Pub Date : 2021-09-18DOI: 10.22038/IJOGI.2021.55725.4743
L. Sadati, Zahra Nouri Khanegah, Nazanin Sarraf Shahri, Fatemeh Edalat
Introduction: Failure to follow the standard principles in establishing Lithotomy position will cause can lead to serious complications such as pain; The aim of this study was to evaluate the pain experienced by patients in pressure areas in lithotomy position. Materials and Methods: The present study is a descriptive-analytical cross-sectional study on 200 female patients undergoing gynecological surgery using lithotomy position who were admitted to the study by census. The researchers used a researcher-made questionnaire to assess pain experienced by patients, which includes: patients' demographic information and a checklist for recording the amount and severity. Pain was measured using a standard ten-point scale. Data were analyzed using descriptive and inferential statistical methods by SPSS software version 22. Results: Based on the results of data analysis, within 24 hours after surgery, more than half of the patients suffered from low back pain and 35% from groin pain, 25% from knee pain and 10% from pain. The ankles complained. Also, a high correlation was observed between the variables of patients' body mass index and the duration of surgery with the incidence of pain in some areas such as the lumbar region and the ankle region. Conclusion: In this study, a significant percentage of patients who, being placed in the lithotomy position, experienced postoperative pain in different areas
{"title":"Evaluation of postoperative pain experienced by female candidates for gynecological surgery with lithotomy position","authors":"L. Sadati, Zahra Nouri Khanegah, Nazanin Sarraf Shahri, Fatemeh Edalat","doi":"10.22038/IJOGI.2021.55725.4743","DOIUrl":"https://doi.org/10.22038/IJOGI.2021.55725.4743","url":null,"abstract":"Introduction: Failure to follow the standard principles in establishing Lithotomy position will cause can lead to serious complications such as pain; The aim of this study was to evaluate the pain experienced by patients in pressure areas in lithotomy position. Materials and Methods: The present study is a descriptive-analytical cross-sectional study on 200 female patients undergoing gynecological surgery using lithotomy position who were admitted to the study by census. The researchers used a researcher-made questionnaire to assess pain experienced by patients, which includes: patients' demographic information and a checklist for recording the amount and severity. Pain was measured using a standard ten-point scale. Data were analyzed using descriptive and inferential statistical methods by SPSS software version 22. Results: Based on the results of data analysis, within 24 hours after surgery, more than half of the patients suffered from low back pain and 35% from groin pain, 25% from knee pain and 10% from pain. The ankles complained. Also, a high correlation was observed between the variables of patients' body mass index and the duration of surgery with the incidence of pain in some areas such as the lumbar region and the ankle region. Conclusion: In this study, a significant percentage of patients who, being placed in the lithotomy position, experienced postoperative pain in different areas","PeriodicalId":39154,"journal":{"name":"Iranian Journal of Obstetrics, Gynecology and Infertility","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88936210","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}
Pub Date : 2021-09-18DOI: 10.22038/IJOGI.2021.59206.4945
F. Dabiri, M. Hajifoghaha, S. Alizadeh, S. Mokhlesi
Introduction: Sexual violence can occur at any time in women's lives and cause them great physical, psychological and emotional harm for them. Sexual violence against perimenopausal women has had more adverse consequences for middle-aged women, their families and society. The present review study was conducted to investigate of sexual violence in perimenopausal women.Methods: In this study, published articles were extracted by searching in authentic scientific databases such as PubMed, Scopus, Web of Science, ProQuest, SID, and Magiran and using keywords related to the purpose of studying. Descriptive, descriptive-analytical, case-control and cohort studies were included in this study. Results: In this study, 482 articles were reviewed, of which 7 articles met the inclusion criteria. The results of this study showed that the prevalence of sexual violence in women varied between different races and associated with education, economic status, smoking and alcohol consumption. In middle-aged women with sexual violence, there was a risk of hypertension, elevated neuroendocrines, and proinflammatory cytokines. Also, increased menopausal symptoms such as urinary symptoms, sleep disorders and symptoms of depression and anxiety, vaginal problems and sexual dysfunction were associated with sexual violence.Discussion: Considering that sexual violence can have harmful consequences for middle-aged women, the results of this study can be a guide for health planners to reduce this health-social problem to provide the necessary counseling programs, can meet this social health complication and help to solve middle-aged women problems.
导言:性暴力随时可能发生在妇女的生活中，并对她们造成巨大的身体、心理和情感伤害。针对围绝经期妇女的性暴力对中年妇女、她们的家庭和社会产生了更多的不利后果。本研究旨在调查围绝经期妇女的性暴力行为。方法:本研究通过检索PubMed、Scopus、Web of Science、ProQuest、SID、Magiran等权威科学数据库，并使用与研究目的相关的关键词提取已发表文章。本研究包括描述性、描述性分析性、病例对照和队列研究。结果:本研究共纳入文献482篇，其中符合纳入标准的文献7篇。这项研究的结果表明，妇女遭受性暴力的普遍程度因种族而异，并与教育、经济地位、吸烟和饮酒有关。在遭受性暴力的中年妇女中，存在高血压、神经内分泌和促炎细胞因子升高的风险。此外，更年期症状的增加，如泌尿系统症状、睡眠障碍、抑郁和焦虑症状、阴道问题和性功能障碍，都与性暴力有关。讨论:考虑到性暴力会对中年妇女产生有害的后果，本研究的结果可以指导健康规划者减少这一健康社会问题，提供必要的咨询方案，可以满足这一社会健康并发症并帮助解决中年妇女问题。
{"title":"Prevalence and consequences related to sexual violence in perimenopausal women: A systematic review","authors":"F. Dabiri, M. Hajifoghaha, S. Alizadeh, S. Mokhlesi","doi":"10.22038/IJOGI.2021.59206.4945","DOIUrl":"https://doi.org/10.22038/IJOGI.2021.59206.4945","url":null,"abstract":"Introduction: Sexual violence can occur at any time in women's lives and cause them great physical, psychological and emotional harm for them. Sexual violence against perimenopausal women has had more adverse consequences for middle-aged women, their families and society. The present review study was conducted to investigate of sexual violence in perimenopausal women.Methods: In this study, published articles were extracted by searching in authentic scientific databases such as PubMed, Scopus, Web of Science, ProQuest, SID, and Magiran and using keywords related to the purpose of studying. Descriptive, descriptive-analytical, case-control and cohort studies were included in this study. Results: In this study, 482 articles were reviewed, of which 7 articles met the inclusion criteria. The results of this study showed that the prevalence of sexual violence in women varied between different races and associated with education, economic status, smoking and alcohol consumption. In middle-aged women with sexual violence, there was a risk of hypertension, elevated neuroendocrines, and proinflammatory cytokines. Also, increased menopausal symptoms such as urinary symptoms, sleep disorders and symptoms of depression and anxiety, vaginal problems and sexual dysfunction were associated with sexual violence.Discussion: Considering that sexual violence can have harmful consequences for middle-aged women, the results of this study can be a guide for health planners to reduce this health-social problem to provide the necessary counseling programs, can meet this social health complication and help to solve middle-aged women problems.","PeriodicalId":39154,"journal":{"name":"Iranian Journal of Obstetrics, Gynecology and Infertility","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79848638","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}
Pub Date : 2021-09-11DOI: 10.22038/IJOGI.2021.55834.4760
S. Jannesari, Shadi Ahmadi, S. Sahranavard, M. Nasiri
Introduction:Dysmenorrhea is a major problem in women's general and individual health. The aim of this study was to compare the effect of"Ginger-Lavender"capsule with" Mefenamic Acid" on the severity of primary dysmenorrhea. Methods: A triple-blind clinical trial study was performed on 60 students living in dormitories of Shahid Beheshti University in 1399 with a history of dysmenorrhea .In the intervention group 500mg capsules of" Ginger-Lavender" and in the control group 250mg capsules of "Mefenamic Acid" in similar capsules were prescribed.The mean and mean differences in pain intensity between the groups were assessed by SPSS 24 using t-test, Bonferroni and Analysis of Variance.Results: Before the intervention there was no significant difference between the groups in terms of pain intensity(p=0.22). In the first and second cycle after intervention between the groups using two-factor statistical test showed a significant difference(p<0.05). Intra-group one-factor test with comparison of three cycles showed a statistically significant difference in the group "ginger-lavender "(p=0.001)and "Mefenamic Acid " (p=0.00), Bonferroni test in both groups showed a significant difference between the mean pain intensity before the intervention with the first and second cycle (p=0.00).Analysis of Variance showed that the mean pain score in the "Ginger-Lavender " group was 1.53 less than the" Mefenamic Acid " capsule. There was a significant difference in the duration of bleeding compared to the three cycle in the "Ginger-Lavender" group.(p=0.07)Conclusion:The results of the study showed "Ginger-Lavender" capsule reduces the pain of primary dysmenorrhea without any serious side effects and is more effective than Mefenamic Acid.
{"title":"\" Comparative study of the effect of \"Ginger-Lavender\" capsule with Mefenamic Acid\" on the severity of primary dysmenorrhea, A controlled experimental study","authors":"S. Jannesari, Shadi Ahmadi, S. Sahranavard, M. Nasiri","doi":"10.22038/IJOGI.2021.55834.4760","DOIUrl":"https://doi.org/10.22038/IJOGI.2021.55834.4760","url":null,"abstract":"Introduction:Dysmenorrhea is a major problem in women's general and individual health. The aim of this study was to compare the effect of\"Ginger-Lavender\"capsule with\" Mefenamic Acid\" on the severity of primary dysmenorrhea. Methods: A triple-blind clinical trial study was performed on 60 students living in dormitories of Shahid Beheshti University in 1399 with a history of dysmenorrhea .In the intervention group 500mg capsules of\" Ginger-Lavender\" and in the control group 250mg capsules of \"Mefenamic Acid\" in similar capsules were prescribed.The mean and mean differences in pain intensity between the groups were assessed by SPSS 24 using t-test, Bonferroni and Analysis of Variance.Results: Before the intervention there was no significant difference between the groups in terms of pain intensity(p=0.22). In the first and second cycle after intervention between the groups using two-factor statistical test showed a significant difference(p<0.05). Intra-group one-factor test with comparison of three cycles showed a statistically significant difference in the group \"ginger-lavender \"(p=0.001)and \"Mefenamic Acid \" (p=0.00), Bonferroni test in both groups showed a significant difference between the mean pain intensity before the intervention with the first and second cycle (p=0.00).Analysis of Variance showed that the mean pain score in the \"Ginger-Lavender \" group was 1.53 less than the\" Mefenamic Acid \" capsule. There was a significant difference in the duration of bleeding compared to the three cycle in the \"Ginger-Lavender\" group.(p=0.07)Conclusion:The results of the study showed \"Ginger-Lavender\" capsule reduces the pain of primary dysmenorrhea without any serious side effects and is more effective than Mefenamic Acid.","PeriodicalId":39154,"journal":{"name":"Iranian Journal of Obstetrics, Gynecology and Infertility","volume":"219 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77575434","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}
Pub Date : 2021-08-23DOI: 10.22038/IJOGI.2021.57920.4861
N. Kalani, Mehrdad Malekshoar, M. Vatankhah, Hamed Ghasemlo, F. Mogharab, S. Abiri, Lohrasb Taheri, M. Ghaedi, S. Sadeghi, A. R. Jahromi, Davood Rostaeai
Introduction: Prevention and control of maternal shivering during spinal anesthesia for cesarean section is very important in the appropriate outcomes of surgery, however, choosing the appropriate drug for this should be associated with few side effects for mother and baby. Therefore, this study was performed to evaluate the drugs used to control shivering in women under spinal anesthesia.Methods: The present study was a narrative review study. In this study, to find related studies, researchers conducted a computer search in the SID, Magiran and Google Scholar databases with Persian keywords including: spinal anesthesia, spinal anesthesia, shivering and cesarean section. In the initial stage of searching for studies, 364 studies were reviewed. The researchers then reviewed the searched articles and 341 studies were deleted because they were not related to the subject. Inclusion criteria for the present study included: Persian articles that dealt only with shivering in spinal anesthesia during cesarean section and also original research articles of clinical trial type. Exclusion criteria also included not having access to the full text of the article, abstracts of congressional papers, or conferences, and review or meta-analysis papers. Finally, 13 studies were used to write this study.Results: In reviewing the research background, different studies used different drugs to prevent shivering after cesarean section. Shivering after spinal anesthesia has been the specific goal of many studies with clinical trial design. Interventions in this regard included: intrathecal or intravenous injection of drugs such as magnesium sulfate, hydrocortisone, .
{"title":"Shivering control in women under spinal anesthesia: A reviewed study of the role of anesthetics","authors":"N. Kalani, Mehrdad Malekshoar, M. Vatankhah, Hamed Ghasemlo, F. Mogharab, S. Abiri, Lohrasb Taheri, M. Ghaedi, S. Sadeghi, A. R. Jahromi, Davood Rostaeai","doi":"10.22038/IJOGI.2021.57920.4861","DOIUrl":"https://doi.org/10.22038/IJOGI.2021.57920.4861","url":null,"abstract":"Introduction: Prevention and control of maternal shivering during spinal anesthesia for cesarean section is very important in the appropriate outcomes of surgery, however, choosing the appropriate drug for this should be associated with few side effects for mother and baby. Therefore, this study was performed to evaluate the drugs used to control shivering in women under spinal anesthesia.Methods: The present study was a narrative review study. In this study, to find related studies, researchers conducted a computer search in the SID, Magiran and Google Scholar databases with Persian keywords including: spinal anesthesia, spinal anesthesia, shivering and cesarean section. In the initial stage of searching for studies, 364 studies were reviewed. The researchers then reviewed the searched articles and 341 studies were deleted because they were not related to the subject. Inclusion criteria for the present study included: Persian articles that dealt only with shivering in spinal anesthesia during cesarean section and also original research articles of clinical trial type. Exclusion criteria also included not having access to the full text of the article, abstracts of congressional papers, or conferences, and review or meta-analysis papers. Finally, 13 studies were used to write this study.Results: In reviewing the research background, different studies used different drugs to prevent shivering after cesarean section. Shivering after spinal anesthesia has been the specific goal of many studies with clinical trial design. Interventions in this regard included: intrathecal or intravenous injection of drugs such as magnesium sulfate, hydrocortisone, .","PeriodicalId":39154,"journal":{"name":"Iranian Journal of Obstetrics, Gynecology and Infertility","volume":"70 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76226832","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}
Pub Date : 2021-07-23DOI: 10.22038/IJOGI.2021.18576
Azar Baba Ahmadi, Z. Pajouhideh, Salmaz Mohammadi
Introduction: Breastfeeding is one of the most important strategies for the growth and survival of children, because it provides their physical, physiological and mental needs up to 6 months, so this review study was performed with aim to determine the prevalence of exclusive breastfeeding and its related factors in Iran. Methods: In this systematic review and meta-analysis study, the databases of Scopus, PubMed, web of science, SID, Magiran, Iranmedex, IranDoc and Google Scholar, the references of selected articles and unpublished sources (conferences, thesis) with the keywords of Breastfeeding, Exclusive, Prevalence and Iran were evaluated from 2010-2019. The Strobe checklist was used to assess the quality, the I2 index was used to assess the heterogeneity, and the Egger’s test was used to assess the diffusion bias. The random effects model was used for the combined prevalence and odds ratio with 95% confidence interval. Data were analyzed by Stata software (version 16). Results: From 30 studies that their results were extracted, 19740 children were examined. The prevalence of exclusive breastfeeding was 0.49 (CI 95%; 0.38-0.59). The exclusive feeding odds ratio for type of delivery was 1.36 (CI 95%; 1.7-1.72), for education level was 1.36 (CI 95%; 1.01-1.84) and for maternal occupation was 2.15 (CI 95%; 1.09-4.23). Conclusion: The present study showed that the prevalence of exclusive breastfeeding was low and requires intervention measures.
{"title":"Prevalence of exclusive breastfeeding and its related factors in Iran: A systematic review and meta-analysis","authors":"Azar Baba Ahmadi, Z. Pajouhideh, Salmaz Mohammadi","doi":"10.22038/IJOGI.2021.18576","DOIUrl":"https://doi.org/10.22038/IJOGI.2021.18576","url":null,"abstract":"Introduction: Breastfeeding is one of the most important strategies for the growth and survival of children, because it provides their physical, physiological and mental needs up to 6 months, so this review study was performed with aim to determine the prevalence of exclusive breastfeeding and its related factors in Iran. Methods: In this systematic review and meta-analysis study, the databases of Scopus, PubMed, web of science, SID, Magiran, Iranmedex, IranDoc and Google Scholar, the references of selected articles and unpublished sources (conferences, thesis) with the keywords of Breastfeeding, Exclusive, Prevalence and Iran were evaluated from 2010-2019. The Strobe checklist was used to assess the quality, the I2 index was used to assess the heterogeneity, and the Egger’s test was used to assess the diffusion bias. The random effects model was used for the combined prevalence and odds ratio with 95% confidence interval. Data were analyzed by Stata software (version 16). Results: From 30 studies that their results were extracted, 19740 children were examined. The prevalence of exclusive breastfeeding was 0.49 (CI 95%; 0.38-0.59). The exclusive feeding odds ratio for type of delivery was 1.36 (CI 95%; 1.7-1.72), for education level was 1.36 (CI 95%; 1.01-1.84) and for maternal occupation was 2.15 (CI 95%; 1.09-4.23). Conclusion: The present study showed that the prevalence of exclusive breastfeeding was low and requires intervention measures.","PeriodicalId":39154,"journal":{"name":"Iranian Journal of Obstetrics, Gynecology and Infertility","volume":"15 1","pages":"103-115"},"PeriodicalIF":0.0,"publicationDate":"2021-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78181083","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}
Pub Date : 2021-07-23DOI: 10.22038/IJOGI.2021.18572
Fazeleh Hezareh, L. Moghaddam-Banaem, S. Shahali
Introduction: Diabetes is the most common medical complication of pregnancy. Identifying the new risk factor can help to early diagnosis of the disorder. CRP and Interleukin-6 are two inflammatory markers which can anticipate some pregnancy adverse complications. This study was performed with aim to assess the relationships between maternal serum CRP and Interleukin-6 (IL-6) at first trimester of pregnancy and gestational diabetes Mellitus (GDM) occurrence. Methods: This descriptive-analytical cross-sectional study was performed in 2015-2016 on 500 pregnant women with gestational age < 14 weeks in Nilou laborator, Tehran. Serum levels of CRP, IL-6, fasting blood sugar (FBS) and lipid profile were measured. GDM screening was performed in 24-28 weeks of gestation. Data were analyzed by SPSS statistical software (version 21) and Kolmogorov-Smirnov, Chi-square, Mann-Whitney tests and Logistic regression model. P<0.05 was considered statistically significant. Results: GDM was found in 78 women (15.6%). Median CRP levels in GDM and non-GDM groups (4.8 vs. 5.22 mg/ml) (P=0.089) and median IL-6 (1.45 vs. 1.5 pg/ml) (P=0.574) was different, but the difference was not statistically significant. After adjusting the confounding variables in the logistic regression model, there were no statistically significant relations between serum level of CRP (OR=1.01, CI95%=0.96-1.07) (P=0.50) and IL-6 (OR=1.01, CI95%=0.89-1.46) (P=0.88) with GDM occurrence. Conclusion: CRP and IL-6 levels are not significantly associated with the occurrence of GDM.
糖尿病是妊娠期最常见的医学并发症。确定新的危险因素有助于对这种疾病的早期诊断。CRP和白细胞介素-6是两种炎症标志物，可以预测一些妊娠不良并发症。本研究旨在评估妊娠早期产妇血清CRP和白细胞介素-6 (IL-6)与妊娠期糖尿病(GDM)发生的关系。方法:本描述性分析横断面研究于2015-2016年在德黑兰Nilou实验室对500名胎龄< 14周的孕妇进行。测定血清CRP、IL-6、空腹血糖(FBS)及血脂水平。妊娠24-28周进行GDM筛查。采用SPSS统计软件(第21版)、Kolmogorov-Smirnov检验、卡方检验、Mann-Whitney检验和Logistic回归模型对数据进行分析。P<0.05为差异有统计学意义。结果:GDM患者78例(15.6%)。GDM组与非GDM组中位CRP水平(4.8 vs 5.22 mg/ml) (P=0.089)、IL-6中位水平(1.45 vs 1.5 pg/ml) (P=0.574)差异无统计学意义。在logistic回归模型中调整混杂变量后，血清CRP水平(OR=1.01, CI95%=0.96 ~ 1.07) (P=0.50)和IL-6水平(OR=1.01, CI95%=0.89 ~ 1.46) (P=0.88)与GDM的发生无统计学意义。结论:CRP、IL-6水平与GDM的发生无显著相关性。
{"title":"The relationship between maternal serum Interleukin-6 and CRP levels at first trimester of pregnancy and gestational diabetes occurrence","authors":"Fazeleh Hezareh, L. Moghaddam-Banaem, S. Shahali","doi":"10.22038/IJOGI.2021.18572","DOIUrl":"https://doi.org/10.22038/IJOGI.2021.18572","url":null,"abstract":"Introduction: Diabetes is the most common medical complication of pregnancy. Identifying the new risk factor can help to early diagnosis of the disorder. CRP and Interleukin-6 are two inflammatory markers which can anticipate some pregnancy adverse complications. This study was performed with aim to assess the relationships between maternal serum CRP and Interleukin-6 (IL-6) at first trimester of pregnancy and gestational diabetes Mellitus (GDM) occurrence. \u0000Methods: This descriptive-analytical cross-sectional study was performed in 2015-2016 on 500 pregnant women with gestational age < 14 weeks in Nilou laborator, Tehran. Serum levels of CRP, IL-6, fasting blood sugar (FBS) and lipid profile were measured. GDM screening was performed in 24-28 weeks of gestation. Data were analyzed by SPSS statistical software (version 21) and Kolmogorov-Smirnov, Chi-square, Mann-Whitney tests and Logistic regression model. P<0.05 was considered statistically significant. \u0000Results: GDM was found in 78 women (15.6%). Median CRP levels in GDM and non-GDM groups (4.8 vs. 5.22 mg/ml) (P=0.089) and median IL-6 (1.45 vs. 1.5 pg/ml) (P=0.574) was different, but the difference was not statistically significant. After adjusting the confounding variables in the logistic regression model, there were no statistically significant relations between serum level of CRP (OR=1.01, CI95%=0.96-1.07) (P=0.50) and IL-6 (OR=1.01, CI95%=0.89-1.46) (P=0.88) with GDM occurrence. \u0000Conclusion: CRP and IL-6 levels are not significantly associated with the occurrence of GDM.","PeriodicalId":39154,"journal":{"name":"Iranian Journal of Obstetrics, Gynecology and Infertility","volume":"112 1","pages":"59-68"},"PeriodicalIF":0.0,"publicationDate":"2021-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87862535","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}
Pub Date : 2021-07-19DOI: 10.22038/IJOGI.2021.53723.4636
S. H. Hamidi, E. Alijanpour, Nadia Bani hashem, Meysam Ghorbanpour, K. Kazemi
Introduction and Objectives: Considering high prevalence of shivering in cesarean section, various methods have been used to reduce and treat it. Magnesium sulfate is a common drug used in pregnant women that has anti Shivering properties. The aim of this study was to compare the efficacy of intravenous magnesium sulfate as bolus or continuous infusion in prevention of Shivering following cesarean section.Methods: This study was an interventional clinical trial that was performed on 300 pregnant women with term pregnancies, singleton, who underwent elective cesarean section under spinal anesthesia. Patients were divided into 3 groups who immediately after spinal anesthesia received 30-minute infusion of magnesium sulfate, bolus injection of magnesium sulfate and normal saline, respectively. Vital signs and severity of shivering, along with complications such as nausea and vomiting, decreased heart rate and hypotension, and decreased arterial oxygen saturation were recorded and data analyzed.Results: Shivering at 30, 60, 75 and 90 minutes was significantly lower in the magnesium sulfate infusion group within 30 minutes than in the bolus receiving and control groups (p = 0.018).Conclusion: The prevalence of shivering was significantly reduced by continuous Infusion of magnesium sulfate. In the administration of magnesium sulfate, infusion within 30 minutes had a significant advantage in reducing the incidence of Shivering and less side effects than bolus administration.
{"title":"Comparison of bolus administration with continuous infusion of intravenous magnesium sulfate in the prevention of Shivering following cesarean section under spinal anesthesia, a double-blind randomized clinical trial","authors":"S. H. Hamidi, E. Alijanpour, Nadia Bani hashem, Meysam Ghorbanpour, K. Kazemi","doi":"10.22038/IJOGI.2021.53723.4636","DOIUrl":"https://doi.org/10.22038/IJOGI.2021.53723.4636","url":null,"abstract":"Introduction and Objectives: Considering high prevalence of shivering in cesarean section, various methods have been used to reduce and treat it. Magnesium sulfate is a common drug used in pregnant women that has anti Shivering properties. The aim of this study was to compare the efficacy of intravenous magnesium sulfate as bolus or continuous infusion in prevention of Shivering following cesarean section.Methods: This study was an interventional clinical trial that was performed on 300 pregnant women with term pregnancies, singleton, who underwent elective cesarean section under spinal anesthesia. Patients were divided into 3 groups who immediately after spinal anesthesia received 30-minute infusion of magnesium sulfate, bolus injection of magnesium sulfate and normal saline, respectively. Vital signs and severity of shivering, along with complications such as nausea and vomiting, decreased heart rate and hypotension, and decreased arterial oxygen saturation were recorded and data analyzed.Results: Shivering at 30, 60, 75 and 90 minutes was significantly lower in the magnesium sulfate infusion group within 30 minutes than in the bolus receiving and control groups (p = 0.018).Conclusion: The prevalence of shivering was significantly reduced by continuous Infusion of magnesium sulfate. In the administration of magnesium sulfate, infusion within 30 minutes had a significant advantage in reducing the incidence of Shivering and less side effects than bolus administration.","PeriodicalId":39154,"journal":{"name":"Iranian Journal of Obstetrics, Gynecology and Infertility","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75274146","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}
Pub Date : 2021-06-22DOI: 10.22038/IJOGI.2021.18437
R. Mourkani, F. Fahami, E. Naghshineh
Introduction: Infertility is one of the factors which have a significant effect on the sexual performance of couples, especially women. Infertility can affect sexual activity in infertile couples. On the other hand, ovulation stimulation therapies for infertility treatment can inhibit estrogen and thus reduce women's sexual function and satisfaction. Therefore, this study was performed with aim to determine and compare the sexual performance and satisfaction of women treated with two types of ovulation stimulant drugs: clomiphene and letrozole. Methods: This two-group analytical study was performed on 80 infertile women referred to infertility centers in Isfahan province in 2019. The research tools were the questionnaires of Beck, sexual function and sexual satisfaction, which were completed twice before and after receiving clomiphene and letrozole. Data were analyzed by SPSS software (version 22) and Independent t-test, Mann-Whitney, Chi-square, Paired t-test, Wilcoxon and Friedman tests. P<0.05 was considered statistically significant. Results: In intra-group comparison, there was no statistically significant difference before and after drug administration in the variables of sexual satisfaction (p=0.053) and sexual function (p=0.057), but in inter-group comparison, there was a statistically significant difference in sexual function of the clomiphene group (P 0.05). There was no significant difference in letrozole group before and after drug administration in both variables of sexual function and satisfaction (p=0.053). Conclusion: The score of sexual performance decreased in the clomiphene group, but sexual satisfaction did not show any difference in any of the groups. In other words, women's sexual function is affected by many factors, one of which is the use of assisted reproductive drugs, including clomiphene. Clomiphene inhibits vaginal moisture by inhibiting estrogen, which can cause pain and reduce sexual arousal, orgasm, and libido in women. For this purpose, it is recommended that active people in the field of infertility pay attention to this issue.
{"title":"Function and Sexual Satisfaction of Women Treated with Two Types of Ovulation Stimulant Drugs: Clomiphene and Letrozole","authors":"R. Mourkani, F. Fahami, E. Naghshineh","doi":"10.22038/IJOGI.2021.18437","DOIUrl":"https://doi.org/10.22038/IJOGI.2021.18437","url":null,"abstract":"Introduction: Infertility is one of the factors which have a significant effect on the sexual performance of couples, especially women. Infertility can affect sexual activity in infertile couples. On the other hand, ovulation stimulation therapies for infertility treatment can inhibit estrogen and thus reduce women's sexual function and satisfaction. Therefore, this study was performed with aim to determine and compare the sexual performance and satisfaction of women treated with two types of ovulation stimulant drugs: clomiphene and letrozole. \u0000Methods: This two-group analytical study was performed on 80 infertile women referred to infertility centers in Isfahan province in 2019. The research tools were the questionnaires of Beck, sexual function and sexual satisfaction, which were completed twice before and after receiving clomiphene and letrozole. Data were analyzed by SPSS software (version 22) and Independent t-test, Mann-Whitney, Chi-square, Paired t-test, Wilcoxon and Friedman tests. P<0.05 was considered statistically significant. \u0000Results: In intra-group comparison, there was no statistically significant difference before and after drug administration in the variables of sexual satisfaction (p=0.053) and sexual function (p=0.057), but in inter-group comparison, there was a statistically significant difference in sexual function of the clomiphene group (P 0.05). There was no significant difference in letrozole group before and after drug administration in both variables of sexual function and satisfaction (p=0.053). \u0000Conclusion: The score of sexual performance decreased in the clomiphene group, but sexual satisfaction did not show any difference in any of the groups. In other words, women's sexual function is affected by many factors, one of which is the use of assisted reproductive drugs, including clomiphene. Clomiphene inhibits vaginal moisture by inhibiting estrogen, which can cause pain and reduce sexual arousal, orgasm, and libido in women. For this purpose, it is recommended that active people in the field of infertility pay attention to this issue.","PeriodicalId":39154,"journal":{"name":"Iranian Journal of Obstetrics, Gynecology and Infertility","volume":"46 1","pages":"68-80"},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76286258","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}
Pub Date : 2021-06-22DOI: 10.22038/IJOGI.2021.18430
Fatemeh Najminouri, Molook Torabi
Introduction: Paying attention to dental and oral hygiene in vulnerable groups, including pregnant women, is important for protecting and maintaining maternal and fetal health. This study was performed with aim to determine the dimensions of health belief model Structures related to oral health behaviors among pregnant women in Kerman city. Methods: This descriptive, analytical and cross-sectional study was performed on 138 pregnant women in health centers of Kerman city in 2018. Data collection tool was a researcher-made questionnaire based on health belief model consisting of four sections: demographic information, oral hygiene status, health belief model and assessment of gingival plaque index by Silness and loe Method. Frequency and relative frequency were calculated for each of the variables. Data were analyzed by SPSS software (version 19) and linear regression analysis and t-test. P< 0.05 was considered statistically significant. Results: The mean and standard deviation of participants' plaque index was 1.16±0.62, oral hygiene score was 13.49±2.04 and total score of health belief model questionnaire was 130.70±11.84. 61. The plaque index had significant relationship with perceived benefit (p<0.05). Also, there was a significant relationship between health belief model with education level, pregnancy week and type of insurance (p<0.05). A significant relationship was found between oral hygiene status with education level and pregnancy week (p<0.05) Conclusion:Health performance and dental plaque index of pregnant women are in moderate range which is the result of fear from dental procedures. The total score of people's health belief model is also in the moderate range. So, attention to the beliefs and health aspects of pregnancy care and necessary education in this area is necessary and recommended.
导言:关注包括孕妇在内的弱势群体的牙齿和口腔卫生，对保护和维持孕产妇和胎儿健康至关重要。本研究旨在探讨克尔曼市孕妇口腔健康行为相关的健康信念模型结构的维度。方法:对2018年克尔曼市卫生中心的138名孕妇进行描述性、分析性和横断面研究。数据收集工具为基于健康信念模型的问卷调查，该问卷由人口统计信息、口腔卫生状况、健康信念模型和Silness and love法评估牙龈菌斑指数四部分组成。计算每个变量的频率和相对频率。数据采用SPSS (version 19)软件进行分析，采用线性回归分析和t检验。P< 0.05为差异有统计学意义。结果:受试者斑块指数的平均值和标准差为1.16±0.62，口腔卫生评分为13.49±2.04，健康信念模型问卷总分为130.70±11.84。61. 斑块指数与感知获益有显著相关(p<0.05)。健康信念模型与受教育程度、妊娠周数、保险类型有显著相关(p<0.05)。口腔卫生状况与受教育程度、妊娠周数有显著相关(p<0.05)。结论:孕妇健康状况和牙菌斑指数处于中等水平，这是对牙科手术的恐惧所致。人们健康信念模型的总分也处于中等范围。因此，重视孕期保健方面的信念和必要的教育是必要的，也是值得推荐的。
{"title":"The Dimensions of Health Belief Model Structures Related to Oral Health Behaviors aomng Pregnant Women in Kerman City in 2018 (A cross-sectional descriptive study)","authors":"Fatemeh Najminouri, Molook Torabi","doi":"10.22038/IJOGI.2021.18430","DOIUrl":"https://doi.org/10.22038/IJOGI.2021.18430","url":null,"abstract":"Introduction: Paying attention to dental and oral hygiene in vulnerable groups, including pregnant women, is important for protecting and maintaining maternal and fetal health. This study was performed with aim to determine the dimensions of health belief model Structures related to oral health behaviors among pregnant women in Kerman city. \u0000Methods: This descriptive, analytical and cross-sectional study was performed on 138 pregnant women in health centers of Kerman city in 2018. Data collection tool was a researcher-made questionnaire based on health belief model consisting of four sections: demographic information, oral hygiene status, health belief model and assessment of gingival plaque index by Silness and loe Method. Frequency and relative frequency were calculated for each of the variables. Data were analyzed by SPSS software (version 19) and linear regression analysis and t-test. P< 0.05 was considered statistically significant. \u0000Results: The mean and standard deviation of participants' plaque index was 1.16±0.62, oral hygiene score was 13.49±2.04 and total score of health belief model questionnaire was 130.70±11.84. 61. The plaque index had significant relationship with perceived benefit (p<0.05). Also, there was a significant relationship between health belief model with education level, pregnancy week and type of insurance (p<0.05). A significant relationship was found between oral hygiene status with education level and pregnancy week (p<0.05) \u0000Conclusion:Health performance and dental plaque index of pregnant women are in moderate range which is the result of fear from dental procedures. The total score of people's health belief model is also in the moderate range. So, attention to the beliefs and health aspects of pregnancy care and necessary education in this area is necessary and recommended.","PeriodicalId":39154,"journal":{"name":"Iranian Journal of Obstetrics, Gynecology and Infertility","volume":"41 1","pages":"35-46"},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87506109","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}
Pub Date : 2021-06-22DOI: 10.22038/IJOGI.2021.18427
F. Akhlaghi, Somayeh Moeindarbari, M. Najafi
Introduction: Gestational diabetes increases maternal and neonatal complications. Therefore, this study was performed with aim to examine the effect of the number of pregnancy cares on the reduction of maternal and neonatal complications in women with gestational diabetes. Methods: This cohort study was performed in 2018-2020 on 119 mothers with gestational diabetes in Omolbanin hospital. The subjects in the two groups of pregnancy visits < 10 times and ≥10 times were compared in terms of neonatal complications such as overweight 90%, dystocia and maternal complications like preeclampsia. Data were analyzed using SPSS statistical software (version 23) and independent t-test and Mann-Whitney, Chi-square and Fisher tests. P< 0.05 was considered statistically significant. Results: In this study, among 119 pregnant women with gestational diabetes, 37 (31.09%) were in the group of pregnancy visits ≥ 10 times and 82 (68.90%) in the group of pregnancy visits < 10 times. The number of infants weighing more than 90 percent was 4 (10.8%) in the group of pregnancy visits ≥ 10 times and was 4 (4.9%) in the group of pregnancy visits < 10 times, which had no statistically significant difference (P=0.2). Mean fasting blood sugar of mothers in third trimester was 91.22 ± 75.14 mg/dl in the group of pregnancy visits ≥ 10 times and was 93.65 ± 30.23 mg/dl in the group of pregnancy visits < 10 times, which was similar in both groups (P=0.2). Also, the incidence of preeclampsia was 3 (6.2%) in the group of pregnancy visits ≥ 10 times and 5 (8.1%) in the group of pregnancy visits < 10 times, which was similar in the two groups (P=0.8). There was no significant difference between the two groups in terms of other maternal and neonatal consequences. Conclusion: Increasing the number of pregnancy visits in women with gestational diabetes does not improve the maternal and neonatal outcomes.
{"title":"The Relationship between Number of Pregnancy Cares with Maternal and Neonatal Complications in Mothers with Gestational Diabetes","authors":"F. Akhlaghi, Somayeh Moeindarbari, M. Najafi","doi":"10.22038/IJOGI.2021.18427","DOIUrl":"https://doi.org/10.22038/IJOGI.2021.18427","url":null,"abstract":"Introduction: Gestational diabetes increases maternal and neonatal complications. Therefore, this study was performed with aim to examine the effect of the number of pregnancy cares on the reduction of maternal and neonatal complications in women with gestational diabetes. \u0000Methods: This cohort study was performed in 2018-2020 on 119 mothers with gestational diabetes in Omolbanin hospital. The subjects in the two groups of pregnancy visits < 10 times and ≥10 times were compared in terms of neonatal complications such as overweight 90%, dystocia and maternal complications like preeclampsia. Data were analyzed using SPSS statistical software (version 23) and independent t-test and Mann-Whitney, Chi-square and Fisher tests. P< 0.05 was considered statistically significant. \u0000Results: In this study, among 119 pregnant women with gestational diabetes, 37 (31.09%) were in the group of pregnancy visits ≥ 10 times and 82 (68.90%) in the group of pregnancy visits < 10 times. The number of infants weighing more than 90 percent was 4 (10.8%) in the group of pregnancy visits ≥ 10 times and was 4 (4.9%) in the group of pregnancy visits < 10 times, which had no statistically significant difference (P=0.2). Mean fasting blood sugar of mothers in third trimester was 91.22 ± 75.14 mg/dl in the group of pregnancy visits ≥ 10 times and was 93.65 ± 30.23 mg/dl in the group of pregnancy visits < 10 times, which was similar in both groups (P=0.2). Also, the incidence of preeclampsia was 3 (6.2%) in the group of pregnancy visits ≥ 10 times and 5 (8.1%) in the group of pregnancy visits < 10 times, which was similar in the two groups (P=0.8). There was no significant difference between the two groups in terms of other maternal and neonatal consequences. \u0000Conclusion: Increasing the number of pregnancy visits in women with gestational diabetes does not improve the maternal and neonatal outcomes.","PeriodicalId":39154,"journal":{"name":"Iranian Journal of Obstetrics, Gynecology and Infertility","volume":"52 1","pages":"10-15"},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86863415","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：