Vaginal and Sublingual Misoprostol for Termination at Second Trimester Pregnancy in Patients with Previous Cesarean Section
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
Vahidroodsari
Associate Professor, Department of Obstetrics and Gynecology, Women’s Health Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Marjan
Amini
Resident of Obstetrics and Gynecology, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Mohammad Taghi
Shakeri
Associate Professor, Department of Biostatistics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Maliheh
Hasanzadeh
Associate Professor, Department of Obstetrics and Gynecology, Women’s Health Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Azhar
Barhemat
B.Sc. of Midwifery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
text
article
2012
per
Introduction: Abortion is a medical or surgical termination of pregnancy before the fetus is able to survive. Because of surgical complications, medical treatments are most commonly used. Since misoprostol (a prostaglandin E1 analogue) is cheaper, effective, and easily administrated by different methods, has been widely prescribed. The aim of this study was to evaluate vaginal and sublingual misoprostol for termination at second trimester pregnancy in patients with previous cesarean section. Methods: This analectic-descriptive study was held on 70 pregnant women with previous cesarean section who referred for termination at second trimester pregnancy to Mashhad University of medical sciences academic hospitals. They were randomly divided into two groups of vaginal misoprostol 400μg max dose of 1600 μg and sublingual misoprostol 400 μg, next dose of 200 μg, and max dose of 1600 μg. Abortion complications and outcomes were analyzed in every individual. P value less than 0.05 was considered statistically significant. Results: Mean age of patients was 29.25±5.48 years. Mean of reproductive age in all patients was 17.90±4.31 weeks (range 14-29 weeks). In each groups 3 persons (9%) had fever. Nausea was observed in 5 persons (7%) (4 people in vaginal and one person in sublingual group). There was no significant difference between two groups (p>0.05). Among the cases, no one needed to undergo curettage and no one had uterus rupture. Conclusion: Prescription of vaginal and sublingual misoprostol for medical termination of pregnancy at second trimester in person with previous cesarean section had less complication, and is very effective.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
15
v.
24
no.
2012
1
7
https://ijogi.mums.ac.ir/article_5648_511d19c5e737e7f921ca1a5d961a8c5b.pdf
dx.doi.org/10.22038/ijogi.2012.5648
Frequency of Positive Symptoms of Dystemperament in Patients with Excess Uterine Hemorrhage from the Iranian Medicine Perspective
Nafiseh
Zafarghandi
Assistant professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Shahed University, Tehran, Iran.
author
Farhad
Jafari
Assistant professor, Department of Community Medicine, Faculty of Medicine, Shahed University, Tehran, Iran.
author
Fatemeh
Moradi
General Practitioner, Traditional Iranian Medicine Research Association, Student's Scientific Research Center, Faculty of Traditional Medicine, Tehran University of Medical Sciences, Tehran, Iran
author
Fatemeh
Alizadeh
General Practitioner, Traditional Iranian Medicine Research Association, Student's Scientific Research Center, Faculty of Traditional Medicine, Tehran University of Medical Sciences, Tehran, Iran
author
Mehrdad
Karimi
Resident of Traditional Medicine, Faculty of Traditional Medicine, Tehran University of Medical Sciences, Tehran, Iran.
author
Mahdi
Alizadeh
Resident of Traditional Medicine, Faculty of Traditional Medicine, Tehran University of Medical Sciences, Tehran, Iran.
author
text
article
2012
per
Introduction: Abnormal uterine bleeding or excess uterine hemorrhage is the most common reason for referring to physicians in women at reproductive age. One of the major causes of disorders in traditional Iranian medicine or Persian Medicine is Dystemperament (Sou-e-Mezaj). Excess uterine hemorrhage is known as “Kesrat Tams” in this school. The present study is held to evaluate the frequency of positive symptoms of Dystemperaments in patients with excess uterine hemorrhage. Methods: This case study was carried out on 70 patients in the reproductive age of 15 to 45 suffering from excess uterine hemorrhage. A self-made questionnaire was used for data collection which was designed based on traditional Iranian medicine textbooks and related resources. Census sampling was implemented. Gathered data were analyzed by using SPSS software version 11.5. In order to explain the data, indicator of central tendency and dispersion including rates, percentages, frequency tables and graphs were used. Results: The mean age of the subjects was 31.6 years, with a standard deviation of 9.5. In this study the symptom of dystemperament (according to classification of the Great Elixir) was obtained separately. Most frequent symptoms were rapid pulse rate, pale urine, feeling tiresome, insomnia, yellow eyes, and change of urine color. Also, we found that warm dystemperament (among simple dystemperaments) and Phlegmatic dystemperament (among humeral dystemperaments) received higher ratings. Conclusion: Pulse rates, the color of urine and face are the three main components of dystemperaments diagnosis. Meanwhile, asking about foods, drugs and places where the patient is comfortable with or feels uncomfortable are also important.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
15
v.
24
no.
2012
8
16
https://ijogi.mums.ac.ir/article_5649_7fb38649edabb04c24f661570fcdbcd4.pdf
dx.doi.org/10.22038/ijogi.2012.5649
Investigating the Factors Associated with Labor Pain and Coping Behavior
Nahid
Golmakani
Lecturer of Midwifery, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Bibi Marzieh
Hashemi Asl
M.Sc. of Midwifery, Samen Health Care Center, University of Medical Sciences, Mashhad, Iran.
author
Seyed Alireza
Sadjadi
Assistant Professor, Department of Psychiatry, Psychiatry and Behavioral Sciences Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Monireh
Pourjavad
Professor, Department of Obstetrics and Gynecology, Women’s Health Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
text
article
2012
per
Introduction: Pain is a complex perceptional experience that is influenced by psychosocial factors. Coping with labor pain is a defined behavior that is applied to control the pain or emotional reactions to it by every individual. Regarding few researches in this issue, the present study is aimed to investigate the factors associated with pain and coping behaviors. Methods: This two-phase correlational study was implemented on 120 low-risk pregnant women, in the 36 to 40 weeks of pregnancy, who have referred to Om-Al-Banin Hospital for delivery. The participants were easily selected. Their demographic information, obstetric record, and life style forms were completed. The samples were monitored until the beginning of laboring time. Then in the second phase of sampling, every half an hour during uterine contractions, observation form of coping behavior toward labor pain was filled out from the dilatation of 3–5 cm up to childbirth. The questionnaire content validity was checked and its reliability was assessed by Cronbach's Alpha. Data were analyzed by SPSS software version 16, Kruskal-Wallis, variance analysis and Spearman correlation coefficient statistical tests. P value less than 0.05 was considered statistically significant. Results: The average age of samples was 25.1 years with a standard deviation of 4.9 and its range was between 18 to 35 years. Based on results, 16.3% of the pregnant women showed unfavorable, 50% acceptable and 33.7% favorable coping behavior toward labor pain. The results of correlation tests revealed that mothers' idea about childbirth (p<0.015), previous delivery experience (p<0.006), the time spent for religious affairs (p<0.000), length of active phase of the first stage (p<0.000), the mean pain intensity (p<0.000) and anxiety due to entering the research (p<0.001) were significantly associated with coping behaviors toward labor pain. Conclusion: Coping with pain is accompanied with specific characteristics and various effects in labor process. So, more attention should be paid to clinical controlling the parturient, as well as, physiological signs, and clinical examinations.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
15
v.
24
no.
2012
17
25
https://ijogi.mums.ac.ir/article_5650_53d0dc204f04c0900db340f5bf612f03.pdf
dx.doi.org/10.22038/ijogi.2012.5650
Investigating the Relationship between Sexual Function and Obesity in Women
Maliheh
Dor Mohammadi
M.Sc. of Midwifery, Department of Midwifery, Islamic Azad University of Ghochan, Ghochan, Iran.
author
Farzaneh
Jafarnezhad
M.Sc. of Midwifery, Department of Midwifery, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Monvar Afzal
Aghayi
Specialist of Community Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Halimeh
Kazemeini
Student of Midwifery, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
author
text
article
2012
per
Introduction: Sexual issues have the greatest importance in a marriage. However, sexual dysfunction is one of the common and treatable problems, which causes emotional tensions and marital problems. The present study has pointed to the role of body mass index (BMI) on sexual function. This paper was held to determine the relationship between sexual function and obesity in women. Methods: This correlation study was performed on 286 eligible women that referred to health centers in Mashhad in 2011. The researcher settled at the intended health centers and interviewed the eligible individuals. Interview and observation forms were utilized for data collection. Data were analyzed by SPSS statistical software version 14.5, descriptive, chi-square, Mann-Whitney and regression tests. P value less than 0.05 was considered statistically significant. Results: Self-image and life quality were statistically significantly different in the two groups, as well as, in main variables of sexual function including libido (p<0.001), arousal (p<0.001), lubrication (p<0.001), orgasm (p<0.001), sexual satisfaction (p<0.001) and pain (p=0.018). Positive self-image effects orgasm, arousal, lubrication and sexual satisfaction. An effective factor on libido is wife's age and an effective factor on sexual satisfaction is one's age. Conclusion: Obesity in women is associated with sexual dysfunction, impaired self-image, and reduction of life quality. Therefore, in order to enhance sexual performance, and improve quality of life and self-image, losing weight is mostly recommended obese women.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
15
v.
24
no.
2012
26
33
https://ijogi.mums.ac.ir/article_5651_f94a858b9baad6393935f371b949b172.pdf
dx.doi.org/10.22038/ijogi.2012.5651