Gyneocology
fatemeh mohalli; Mohammad Alinejad Moghaddam; maryam sadat katebi; ali dashtgard; mina ghalenoei
Abstract
Introduction: Anxiety is a common problem in caesarean section patients that can have adverse consequences. Benson relaxation can be useful as a complementary medicine method to reduce anxiety. The aim of this study was to determine the effect of Benson's relaxation on the anxiety level ...
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Introduction: Anxiety is a common problem in caesarean section patients that can have adverse consequences. Benson relaxation can be useful as a complementary medicine method to reduce anxiety. The aim of this study was to determine the effect of Benson's relaxation on the anxiety level of primiparous pregnant women applying for cesarean section.
Materials and Methods: This semi-experimental interventional study was conducted among 132 primiparous pregnant women who had beeb referred to the Shahada Qain Medical Training Center for elective cesarean section in 2021. The participants in the study were selected by available sampling method and were randomly divided into two intervention and control groups. In the intervention group, the samples were given relaxation training through headphones.The Spielberger questionnaire was used to determine anxiety. Data were analyzed using SPSS software (version 16) and paired t-test, independent t-test and chi-square. The significance level of P<0.05was considered.
Results: Before the intervention, there was no significant difference between the demographic and background variables, the mean variables,overt, hidden, and total anxiety in the two groups (P>0.05). After the intervention, the comparison of the two groups showed that the mean scores of overt, hidden and total anxiety in the intervention group significantly decreased compared to the control group (P<0.05).
Conclusion: Despite the reduction of anxiety in the intervention group, the results indicated that the total and obvious anxiety in the control group also decreased significantly after the intervention. It seems that factors other than Benson's relaxation technique in this research, such as studying mothers, participating in pregnancy classes have been able to reduce anxiety among the research samples.
Azadeh Imani; Zahra Lajvardi; Sepideh Motahhar; Mahbobeh Rasouli; MahmoudReza Ghadimi; Abdolkarim Chobsaz; Shirin Razeghian
Volume 21, Issue 2 , May and June 2014, , Pages 310-319
Abstract
Background: Cesarean delivery is usually limited to cases where it is not possible through normal path, or is associated with serious risks for the fetus and mother, therefore it is expected, Caesarean section should be used in limited and specific cases and the rate of it does not exceed certain limits. ...
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Background: Cesarean delivery is usually limited to cases where it is not possible through normal path, or is associated with serious risks for the fetus and mother, therefore it is expected, Caesarean section should be used in limited and specific cases and the rate of it does not exceed certain limits. Unfortunately,nowadays reported cesarean section rate is more than acceptable in the country. Lack of awareness of the complications of cesarean and negative attitude toward normal vaginal delivery was of the causes of the increased tendency of pregnant women to have cesarean. The aim of this study was to investigate the factors affecting on selection of the methods of delivery and attitude of pregnant women admitted to the civil hospitals Social Security Organization in 2013.
Materials and Methods: This research was descriptive–analytical and cross–sectional. In this study of 2521 pregnant women in 67 civil hospitals Social Security Organization across the country had referred in the summer of 2013, using simple random sampling were examined. For data collection, a questionnaire including demographic characteristics, the questions about reasons for selection of cesarean, and attitude measurement toward vaginal delivery and cesareanwas prepared by voting of midwives and obstetricians and then,after final approval by test-ratest method,completed through interviews withpergenant mothers. For the data analysis were used of SPSS 22 software and chi-square and T-tests.
Results: The mean age mothers were 27.64±0.21 and also 57% of them had a higher education diploma. The cesarean rate was 50.7% in women in the study. 57% of women tend to be more moderate cesarean (p
Mostafa Sadeghi; AliReza Saliminai; Ali movafegh
Volume 17, Issue 1 , March and April 2010, , Pages 13-20
Abstract
Background and Purpose: Use of intrathecal opioids causes an increase in the block depth of anesthetics and duration of analgesia. Intrathecal opioids are associated with side effects such as itching, nausea and vomiting. However, the use of NSAIDs reduces itching induced by intrathecal opioids. Therefore, ...
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Background and Purpose: Use of intrathecal opioids causes an increase in the block depth of anesthetics and duration of analgesia. Intrathecal opioids are associated with side effects such as itching, nausea and vomiting. However, the use of NSAIDs reduces itching induced by intrathecal opioids. Therefore, the present study intends to determine and compare the effects of nanogram celecoxib on reducing the incidence and intensity of intrathecal meperidine-induced pruritus. Methods and Materials: This double-blind clinical trial was conducted on 90 patients undergoing caesarean section. Patients were randomly assigned into experimental and control groups. The experimental group received 25ng/kg or 100ng/kg celecoxib and the control group received oral placebo. Patients under spinal anesthesia received meperidine 10mg with intrathecal Bupivacaine 0.5%. Then, pruritus was assessed 0, 2, 6, 12 and 24 hours after surgery, and were recorded by scoring criteria. The obtained data were analyzed in SPSS using one-way ANOVA, chi-square and Fisher’s exact test. Values below 5% were considered significant. Results: The difference of the two groups in their age, weight and oral intake was not significant (confidence interval 95%). The incidence of itching in the experimental groups of 25ng/kg (p=0.049) or 100ng/kg celecoxib (p=0.001) in 0 and 2 hours after surgery were significantly lower than the control group; also, the intensity of itching 2 hours after surgery was significantly lower then the control group (p=0.001). Conclusion: Nanogram doses of Celecoxib can be used for reducing the incidence and intensity of meperidine induced pruritus.
Saeed Hashemi Aslani; Mohammadhossein Ghaffari; Mojtaba Marashi
Volume 16, Issue 2 , July and August 2009, , Pages 94-99
Abstract
Background and Purpose: Since narcotics and benzodiazepine cannot be applied for cesarean anesthesia due to the effect of respiratory depression on the infant parturients generally experience hemodynamic changes in general anesthesia. Remifentanil is a very short-effected narcotic which can be metabolyzad ...
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Background and Purpose: Since narcotics and benzodiazepine cannot be applied for cesarean anesthesia due to the effect of respiratory depression on the infant parturients generally experience hemodynamic changes in general anesthesia. Remifentanil is a very short-effected narcotic which can be metabolyzad in the infant's body and is expected not to cause respiratory depression. Therefore the present study intends to examine the effect of remifentanil on parturients' hemodynamic changes. Methods and Materials: This clinical trial was conducted on 72 full term parturients with ASA physical status I and II who were randomly assigned into two groups. Before the induction of anesthesia the first group received 0.75 µ/gkg remifentanil followed by its infusion of 0.10 µg/kg. The second group received bolus and infusion of normal saline. Heart rate systolic diastolic and mean arterial blood pressure were measured before the induction of anesthesia before laryngoscopy as well as 1 3 5 15 and 30 minutes after intubation. For dat analysis independent sample t-test Mann Whitney U Chi-square and paired sample t-test were used in SPSS. Results: No significant differences were found between the two groups as for heart rate systolic diastolic and mean arterial blood pressure in baseline measurement (p>0.05). After remifentanil administration mean heart rate before laryngoscopy as well as 1 3 5 15 and 30 minutes after laryngoscopy were significantly lower than the placebo group. However systolic diastolic and mean arterial blood pressure were lower in the first group only on occasional minutes. Conclusion: The present study suggests that the mentioned dosage of remifentanil does not have sufficient clinical effects on controlling parturients' hemodynamic responses during general anesthesia for cesarean section.
Ali Shahryari; HamidReza Nowrouzi
Volume 15, Issue 4 , January and February 2009, , Pages 192-199
Abstract
Background and Purpose: Pretreatment with crystalloid has not been able to maintain blood pressure during elective cesarean section under spinal anesthesia and it seems that prophylactic ephedrine+crystalloid can reduce hypotension and administration of high doses of ephedrine. The aim of the present ...
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Background and Purpose: Pretreatment with crystalloid has not been able to maintain blood pressure during elective cesarean section under spinal anesthesia and it seems that prophylactic ephedrine+crystalloid can reduce hypotension and administration of high doses of ephedrine. The aim of the present study is to compare the effects of ephedrine+crystalloid pretreatment with crystalloid alone on blood pressure during elective caesarean section under spinal anesthesia. Methods and Materials: In this double blind clinical trial we enrolled 72 women admitted to Ali-ebne-Abitaleb hospital in Zahedan Iran who were candidates for elective caesarean section under spinal anesthesia in 2006and divided them into group A (ephedrine+cistalloid) and group B (placebo+cristalloid) by convenience sampling. Infusion with 10ml/Kg of ringer solution was made within 10-15min before the initiation of spinal block in both groups. Also 10mg ephedrine in group A and placebo in group B were added to the solution. After newborn delivery 20 IU oxitocin and 2mg midazolam were administered to all patients. Systolic BP HR nausea vomiting level of spinal block and neonatal Apgar were recorded and analyzed by Chi-square and student's t-tests (P
K MIRZAKHANI; N JAHANI SHOORAB; M HASAN ZADEH
Volume 12, Issue 2 , July and August 2005, , Pages 48-54
Abstract
Background and Purpose: Cesarean Section (CS) is a Common obstetric procedure and hence, a lowrisk, appropriate and cost-effective anesthetic method is of importance for both mother and neonate. As almost all cesarean sections in the two hospitals of Torbate Heidarryyeh are performed under general anesthesia ...
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Background and Purpose: Cesarean Section (CS) is a Common obstetric procedure and hence, a lowrisk, appropriate and cost-effective anesthetic method is of importance for both mother and neonate. As almost all cesarean sections in the two hospitals of Torbate Heidarryyeh are performed under general anesthesia due to concern about the complications of Spinal anesthesia, the side effects of the two methods are studied in this research.
Methods and Materials: 37 pregnant gravid 1-2 women of 18-30 years old with signal-fetus pregnancy and no other complication who experienced Spinal cesarean section were compared with.52 women who experienced cesarean section under general anesthesia. The side effects of each method were recorded for 24 hours after the surgery.
Results: Mean first-minute Apgar in Spinal Cesarean and ceosarean section by general anesthesia were 8.8±0.3 and 8.3±0.7 respectively which means a statistically significant difference. Mean systolic and diastolic blood pressures were significant. Perfect satisfaction in the Spinal subjects was 64.9% and, in the other group was 5.8%.
Conclusion: High satisfaction rate, the subject's cooperation in controlling the uterus and prevention of atony, good cooperation in lactation, low headache recurrence in 2.7% of the cases, and low cost are the advantages of the spinal anesthesia and therefore it is recommended for cesarean section Candidates.