Journal of midwifery and reproductive health最新文献_第6页

The Effect of Menstrual Health Education Adopting the Peer Education Method with the Participation of Mothers on Adolescents' Menstrual Health Behaviors: a Clinical Trial 采用母亲参与的同伴教育方法对青少年经期健康行为的影响:一项临床试验

Journal of midwifery and reproductive health Pub Date : 2020-12-02 DOI: 10.22038/JMRH.2020.42482.1489

R. Jarrahi, N. Golmakani, S. Mazloom, H. Forouzanfar

{"title":"The Effect of Menstrual Health Education Adopting the Peer Education Method with the Participation of Mothers on Adolescents' Menstrual Health Behaviors: a Clinical Trial","authors":"R. Jarrahi, N. Golmakani, S. Mazloom, H. Forouzanfar","doi":"10.22038/JMRH.2020.42482.1489","DOIUrl":"https://doi.org/10.22038/JMRH.2020.42482.1489","url":null,"abstract":"Background & aim: Menstrual health is a major part of adolescent health; nonetheless, the majority of girls do not have sufficient knowledge of menstrual changes. Therefore, current study aimed to assess effect of menstrual health education adopting the peer education method with the participation of mothers on adolescents' menstrual health behaviors. \u0000Methods: This randomized clinical trial was conducted on 60 students with regular menstruation in two groups. Two high schools in Mashhad were selected by drawing lots as a random block. In intervention group, at first 10 students received the educational content and then were asked to train 4-7 of their classmates. Mothers of subjects received two 2-hour sessions with the same content. Control group received routine education by a health educator. Data were collected by a valid, reliable self-structured questionnaire of menstrual health behaviors, before intervention and also after the end of the first and second menstrual cycles and were analyzed in SPSS software (version 16) using Mann-Whitney, Friedman, and independent samples t-test . \u0000Results: Based on the results, mean score of menstrual health behaviors significantly increased in the two groups (P<0.001). However, mean score of menstrual health behaviors in intervention group was significantly higher, compared to the control group (after the end of the first and second menstrual cycles) (P<0.001). \u0000Conclusion: peer education with participation of mothers was more effective in enhancement of adolescents' menstrual health behaviors, compared to the traditional routine method. It is recommended that health professionals apply participatory teaching methods for education of health issues, including menstrual health.","PeriodicalId":283698,"journal":{"name":"Journal of midwifery and reproductive health","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114770336","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: 2

Characteristics Associated with Prenatal Distress in Turkish Women: A Cross-sectional Study 土耳其妇女产前窘迫的相关特征:一项横断面研究

Journal of midwifery and reproductive health Pub Date : 2020-12-02 DOI: 10.22038/JMRH.2020.50064.1622

Başak Demirtaş Hiçyilmaz

{"title":"Characteristics Associated with Prenatal Distress in Turkish Women: A Cross-sectional Study","authors":"Başak Demirtaş Hiçyilmaz","doi":"10.22038/JMRH.2020.50064.1622","DOIUrl":"https://doi.org/10.22038/JMRH.2020.50064.1622","url":null,"abstract":"Background & aim: Recent studies show that more research are needed on characteristics associated with prenatal distress. It was therefore aimed to examine the level of prenatal distress in Turkish pregnant women and its relationship with the women’s personal and obstetric characteristics. \u0000Methods: This was a cross-sectional study. A total of 221 pregnant women who admitted for prenatal care between 15th April and 1st June 2016 were recruited for this study. Nineteen individuals declined to participate; accordingly, 202 individuals with uncomplicated pregnancy in all trimesters were included in the study. Data were collected using a demographic-obstetric questionnaire and the Tilburg Pregnancy Distress Scale. Student’s t-test, and variance analysis were used to analyze the data. \u0000Results: More than one third of the pregnant women (37.6%) were found to experience prenatal distress. Women with unplanned pregnancies (18.33±6.07) (p 0.05) and who had a low level of income (16.61±5.92) (p>0.05) were still at risk for prenatal distress, as their mean scores were above the distress scale cut-off point. \u0000Conclusion: The results emphasize that nurses and midwives may not contribute to the reduction of distress levels during pregnancy in the hospital settings. For this reason, a referral system seems to be the best solution to follow-up the healthy pregnant women in primary care settings and transfer them to the secondary care settings, when necessary.","PeriodicalId":283698,"journal":{"name":"Journal of midwifery and reproductive health","volume":"122 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124185843","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

A Comparison of the Efficacy of Insulin Aspart and Regular Insulin for Managing Gestational Diabetes and their Effects on Delivery Outcomes 阿斯帕特胰岛素与常规胰岛素治疗妊娠期糖尿病的疗效比较及其对分娩结局的影响

Journal of midwifery and reproductive health Pub Date : 2020-11-29 DOI: 10.22038/JMRH.2020.49287.1613

P. Pooransari, A. Ebrahimi, Masoumeh Mirzamoradi, Melika Ketabdar

{"title":"A Comparison of the Efficacy of Insulin Aspart and Regular Insulin for Managing Gestational Diabetes and their Effects on Delivery Outcomes","authors":"P. Pooransari, A. Ebrahimi, Masoumeh Mirzamoradi, Melika Ketabdar","doi":"10.22038/JMRH.2020.49287.1613","DOIUrl":"https://doi.org/10.22038/JMRH.2020.49287.1613","url":null,"abstract":"Background & aim: Rapid-acting insulin analogs, such as insulin aspart, are used in type 1 and type 2 diabetes in pregnancy, and are approved for using in gestational diabetes mellitus (GDM). Nevertheless, there is a dearth of studies to compare their effectiveness with regular insulin. This study, therefore, compared the efficacy of aspart (NovoRapid) and regular insulin in managing GDM and their effects on delivery outcomes. \u0000Methods: This retrospective record review was conducted on 150 pregnant women with GDM who were admitted to Shohada Tajrish Hospital,Tehran, Iran and managed with either insulin aspart or regular insulin (75 patients in each group). The primary outcomes were insulin dose, hypoglycemic episodes, length of hospitalization at the initiation of insulin therapy, length of insulin therapy, and rehospitalization frequency. The secondary outcomes were delivery and neonatal outcomes. Data was extracted from patients’ medical records and analysed using Chi-square, Fisherʼs exact test, t-test, and Mann-Whitney U test. \u0000Results: Insulin dose and frequency of hypoglycemic episodes during the first hospitalization for the initiation of insulin therapy were significantly lower in the insulin aspart group. Also, the length of hospital stay and insulin therapy was significantly shorter in the insulin aspart group. In addition, the gestational age at delivery and frequency of normal vaginal delivery were significantly higher in the insulin aspart group. \u0000Conclusion: Considering insulin dose, frequency of hypoglycemic episodes s well as length of initial hospital stay, insulin aspart was more efficient than regular insulin in controlling blood glucose in patients with GDM.","PeriodicalId":283698,"journal":{"name":"Journal of midwifery and reproductive health","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122292068","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

Comparing the Personality Traits and Childbirth-related Beliefs of Two Groups of Women undergoing Vaginal Delivery and Cesarean Section 阴道分娩与剖宫产两组产妇人格特征及分娩相关信念的比较

Journal of midwifery and reproductive health Pub Date : 2020-11-29 DOI: 10.22038/JMRH.2020.29184.1314

Hosain Khooban, M. R. A. Yoonesi

{"title":"Comparing the Personality Traits and Childbirth-related Beliefs of Two Groups of Women undergoing Vaginal Delivery and Cesarean Section","authors":"Hosain Khooban, M. R. A. Yoonesi","doi":"10.22038/JMRH.2020.29184.1314","DOIUrl":"https://doi.org/10.22038/JMRH.2020.29184.1314","url":null,"abstract":"Background & aim: The excessive increase in the number of cesarean sections is one of the problems of health care in all societies, including Iran. This study aimed to compare two groups of women based on their preferred mode of delivery in terms of their personality traits and beliefs toward the mode of delivery in Iran. Methods: This comparative descriptive study was performed on 60 pregnant women in their last months of pregnancy, who decided for cesarean section or natural birth and were selected from doctors’ offices and healthcare centers through cluster sampling technique in Birjand, Iran in 2107. Data were collected through the Big Five personality questionnaire, and two other questionnaires to measure religious attitudes and beliefs toward delivery. To analyze the data, independent t-test, and multivariate analysis of variance were employed using SPSS (version 16). Results: Considering the personality traits, the mean value of extraversion was significantly different between the two groups (p <0.05), meaning that women who preferred the natural birth were more extravert. Furthermore, there was a significant difference in terms of attitude towards mode of delivery between two groups and those who decided for the cesarean section had more positive attitude toward cesarean and negative attitude toward natural birth (p <0.001). Conclusion: Considering positive attitude of women toward cesarean section, it seems crucial that physicians, midwives, birth counselors, and the media design interventions focused on promotion of normal birth to change the misconceptions about cesarean section and to encourage mothers to undergo natural childbirth.","PeriodicalId":283698,"journal":{"name":"Journal of midwifery and reproductive health","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133546389","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

Contributing Factors to Failed Oxytocin Induction among Women Giving Birth at Referral Hospitals of Amhara Regional State, Ethiopia, in 2018: A Case-control Study 2018年埃塞俄比亚阿姆哈拉地区州转诊医院分娩妇女催产素诱导失败的影响因素:一项病例对照研究

Journal of midwifery and reproductive health Pub Date : 2020-11-14 DOI: 10.22038/JMRH.2020.44008.1525

A. Melkie, Dagne Addisu, Belete Atinafu, Maru Mekie, Enyew Dagnew

{"title":"Contributing Factors to Failed Oxytocin Induction among Women Giving Birth at Referral Hospitals of Amhara Regional State, Ethiopia, in 2018: A Case-control Study","authors":"A. Melkie, Dagne Addisu, Belete Atinafu, Maru Mekie, Enyew Dagnew","doi":"10.22038/JMRH.2020.44008.1525","DOIUrl":"https://doi.org/10.22038/JMRH.2020.44008.1525","url":null,"abstract":"Background & aim: Failed oxytocin induction of labor increases the rate of cesarean section and associated complications. The present study aimed to identify contributing factors to failed oxytocin induction among women who gave birth at the referral hospitals of Amhara regional state, Ethiopia, in 2018. \u0000Methods: This unmatched case-control study was conducted on a total of 336 parturient women (112 cases and 224 controls) at the referral hospitals of Amhara regional state, Ethiopia, within March 19 to May 18, 2018. Systematic and consecutive sampling methods were applied for the selection of controls and cases, respectively. Both the interviewer-administered questionnaire and medical chart review were utilized as tools for data collection. The validity of the tools was determined by content validity, and Cronbach’s alpha coefficient as a measure of tool reliability was rendered at 0.82. Data analysis was carried out by SPSS software (version 23) using multivariable logistic regression analysis. \u0000Results: According to the obtained results, primiparity (AOR=6.24; 95% CI: 3.32-11.73), intermediate Bishop score (AOR=11.77; 95% CI: 5.19-26.71), emergency oxytocin induction (AOR=2.47; 95% CI: 1.31-4.68), and age of ≤ 30 years (AOR=2.16; 95% CI: 1.13-4.16) were considered the determinants of failed oxytocin induction. \u0000Conclusion: Considering the factors of primiparity, intermediate Bishop score (5-8) and the age of ≤ 30 years as determinants of failed oxytocin induction, it is recommended to use oxytocin induction after obtaining a favorable Bishop score.","PeriodicalId":283698,"journal":{"name":"Journal of midwifery and reproductive health","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134615257","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: 2

The Rate, Indications and Contributing Factors of Cesarean Delivery in Southern Nation Nationalities and People’s Region, Ethiopia 埃塞俄比亚南部民族和人民地区剖宫产率、适应证及影响因素分析

Journal of midwifery and reproductive health Pub Date : 2020-10-12 DOI: 10.22038/JMRH.2020.48476.1596

Gedeon Abayneh Mache, Hassen Mosa Halil, R. Abdo

{"title":"The Rate, Indications and Contributing Factors of Cesarean Delivery in Southern Nation Nationalities and People’s Region, Ethiopia","authors":"Gedeon Abayneh Mache, Hassen Mosa Halil, R. Abdo","doi":"10.22038/JMRH.2020.48476.1596","DOIUrl":"https://doi.org/10.22038/JMRH.2020.48476.1596","url":null,"abstract":"Background & aim: Caesarean delivery is a lifesaving surgical procedure for both the mother and the infant in specific medically indicated circumstances, but unnecessary caesarean delivery can lead to increased medical risks. This research considers the rate, indications and contributing factors of caesarean delivery in the Durame Hospital, Southern Ethiopia. Methods: This hospital-based, cross-sectional study examined the period from May 1 through June 1, 2019. Three hundred respondents were enrolled by consecutive sampling, and a structured tool and document review were used for data collection. Data entry and analysis were conducted with EpiData (version 3.1) and SPSS software (version 24). Multivariable logistic regression was employed to determine the contributing factors associated with caesarean delivery at a 95% confidence interval (CI). Results: The overall rate of caesarean delivery was observed to be 24.7%. Non reassuring fetal heart rate (n=13; 17.06%) and abnormal presentation (n=9; 12.2%) were the two most prevalent indications of cesarean delivery. The factors associated with cesarean delivery were previous cesarean delivery (AOR =7.3, 95 % CI: 2.02-26.65), post-term pregnancy (AOR=3.3, 95% CI: 1.268.67) and maternal age of ≥35 years (AOR=3.21, 95% CI: 1.19 -8.67). Conclusion: The rate of caesarean delivery exceeded the recommended limit of the World Health Organization. To ensure the appropriate use of the procedure, women with a previous caesarean delivery must be meticulously evaluated for the possibility of vaginal delivery, and the hospital must regularly monitor caesarean delivery indications.","PeriodicalId":283698,"journal":{"name":"Journal of midwifery and reproductive health","volume":"136 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126515642","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

Comparison of Pregnancy and Neonatal Outcomes in Frozen and Fresh Embryo Transfer in ART Cycles: A Retrospective Cohort Study ART周期中冷冻和新鲜胚胎移植妊娠和新生儿结局的比较:一项回顾性队列研究

Journal of midwifery and reproductive health Pub Date : 2020-10-01 DOI: 10.22038/JMRH.2020.45772.1555

M. Hajishafiha, Tahere Behrouzi Lak, Vahideh Nobakht, N. Asadi, S. Oshnouei, F. Haghollahi

{"title":"Comparison of Pregnancy and Neonatal Outcomes in Frozen and Fresh Embryo Transfer in ART Cycles: A Retrospective Cohort Study","authors":"M. Hajishafiha, Tahere Behrouzi Lak, Vahideh Nobakht, N. Asadi, S. Oshnouei, F. Haghollahi","doi":"10.22038/JMRH.2020.45772.1555","DOIUrl":"https://doi.org/10.22038/JMRH.2020.45772.1555","url":null,"abstract":"Background & aim: In addition to the benefits of frozen embryo transfer (FET), the key question is whether freezing or melting embryos can cause fetal harm and prenatal complications. This study aimed to assess pregnancy and neonatal outcomes after FET and fresh embryo transfer (ET). Methods: This retrospective cohort study investigated the pregnancy outcomes of infertile women undergoing intracytoplasmic sperm injection with FET and ET in Kowsar Infertility Center of Motahary hospital in Urmia, Iran between March 2014 and March 2016. A questionnaire was completed based on the hospital records of pregnancy or neonatal outcomes. To assess the continuation of pregnancy and delivery, the questionnaires were completed through phone call. The pregnancy and neonatal outcomes were compared between FET (n=96) and fresh ET (n=93) using Student’s t-test, Chi-square, Fisher’s exact tests and multiple logistic regression using SPSS software (version 21.0). Results: The rate of ongoing pregnancy were reported as 60.2% and 76% in the FET and fresh ET groups, respectively. The rate of multiple pregnancy and ongoing pregnancy were lower in FET, compared to those reported for fresh ET (OR=0.38, 95% CI: 0.18-0.79, P=0.01; OR=0.48, 95% CI: 0.25-0.85, P=0.02). The frequency of spontaneous abortion was not different between two groups (P=0.07). The FET and fresh ET increased the odds of lower neonatal weight; however, it was not statistically significant. Conclusion: In this study, a lower rate of ongoing pregnancy was reported in the FET group. It seems that FET can cause damage to the embryo during freezing and melting.","PeriodicalId":283698,"journal":{"name":"Journal of midwifery and reproductive health","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134314455","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

Determinants of Employed Women’s Attitude towards Childbearing 职业妇女生育态度的决定因素

Journal of midwifery and reproductive health Pub Date : 2020-10-01 DOI: 10.22038/JMRH.2020.46884.1574

F. Davoudi, Neda Soleimanvandiazar, Habibeh Ezoji, Khadijeh Ezoji

{"title":"Determinants of Employed Women’s Attitude towards Childbearing","authors":"F. Davoudi, Neda Soleimanvandiazar, Habibeh Ezoji, Khadijeh Ezoji","doi":"10.22038/JMRH.2020.46884.1574","DOIUrl":"https://doi.org/10.22038/JMRH.2020.46884.1574","url":null,"abstract":"Background & aim: Iranian policymakers have recently shifted away from a birth control towards a pro-fertility policies. In this regard, it is indispensable to recognize the determinants of childbearing willingness to evaluate the influence of these policies on certain target groups. With this background in mind, the present study aimed to find determinants of childbearing willingness in employed women. Methods: In this cross-sectional study, 140 married females, holding non-professional job positions in Iran University of Medical Sciences (IUMS), Tehran, Iran, completed a self-administered questionnaire about demographic characteristics, actual and ideal number of children, own and spouse’s willingness to have another child, in addition to perceived incentives and barriers of childbearing. Chi-square test and logistic regression analysis were applied for data analysis. Results: The mean age of participants was reported as 39.48±6.915. The actual and ideal number of participants’ children were obtained at 1.32±0.77 and 2.3±1.06, respectively (P-value<0.001). 50 (35.7%) of all respondents were willing to bear a child, including 37(74%) of cases who had at least one child at the time of study and 13 (26%) of those with no children (P=0.016). “The pleasure of having a baby” was their strongest explanation for childbearing desire, while “challenges of raising children” was regarded as the strongest obstacle in the group of participants who were reluctant to have children. On the other hand, in the group of cases who were willing to have a (another) child, \"flexible work hours\" and \" job security during and after maternity leave\" were the most important suggested interventions to raise children. Conclusion: “The pleasure of having a baby” and “challenges of raising children” were the most important incentive and obstacle for childbearing, respectively.","PeriodicalId":283698,"journal":{"name":"Journal of midwifery and reproductive health","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129866404","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 Effects of Recove Ointment on Wound Healing in Mothers Susceptible to Cesarean Section Infection 恢复软膏对剖宫产感染易感产妇创面愈合的影响

Journal of midwifery and reproductive health Pub Date : 2020-10-01 DOI: 10.22038/JMRH.2020.40722.1463

P. Yekta, Main Tafazolim, H. Rakhshandeh, H. Esmaeili, Masoumeh Mirtaymori

{"title":"The Effects of Recove Ointment on Wound Healing in Mothers Susceptible to Cesarean Section Infection","authors":"P. Yekta, Main Tafazolim, H. Rakhshandeh, H. Esmaeili, Masoumeh Mirtaymori","doi":"10.22038/JMRH.2020.40722.1463","DOIUrl":"https://doi.org/10.22038/JMRH.2020.40722.1463","url":null,"abstract":"Background & aim: Due to the development of major complications after cesarean section (C-section), surgical site infection and delayed wound healing was of great concern to gynecologists since a long time ago. It is especially the case for mothers susceptible to post-cesarean wound infection who need special care. The present study therefore aimed to investigate the effect of Recove ointment on wound healing in women susceptible to C-section wound infection. Methods: In this triple-blind randomized clinical trial, which was conducted on the women who underwent C-section in Ommolbanin Hospital, Mashhad, in 2019, using a two-group design, a number of 80 eligible women with C-section were assigned into intervention and placebo groups. Intervention group received Recove ointment for a maximum of 10 days. The wound recovery was assessed using Reeda scale before intervention and 3, 5, and 10 days after C-section. Data were analyzed using T test and Mann-Whitey, Chi-square as well as Fisher's exact test. Results: The score of wound healing was significantly different in intervention and control group 5 days after cesarean section (P=0.008). But no significant difference was seen between two groups on days 3 and 10 post cesarean (P=0.69). Also there was significant difference between wound healing score before and after intervention in both intervention (P=0.001) and placebo groups (P=0.001). Conclusion: Although the effectiveness of the ingredients of Recove ointment was indicated in several studies, this ointment was revealed to be effective for wounds healing just 5 days after cesarean section. Further research with larger sample size is required to investigate the effect of this ointment.","PeriodicalId":283698,"journal":{"name":"Journal of midwifery and reproductive health","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126287089","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

Abdominal Compartment Syndrome after Cesarean Section: A Case Report 剖宫产术后腹腔隔室综合征1例

Journal of midwifery and reproductive health Pub Date : 2020-10-01 DOI: 10.22038/JMRH.2020.39012.1440

Nazanin Beheshtian, Samaneh Akbarzadeh, B. Zargaran, H. Azimi, Amirhossein Jafarian, Z. Yousefi, Akram Khalaati

{"title":"Abdominal Compartment Syndrome after Cesarean Section: A Case Report","authors":"Nazanin Beheshtian, Samaneh Akbarzadeh, B. Zargaran, H. Azimi, Amirhossein Jafarian, Z. Yousefi, Akram Khalaati","doi":"10.22038/JMRH.2020.39012.1440","DOIUrl":"https://doi.org/10.22038/JMRH.2020.39012.1440","url":null,"abstract":"Background: Abdominal compartment syndrome (ACS) after cesarean section (CS) is a rare event which is associated with an increased risk of morbidity and mortality. This complication may arise as a result of musculoskeletal trauma and fluid accumulation. The present report aimed to introduce a case of ACS after the cesarean section. Case report: We present the case of a 32-year old woman who developed abdominal compartment syndrome 4 days after the cesarean section. The patient's symptoms included severe abdominal distension, fever, decreased haemoglobin level despite normal blood pressure, and decreased urine output. Nasogastric/colonic decompression was not effective. Computed tomography (CT) scan demonstrated partial bowel obstruction. After an emergency decompressive laparotomy due to increased intra-abdominal pressure, the patient was diagnosed with ACS and rescued by supportive conservative treatment. Conclusion: ACS is a rare complication of CS; nonetheless, delayed diagnosis and intervention can cause irreversible damages. The physicians and midwives should be cautious about post caesarean signs and symptoms, including massive abdominal distention, pain, fever, difficulty breathing, and decreased urine output. Conservative therapeutic strategy and decompressive laparotomy is the gold standard treatment for this disease.","PeriodicalId":283698,"journal":{"name":"Journal of midwifery and reproductive health","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133852153","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