Neonatal consequences of acute pulmonary edema in pregnant women referred to the hospitals in Tabriz, 2013-2014
Simin
Taghavi
Professor, Department of Gynecology Surgery, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
author
Mahnaz
Dehdilani
Gynecologist, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
author
Marjan
Dehdilani
Assistant professor, Department of Anesthesiology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
author
Khosrow
Hashemzadeh
Associate Professor, Department of Heart Surgery, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
author
text
article
2022
per
Introduction: Since acute pulmonary edema is one of the reasons for hospitalization of pregnant women in intensive care units and failure to timely diagnose it has dangerous complications for mother and fetus. This study was performed with aim to determine the consequences of acute pulmonary edema in pregnant women referred to the hospitals in Tabriz.
Methods: In this cohort study conducted in 2013-2014 in Tabriz educational and medical centers, 2750 pregnant women with high-risk pregnancies were evaluated for acute pulmonary edema, and neonatal outcomes (first and fifth minute Apgar scores, neonatal weight, fetal death, birth time were evaluated in women with a definitive diagnosis of acute gestational edema. Data were analyzed by SPSS statistical software (version 17) and t-test and Chi-square test. P<0.05 was considered statistically significant.
Results: The prevalence of acute pulmonary edema in high-risk pregnancies was 1.2% (n=34) and in the total population of pregnant mothers was 0.15%. In terms of neonatal outcomes, the neonatal weight of acute pulmonary edema group was lower and the first and fifth minute Apgar scores were lower; IUGR in acute pulmonary edema group was 1.9 times higher than the unprotected group (CI: 1.5-1: 1.5%, 95% (RR= 1.9) and the incidence of fetal death in the acute pulmonary edema group was 2.5 times that of the unprotected group (CI: 1.5-1.9: 95%, RR = 2.5).
Conclusion: Acute pulmonary edema leads to negative and adverse effects on the newborn such as weight loss, preterm delivery, increased mortality and decreased Apgar score.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
24
v.
12
no.
2022
1
7
https://ijogi.mums.ac.ir/article_19741_cc03fdb0791d10cecdb80be8be3a8c71.pdf
dx.doi.org/10.22038/ijogi.2022.19741
Serum levels of lead in pregnant women with term and preterm deliveries
Negin
Rezavand
Professor, Department of Obstetrics and Gynecology, Clinical Research Development Center of Imam Reza Hospital, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
author
Mastaneh
Kamravamanesh
Assistant Professor, Department of Reproductive Health, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
author
Nooshin
Abasi
Resident, Department of Obstetrics and Gynecology, Clinical Research Development Center of Imam Reza Hospital, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
author
Maryam
Hemati
M.Sc. of Statistics, Clinical Research Development Center of Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
author
Rozhin
Feali
M.Sc. of Midwifery Counseling, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
author
Mansour
Rezaei
Professor, Department of Biostatistics, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
author
text
article
2022
per
Introduction: Environmental pollution and exposure to heavy metals such as lead can lead to adverse pregnancy complications such as preterm delivery. Due to the fact that the findings and evidence in this regard are still contradictory, this study was performed with aim to compare serum levels of lead in pregnant women with term and preterm delivery.Methods: This case-control study was performed in 2017-2019 on 108 pregnant women referred to Imam Reza Hospital affiliated to Kermanshah University of Medical Sciences in two groups of case (preterm delivery) and control group (term delivery). 2 cc of blood sample was taken from each term and preterm mothers in the hospital (where the mothers were hospitalized). After preparing the laboratory results of serum levels of lead and completing the questionnaires, data were analyzed by SPSS software (version 24) and T-test, Chi-square and Fisher's exact tests. P<0.05 was considered statistically significant.Results: The mean level of lead in all mothers was 6.60 ± 2.96 μg / dl. The mean level of lead in the group of mothers with term delivery was 6.73±2.63 μg / dl and in the group of mothers with preterm delivery was 6.34±3.55 μg / dL. There was no statistically significant difference in lead levels between the two groups of term and preterm deliveries (P = 0.1). Also, there was no statistically significant difference in serum levels of lead between the two groups of term and preterm mothers based on place of residence of city (p=0.424) and village (p=0.3545).Conclusion: There was no statistically significant difference in lead levels between the two groups of term and preterm deliveries, but it still seems that performing the similar research in different parts of the country is needed to provide accurate information about the relationship between lead and preterm delivery and other complications of pregnancy and childbirth.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
24
v.
12
no.
2022
8
15
https://ijogi.mums.ac.ir/article_19742_5e5532d2070e64bd09562fd212ef603e.pdf
dx.doi.org/10.22038/ijogi.2022.19742
Severe maternal complications in near missed mothers in Shahid Mostafa Khomeini Hospital- Tehran: 2015-2019
Masoumeh
Aghabozorgi
Medical graduate, Faculty of Medicine, Shahed University, Tehran, Iran.
author
Farahnaz
Torkestani
Associate Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Shahed University, Tehran, Iran.
author
Zahra
Jouhari
Assistant Professor, Department of Education, Faculty of Medicine, Shahed University, Tehran, Iran.
author
Maryam
Rabiee
Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Shahed University, Tehran, Iran.
author
text
article
2022
per
Introduction: To better evaluate the quality of midwifery care, an index called "near miss" mothers is used. The term refers to the mothers who have gone near to death due to complications of pregnancy or childbirth, but survived. This study was performed with aim to investigate the prevalence and causes of severe complications of maternal and near miss mothers.
Methods: This retrospective study was performed on patients' records in Shahid Mostafa Khomeini Hospital from 2015-2016. The required variables including demographic information and severe pregnancy complications were extracted from patients' records according to the instructions of the World Health Organization. Data were analyzed using SPSS statistical software (version 25) and paired chi-square and Mann-Whitney tests. P≤0.05 was considered statistically significant.
Results: Among 16,527 live births, 191 mothers suffered from severe maternal complications, of which 35 (17.3%) had near-miss and 2 maternal death. The ratio of near-miss mothers was 2.09 and the ratio of severe maternal complications was 11.40. The most important causes of severe complications were severe preeclampsia (n=134, 70.15%), severe obstetric bleeding (n=23, 12.4%) and sepsis (n=10, 5.23%). In cases of near-missed mothers, 19 cases (9.94%) had coagulation disorders, 9 (41.71%) had cardiovascular disorders, and 8 (4.18%) had kidney disorders. According to the results of logistic test, a significant relationship was found between anemia (p = 0.01) and severe preeclampsia (P = 0.006) in near-miss mothers and severe complications.
Conclusion: Essential delivery interventions including management of preeclampsia-eclampsia and its complications and the importance of maternal anemia during hospitalization play a vital role in reducing severe maternal complications.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
24
v.
12
no.
2022
16
28
https://ijogi.mums.ac.ir/article_19746_3276a6aaad90709f2160ab8b458c0493.pdf
dx.doi.org/10.22038/ijogi.2022.19746
Postoperative pain experienced by the candidates for gynecological surgery with lithotomy position
Leila
Sadati
Instructor, Department of Operating Room, School of Paramedicie, Alborz University of Medical Sciences, Karaj, Iran.
author
Zahra
Nouri Khanegah
Instructor, Department of Operating Room, School of Paramedicie, Alborz University of Medical Sciences, Karaj, Iran.
author
Nazanin
Sarraf Shahri
Instructor, Department of Operating Room, School of Paramedicie, Iran University of Medical Sciences, Tehran, Iran.
author
Fatemeh
Edalat
M.Sc. Student of Intensive Care Nursing, School of Paramedicie, Alborz University of Medical Sciences, Karaj, Iran.
author
text
article
2022
per
Introduction: Failure to follow the standard principles in establishing lithotomy position will cause can lead to serious complications such as pain. This study was performed with aim to evaluate the pain experienced by patients in pressure areas in lithotomy position.
Methods: This descriptive-analytical cross-sectional study was performed in 2017 on 200 female patients who had undergone gynecological surgery using lithotomy position in the teaching hospital of Karaj. The researcher-made questionnaire was used to assess pain experienced by patients; the questionnaire includes: patients' demographic information and the checklist of recording the amount and severity of pain using a standard ten-point scale. Data were analyzed using SPSS software (version 22) and descriptive and inferential statistical tests of Chi-square, Mann-Whitney and Kendall correlation coefficient. P< 0.05 was considered statistically significant.
Results: Based on the results of data analysis, within 24 hours after the surgery, 180 patients had complaint from low back pain, 94 from the groin region pain, 164 from the knee pain and 34 from the ankle pain in moderate to severe level. Also, a high correlation was observed between the variables of patients' body mass index and 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 following placed in the lithotomy position experienced postoperative pain in different areas.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
24
v.
12
no.
2022
29
34
https://ijogi.mums.ac.ir/article_19750_86fbe37aa3001b173b6d6a91e6931cf0.pdf
dx.doi.org/10.22038/ijogi.2022.19750
Serum sodium and potassium levels in mothers with term and preterm delivery: a case-control study
Haniye
Gohari
Instructor, Department of Midwifery, Gonabad Branch, Islamic Azad University, Gonabad, Iran.
author
Roghaieh
Rahmani Bilandi
Assistant Professor, Department of Reproductive Health, Social Development and Health Promotion Research Center, Faculty of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran.
author
Abasali
Abasnezad
PhD of Physiology, Faculty of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran.
author
Azamsadat
Mahmodian
Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran.
author
text
article
2022
per
Introduction: Preterm labor is a common concern of the World Health Organization. Studies have shown that Potassium and sodium channels in the smooth muscles of the uterus are involved in causing uterine contractions. Therefore, this study was performed with aim to evaluate the serum levels of sodium and potassium in preterm labor.
Methods: This case-control study was performed on 86 pregnant women referred to Gonabad Allameh Behlool Hospital in 2019-2020 in two groups of preterm and term delivery. The two groups were matched in terms of body mass index in early pregnancy, number of pregnancies and deliveries, level of education, income, and employment status. Blood sample was taken from the mothers after obtaining the inclusion criteria at the time of admission in labor to assess serum sodium and potassium levels. Demographic and midwifery information were collected using a questionnaire and patient's file. Data were analyzed by SPSS statistical software (version 26), and Mann-Whitney, Chi-square and Fisher tests. P< 0.05 was considered statistically significant.
Results: The mean serum sodium level in the case group (123.98±21.11 mEq/L) was lower than the control group (131.43±11.39 mEq/L) and the mean serum potassium level in the case group (4.66±5.92 mEq/L) was more than the control group (3.82±0.34 mEq/L) but these differences were not statistically significant (p> 0.05).
Conclusion: There is no relationship between serum sodium and potassium levels with preterm delivery. To investigate the relationship between maternal serum sodium and potassium and preterm delivery, further research is needed to evaluate the intracellular level of sodium and potassium.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
24
v.
12
no.
2022
35
42
https://ijogi.mums.ac.ir/article_19752_6e95ac83372613c2f364d19ae7c15be8.pdf
dx.doi.org/10.22038/ijogi.2022.19752
The effect of vaginal alum (white alum) solution and clotrimazole cream on the treatment of candidasis vulvovaginitis in women of childbearing age: A randomized clinical trial
Sorour
Soltani
M.Sc. of Midwifery, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical sciences, Ahvaz, Iran.
author
Mina
Irvani
Associate Professor, Department of Midwifery and Reproductive Health, Reproductive Health Promotion Research Center, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical sciences, Ahvaz, Iran.
author
Parvaneh
Mousavi
Instructor, Department of Midwifery, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical sciences, Ahvaz, Iran.
author
Saeed
Ghanbari
Assistant Professor, Department of Biostatistics and Epidemiology, School of Health, Ahvaz Jundishapur University of Medical sciences, Ahvaz, Iran.
author
Mahin
Najafian
Associate Professor, Department of Obstetrics and Gynecology, Fertility, Infertility and Fetal Health Research Center, Faculty of Medicine, Ahvaz Jundishapur University of Medical sciences, Ahvaz, Iran.
author
text
article
2022
per
Introduction: Due to the increasing prevalence of candidiasis infections and the increase in drug resistance to common antifungal drugs, it is necessary to find natural anti-candidiasis compounds. Therefore, this study was performed with aim to compare the effect of vaginal solution of alum (alum) with clotrimazole cream in the treatment of vaginal candidiasis in women of childbearing age.
Methods: This randomized clinical trial study was performed in 2020 on 72 women referred to East Ahvaz Health Center No. 1 with complaint of clinical signs of candida vaginitis. The tools were a demographic and midwifery information questionnaire and a checklist of observations and examinations. The subjects were randomly divided into two groups receiving clotrimazole 1% vaginal cream and white alum solution for 7 days. Data were collected before and after treatment and were analyzed by SPSS software (version 21) and Chi-square and Fisher's exact tests. P<0.05 was considered statistically significant.
Results: Before the intervention, the two groups did not have any statistically significant differences in the symptoms of candida vaginitis (P > 0.05). After the intervention, there was a statistically significant difference between the two groups in terms of vulvar and vaginal itching and vaginal discharge, so that in the alum solution group, the amount of itching and vaginal discharge was significantly less than the clotrimazole vaginal cream group (p < 0.05). However, the two groups were the same in terms of improvement of other symptoms and did not show a statistically significant difference (P > 0.05).
Conclusion: The alum vaginal solution and clotrimazole vaginal cream similarly improved candidiasis vaginitis in women of childbearing age. However, before using this solution as an alternative treatment, further studies are recommended to prove its effectiveness and safety.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
24
v.
12
no.
2022
43
55
https://ijogi.mums.ac.ir/article_19755_24577397a76536b475a7eab466938d85.pdf
dx.doi.org/10.22038/ijogi.2022.19755
Comparative study of the effect of "Ginger-Lavender" capsule with "Mefenamic Acid" on the severity of primary dysmenorrhea: A randomized clinical trial
Shadi
Ahmadi
M.Sc. Student in Midwifery, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Sharareh
Jannesari
Instructor, Department of Midwifery and Reproductive Health, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Maliheh
Nasiri
Assistant professor, Department of Biostatistics, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Shamim
Sahranavard
Assistant professor, Department of Traditional Pharmacy, School of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
text
article
2022
per
Introduction: Dysmenorrhea is a major problem in women's general and individual health. Complications of nonsteroidal anti-inflammatory drugs (NSAIDs) in this disease have led to an increase in the tendency to complementary, alternative and herbal remedies. This study was performed with aim to compare the effect of "Ginger-Lavender" capsule with" Mefenamic Acid" on the severity of primary dysmenorrhea.
Methods: This triple-blind clinical trial study was conducted in in 2020 on 60 students with a history of primary dysmenorrhea living in the selected dormitories of Shahid Beheshti University of Medical Sciences. The research tools were the questionnaire of menstrual status, demographic and anthropometric characteristics form and pain line. In the intervention group, Ginger-Lavender capsules and in the control group, Mefenamic Acid capsules were prescribed four times daily for 3 days from the onset of menstruation bleeding. Pain intensity was measured during 2 months. Data were analyzed by SPSS software (version 24) and independent t-test, Bonferroni, Fisher, and Analysis of Variance. P<0.05 was considered statistically significant.
Results: Before the intervention, there was no significant difference between the groups in terms of pain intensity (p=0.22). Intergroup comparison in three cycles using two-factor analysis of variance showed a statistically significant difference between the two groups of ginger-lavender and mefenamic acid in terms of pain intensity (p = 0.01). The mean pain score in the ginger-lavender capsule group was 1.53 less than the mefenamic acid capsule group. There was a significant difference in the ginger-lavender group in the duration and severity of bleeding compared to the three cycles (p = 0.04 and P = 0.03), respectively).
Conclusion: The Ginger-Lavender capsule without any side effects reduces the pain of primary dysmenorrhea and is more effective than Mefenamic Acid. Ginger-lavender capsule can be used as an effective herbal medicine without side effects in reducing dysmenorrhea pain.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
24
v.
12
no.
2022
56
66
https://ijogi.mums.ac.ir/article_19758_40a765883b28bb4869fc3f94a9a139d2.pdf
dx.doi.org/10.22038/ijogi.2022.19758
Association between consumption of ultra-processed foods and bacterial vaginosis: a case-control study
Morvarid
Noormohammadi
M.Sc. Student of Nutrition Sciences, School of Nutrition Sciences and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Ghazaleh
Eslamian
Assistant Professor, Department of Cellular and Molecular Nutrition, School of Nutrition Sciences and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Seyyedeh Neda
Kazemi
Assistant Professor, Department of Obstetrics and Gynecology, Preventative Gynecology Research Center, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Bahram
Rashidkhani
Associate Professor, Department of Community Nutrition, School of Nutrition Sciences and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Fatemeh
Omidifar
Obstetrician and Gynecologist, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
text
article
2022
per
Introduction: Bacterial vaginosis is the most common vaginal infection in women of childbearing age. Identifying nutritional risk factors as a potential therapeutic target can be important. This study was performed with aim to determine the relationship between the consumption of ultra-processed foods and bacterial vaginosis.
Methods: This case-control study was performed in 2020 on 144 women with bacterial vaginosis and 151 healthy women aged 15-45 years referred to the gynecology clinic of Imam Hossein Hospital in Tehran. Bacterial vaginosis was diagnosed using the Amsel criteria and participants were divided into case and control groups based on it. Food intake of participants during 1 last year was collected using a valid semi-quantitative food frequency questionnaire with 168 food items. Ultra-processed foods were classified according to the NOVA classification system. A logistic regression test was used to investigate the association between the consumption of ultra-processed foods with bacterial vaginosis, and then the odds ratio was calculated. P< 0.05 was considered significant.
Results: After adjusting for confounding variables, it was seen that participants in the upper tertile of intakes of the ultra-processed foods (OR=2.13, CI: 1.19-3.8, P=0.004), processed meats and fast foods (OR=2.27, CI: 1.23-4.2, P=0.008), oils and sauces (OR=2.47, CI: 1.34-4.54, P=0.004) and sweets (OR=2.82, CI: 1.5-5.3 P=0.001) were significantly more likely to be suffering from bacterial vaginosis than the group in first tertile.
Conclusion: There was a direct relationship between the intake of ultra-processed foods, processed meats and fast foods, oils and sauces and sweets with bacterial vaginosis.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
24
v.
12
no.
2022
67
76
https://ijogi.mums.ac.ir/article_19759_5f7f79902fdecaedf5174d835fdb6653.pdf
dx.doi.org/10.22038/ijogi.2022.19759
Association between pre-pregnancy food group intakes and hyperemesis gravidarum: a case-control study
Fatemeh
Haghshenosabet
M.Sc. Student of Nutrition Sciences, School of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Ghazaleh
Eslamian
Assistant Professor, Department of Cellular and Molecular Nutrition, School of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Seyyedeh Neda
Kazemi
Assistant Professor, Department of Obstetrics and Gynecology, Preventative Gynecology Research Center, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Bahram
Rashidkhani
Associate Professor, Department of Community Nutrition, School of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
text
article
2022
per
Introduction: Some of the etiological factors of hyperemesis gravidarum are increased fatty acid peroxidation and deficiency of vitamins and antioxidants. This study was performed with aim to determine the relationship between pre-pregnancy food group intakes and severe hyperemesis gravidarum.Methods: This case-control study was performed in 2020-2021 on 171 pregnant women aged 18-35 years referred to the hospitals of Tehran. Hyperemesis gravidarum was diagnosed using the American College of Obstetrics and Gynecology criteria, and participants were divided into the case and control groups. A semi-quantitative valid and reliable food frequency questionnaire containing 168 food items was used to assess food intake of participants in the past year before pregnancy. Data analysis was performed by SPSS statistical software (version 22), using Chi-square, Mann-Whitney and logistic regression tests. A p-value lower than 0.05 was considered statistically significantResults: The case group had significantly higher total fat and saturated fat intakes compared with controls. Median intakes of vitamin B groups, vitamin A and vitamin C were significantly higher among controls than cases. After adjusting for confounding variables, participants in the upper tertile of intakes of vegetables (OR=0.39, CI: 0.19-0.43) and fruits (OR=0.51, CI: 0.31-0.83) had a lower possibility of hyperemesis gravidarum. However, participants in the upper tertile of intakes of processed meats (OR=3.93, CI: 1.04-6.11) and organ meats (OR=2.39, CI: 1.23-5.03) were significantly more likely to be suffering from hyperemesis gravidarum.Conclusion: There was a significant inverse association between intake of vegetables, fruits, fish and seafood, whole grains, legumes, nuts, olives and olive oil with hyperemesis gravidarum. However, intake of high-fat dairy products, processed meats, organ meats, sweets, solid fats had a significant direct association with hyperemesis gravidarum.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
24
v.
12
no.
2022
77
87
https://ijogi.mums.ac.ir/article_19760_3062188c7af0f3e168d90c172b758b4e.pdf
dx.doi.org/10.22038/ijogi.2022.19760
The effect of aromatherapy with Citrus aurantium essential Oil on anxiety in women at risk of preterm labor
Fereshteh
Mohammadi Payandar
M.Sc. student of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Mahin
Tafazoli
Assistant Professor, Department of Midwifery, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Seyed Reza
Mazloum
Instructor, Department of Nursing, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Roshanak
Salari
Assistant Professor, Department of Pharmacology, School of Traditional Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Saeed
Vagheie
PhD in Psychologic Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Tayebeh
Sedighi
Assistant Professor, Department of Obstetrics and Gynecology, Nursing and Midwifery Care Research Center, Jiroft University of Medical Sciences, Jiroft, Iran.
author
text
article
2022
per
Introduction: Psychological disorders such as anxiety can increase preterm labor by hormonal stimulation, so this study was performed with aim to determine the effect of aromatherapy with Citrus aurantium essential oil on anxiety in women at risk of preterm labor.
Methods: This two-group semi-experimental interventional study was conducted in 2020 on 65 pregnant women at risk of preterm delivery referred to the health centers in Jiroft. Eligible women who received a score of ≥10 in the Holbrook Pregnancy Screening Questionnaire and met other inclusion criteria received Citrus aurantium essential oil or placebo twice daily for two weeks. Anxiety was assessed before and after the intervention (end of the first week and end of the second week) with the Spielberger Anxiety Inventory. Data were analyzed using SPSS software (version 21) and independent t-test and paired t-test, analysis of variance and Friedman test. P<0.05 was considered statistically significant.
Results: In the intervention group, changes in overt and covert anxiety scores of the stages (before, 1 week and 2 weeks after the intervention) were significant (p = 0.001), but in the placebo group, based on the results of repeated measures test, the difference between these changes between stages was not significant in the two groups of overt anxiety (p = 0.836) and covert anxiety (P = 0.575).
Conclusion: The use of aromatherapy with Citrus aurantium led to a decrease in anxiety scores in pregnant women at risk of preterm labor. Therefore, it can be effective as an easy, cheap and non-invasive intervention in reducing the anxiety of women at risk of preterm labor.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
24
v.
12
no.
2022
88
97
https://ijogi.mums.ac.ir/article_19762_a57c289268e4d8e44bba4af6b28e4c04.pdf
dx.doi.org/10.22038/ijogi.2022.19762
Cost effectiveness of mammography focusing on mobile mammography for breast cancer screening in Iran: A review study
Ali
Akbari Sari
Professor, Department of Health Management and Economics Sciences, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
author
Kazem
Zendehdel
Professor, Cancer Research Center, Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran.
author
Iraj
Harirchi
Professor, Department of Surgery, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
author
Farhad
Habibi
PhD of Health Management, Department of Health Management and Economics, School of public Health, Tehran University of Medical Sciences, Tehran, Iran.
author
text
article
2022
per
Introduction: Breast cancer is one of the most common cancers and a leading cause of death worldwide and in Iran. Mammography is commonly used in breast cancer screening and diagnosis. This study was performed with aim to evaluate the efficacy and cost-effectiveness of mammography, especially the mobile type, in breast cancer screening in Iran.
Methods: This study is an overview of reviews. After a systematic search in the databases of Cochrane Library, Trip, Pubmed, CRD and magiran, the appropriate, relevant and up-to-date reports including systematic review, health technology assessment, economic assessment and clinical guidance were found and used.
Results: Mammography sensitivity for breast cancer screening in fixed type was reported between 84% and 96% and in mobile type between 77% and 98%. Its specificity has been reported between 50% and 100% in fixed type and between 92% and 95% in mobile type. In Iran, the use of mammography in the screening program increases the cost by about $ 37,000 per QALY (quality adjusted life years).
Conclusion: Due to the incidence of the disease, mammography is not cost effective in breast cancer screening, although in certain communities, for example, with a relatively high incidence may be cost effective. Mobile mammography is usually more expensive than fixed mammography and its technical performance is not much different, so it may be less cost effective than fixed mammography.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
24
v.
12
no.
2022
98
109
https://ijogi.mums.ac.ir/article_19763_ad843ee7838601951b7f404eaf735508.pdf
dx.doi.org/10.22038/ijogi.2022.19763
Non-pharmacological methods of controlling nausea and vomiting during pregnancy in Iran: A narrative review study
Hashem
Jarineshin
Associate professor, Department of Anesthesiology, Anesthesiology & Critical Care and Pain Management Research Center, Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
author
Seyed Ebrahim
Sadeghi
Assistant professor, Department of Anesthesiology, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
author
Mehrdad
Malekshoar
Assistant professor, Department of Anesthesiology, Anesthesiology & Critical Care and Pain Management Research Center, Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
author
Mohammad Sadegh
Sanie Jahromi
Associate professor, Department of Anesthesiology, Critical Care and Pain Management Research Center, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
author
Fatemeh
Rahmanian
Emergency medicine specialist, Department of Emergency Medicine, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
author
Naser
Hatami
Student of Medicine, Student Research Committee, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
author
Navid
Kalani
Instructor, Department of Anesthesiology, Research Center for Social Determinants of Health, School of Nursing, Jahrom University of Medical Sciences, Jahrom, Iran.
author
text
article
2022
per
Introduction: Nausea and vomiting are common complaints of women in the first half of pregnancy. Several pharmacological and non-pharmacological methods have been suggested to prevent nausea and vomiting. Since pharmacological treatments are associated with side effects, this study was performed with aim to investigate non-pharmacological methods of controlling nausea and vomiting during pregnancy in Iran.Methods: In this narrative or narrative review study, all the articles published in domestic Persian language journals were searched using the databases of SID, Magiran and Google Scholar search engines, and the use of Persian keywords of non-pharmacological methods, nausea, vomiting and pregnancy and a combination of these keywords between 2001 and 2021. In this study, only original and clinical trial studies were reviewed.Results: Among the searched 679 articles, 28 related articles which had all the information in the designed checklist were included in the study. Based on the results, several non-pharmacological methods including use of acupressure, Benson relaxation training, progressive muscle relaxation, Ottawa Nutrition Guide, Solar Soil Reflexology, Lemon Aromatherapy, Psychological counseling with a couple therapy approach, Family-centered Counseling, Telephone Support, and herbal remedies such as ginger, chamomile and cardamom were effective in treating pregnancy nausea and vomiting.Conclusion: The present study showed good evidence for the effectiveness and safety of all methods used in the studies. It seems that all non-pharmacological methods of nausea and vomiting such as acupressure can be used as very easy methods in the treatment of pregnant women; however, the present study was not able to evaluate the preference of the proposed methods that health care providers can choose from the methods supported by previous evidence from clinical trial studies according to the available facilities and patient preferences.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
24
v.
12
no.
2022
110
123
https://ijogi.mums.ac.ir/article_19765_65bebfc48259a54c27d0805efcbe6787.pdf
dx.doi.org/10.22038/ijogi.2022.19765
New coronavirus and hypothalamic-pituitary-ovarian axis in women: A narrative review
Athar
RasekhJahromi
Obstetrician and Gynecologist, Women's Health and Diseases Research Center, Faculty of Medicine, Jahrom University of medical sciences, Jahrom, Iran.
author
Majid
Vatankhah
Associate Professor, Department of Anesthesiology, Fellowship of Critical Care, Anesthesiology & Critical Care and Pain Management Research Center, Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
author
Mehrdad
Malekshoar
Associate Professor, Department of Anesthesiology, Fellowship of Critical Care, Anesthesiology & Critical Care and Pain Management Research Center, Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
author
Marzieh
Haghbeen
Assistant Professor, Department of Surgery, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
author
Mojtaba
Ghaedi
Assistant Professor, Department of Plastic Surgery, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
author
Navid
Kalani
Instructor, Department of Anesthesiology, Research Center for Social Determinants of Health, School of Nursing, Jahrom University of Medical Sciences, Jahrom, Iran.
author
Naser
Hatami
Medical Student, Student Research Committee, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
author
Seyed Ebrahim
Sadeghi
Assistant Professor, Department of Anesthesiology, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
author
text
article
2022
per
Introduction: The COVID-19 epidemic has severely affected the life of people around the world. Periods of stress and psychological distress caused by this pandemic can affect a woman's menstrual cycle. The COVID-19 pandemic has had a significant impact on women's reproductive health. This narrative review was performed with aim to evaluate the effect of coronavirus on different aspects of each part of this axis and its relationship with women's health considering hypothalamic-pituitary-ovarian axis.Methods: In this narrative review study, the databases of Pubmed, Scopus, and Embase were searched using the keywords of "Female Reproductive System", "Hypothalamus", "Pituitary" and "Ovary" with the keywords of "COVID-19" and "SARS-COV-2" with a time limit from 2020 onwards. Then, the studies were summarized conceptually and the findings were categorized and interpreted in terms of the effect of coronavirus on the hypothalamus, pituitary gland, and ovary.Results: The potential neuronal invasion by the coronavirus could had led to its direct effect from the beginning to the end of this axis. Although more studies have examined the effect of COVID-19 on the regulation of sex hormones in women with COVID-19, most studies on the hypothalamic and pituitary axis have been based on genetic simulations.Conclusion: Coronavirus can have a wide impact on all organs involved in the female reproductive system. Over time, our understanding of the possible effects of this disease on female fertility will increase.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
24
v.
12
no.
2022
124
131
https://ijogi.mums.ac.ir/article_19766_70c0a06a8391105d012bff1299581c29.pdf
dx.doi.org/10.22038/ijogi.2022.19766
Cecum perforation following intrauterine device insertion: a case report
Maryam
FaridMojtahedi
Assistant professor, Department of Gynecology and Obstetrics, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
author
Atefeh
Khezri
Resident Fellowship of Infertility, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
author
text
article
2022
per
Introduction: Intrauterine device (IUD) is an effective and reliable contraceptive method. It is one of the most frequently used methods in our country. Colon perforation is a rare but serious complication occurring sometimes years after insertion. In this report, a patient with cecum perforation following IUD insertion who presented with acute abdomen was reported.
Case Presentation: The patient was a 30 year old female who admitted to the clinic of Arash Women's Comprehensive Hospital with complaints of hypogastric abdominal pain and spotting. She had a natural vaginal delivery 6 months ago and an IUD was inserted one week before referring. On abdominal examination, there was pain in the hypogastric region with deep palpation and there was positive cervical motion tenderness. Abdominal ultrasonography did not show IUD in uterine cavity. Abdominal X-ray was done and IUD was seen in abdominal cavity. Emergent Laparascopy was done. Two cecum perforations by an intrauterine device were diagnosed, and the intestinal damage was repaired with a laparatomic approach.
Conclusion: IUD migration and uterine and colon perforation is a rare but serious complication that should be considered in differential diagnosis of each woman with IUD who has abdominal pain. Laparoscopic approach for intrauterine device removal is a simple and safe approach if further complications are not likely.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
24
v.
12
no.
2022
132
136
https://ijogi.mums.ac.ir/article_19767_c9a56ca91b4a3cce1407652eb11b59e2.pdf
dx.doi.org/10.22038/ijogi.2022.19767