Comparing the Effects of Conventional Surgery with Resection of a Layer of Cutaneous and Subcutaneous around the Surgical Incision on Decreasing the Rate of Surgical Wound Infection and Dehiscence in High Risk Patients Operated for Obstetrics and Gynecologic Conditions
Nazli
Navali
Assistant Professor, Department of Obstetrics and Gynecology, Women’s Reproductive Health Research Center, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
author
Parvin
Bastani
Assistant Professor, Department of Obstetrics and Gynecology, Women’s Reproductive Health Research Center, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
author
Behnaz
Najafnejad
Resident of Obstetrics and Gynecology, Women’s Reproductive Health Research Center, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
author
Fatemeh
Malah
Assistant Professor, Department of Obstetrics and Gynecology, Women’s Reproductive Health Research Center, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
author
text
article
2013
per
Introduction: Surgical wound infection is a bacterial infection in surgical site that cause problem in 1.2 to 7.1% of surgeries and 3 to 15% of cesarean deliveries. Different ways have been recommended to prevent infection in obstetrics and gynecologic surgeries such as prescribing prophylactic antibiotics and applying correct operation techniques. The aim of this study was comparing the effect of excising of a layer of cutaneous and subcutaneous during abdominal wall closing after surgeries on reducing wound infection.
Methods: This randomized clinical trial was carried out in Taleghai and Alzahra hospitals, Tabriz, Iran during 2012 on 740 gynecologic operation candidates who were high risk of wound infection. Cases were divided into two groups. In first group closing incision site was performed traditionally and in second group a layer of cutaneous and subcutaneous all around incision site was resected. Clinical findings of wound infection during 10 days after operation was studied and two groups were compared. Data were analyzed using SPSS software version 17, t-test, chi-square and Exact Fisher tests. P value less than 0.05 was considered significant.
Results:The differences between both control and intervention groups were not statistically significant regarding age, weight, height and distribution of wound infection factors (p>0.05). 28 cases (7.4%) in intervention group and 45 women (12.1%) in control group had wound infection, that the difference was statistically significant (p=0.04). Among risk factors of wound infection, intervention only made a significant statistical reduction in wound infection in obese patients in relation to control group (p<0.05).
Conclusion: Resection of a layer of cutaneous and subcutaneous during abdominal wall closing after obstetrics and gynecologic surgeries can decrease wound infection especially in obese patients.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
16
v.
58
no.
2013
1
7
https://ijogi.mums.ac.ir/article_1469_db7643b572aeac6f6d2b4b20bf2cebbf.pdf
dx.doi.org/10.22038/ijogi.2013.1469
Relationship between Spiritual Intelligence and Resilience to Stress in Preference of Delivery Method in Pregnant Women
Anahita
Khodabakhshi Koolaee
Assistant Professor, Department of Family Counseling, School of Behavioral Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
author
Sadigheh
Heidari
M.Sc. of Family Counseling, School of Psychology and Educational Sciences, Shahid Beheshti University of Tehran, Tehran, Iran.
author
Abolghasem
Khoshkonesh
Assistant Professor, Department of Counseling, School of Psychology and Educational Sciences, Shahid Beheshti University of Tehran, Tehran, Iran.
author
Mahmood
Heidari
Assistant Professor, Department of Psychology, School of Psychology and Educational Sciences, Shahid Beheshti University of Tehran, Tehran, Iran.
author
text
article
2013
per
Introduction: Childbirth is one of the wonderful experiences in woman’s life. As this experience is unforgettable, the type of delivery is effective in formation of women’s physical and psychological impacts. Two psychological elements; spiritual intelligence and resilience to stress could be effective in preference delivery method. This study was done to investigate the relationship between spiritual intelligence and resilience to stress in preference of delivery method in pregnant women.
Methods: This descriptive-correlational study was conducted on 211 pregnant women who referred to Tehran health centers in 2012. Randomized cluster sampling method was used. Data were collected by Connor-Davidson resilience scale and sub-scales, King Spiritual intelligence scale and a demographic research made questionnaire. Data were analyzed by Chi-square test, Pearson correlation coefficient and regression. P value less than 0.05 was considered significant.
Results: All sub-scales of spiritual intelligence were associated with pregnant women’s resilience (p<0.001). Two sub-scales of spiritual intelligence; critical existential thinking and personal meaning making were associated with pregnant women’s preference of delivery method (p<0.05). There was no significant relationship between demographic characterizes and preference of delivery method (p=0.05).
Conclusion: The women who had critical existential thinking and personal meaning making preferred to tolerate more the pain of due and find the meaning in their pain.Spiritual intelligence would improve interested of pregnant women’s resilience and natural delivery preference.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
16
v.
58
no.
2013
8
15
https://ijogi.mums.ac.ir/article_1470_8f906095220f25cbae5d7892cc04cad8.pdf
dx.doi.org/10.22038/ijogi.2013.1470
The Relationship between Attitudes toward Modern Assisted Reproductive Technique and Demographic Characteristics of Infertile Cases
Fariba
Shakiba
M.Sc. of Rehabilitation Counseling, School of Behavioral Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
author
Manoochehr
Azkhosh
Ph.D. of Clinical Psychology, School of Behavioral Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
author
Behrooz
Dolatshahee
Ph.D. of Clinical Psychology, School of Behavioral Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
author
Jalal
Younesi
Ph.D. of Clinical Psychology, School of Behavioral Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
author
Maryam
Eftekhar
Gynecologist, Fellowship of Infertility, Research and Clinical Center for infertility, School of Medicine, Shahid Sadoughi University of Medical Sciences of Yazd, Yazd, Iran.
author
text
article
2013
per
Introduction: Nowadays, with advances in medical sciences, possibility of fertility has been provided for many couples, but according to characteristics of this methods and challenges facing these therapies, their acceptance will depend on several factors. The aim of this study was determining the relationship between demographic characteristics of infertile cases with their attitudes toward modern assisted reproductive techniques.
Methods: This descriptive-correlational study was carried out on 250 infertile men and women who referred to infertility research center of Yazd, Iran, 2012. Cases were selected randomly. Data were collected by two-part questionnaire containing demographic information and attitudinal statements and analyzed using SPSS software version 18, independent t-test, ANOVA and Spearman correlation coefficient tests. P value less than 0.05 was considered significant.
Results: The differences between duration of marriage (p=0.01), duration of infertility (p=0.000), age (p=0.04) and income (p=0.004) were statistically significant with attitudes toward assisted reproductive techniques. But, no significant differences were found between attitudes scores toward assisted reproductive techniques and gender, education level and type of accommodation (p>0.05).
Conclusions: The increase in duration of marriage, duration of infertility, age and adequate income will affect infertile attitudes toward assisted reproductive techniques.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
16
v.
58
no.
2013
16
23
https://ijogi.mums.ac.ir/article_1471_2b9ba5e438a0cd23743f2c7ee67e3012.pdf
dx.doi.org/10.22038/ijogi.2013.1471