion with 10 IU oxytocin infusion in cesarean section. Materials and Methods: A parallel control randomized study was conducted on a total of 320 consenting term pregnant women based on the inclusion criteria. The participants were randomized into either 3 IU IV bolus and 7 IU infusion of oxytocin or 10 IU of IM oxytocin following vaginal delivery. The difference in pre- and post-delivery hemoglobin (Hb) levels, tone of the uterus, hemodynamic changes, adverse effects of the drug, and the need for additional uterotonics and blood transfusions were assessed based on the aim of the study. Results: Based on the results, more women with severe blood loss were found in the IM oxytocin group in comparison to the IV bolus with infusion group following vaginal delivery. In addition, more women had a drop in the Hb of 3 gm/dL in the IM oxytocin group compared to the IV bolus-infusion group (11% vs. 4%, odds ratio=0.768, P=0.469) although there was no statistical significance in this respect. The tone of the uterus was firmer in the IV bolus with infusion group at 3 and 5 minutes. Eventually, the difference in hemodynamic changes, side effects, and the need for additional uterotonics or blood transfusions was not significant. Conclusions: In general, an IV bolus of 3 IU with a 7 IU infusion of oxytocin is as safe as and more effective than the IM injection of 10 IU of oxytocin at the time of vaginal delivery for the prevention of postpartum hemorrhage.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"54 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72861698","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}
引用次数: 0
Comparison of Oocyte and Embryo Quality in Women With Polycystic Ovary Syndrome and the Control Group Candidate for In Vitro Fertilization and Intracytoplasmic Sperm Injection 多囊卵巢综合征女性与体外受精和卵浆内单精子注射候选对照组的卵母细胞和胚胎质量比较
IF 0.7
International Journal of Women's Health and Reproduction Sciences Pub Date : 2020-01-01 DOI: 10.15296/ijwhr.2021.31
Maliheh Afiat, N. Khadem, Elnaz Nayeri, Roya Jalali, S. Akhlaghi, Elaheh Akhgari, A. Attaranzadeh, F. Borzoee, Azadeh Khazaie, Behnaz Souizi
{"title":"Comparison of Oocyte and Embryo Quality in Women With Polycystic Ovary Syndrome and the Control Group Candidate for In Vitro Fertilization and Intracytoplasmic Sperm Injection","authors":"Maliheh Afiat, N. Khadem, Elnaz Nayeri, Roya Jalali, S. Akhlaghi, Elaheh Akhgari, A. Attaranzadeh, F. Borzoee, Azadeh Khazaie, Behnaz Souizi","doi":"10.15296/ijwhr.2021.31","DOIUrl":"https://doi.org/10.15296/ijwhr.2021.31","url":null,"abstract":"Objectives: Polycystic ovary syndrome (PCOS) is the most common cause of female infertility. The aim of this study was to compare the oocyte and embryo quality between the PCOS women with the control group candidate for in vitro fertilization/ intracytoplasmic sperm injection (IVF/ICSI). Materials and Methods: The present study was designed at the Infertility Research Center of Milad in the prospective cohort format and was carried out on 100 cases of infertile women with confirmed PCOS (case group) and the male factor (control group) as the first IVF cycle candidates. Both groups underwent the ovary stimulation cycle and ICSI under the standard antagonist protocol. The collected data were then processed and analyzed using the SPSS software, version 16. Results: The average age of study cases was 35±3, and oocyte necrosis was the underlying pathological factor in both groups (28% and 26% in the PCOS and control groups, respectively). In addition, most embryones belonged to either grade 1 or 2 or were 8-cell embryos. Furthermore, the highest number of transferred embryos among the patients was related to the 8-cell and grade 1. The occurrences of biochemical pregnancy in the PCOS and control groups were up to 31.91% and 22%, respectively, leading to 72.73% and 60% childbirth in cases of both groups. Finally, there were no significant differences observed with respect to the quality and the quantity of the embryones, the oocyte, the transferred embryo, the germinal vesicle oocytes, and the rate of pregnancy among the two groups (P>0.05). Conclusions: According to the results of the present study, no differences were found concerning the oocyte quality, embryo, and the pregnancy rate between PCOS cases and any other patients requiring ICSI. Therefore, such cases can similarly benefit from ICSI methods as well.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"98 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76166512","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}
引用次数: 4
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