Iranian Journal of Obstetrics, Gynecology and Infertility
Year:2016 | Volume:19 | Issue:13 |Papers Count:5

The pain of natural childbirth is the most painful ailment that human experience. Fear of labor pain is an important factor in the desire and urges of women for elective cesarean section. Also, Hyoscine is an anticholinergic, antispasmodic, analgesic and soothing agent. This study was performed with aim to evaluate the effect of hyoscine- n -butyl bromide on labor pain in nulliparous women, so that the results can be applied as a method to reduce labor and to encourage women for vaginal delivery.Methods: This double blind clinical trial study was performed on 110 nulliparous referred to Ali Ebne Abitaleb hospital of Zahedan for delivery in 2013. The case group received 20 mg hyocsine to 1cc and the control group received 1 cc normal saline in similar syringes with preset codes as single dose and IV at the beginning of the active phase of labor. During pacifically hours after administration of drug and placebo, the intensity of pain was determined and recorded. Data was analyzed using statistical SPSS software (version 19), t-test and Chi-square.Results: The intensity of pain was less in case group than the control group, but the difference was not significant (P=0.456).Conclusion: It seems that hyoscine cannot significantly affect the smooth muscle of the uterus and cannot be used as an effective drug to reduce labor pain, but slightly reduces labor pain.

Introduction: Gestational diabetes is one of the issues that can lead to pregnancy adverse outcomes. Self-care is the first step to help the patients for better management of their disease that belief of person in own ability to do a job or adapt to a stressful situation (self- efficacy) is one of the relevant factors. Therefore, this study was performed with aim to predict self- care behaviors of women with gestational diabetes based on belief of person in own ability (self- efficacy).Methods: This predictor correlation study was performed on 400 women with gestational diabetes referred to health centers and midwifery clinics related to Mashhad University of Medical Sciences in 2015. Data collection tools were Individual questionnaire, self- care questionnaire retrieved from Summary Diabetes Self-Care Activities (SDSCA) scale and diabetic self- efficacy questionnaire. Data were analyzed using SPSS software (version 16), Pearson correlation coefficients test and Liner regressions model. PResults: 248 women (62%) with gestational diabetes had moderate self- efficacy and 261 (65.2%) had moderate self- care.Results: of Pearson correlation coefficients test showed a significant direct correlation between self- efficacy and self- care (P<0.0001, r=0.31) and according to Liner regressions model, self- efficacy was considered as a predictor variable of self- care (P<0.0001).Conclusion: Self- efficacy is able to predict self- care behaviors in women with gestational diabetes. Regarding the direct linear relationship between these two variables in this study and moderate level of self-efficacy in women with gestational diabetes, the importance of psychological interventions should be considered for treatment of gestational diabetes.

Introduction: Male infertility is responsible for 30%-50% of infertility cases. Male fertility mainly depends on sperm morphology, quality, motility, and concentration, and abnormalities in any of these factors may result in male infertility. There are different herbal medicine with fertility and infertility characteristics in males throughout the world. The application of these plants in male fertility is of great importance, so that numerous studies have evaluated the effects of some of them. So, this study was performed with aim to evaluate herbal medicine with characteristics of fertility enhancing and infertility in males.Methods: To access the related articles, several databases including PubMed, MEDLINE, Cochrane Library, Emro, WHO, IranMedex, SID, and Google Scholar were used. To collect the needed information, the studies were searched which contained the keywords of herbal medicine, male fertility, infertility, Daucus carota, Dendrophthoe falcate, either alone or in combination with other names of herbal medicine. The studies published during 2000-2015 were included. Finally, 80 papers with the most relevant topics were evaluated.Results: Based on the evaluated papers, Petroselinum crispum, Allium sativum, Matricaria chemmomilla, Crocus sativus L., Fumaria Parviflora, Origanum vulgarel L. spp. viride, and Daucus carota L. had male fertility enhancing properties. In contrast, Curcurma Longa, Piper nigrum, Achillea millefolium L., Capparis deciduas, Centella Asiatica, Allamanda cathartica, Aegle marmelos, Tinospora cordifolia, Martynia annua, Anethum graveolens, Mistletoe, Barleriaprionitis, and Abrus precatorius had male antifertility characteristics.Conclusion: The use of herbal medicine with fertility enhancing properties can be used as supplements or alternatives to fertility chemical drugs in men. On the other hand, it is recommended that plants with antifertility properties should be less used or be avoided by men with fertility abnormalities.