Showing 6 results for Cesarean
Mohammad Reza Rafiei, Mansoure Samimi, Mehdi Noroldini, Seyed Gholam Abbas Mosavi,
Volume 8, Issue 1 (6-2006)
Abstract
Background: Uterine bleeding is an important side effect of cesarean section which
is due to non contractile uterine. The aim of this study was to compare the effect of
10% dextrose (IV infusion) and 40 IU/L oxytocin (IV infusion) on uterine contraction.
Materials and Methods: This research was a double-blinded randomized clinical
trial (RCT) study. 120 women were equally included in the two study groups. After
cesarean section and uterine bleeding due to non contractile uterine, each patient
randomly received 10% dextrose or 40 IU/L oxytocin in equal volume, intravenously.
The ability of these two drugs to induce firm contraction of the uterine muscle was
then determined.
Findings: There was significant difference between the ability of the two drugs to
induce firm contraction of uterine muscle. The rate of firm contraction of uterine
muscle in response to IV infusion of 10% dextrose was 68.3% and to IV infusion of
40 IU/L oxytocin was 31.7% (P < 0.01). IV infusion of 10% dextrose affected high
parity women more intensely (82.4% compare to 12.5%) and IV infusion of 40 IU/L
oxytocin had a more intense effect on low parity women (63.6% compare to 43.5%)
(P> 0.05).
Conclusion: IV infusion of 10% dextrose is more effective than IV infusion of 40
IU/L oxytocin on uterine bleeding and firm contraction of uterine muscle after
cesarean section in the women.
Fereidon Sabzi, Hasan Teimori, Fatemeh Nematollahi,
Volume 8, Issue 1 (6-2006)
Abstract
Background: Painless delivery using IV sedation is a method in which the pain and
anxiety delivery process will be reduced by IV injection of analgesic and sedative
drugs to the mother. In this method the health of neonate is taken into account.
Neonate’s health can be measured by Apgar score system. This research was carried
out to study Apgar score of the minutes 5 and 10 in neonates borne by painless natural
delivery and Cesarean C.
Materials and Methods: In this clinical trials study, 60 pregnant women referred
to Bakhtar hospital for natural delivery and Cesarean were selected using census
method including 30 painless deliveries and 30 women underwent Cesarean section.
A questionnaire was filled out for each of them and those who had not any problem,
were used as study group. Painless delivery through IV injection of Ketamine and
Midazolam and Cesarean section through general anesthesia were done, and Apgar
score in the minutes 5 and 10 in both groups were measured. No significant difference
in term of parity and age was observed in the both groups. 90% of the painless group
neonates in minute 5, and all of the neonates in the minute 10 had Apgar scores of 9
and 10. In Cesarean group, 20% of the neonates in minute 5, and 10% of the neonates
in minute 10, had Apgar scores of 7 and 8. Mann – Whitney test showed no
significant statistical difference between Apgar scores in the minutes 5 and 10 in both
groups. All the neonates had Apgar score of 7 to 10. The average interval time
between the two groups, was significantly different. Time interval was much more in
painless delivery (11.83 minutes versus 5.5 minutes).
Findings: Neonates of the painless delivery group, in comparison with Cesarean
group, didn’t have low Apgar score despite the usage of analgesic and sedative drugs
as well as passing of fetus from birth canal. Therefore, painless delivery with IV
sedation is a safe delivery.
Kobra Karami , Katayon Bakhtiar , Bahman Hasanvand , Shirzad Safary , Shirin Hasanvand ,
Volume 14, Issue 4 (12-2012)
Abstract
Background : The aim of this study is to compare the quality of life and public health after natural and cesarean delivery in women referred to Khorramabad health centers in 2009-2011.
Materials and Methods: In this cohort study all pregnant women referred to health centers in Khorramabad were studied. 380 persons participated in the study selected using purposive sampling method. Data collection was done in 18 months. The information was collected in steps (a): the last month of pregnancy and (b):eight weeks after delivery.GHQ questionnaire was used in order for primary assessing, its validity confirmed by the World Health Organization. Data were analyzed using logistic regression, chi square test, Mann-Whitney at 5% significance level with SPSS software, version 16.
Results: 250 subjects out of 380(146 natural deliveries and 104 cesarians) filled out interview forms and questionnaires. The results show that there are statistically significant differences between physical domain scores (P = 0.001) and mental scores (P = 0.02)which show significant differences in quality of life and in environment and social areas and total, no statistically significant difference was observed. Chance of causing disease symptoms in women with cesarean delivery in the scale of physical complaints was 09.3 times (P = 0.001), depression 75.1 times (P = 0.02) and impaired social interaction 68.1 times (P = 0.04) greater than women with vaginal delivery, all of which are significant at the 5% level of statistical error.
Conclusion:Quality of life in its various aspects and general health in mothers with normal delivery, better grades and better shows.
Azin Alavi, Samiye Karimi, Soheyla Akbari , Soghra Falahi, Fateme Alinejhad,
Volume 18, Issue 1 (5-2016)
Abstract
Background : Adenomyosis is a common benign disorder in premenopausal women. It may be presents with uterus enlargement, pelvic pain, abnormal uterine bleeding and dysmenorrheal. The main objective of this study was to assess prior uterine surgery was a risk factor for adenomyosis.
Materials and Methods: In this cross-sectional study, we reviewed the medical records of all women who underwent hysterectomy for benign and nonemergency gynecologic condition between 2001 – 2006 in Shariate hospital of Bandar Abbas. Data included: age, gravidity, parity, abortion, prior uterine surgery and uterine size by physical examination before hysterectomy, were collected from the clinical records and the information about adenomyosis was obtained from pathology records. Analysis was done using SPSS-16, descriptive statistics, T test and ANOVA. Significant level was set as P<0.05.
Results: Of the 191 participants , 72 (37.7%) women had pathologically confirmed adenomyosis. The prevalence of adenomyosis in this study was 37.7%. women with adenomyosis reported a history of prior uterine surgery more frequently than women without adenomyosis but age, menarch, gravidity, parity and history of abortion were similar between the 2 groups.
Conclusion: This study indicated that adenomyosis had significant correlation with prior uterine surgery. And, confirmed that we can decrease prevalence of adenomyosis with decreased unnessecery uterine surgery.
Meysam Behzadifar, Hanieh Hasanvandi, Saeed Shahabi, Ahad Bakhtiari, Samad Azari, Seyed Jafar Ehsanzadeh, Masoud Behzadifar,
Volume 24, Issue 4 (3-2023)
Abstract
Background: Physiological childbirth refers to the natural birthing process that does not involve medical or pharmaceutical interventions. This method is characterized by spontaneous labor, the absence of medical interventions, freedom of movement, and active participation of the mother. Rate of cesarean delivery has been increasing over the past decade in Iran, accounting for approximately 50% of all births in the country as Iranian healthcare officials have also promoted physiological childbirth. In this regard, it is important to recognize that physiological birth is a personal choice; therefore, women should receive the necessary information and support to make informed decisions about their birth experiences. Besides, it is critical to provide the necessary education for healthcare providers and engage with women to address their cultural and social beliefs about childbirth. Additionally, the supportive policies of the government that promote physiological childbirth and educational programs can also be valuable in this regard.
Peyman Astaraki, Maryam Ahadi, Zahra Khademi, Farahnaz Changaee,
Volume 26, Issue 2 (6-2024)
Abstract
Background: The health system transformation plan has been implemented since 2014, and one of its goals is the reduction of cesarean rate to 25%-30%. The present study aimed to assess the rate of cesarean delivery and vaginal delivery before and after the implementation of the health system reform plan in Lorestan, Iran.
Materials and Methods: This descriptive study was conducted in 2020. The research population included all the women who had given birth in one of the public hospitals of Lorestan province during 2011-2016. The sampling method was the census, which was based on the statistics of the vice-chancellor of treatment at Lorestan University of Medical Sciences. After data collection, they were analyzed using descriptive statistics.
Results: The results of the study demonstrated that contrary to expectations, the cesarean section overall rate increased by about 3.4% after the implementation of the health system transformation plan, compared to before the implementation of this plan. It is worth noting that in some hospitals, including Khorramabad Asali Hospital, Khorramabad Social Security Hospital, and Broujerd Kowsar Hospital, the rate of cesarean section increased by 4.6%, 6.5%, and 5.9%, respectively, after the implementation of the health system transformation plan.
Conclusion: It seems that according to the rate of cesarean delivery in this province that is higher than standard and the ineffectiveness of the health system transformation plan in this field, more efforts should be made with the use of extensive programs in order to increase the awareness and culturalization of the society.
