مجله زنان، مامایی و نازایی ایران

مجله زنان، مامایی و نازایی ایران

مقایسه تأثیر کپسول خوراکی گل‌مغربی و روغن کرچک بر نمره بیشاپ و برخی پیامدهای زایمانی (کارآزمایی بالینی سه‌سوکور)

نوع مقاله : اصیل پژوهشی

نویسندگان
مهدیه سادات حسینی‌پور 1
زهرا ثقفی 2
دکتر مرضیه لری‌پور 3
دکتر محسن رضائیان 4
1 دانشجوی کارشناسی ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران.
2 مربی گروه مامایی، دانشکده پرستاری و مامایی، مرکز تحقیقات مراقبت سالمندی، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران.
3 دانشیارگروه بهداشت باروری، دانشکده پرستاری و مامایی، مرکز تحقیقات مراقبت سالمندی، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران.
4 استاد گروه اپیدمیولوژی و آمار زیستی، دانشکده پزشکی، مرکز تحقیقات محیط کار، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران.
10.22038/ijogi.2022.20099
چکیده
مقدمه: در چندین مطالعه تأثیر گل‌مغربی و روغن کرچک بر نمره بیشاپ و پیامدهای زایمانی بررسی شده، ولی مقایسه آنها مورد سؤال است. مطالعه حاضر با هدف مقایسه­ تأثیر گل‌مغربی و روغن کرچک همزمان با القاء لیبر بر نمره بیشاپ و برخی پیامدهای زایمانی در زنان باردار انجام شد.
روش ­کار: این مطالعه کارآزمایی بالینی تصادفی شده­ سه‌سوکور در سال 1398 بر روی 114 زن باردار مراجعه‌کننده به زایشگاه نیک‌نفس رفسنجان انجام شد. افراد به دو گروه مداخله تخصیص یافتند. گروه مداخله اول دو عدد کپسول­ 1000 میلی­گرمی گل مغربی خوراکی و گروه دوم 6 عدد کپسول روغن کرچک خوراکی همزمان با القاء لیبر دریافت کردند. اطلاعات نمره بیشاپ و پیامدهای زایمانی با استفاده از پرونده بیمارستانی جمع‌آوری و با استفاده از نرم‌افزار آماری SPSS (نسخه 16) و آزمون­های تحلیل واریانس در اندازه‌گیری­های مکرر، کای اسکوئر و تی مستقل مورد تجزیه و تحلیل قرار گرفتند. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته­ ها: میانگین و انحراف معیار نمره بیشاپ 2 ساعت بعد از القاء در گروه‌ گل‌مغربی و روغن کرچک به‌‌ترتیب 69/1±36/5 و 42/1±02/5 (542/0=p) و 4 ساعت بعد از القاء 58/1±63/7 و 94/1±32/7 (492/0=p) بود که اختلاف آماری معنی‌داری نداشتند. مقایسه اختلاف میانگین‌ داخل‌ هر‌کدام از گروه‌های کپسول گل مغربی و روغن کرچک معنی­دار بود (001/0>p). دو گروه از نظر نمره بیشاپ، نوع زایمان، نمره آپگار، دقیقه اول و پنجم، طول مرحله اول و دوم لیبر اختلاف آماری معنی­داری نداشتند (05/0<p).
نتیجه­ گیری: گل‌مغربی و روغن کرچک در مقایسه با هم بر آمادگی سرویکس و پیامدهای بارداری همزمان با القاء لیبر اختلاف آماری معنی‌دار نداشتند، لذا کاربرد یکی بر دیگری برتری ندارد.
کلیدواژه‌ها
القاء لیبر
رسیدگی سرویکس
روغن کرچک
روغن گل‌مغربی
نمره بیشاپ

عنوان مقاله English

The effect of evening primrose and castor oil capsule on Bishop Score and some delivery outcomes (triple-blind clinical trial)

نویسندگان English

Mahdiyeh Sadat Hoseinipour 1
Zahra Saghafi 2
Marziyeh Loripour 3
Mohsen Rezaeian 4
1 M.Sc. student in Midwifery, School of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
2 Instructor, Department of Midwifery, School of Nursing and Midwifery, Geriatric Care Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
3 Associate professor, Department of Reproductive Health, School of Nursing and Midwifery, Geriatric Care Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
4 Professor, Department of Epidemiology and Biostatistics, Faculty of Medicine, Occupation Environment Research Center , Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
چکیده English

Introduction: In several studies, the effect of evening primrose and castor oil on bishop score and delivery outcomes have been investigated, but comparing their effects is questionable. This study was performed with aim to compare the effect of oral castor oil and evening primrose at the same time with induction of labor on Bishop score and some delivery outcomes in pregnant women.
Methods: This triple-blind randomized clinical trial study was performed in 2019 on 114 pregnant women referring to Niknafs maternity hospital of Rafsanjan. The subjects were randomly divided into two intervention group. The first intervention group received two capsules of 1000 mg of evening primrose and the second received 6 capsules of castor oil concurrently with labor induction. Bishop's score information and delivery outcomes were collected using the hospital records. Data were analyzed by SPSS software (version 16) and analysis of variance in repeated measures, Chi-square, and independent t-tests. P<0.05 was considered statistically significant.
Results: The mean and standard deviation of evening primrose and castor oil in each group were effective on the bishop score two hours after induction (5.02 ± 1.42, 5.36 ± 1.69, respectively) (P=0.542) and four hours after induction (7.32 ± 1.94, 7.63 ± 1.58, respectively) (P=0.492) and the difference was statistically significant. Comparison of mean differences within each group of evening primrose capsules and castor oil was significant (P<0.001). There was no statistically significant difference between the two groups in terms of bishop score, type of delivery, Apgar score, first and fifth minutes, length of first and second stage of labor (P>0.05).
Conclusion: There was no statistically significant difference between evening primrose and castor oil on cervical ripening and pregnancy outcomes at the same time as labor induction, therefore, the use of one is not superior to the other.

کلیدواژه‌ها English

Bishop score
Caster oil
Cervical ripening
Evening primrose oil
Labor induction
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مجله زنان، مامایی و نازایی ایران
دوره 25، شماره 1
فروردین 1401
صفحه 56-66