Comparison of single dose of cefazolion versus single dose of cefazolin plus seven days cephalexin prophylactic therapy in postoperative infections after elective cesarean section and immediate adverse effect of antibiotic on infants
Shahnaz
Ahmadi
Associate Professor, Department of Obstetrics and Gynecology, School of Medicine, Bushehr University of Medical Sciences, Bushehr, Iran.
author
Elham
Rahmani
Associate Professor, Department of Obstetrics and Gynecology, School of Medicine, Bushehr University of Medical Sciences, Bushehr, Iran.
author
Kambiz
Ahmadi
PhD student of Statistics, School of Science, Birjand University of Medical Sciences, Birjand, Iran.
author
Banafshe
Bahreman
Medical student, School of Medicine, Bushehr University of Medical Sciences, Bushehr, Iran.
author
text
article
2016
per
Introduction:Cesarean section is a surgery which has an important role in decreasing maternal and fetal morbidity in some special deliveries. But, it should be noted that infection due to caesarean section is one of the major cause of maternal morbidity and antibiotics are effective in prophylaxis of infection. This study was performed with aim to determine the necessary duration of antibiotic therapy to reduce infections in cesarean section. Methods: This randomized clinical trial, case-control study was performed on 204 women who were candidate for non-emergency cesarean section in Shohadaye Khalije Fars, Bushehr from 2014 to 2015. They were randomly divided to intervention (received single dose of prophylactic antibiotic after clamping umbilical cord) and control (received single dose of prophylactic antibiotic plus seven days of antibiotic after surgery) groups. They were assessed during 48 h after hospitalization in terms of fever, chills, cellulitis, discharge from incision site, uterine tenderness and they were also followed one week after discharge by referring to the clinic or hospital. Their infants were also evaluated during mother's hospitalization and also when referring by mother in terms of neonatal outcomes such as diarrhea, rash, and oral candidiasis. Data analysis was performed by SPSS software (version 18) and independent t-test, Chi-square and Fisher's exact test. PResults: There was no significant difference between the intervention and control groups in term of maternal complications including urinary tract infection by urine analysis (P=0.118), urine culture (P=0.180), metritis (P=0.622) and surgical site infection (P=0.076). Neonatal complications including diarrhea (P=0.621), rash (P=1).and oral candidiasis (P=1) has no significant difference between intervention and control groups. Conclusion: Single dose antibiotic can be used instead of seven day regimen of antibiotics to reduce the infection in non-emergency cesarean sections.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
19
v.
15
no.
2016
1
7
https://ijogi.mums.ac.ir/article_7395_4f51f23919c97d034c8b8aa247f67f6f.pdf
dx.doi.org/10.22038/ijogi.2016.7395
Effect of Hand and Foot Massage on Vital Signs of women after caesarean section
Masoumeh
Kordi
Assistant professor, Department of Midwifery, Evidence-based Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Morvarid
Irani
PhD student of Reproductive Health, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
author
Hamid Reza
Bahrami
Assistant Professor, Department of Acupuncture and Massage, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Fatemeh
Ghaffari Sardasht
M.Sc. of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
author
text
article
2016
per
Introduction: Assessment of vital signs is essential in determining the patient's health status. Change in vital signs can be the symptoms of the body's response to physical and psychological stress or changes in physiological functioning of the body. The massage-therapy helps to the improvement of nervous and cardiovascular system and cause a feeling of wellbeing, relaxation and comfort in the patient. Therefore, this study was performed with aim to determine the effect of massage on vital signs of women after cesarean section. Methods: This clinical trial was performed on 80 women referred to Mashhad Omolbanin hospital in 2013. The participants were randomly divided into two intervention and control groups. The intervention was hand and foot massage which was conducted by researcher for 20 minutes on the hands and feet of women after cesarean section each for 5 minutes in the women's surgical ward. Then their vital signs were measured using a mercury sphygmomanometer and counting pulse and respiration were measured before and immediately, 60 and 90 minutes after the intervention. Data were analyzed using SPSS software (version 16) and Mann-Whitney, Chi-square, analysis of variance with repeated measures, and Paired t-test. PResults: Hand and foot massage caused significant decrease in vital signs, so that mean number of breathing (P=0.03), pulse (P =0.003) and blood pressure (P =0.02) showed significant difference before and after massage (immediately, 60 and 90 minutes). Conclusion: Hand and foot massage improves the womenʹ vital signs after caesarean section that can indicate relaxation and reducing stress on them.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
19
v.
15
no.
2016
8
15
https://ijogi.mums.ac.ir/article_7397_9760b1aecaaed18444d88b39e29d733b.pdf
dx.doi.org/10.22038/ijogi.2016.7397
Systematic review on variety of effective treatment methods for postpartum hemorrhage in Iran and world
Sahar
Ghalandari
M.Sc. student of Midwifery, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Nourossadat
Kariman
Assistant Professor, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Zohreh
Sheikhan
M.Sc. of Midwifery, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Hadis
Shahrahmani
M.Sc. student of Midwifery, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Nayereh
Asadi
M.Sc. student of Midwifery, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
text
article
2016
per
Introduction: Postpartum hemorrhage (PPH) is the first cause of maternal mortality and morbidity in developing countries. Since treatment and prevention of postpartum hemorrhage is an essential step in the health of community and specially the health of women, many studies have been conducted on the effective treatment of PPH. This study was performed with aim to systematically review the studies about the medicinal and non-medicinal treatments of PPH in Iran and the world. Methods: In this systematic review, the information was searched from databases of IRCT, Google Scholar, SID, Scopus, Pubmed and Science Direct with keywords of postpartum hemorrhage and clinical trial during 2000 to 2015. Then, the articles which obtained the score of ≥ 3 based on Jadad criteria were entered to the study. Data were analyzed qualitatively. Results: Finally, 67 clinical trials involving 18 Iranian and 49 foreign articles which met inclusion criteria were investigated. Investigations indicated that there are very limited studies on herbal treatments while the studies on chemical treatments were numerous. Conclusion: The results showed that oxytocin is the first line treatment used in PPH due to its less side effects and the next drug is misoprostol. Further studies are needed to clarify the effect of other drugs.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
19
v.
15
no.
2016
16
38
https://ijogi.mums.ac.ir/article_7412_c4143c0b3b852c5f75c112262cb57077.pdf
dx.doi.org/10.22038/ijogi.2016.7412