Comparison between Rectal Misoprostol and Vaginal Misoprostol for First Trimester Termination of Pregnancy in Patients with Previous Uterus Surgery
Sedigheh
Ayati
Associate Professor, Department of Obstetrics and Gynecology, Women’s Health Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Fatemeh
Vahid Roudsari
Associate Professor, Department of Obstetrics and Gynecology, Women’s Health Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Maliheh
Banavi
Resident of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Mohammad Taghi
Shakeri
Associate Professor, Department of Social Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Azhar
Berahmat
B.Sc. of Midwifery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
text
article
2013
per
Introduction: Induced abortion is a medical or surgical termination of pregnancy before fetal viability for maternal or fetal indication. Recently, medical treatment has been more commonly used due to surgical complications. In this context, misoprostol has been widely prescribed. The aim of this study is to compare rectal misoprostol and vaginal misoprostol for first trimester termination of pregnancy in patients with previous uterus surgery. Methods: This clinical trial study was conducted on 80 pregnant women at first trimester of pregnancy with history of previous cesarean section who referred for pregnancy termination to Ghaem hospital of Mashhad, Iran in 2010. They were randomly divided into two groups of misoprostol 800 microgram vaginal and 800 microgram rectal. The complication and outcomes of abortion were evaluated in two groups. Data were analyzed by SPSS software version 11.5, chi-square, t-student, Mann-Whitney and Kruskal-Wallis tests. P value less than 0.05 was considered significant. Results: Mean age of patient in rectal group was 29.41±5.9 years and 30.46±5.8 years in vaginal group. Mean gestational age was 9.6±1.9 weeks in rectal group and 9.7±2.3 weeks in vaginal group. Complete evacuation occurred in 84.6% of cases in rectal group and 75.6% of patients in vaginal group. 6 patients (15.4%) in rectal group and 10 cases (24.4%) in vaginal group needed to undergo curettage. No significant differences were observed between two groups in terms of fever (p=0.361), nausea (p=0.814), diarrhea (p=0.676), chills (p=0.890), sedation (p=0.258) and need to transfusion (p=0.971) and no cases of uterus rupture was found. Conclusion: Both rectal and vaginal misoprostol is effective for medical termination of pregnancy in first trimester of pregnancy in patients with previous cesarean section.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
15
v.
42
no.
2013
1
6
https://ijogi.mums.ac.ir/article_569_a2cc76d4ba212182401c6872ddf23d8e.pdf
dx.doi.org/10.22038/ijogi.2013.569
Relationship between Periodontal Diseases and ABO Blood Groups and Rh System in Pregnant Women
Surena
Vahabi
Assistant Professor, Department of Periodontics, Faculty of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Mahdi
Aslani
Dentist, Faculty of Dentistry, Qazvin University of Medical Sciences, Qazvin, Iran.
author
text
article
2013
per
Introduction: Periodontal diseases, especially gingivitis, are the most common oral diseases during pregnancy. Regarding to high prevalence of periodontal diseases in pregnant women as a high risk group and unknown role of blood groups as a possible predisposing factor, this study was done to investigate the relationship between periodontal diseases and ABO blood groups and Rh system in pregnant women. Methods: This analytical study was carried out on 800 pregnant women (200 pregnant women in each ABO blood groups) in third trimester of pregnancy who were referred to Karaj health centers, Iran, 2010. During the examination, ultrasonographic probe was held in teeth 3, 9, 12, 19, 25 and 28. Periodontal disease index such as modified gingival index and simplified oral hygiene index were measured. Chi-square test was used to determine the relationship between periodontal diseases and ABO blood groups. P value less than 0.05 was considered significant. Results: There were no significant relationships between periodontal diseases and ABO blood groups and Rh system in pregnant women. Rh negative pregnant women had less periodontal attachment loss (16.2%). Conclusion: Rh positive pregnant women are considered as the high risk group.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
15
v.
42
no.
2013
7
12
https://ijogi.mums.ac.ir/article_570_c2cbf37f8fdeff035b2df113ebd6f2dc.pdf
dx.doi.org/10.22038/ijogi.2013.570
Domestic Violence in Pregnancy, Outcomes and Strategies: A Review Article
Nahid
Golmakani
Lecturer of Midwifery, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Elham
azmoude
M.Sc. Student of Midwifery, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
author
text
article
2013
per
Introduction: Nowadays, domestic violence against women is considered as one of the most important of public health problems. Study on domestic violence in pregnancy is essential to clarify the relationship between different types of violence and its physical and mental health outcomes. The aim of this study was to review the outcomes of domestic violence in pregnancy and it’s considered strategies. Methods: PubMed, Science Direct, Google Scholar, SID and Iran medex databases were searched and 110 related articles were found. Ultimately, 55 articles which examined domestic violence consequences in pregnant women between 1995 to 2012 were evaluated. Results: Domestic violence in pregnancy was associated with multiple complications such as miscarriage, preterm labor, vaginal bleeding, preeclampsia, dystocia and postpartum depression. Although, the relationship did not exist in few studies or it was not statistically significant, the correlation has reached to significant level with different design and setting or doing the study in other location and period of time. Conclusions: Adverse effect of domestic violence on pregnancy and evidence of the effectiveness of screening and intervention programs on domestic violence indicates the necessity of using screening programs more.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
15
v.
42
no.
2013
13
22
https://ijogi.mums.ac.ir/article_571_9c6d1a941d983d262849d0e0e40da461.pdf
dx.doi.org/10.22038/ijogi.2013.571
The Effect of Sexual Health Education on Couples’ Sexual Satisfaction
Aghdas
Karimi
Ph.D. Student of Reproductive Health, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Salmeh
Dadgar
Assistant Professor, Department of Obstetrics and Gynecology, Women’s Health Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Maliheh
Afiat
Assistant Professor, Department of Obstetrics and Gynecology, Women’s Health Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Nafise
Rahimi
M.Sc. of Nursing, Faculty of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran.
author
text
article
2013
per
Introduction: Sexual dissatisfaction is the main cause of nearly 80% of marital conflicts. Many Iranian couples suffer from sexual dissatisfaction. The purpose of this study was to evaluate the effect of sexual health education on couples' sexual satisfaction.
Methods: This randomized clinical trial was conducted on 34 couples that eligible for the study in 2011. Couples were randomly divided into two experimental and control groups. Pretest was completed by all couples at the beginning of the study. One week after, 4 session of sexual health education (each session 120 minutes) was held separately for men and women for experimental group and the control group did not receive any intervention. Post-test was done for both groups 3 month after educating. Data were collected by demographic characteristics and sexual satisfaction questionnaire and analyzed with SPSS software version 16 and descriptive statistics tests, chi-square, t-test and paired t-test. P value less than 0.05 was considered significant.
Results: There were no significant statistical differences between two groups in term of demographic characteristics and couples’ sexual satisfaction at the beginning of the study, but a significant difference was seen in term of couples’ sexual satisfaction 3 months after educating (p=0.01). Evaluating men’s sexual satisfaction in experimental and control groups had shown a significant difference (p=0.02), also for men in experimental group before and after the study (p=0.01).
Conclusion: Sexual health education affects on the quality of sexual relationship and increase couples’ sexual satisfaction. Considering the unpleasant effect of sexual dissatisfaction on couples’ life, sexual health education is recommended as one of the most important guidelines to help couples to improve sexual satisfaction.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
15
v.
42
no.
2013
23
30
https://ijogi.mums.ac.ir/article_606_98b79b9db67fa6c4fe9cae6900efb1ce.pdf
dx.doi.org/10.22038/ijogi.2013.606