Showing 9 results for Delivery
Tahmineh Salehian, Faranak Safdari, Samaneh Jahantighi,
Volume 7, Issue 1 (8-2010)
Abstract
Background and Objective: Labor pain is a severe pain and the most well-known one. When the pain is not relieved, it leads to some adverse effects such as the increase of cardiac output, blood pressure, respiratory rate, oxygen consumption, and catecholamine levels. All of them can have a harmful effect on both mother and infant. Pain during labor is accompanied by fear, which makes slow the progress of labor. In many countries, because the side effects of the drugs can cause adverse effects on women and their infants, analgesic medications may not be given. The aim of this study was to investigate the effect of Entonox on labor pain and outcome of delivery in primiparous women in Iranshahr, Iran (2009).
Material and Methods: In this study , in order to determine the effect of Entonox on labor pain and outcome of delivery, 100 primiparous women were randomly assigned to two equivalent groups (n = 50): case and control group . Data were collected by a questionnaire. Labor pain was measured seven times by using a (visual-analogue scale). The length of delivery time was calculated in two stages: from four centimeter cervical dilatation to full cervical dilatation, and from full cervical dilatation to the delivery.
Results: There is a significant difference between the severity of the pain in two groups (P<0.05), But there is no significant difference between the duration of the active phase and the second phase of the labor. There is no significant difference between the first and fifth minute Apgar Scoring between two groups (P<0.05). No atony is observed in the subjects. Sixty-six percent of case group and 42% of control group express that they have satisfaction from their delivery.
Conclusion: The findings suggest that Entonox can be effective intervention to decrease pain during labour.
Mis Leila Rafiee Vardanjani, Mis Fariba Nobakht, Mis Faranak Safdari Dahcheshmeh, Mis Neda Parvin,
Volume 9, Issue 1 (8-2012)
Abstract
Background and Objective: Mother’s satisfaction of childbirth is considered as an important criterion of maternal care quality and it has an effect on mental health of family and community, and Mother's mood is significant in the outcome of labor. The parturient supported by significant others has less anxiety, experience of safe childbirth and adequate satisfaction . Thus, we aimed at assessing the effect of the presence of an attendant on satisfaction, anxiety and labor pain of primiparae referring to Hajar Hospital in Shahre Kurd, 2010.
Material and Methods: This pre-experimental study was conducted on 60 primiparous women, referring to Hajar Hospital in Shahre Kurd (2010), who were divided into equal experimental and control groups. The parturients of both groups received common cares, while those of experimental group were allowed to be with an attendant. Using a check list, we assessed the level of anxiety, labor pain, newborn's first- minute apgar , the onset of breastfeeding and childbirth satisfaction from beginning to end of labor, and analyzed the data by SPSS-16 software, using t-tests and Chi-square.
Results: Our findings show that the support given by an attendant during childbirth significantly decrease the level of anxiety, early start of breastfeeding and increased mother's satisfaction of childbirth(p<0/05). There is no significant difference between two groups on length of active phase, duration of second phase of childbirth and apgar of the first minute.
Conclusion: According to results, we conclude that being an attendant near parturient can bring about childbirth satisfaction , decreased anxiety, and early start of breastfeeding.
Key words: Attendant, Delivery process , Anxiety, Satisfaction
Ziba Raeesi Dehkordi, Morvarid Ghasab Shirazi, Masoomeh Alidoosti, Mahdi Raee, Masoomeh Del Aram, Mandana Mir Mohammad Ali, Mohammad Rahimi Madiseie,
Volume 10, Issue 1 (4-2013)
Abstract
Background and objective : Postpartum is a critical and stressful period accompanying by fatigue, mood changes and sleep disorders. The purpose of this study was to describe sleep during the second and sixth week of postpartum in the women with cesarean and those with vaginal delivery.
Material and Methods: This cross-sectional study was conducted on 96 women in the second and sixth week of postpartum period (48 after cesarean and 48 after vaginal delivery). The instruments were demographic data sheet and Pittsburgh Sleep Quality Scale .
Results: The Results show that the subjects are correlated with each other on the basis of both parents’ and neonates’ demographic characteristics.Variables such as subjective sleep quality, sleep latency, actual sleep time , sleep efficiency , sleep disturbance , and daily disfunctioning indicator are significantly different in two groups. The mean of Pittsburgh Sleep Quality Index for vaginal delivery is higher than that of cesarean, which can be a good reason for better sleep quality of the women with vaginal delivery.
Conclusion: Mothers with Cesarean have lower sleep quality than those with normal delivery therefore, they should be educated to select normal delivery and intervened for improving sleep quality in postpartum period.
Somayyeh Naghizadeh, Fahimeh Sehhati, Dr Morteza Gojazadeh,
Volume 11, Issue 1 (5-2014)
Abstract
Background and Objective: The time of admission to delivery center can have an important impact on the outcome of labor. This study aimed at comparing the post delivery consequences in women admitted in latent and active phase of Labor.
Material and Methods: This descriptive study was conducted on 500 parturients, in Taleghani hospital of Tabriz, divided into two equal groups of latent phase (N = 250) and active phase (N=250). For data collection, we used a demographic Questionnaire, a Checklist for assessing the third and fourth labor stages and the results of mothers' physical examination (pre discharge and 10 days after delivery).
Results: In accordance with age, number of pregnancy, delivery , abortion, stillbirth and the number of natural pregnancy, the difference between two groups was not significant. But about the complications of 4th stage of labor, postpartum hemorrhage and pre- discharge Hb & Hct, the difference was significant. Apgar score in the first minute (p<0.03), Cord ABG (p<0.001) and the interventions conducted on infants such as resuscitation (p<0.001) were significantly different between two groups of latent and active phase.
Conclusion: Admission in the latent phase is accompanied by increased complications and early medical interventions. Hence, admitting in latent phase is not recommended unless there are some specific medical indications.
Fatemeh Raeesian, Dr Minor Lamiyan, Dr Ebrahim Hajizadeh, Sareh Bakouie, Somayeh Soltanmoradi, Dr Lida Moghaddam Banaem , Fatemeh Seifi,
Volume 12, Issue 1 (4-2015)
Abstract
Background and Objective: Preterm delivery is a critical factor in neonatal morbidity & mortality. The present study was performed to determine the relationship between the serum level of zinc& iron and preterm delivery.
Material and Methods: This cohort study was conducted, via multi-stage sampling, on 1033 pregnant women referred to the prenatal centers in Tehran, Iran. The instrument was demographic- productivity questionnaire completed within the14th-20th weeks of gestation. Serum level of zinc & iron was measured by spectrophotometric atomic absorption method and Ferene test, respectively. To analyze the data, we used T test, χ2 and logistic regression using SPSS16 software.
Results: The incidence of preterm delivery was 10.5%. This rate increased to 12.5% and 18.2% in lack of iron and zinc, respectively. There was no significant link between lack of zinc level and preterm delivery (P>0.05), But the relationship between lack of iron and preterm delivery was significant (P< 0.05). Based on logistic regression, there was higher risk of preterm delivery if iron serum level was low.
Conclusion: Given the high impact of lack of iron on preterm delivery, we recommend that the factors effective on intake & absorption of iron be emphasized in reproductive education courses.
Shohreh Ayoubi, Nabi Bostan ,
Volume 14, Issue 2 (9-2017)
Abstract
Background: Pregnancy and postnatal period are associated with significant psychological and physiological changes, which might sometimes induce pathological variations, as well. This study aimed to evaluate the effect of physiologic delivery education on mental health of pregnant women.
Methods: This clinical trial was conducted on 50 pregnant women, who were referred to three healthcare centers and Motazedi Hospital of Kermanshah, Iran, in 2015. The samples were selected through simple random sampling and divided into two groups of intervention and control. The intervention group received eight 90-minute sessions, whereas no intervention was administered to the control group. The data collection tools consisted of a demographics form and Goldberg’s General Health Questionnaire (GHQ-28), which were filled out by the participants in a pretest-posttest design. Data analysis was performed in SPSS, version 20, using analysis of covariance.
Results: Given the difference in mean scores of the intervention and control groups before (23.6) and after (20.55) the intervention, it could be concluded that reduction of three scores after the training sessions was indicative of improved mental health of the participants. Thus, physiologic delivery education could enhance mental health of pregnant women (P<0.01).
Conclusion: Physiologic delivery education improved mental health in pregnant women.
Mohammad-Zaman Kamkar, Ali Balajalini, Fatemeh Zargarani, Naser Behnampour,
Volume 16, Issue 1 (1-2019)
Abstract
Background and objectives: During the postpartum period, mothers may experience physical and emotional changes. Postpartum Depression (PPD) may affect 10-15% of all women after delivery. In some studies, the type of delivery has been considered as a risk factor for postpartum depression. The present study was designed to investigate and compare the frequency of postpartum depression in women with normal and cesarean delivery.
Methods: This descriptive-analytic study was conducted on 300 women referring to the Sayad Shirazi Hospital. First the Women who had Beck depression inventory score>12 were excluded and then the participants were divided into two equal groups of normal (150) and cesarean (150) delivery. Two weeks after delivery, Beck depression inventory was filled out and data analysis was performed by SPSS software V.16 using, chi-square and Mann-Whitney test.
Results: Results showed that 13% of all participants 12.7% of the cases in normal and 13.3% in cesarean groups had postpartum depression. The severity of depression was higher in women with cesarean delivery compared to normal delivery and this difference was significant (mean rank 172.29 vs. 128.71, p<0.0001). There was no significant difference in the level of depression between two groups according to their age, job, parity, baby’s sex, marital satisfaction and wanted/unwanted pregnancy.
Conclusion: The prevalence of postpartum depression was higher in women with caesarian delivery compared to women with normal delivery
Aniseh Pourrasmi Mamaghani, Mohammadhiwa Abdekhoda, Parvin Bastani Alamdari, Masoud Mohammadi,
Volume 17, Issue 0 (4-2020)
Abstract
Background: The rate of cesarean delivery in Iran is four times higher than the standard defined by the World Health Organization. Information counseling is a method for providing accurate information and helping primiparous women to make evidence-based decisions. This research was conducted to determine the effect of information counseling on decision making process of delivery.
Methods: This was a before and after clinical trial in which 120 pregnant women in the 28thweek of the pregnancy with no indication of cesarean sections (CS) and a health record were included. Sample size was calculated using cluster sampling and the formula n= (〖(Z_(α⁄(2- Z_(β ) )) )^2 δ〗^2 )/d^2 . The sample size was approximately 63 individuals. To correct the effect of cluster sampling, the calculated sample volume was multiplied by a factor of 1.4. To further validate the data, the number reached 120. Data gathering tool was a questionnaire designed based on reviewing previous studies and considering the purpose of the study whose validity and reliability were measured. The questionnaires were given to the women in two stages at week 28 and week 36. The interventions were in the form of packages containing brochures and information booklet on the benefits and disadvantages of natural childbirth and cesarean section in addition to training sessions taught by a midwifery specialist. Pros and cons of vaginal and cesarean modes of delivery were presented by training sessions. Women's preferential delivery mode were measured by a pre- and post- questionnaires and follow-up. After data collection, the analysis was performed at two levels of descriptive and inferential statistics. Finally, data were analyzed by SPSS16using t-test.
Results: The findings showed that the main indicators for determining the type of delivery, including awareness about delivery, making decision for delivery mode, understanding the risks of delivery mode, and self-efficacy were significantly associated with educational intervention and counseling (P<0.01). In the pre-intervention phase, 66.7% of women had normal delivery and 33.3% had cesarean section. After intervention, with a significant increase in choosing normal delivery, 78.4% chose natural childbirth and 15.3% chose cesarean section as the best option for delivery. Follow-up results after educational intervention showed that 44.2% of participants in this study performed normal delivery and 50% cesarean section. 8.5% were excluded from the study for certain reasons. After reviewing the results, it was found that encouraging physicians’ team to cesarean section was the main and primary cause of cesarean.
Conclusions: The implementation of information counseling has a great effect on encouraging women to change their decision patterns and self-making decision for VD maternity and reducing CD. However, in practice, certain factors, especially the constant recommendation of physicians’ team to CD as a programmable and convenient delivery, undermine the role of these interventions.
Mehrdad Rohaninasab, Masumeh Hesari, Zahra Mollazadeh Narestan , Akram Gazerani,
Volume 21, Issue 3 (10-2024)
Abstract
Background: The increasing prevalence of preterm birth in many societies has raised concerns. This study was conducted to determine the prevalence and risk factors associated with preterm birth in hospitals in Neyshabur, Eastern Iran.
Methods: This cross-sectional study was conducted on 273 neonates born before 37 weeks of gestational age between 2017 and 2019 in the educational hospitals of Neyshabur. The infants were included in the research through convenience sampling. The research tool consisted of items addressing issues related to both mothers and newborns. Data analysis was performed using SPSS version 22, employing descriptive and analytical statistics, including chi-square and Fisher's exact tests.
Results: The rate of preterm birth in Neyshabur over the three-year period was 2.85%. Bicornuate uterus (1.83%) and cervical insufficiency (1.46%) were the most observed uterine factors, while umbilical cord prolapse (1.83%) and placental adhesion (1.46%) were the most prevalent placental factors. Moreover, breech presentation (10.98%) was the most common co-occurring fetal factor in preterm birth. A significant difference was found between the length of pregnancy and the type of delivery (vaginal or cesarean section) (P=0.003).
Conclusion: Due to the high prevalence of preterm birth in Neyshabur, it is recommended that mothers undergo periodic evaluations before and during pregnancy to identify and manage any accompanying problems or underlying conditions promptly.
