Changes of D dimer in women with gestational diabetes and healthy women after elective cesarean section
Fatemeh
Mallah
Associate Professor, Department of Gynecology Surgery, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
author
Mina
Zeinalzadeh
B.Sc. student of Anesthesia, School of Paramedical, Tabriz University of Medical Sciences, Tabriz, Iran.
author
Dara
Alvandfar
Assistant Professor, Department of General and Vascular Surgery, Comfortable Breathing and Sleep Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
author
text
article
2021
per
Introduction: Due to the increasing prevalence of gestational diabetes, which is one of the indications for cesarean section, and both of these cases have adverse effects on the coagulation pathway, this study was performed with aim to compare the level of D-dimer in two groups of healthy and diabetic pregnant women after cesarean section to assess the coagulation risks after cesarean section.
Methods: This descriptive study was performed in 2019 on 150 healthy and gestational diabetes women who were candidates for elective cesarean section in 2019. The level of D-dimer was measured on the day before surgery, the day after surgery, on the seventh and fourteenth days for both groups. Data were analyzed by SPSS software (version 22) and Independent t-test, Chi-square, regression and Spearman correlation tests. P<0.05 was considered statistically significant.
Results: The level of D-dimer on the day after surgery had the most statistically significant difference between healthy and gestational diabetes women (P=0.001). Also, on seven days after surgery (P=0.012) and 14 days after surgery (P=0.039), the amount of D-dimer was significantly higher in women with gestational diabetes than healthy women. It was also found that smoking (P=0.031) and previous history of pregnancy (P=0.041) were significantly associated with increased D-dimer levels in women with gestational diabetes.
Conclusion: Gestational diabetes plays a role in increasing the level of D-dimer and can lead to an increase in plasma level of D-dimer.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
24
v.
10
no.
2021
1
7
https://ijogi.mums.ac.ir/article_19383_d092d2c304c15bd2559e4df374142e9b.pdf
dx.doi.org/10.22038/ijogi.2021.19383
The effect of propranolol plus misoprostol with misoprostol alone on induction of labor
Atieh
Mohammadzadeh Vatanchi
Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Leila
Pourali
Associate Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Sedigheh
Ayati
Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Sara
Mirzaeian
Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Hassan
Mehrad Majd
Assistant Professor, Department of Molecular Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Azra
Rashidnejad
General Physician, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
text
article
2021
per
Introduction: One of the important issues in obstetrics is labor induction in the inappropriate conditions of the cervix. Misoprostol improves the condition of the cervix and shortens the duration of the labor and help in delivery sucess. Some studies have been published on the effect of propranolol on labor process in favor of shortening the labor. Therefore, this study was performed with aim to compare the effect of propranolol plus misoprostol with misoprostol alone on labor induction.
Methods: This double-blind clinical trial study was performed from November 2017 to September 2019 on 70 pregnant women referred to the maternities of Mashhad University Hospitals. The subjects were randomly divided into two groups. One group received 25 micrograms of sublingual misoprostol every 4-6 hours up to 6 doses plus a placebo capsule, and the other group received misoprostol with the same dose and method of the first group plus two doses of oral 20mg Propranolol tablet with interval of 4 hours. The interval between drug administration with onset of effective contractions, and onset of active phase and delivery were evaluated and compared in the two groups. Data were analyzed by SPSS statistical software (version 16). T-test and chi-square test were used to compare the groups, and equivalent non-parametric methods were used if necessary.
Results: Mean interval of induction onset to effective contractions did not show any significant difference between the two groups (P=0.394). There was no significant difference between the two groups in the mean interval of induction onset to 4cm dilatation (P=0.82) and the mean interval of induction onset to delivery (P=0.108). Delivery complications showed no significant difference between the two groups (P=0.397). There was no significant difference between the two groups in the mean first and fifth minute Apgar score (P=0.715 and P=0.819, respectively).
Conclusion: Propranolol use had no effect on decreasing the induction to delivery interval and reducing cesarean rate. Also, it didn’t cause changes in neonatal outcomes and maternal complications. There were no side effects of propranolol tablets, including bradycardia, hypotension, and drowsiness.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
24
v.
10
no.
2021
8
14
https://ijogi.mums.ac.ir/article_19384_594e5684b12f785af1deeae6800442e3.pdf
dx.doi.org/10.22038/ijogi.2021.19384
The effect of Ringer's lactate serum with 0.9% sodium chloride on maternal and neonatal acid status in elective cesarean section: a triple-blind randomized clinical trial
Reyhaneh
Abri
Assistant Professor, Department of Anesthesiology and Operating Room, School of Paramedical, Tabriz University of Medical Sciences, Tabriz, Iran.
author
Farnaz
Moslemi
Professor, Department of Anesthesiology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
author
text
article
2021
per
Introduction: Clear changes in neonatal acid-base in the early minutes can have adverse effects on the hemodynamic status of the neonate; different serums have different effects on the acid-base status. Therefore, this study was performed with aim to compare the effects of 0.9% sodium chloride serum with Ringer lactate serum on maternal and neonatal acid-base status in elective cesarean section.
Methods: This triple-blind randomized clinical trial study was performed with participation of 48 pregnant women in 2018-2019. The first group received 0.9 sodium chloride serum and the second group received ringer lactate serum. Arterial blood samples before cesarean section (mother) and after cesarean section (mother and baby) and neonatal Apgar score in the first and fifth minutes were recorded and compared between the two groups. Data were analyzed by SPSS software (version 21) and independent t-test, paired t-test, Chi-square test, Mann-Whitney test, analysis of variance and repeated measures. P<0.05 was considered statistically significant. Results: All factors studied in ABG were significant between the two groups of mothers, indicating a higher acidity in the 0.9% sodium chloride group than the ringer-lactate group (p<0.05). On the other hand, there was no significant difference between the studied factors in neonates (ABG and Apgar scores) between the two groups (p>0.05).
Conclusion: 0.9% sodium chloride compared to lactated ringer causes acidosis in mothers undergoing elective cesarean section with spinal anesthesia, but none of them has a significant effect on the acid-base status of the infant. Ringer's lactate serum seems to be a good alternative to 0.9% sodium chloride serum, especially in mothers who are at higher risk for acidosis.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
24
v.
10
no.
2021
15
24
https://ijogi.mums.ac.ir/article_19385_77c02065177f96d8fd759761b5e05ff2.pdf
dx.doi.org/10.22038/ijogi.2021.19385
A course of hydrotherapy exercises on varicose veins pain in postmenopausal women with multiple sclerosis
Saeid
Charsouei
Assistant Professor, Department of Neurology ,Faculty of Medicine, Tabriz University of Medical Sciences Tabriz, Iran.
author
Nafiseh
Sheghaghi
B.Sc. Student of Anesthesia, School of Paramedical, Tabriz University of Medical Sciences, Tabriz, Iran.
author
Dara
Alvandfar
Assistant Professor, Department of General and Vascular Surgery, Comfortable Breathing and Sleep Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
author
text
article
2021
per
Introduction: Since varicose veins pain in MS patients are much more than others and these two factors have a detrimental effect on the quality of life of these women during menopause and on the other hand due to the positive effects of non-pharmacological methods such as hydrotherapy, this study was performed with aim to investigate a course of hydrotherapy exercises on varicose veins pain in postmenopausal women with multiple sclerosis.
Methods: This randomized controlled clinical trial study was performed in 2019 on 24 postmenopausal women with multiple sclerosis with varicose veins pain in Sina Hospital of Tabriz. The subjects were randomly divided into control and intervention groups. The intervention group performed 24 sessions (eight weeks) the exercises in the pool for one hour each time. Pain intensity was measured before the study and one month after the end of the study. Data were analyzed by SPSS software (version 21) and dependent and independent t-tests. P<0.05 was considered statistically significant.
Results: After the end of the intervention, it was found that pain intensity in the intervention group significantly reduced (P=0.001), while pain intensity in the control group did not change significantly (P=0.298). Comparison of pain intensity at the end of the study between the two groups showed that the pain intensity was significantly lower in the intervention group compared to the control group (P=0.001).
Conclusion: Exercise in water has led to positive effects in reducing the severity of varicose veins pain in postmenopausal women with multiple sclerosis.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
24
v.
10
no.
2021
25
32
https://ijogi.mums.ac.ir/article_19386_17ea2874dd32c9ce602e4ccd0f67aa79.pdf
dx.doi.org/10.22038/ijogi.2021.19386
Outcome of normal delivery with and without episiotomy in primiparous mothers in Sabzevar Mobini Hospital
Mitra
Eftekhari Yazdi
Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran.
author
Mostafa
Rad
Associate Professor, Department of Nursing, Elderly Research Center, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran.
author
Behnaz
Souizi
Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran.
author
Sepideh
Behrozinasab
B.Sc. in Midwifery, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran.
author
Neda
Mahdavifar
Instructor, Department of Biostatistics and Epidemiology, Non-Communicable Diseases Research Center, School of Health, Sabzevar University of Medical Sciences, Sabzevar, Iran.
author
Marziyeh
Torkmannejad Sabzevari
M.Sc. in Midwifery, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran.
author
text
article
2021
per
Introduction: Limited use of episiotomy and performing selective episiotomy versus conventional episiotomy has been recommended in various studies. But according to the statistics from developing countries, episiotomy is still the most common obstetric incision. The most common cause of episiotomy in low-risk mothers is maternal concern about severe perineal injuries. This study was performed with aim to compare perineal injuries in normal delivery of primiparous mothers with and without episiotomy.
Methods: This descriptive-analytical study was performed by reviewing 3602 files of primiparous pregnant women who had a normal delivery in Sabzevar Obstetrics and Gynecology Hospital during 2017 and 2019. Data collection tool was a researcher-made checklist. The maternal demographic variables, active phase length, neonatal weight, neonatal head circumference, labor mobility, induction or non-induction with oxytocin, and exposure to analgesia, neonatal hospitalization in neonatal intensive care unit (NICU), neonatal death and the degree of perineal damage including grade 1, 2, 3 and 4 laceration. Data were analyzed by SPSS software (version 21) and Chi-square and regression tests. P<0.05 was considered statistically significant.
Results: In the delivery group without episiotomy, 317 mothers (37.8%) had healthy perineum, 324 (38.5%) grade 1 laceration and 56 (6.6%) grade 2 laceration, but in the delivery group with episiotomy, 1302 (99.3%) had grade 2laceration. Chi-square test showed a significant difference between the two groups in terms of perineal injuries (P= 0.0001). The rate of severe perineal injuries was not significantly different in the delivery group with and without episiotomy (p> 0.05). The NICU admission was not significantly different between the two groups (p> 0.05).
Conclusion: Delivery without episiotomy in primiparous mothers who don't have risk factors for maternal diabetes, instrumental delivery and infant weight > 4000 g, does not increase severe perineal injuries.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
24
v.
10
no.
2021
33
39
https://ijogi.mums.ac.ir/article_19387_7349d92083a8697167716c46a775f186.pdf
dx.doi.org/10.22038/ijogi.2021.19387
Relationship between body mass index and the clinical predictors of polycystic ovary syndrome in adolescent girls
Somayeh
Abdolahian
PhD student of Reproductive Health, Department of Midwifery and Reproductive Health, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Fahimeh
Ramezani Tehrani
Professor, Department of Obstetrics and Gynecology, Reproductive Endocrinology Research Center, Research Institute for Endocrine Sciences and Metabolism, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Fatemeh
Nahidi
Associate Professor, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Delaram
Ghodsi
Assistant Professor, Department of Nutrition, Nutrition Research Department, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Mahdi
Jafari
PhD in Health Psychology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Hamid
Alavi Majd
Professor, Department of Biostatics, School of Paramedicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
text
article
2021
per
Introduction: Polycystic ovary syndrome is one of the most common endocrine diseases of adolescents in the world, which has negative effects on fertility issues in adulthood. Since adolescent weight gain increases the risk of symptoms, this study was performed with aim to investigate the relationship between adolescent body mass index and clinical predicting factors of polycystic ovary syndrome.
Methods: This descriptive- analytical study was conducted in 2019 on 751 adolescents aged 16 to 18 years at risk of polycystic ovary syndrome in Tehran girls' high school. Body mass index, menstrual cycle, hair loss, acne and hirsutism were examined. Data were analyzed by SPSS software (version 25) and chi-square and logistic regression tests. P<0.05 was considered statistically significant.
Results: The results of the showed that there was no significant relationship between body mass index with menstrual cycle order (p = 0.142) and also acne (p = 0.64). But significant positive relationship was found between body mass index with hirsutism (p = 0.02) and also hair loss (p = 0.03).
Conclusion: The increase in body mass index is associated with increase in the severity of clinical symptoms of hyperandrogenism such as hair loss and hirsutism in female adolescents at risk for polycystic ovary syndrome.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
24
v.
10
no.
2021
40
47
https://ijogi.mums.ac.ir/article_19388_cae0aec87eb99383029b19bf7383fb65.pdf
dx.doi.org/10.22038/ijogi.2021.19388
The Effect of Vitex and Salvia Officinalis Extract on Some Osteogenic Factors in Postmenopausal Women: A triple-blind randomized clinical trial
Afsaneh
Zeidabadi
Instructor, Department of Midwifery, Community Mental Health Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
author
Mohammad Hosein
Dabbaghmanesh
Professor, Department of Endocrinology, Endocrine and Metabolism Research Center, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
author
Mohammad Reza
Sasani
Assistant professor, Department of Radiology, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
author
Masoumeh
Emamghoreishi
Professor, Department of Pharmacology, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
author
Marziyeh
Akbarzade
Assistant professor, Department of Midwifery, Maternal-Fetal Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
author
text
article
2021
per
Introduction: Rapid bone loss after menopause is partly due to the formation of free radicals; the phenolic compounds of some plants eliminate these free radicals and most likely suppress bone destruction. This study was performed with aim to compare the effect of vitex and salvia officinalis extract on some osteogenic factors in postmenopausal women.
Methods: This triple-blind randomized clinical trial study was performed in 2015 on 99 postmenopausal women referred to the bone mass density center. The subjects were randomly divided into three groups of Vitex tablet, Salvia Officinalis extract and placebo; the intervention was performed for 3 months. Tests for osteogenic factors (alkaline phosphatase, osteocalcin, telopeptide-c (CTx)) were performed before and after the intervention. Chi-square, analysis of variance, paired t-test and LSD post hoc tests were used. P<0.05 was considered statistically significant.
Results: Mean alkaline phosphatase, osteocalcin and telopeptide-c decreased after the intervention compared to before the intervention in the vitex and salvia officinalis groups (p<0.001). Based on the results of LSD post hoc test, the difference between the mean scores of alkaline phosphatase (p <0.05), osteocalcin and telopeptide-c was significantly different between the vitex and salvia officinalis groups with the control group after the intervention (p <0.05), but the difference of mean score of telopeptide-c was not statistically significant between the vitex and salvia officinalis groups after the intervention (p = 0.118).
Conclusion: Vitex and Salvia Officinalis extract after the intervention were effective in reducing some estrogenic factors such as alkaline phosphatase, osteocalcin and telopeptide c after the intervention.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
24
v.
10
no.
2021
48
60
https://ijogi.mums.ac.ir/article_19389_63c5872546de5412c60125dd0098afb4.pdf
dx.doi.org/10.22038/ijogi.2021.19389
Relationship between rs4073 polymorphism of interleukin 8 gene and cervical cancer by arms-PCR Tetra-primer
Niloufar
Hashemi Sabet
M.Sc. of Cellular and Molecular, School of Basic Sciences, Yadegar-e-Imam Khomeini (RAH) Islamic Azad University, Shahre Rey Branch, Tehran, Iran.
author
Seyyedeh Mahdokht
Maddah
Assistant Professor, Department of Biology, School of Basic Sciences, Yadegar-e-Imam Khomeini (RAH) Islamic Azad University, Shahre Rey Branch, Tehran, Iran.
author
Kumars
Amini
Associate Professor, Department of Biology, School of Basic Sciences, Islamic Azad University, Saveh Branch, Saveh, Iran.
author
text
article
2021
per
Introduction: Cervical cancer is the second most common cancer among women. Interleukin-8 (IL-8) is a member of the chemokine family and is involved in initiating inflammatory reactions. Previous studies have shown that polymorphisms in the IL-8 gene are associated with an increased risk of various types of cancer. This study was performed with aim to investigate the association between IL-8 -251A> T polymorphism (rs4073) with cervical cancer in the female population in Tehran using Tetra primer arms-PCR.
Methods: In this case-control study which was performed in 2018, a total of 100 blood samples were examined, of which 50 samples were related to women with cervical cancer and another 50 samples belonged to healthy women as a control group. After DNA extraction from all samples, the frequency of IL-8 -251A> T polymorphism (rs4073) was evaluated using Tetra primer arms-PCR technique. Data were analyzed by SPSS statistical software (version 21) and chi-square test. P<0.05 was considered statistically significant.
Results: The frequency of TT, AT, AA genotypes was 42%, 50% and 8%, respectively in the patient group and 24%, 70% and 6%, respectively in the control group. The frequency of A and T alleles in the patients was 33% and 67% and in the healthy individuals was 41% and 59%, respectively. There was no significant difference between the control and patient groups in allelic distribution (P = 0.24) and genotype in all three codominant models (p=0.16), dominant (p=0.055) and recessive (P = 0.6).
Conclusion: There was no relationship between IL-8 gene T-251A polymorphism and cervical cancer in the population of women studied in Tehran.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
24
v.
10
no.
2021
61
70
https://ijogi.mums.ac.ir/article_19390_446b341578aef1b403eec85abe505d0b.pdf
dx.doi.org/10.22038/ijogi.2021.19390
The effect of Evening primrose on blood sugar and lipid profile of prediabetic postmenopausal women: Randomized clinical trial
Asma
Absalan
M.Sc. Student of Midwifery, School of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
author
Seyede Maryam
Lotfipour
Instructor, Department of Midwifery, School of Nursing and Midwifery, Geriatric Care Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
author
Marzeyeh
Lori poor
Associate Professor, Department of Midwifery, School of Nursing and Midwifery, Geriatric Care Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
author
Maryam
Karimi Fard
Assistant Professor, Department of Internal Medicine, Faculty of Medicine, Non-Communicable Diseases Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
author
Hassan
Ahmadinia
Assistant Professor, Department of Biostatistics, Occupational Environment Research Center, School of Health, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
author
text
article
2021
per
Introduction: Prevention of diabetes and its associated complications is especially important during menopause because significant changes occur in blood lipid levels along with insulin resistance due to aging and predispose to cardiovascular diseases. Regarding to the lower side effects of herbal medicines than chemical medicines, this study was performed with aim to evaluate the effect of evening primrose on blood sugar and fat profile of pre-diabetic postmenopausal women.Methods: This triple-blind randomized clinical trial was performed in 2018-2019 on 82 pre-diabetic postmenopausal women referred to the comprehensive health service centers in Rafsanjan. The intervention group received two 1000 mg capsules of evening primrose daily and the control group received placebo for three months. Before and after the intervention, fasting sugar (FBS, HbA1C) and blood lipid profile (including triglyceride, total cholesterol, low and high density lipoprotein) were assessed in the two groups by blood test. Data were analyzed by SPSS software (version 16) and independent t-test, Paired t-test and covariance test. P<0.05 was considered statistically significant.Results: In this study, mean LDL in pre-diabetic postmenopausal women receiving evening primrose capsule showed a statistically significant difference. But the mean of FBS, HDL, TG and cholesterol didn't show a statistically significant difference.Conclusion: Daily consumption of two 1000 mg capsules of evening primrose reduces LDL levels in pre-diabetic postmenopausal women, which can reduce the risk of cardiovascular diseases.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
24
v.
10
no.
2021
71
79
https://ijogi.mums.ac.ir/article_19391_10fd9a40dce1199f4ebbfd0546d5140f.pdf
dx.doi.org/10.22038/ijogi.2021.19391
The effect of Aloe vera on reducing episiotomy pain and improving wound healing: A systematic review and meta-analysis
Hadis
Shahrahmani
PhD student of Reproductive Health, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Giti
Ozgoli
Associate professor, Department of Midwifery, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Fatemeh
Bayat
PhD student of Reproductive Health, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan , Iran.
author
Maryam
Amighi
PhD student of Reproductive Health, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Fatemeh
Abdi
Assistant Professor, Department of Midwifery, School of Nursing and Midwifery, Alborz University of Medical Sciences, Karaj, Iran.
author
Nourossadat
Kariman
Associate professor, Department of Midwifery, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
text
article
2021
per
Introduction: Episiotomy is one of the causes that can affect mothers' postpartum quality of life. Aloe Vera plant has been suggested as one of the ways to heal wounds and reduce pain. Regarding to these properties, several clinical trial studies have been conducted to determine the effect of aloe vera on episiotomy pain relief and wound healing, and different findings have been reported. This study was performed with aim to determine the effect of Aloe Vera on episiotomy pain relief and wound healing.
Methods: In this systematic review study, the databases of Scopus, PubMed (MEDLINE), Embase, Proquest, Cochrane Central Register of Controlled Trials (CENTRAL), Cochrane Library and Web of Science were searched using the keywords of "pain", "Wound", "Healing", "Episiotomy", " Perineum" and "Aleo Vera" by OR and AND without time, language and geographical limitation until 23 April 2021. The quality of the articles was evaluated using the Cochran Group tool and data were analyzed by Stata software (version 14). Cochran test and I2 index were used to assess the heterogeneity of the articles.
Results: Finally, 9 articles with sample size of 611 people were included in this systematic review study. Preliminary studies showed the effectiveness of Aloe Vera in wound healing and pain relief. Four studies with sample size of 258 patients had the potential to perform the meta-analysis for pain outcome. Results of the meta-analysis showed that Aloe vera can reduce pain intensity compared to the control group (P<0.05).
Conclusion: Aloe Vera seems to be effective in repairing episiotomy wounds and reducing pain; however, high quality studies with sufficient sample size are recommended for definitive results.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
24
v.
10
no.
2021
80
89
https://ijogi.mums.ac.ir/article_19392_2c63f106ab5c7c34e931491d7ff94003.pdf
dx.doi.org/10.22038/ijogi.2021.19392
Unicornuate uterus with a rudimentary horn, a differential diagnosis of adnexal mass and fibroma: case report
Seyedeh Azam
Pourhoseini
Assistant Professor, Department of Obstetrics and Gynecology, Neonatal Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Seyedeh Hoda
Seddighian
Resident, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Maedeh
Khosravi
Resident, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
text
article
2021
per
Introduction: Uterine anomalies have been caused by impairment in the formation, evolution, or defect in the connection of Mullerian bud during the embryonic period. A unicornuate uterus is one of the congenital abnormalities of the Mullerian duct which is associated with an accessory rudimentary horn in 75% of the cases. This accessory horn may possess functioning endometrium and present with hematometra (retention of blood in the cavity) and become symptomatic. In this study, a case of unicornuate uterus with a rudimentary horn was reported.
Case presentation: A 37-year-old MG2L2ab0 woman with a history of 2 term normal vaginal deliveries presented to the gynecology emergency of Imam Reza Hospital, Mashhad, with dysmenorrhea, dyspareunia, and menometrorrhagia. After initial evaluation, the patient underwent laparoscopy with preliminary diagnosis of intraligamentary myoma. The procedure revealed a unicornuate uterus with an accessory rudimentary horn, which was resected along with the adjacent tube.
Conclusion: In women presenting with clinical symptoms indicating endometriosis, ectopic pregnancy, or uterus fibroma, congenital anomalies including rudimentary horn should be taken into consideration.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
24
v.
10
no.
2021
90
94
https://ijogi.mums.ac.ir/article_19394_a8cde0fad61c0f514e88d5e9f92f276f.pdf
dx.doi.org/10.22038/ijogi.2021.19394
Spontaneous bladder rupture after normal delivery: A case report
Khadijeh
Nasiri
Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran.
author
Farzaneh
Rashidi Fakari
Assistant Professor, Department of Midwifery, Faculty of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran.
author
Elham
Sharafkhani
Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran.
author
text
article
2021
per
Introduction: Spontaneous rupture of the bladder after normal vaginal delivery is very rare. In this study, a rare case of spontaneous bladder rupture after normal vaginal delivery was reported.
Case presentation: A 32-year-old multigravida woman presented to Bent Al-Hoda Hospital in Bojnourd with a complaint of abdominal pain 6 days after normal delivery. At the time of discharge, the patient had no problems after delivery. The history showed that urine decreased from 3 days after delivery with abdominal pain. On abdominal examination, the abdomen was soft with slight guarding and tenderness in the lower right quadrant of the abdomen. Complete blood cell count, liver and kidney test, emergency ultrasound, and surgical consultation were requested. In the laboratory evaluations, creatine was high. On ultrasound, the posterior wall of the bladder was irregular and wrinkled, and about 600-700 cc of free fluid was seen in the abdominal and pelvic cavities. Suspected of bladder rupture, the patient underwent emergency laparotomy and bladder was repaired.
Conclusion: Abdominal pain is a common symptom in clinical manifestations of pain during labor and then bladder rupture, therefore it is recommended to consider the occurrence of any type of pain as an important warning sign in bladder rupture. Also, this complication can be prevented with emptying the bladder before delivery, and exact examination of the bladder drain before discharge from the hospital will help in timely diagnosis, prompt treatment, and improvement of the prognosis.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
24
v.
10
no.
2021
95
98
https://ijogi.mums.ac.ir/article_19396_763f0fe32be430b41ca16828fe03653d.pdf
dx.doi.org/10.22038/ijogi.2021.19396