Iranian Journal of Obstetrics, Gynecology and Infertility
Year:2016 | Volume:19 | Issue:34|Papers Count:7

Introduction: Sexual dysfunction is a common problem in women with pelvic organ prolapse that impacts their quality of life and sexual relations. Therefore, this study was performed with aim to assess the sexual function in women with genital prolapse before and after anterior- posterior colporrhaphy.Methods: This descriptive-comparative study was performed on 105 women with pelvic organ prolapse referred to Shahid Mofateh gynecology clinic of Yasouj in 2014-2015. Data were collected through a demographic questionnaire and Female Sexual Function Index (FSFI) before and three months after the surgery. Data were analyzed by SPSS software (version 18) and …., paired T-test, Chi-square and regression test.Results: The mean score of sexual function before and 3 months after colporrhaphy had no significant difference with before the surgery (P>0.05), but mean score of sexual satisfaction showed significant decrease 3 months after colporrhaphy (P=0.003. Mean score of arousal, orgasm and pain didn’t have significant difference with before the surgery (P>0.05), and the score of desire and lubrication significantly decreased (P<0.05).Conclusion: Although surgical treatment such as colporrhaphy is a chosen treatment for pelvic prolaps and can improve the symptoms of prolapse, but has no impact on sexual function and decrease sexual satisfaction.

Introduction: Considering the importance of preeclampsia and its effect on hematologic indices, and also the studies showing the effect of lead as a toxic metal on these indices, the present study was performed with aim to investigate the correlation of serum lead with hematologic indices in women with preeclampsia with no occupational exposure to lead.Methods: This correlation study was performed on 80 pregnant women with preeclampsia hospitalized in Zanjan Ayatolah Mousavi hospital in 2015. At entry to the study, 3.5 ml of venous blood samples were taken from participants to assess serum lead level and hematologic indices. Demographic and obstetric characteristics of participates were also recorded. Serum lead level was measured using potentiometric method with Ion3 device, and hematologic indices were analyzed with Symex device. Data were analyzed by SPSS software (version 22) and Chi-square and Pearson correlation test. P<0.05 was considered significant.Results: Mean serum lead level among 80 participants was 8.04±3.4 mg/dl. Blood lead level showed a positive correlation with Platelet Distribution Weight (PDW: r=-0.300, P=0.17), and a negative and significant one with Platelet Large Cell Range (PLCR: r=-0.260, P=0.047). Blood lead level also showed positive significant relationship with BUN (BUN: r=0.377, P=0.001) and blood creatinine (Cr: r=0.288, P=0.012), but showed no relationship with other blood indices.Conclusion: Blood lead affects on blood biomarkers, so it is recommended that strategies be planned and implemented for reducing exposure to environmental lead especially in pregnant women.

Introduction: Middle aged people, a large and productive group of the community whichare deprived from many services because of focusing on high-risk groups such as children, need strong support to comprehensively enhance their quality of life. This study was performed with aim to investigate the effect of SMS and face to face training on doing Kegel exercises in the middle-aged women.Methods: This clinical trial study was performed on 100 middle-aged women in 2016. 47 cases received SMS and 46 face to face trainings for 4 weeks. At first, one session was held about the purpose of the study and the role of Kegel exercise in the prevention of pelvic muscle relaxation and urinary incontinence for women in both groups. Two training sessions were held for face to face training group as once in two weeks for 45 minutes, and for women in SMS training group, the same educational content was sent in the form of SMS as twice a week. After the completion of the trainings, a one-month opportunity was given to them to perform pelvic floor exercises. During this time, the case group was contacted twice a month to answer the questions, and to ensure they receive text messages requested of them to send blank SMS. After the specified time, both groups were contacted to answer about the frequency, duration and causes of failure to do exercises. Data analysis was done using statistical software SPSS (version 22) and independent t-test and Chi-square test. P<0.05 was considered significant.Results: There was no statistically significant difference between two groups in terms of doing Kegel exercises (P=0.75) and its frequency (P=0.25). Two main obstacles in doing exercises in both groups were: amnesia (29.8% in SMS training group and 38.4% in individual training) and not having enough time to do exercises (21.3% in SMS training group and 19.6% in individual training), respectively.Conclusion: There was no statistically significant difference between two groups in terms of doing Kegel exercises and its frequencies, and using SMS training can be as effective as face to face training in offering middle-age trainings.

Introduction: Natural vaginal delivery has a physiological process. Despite this process, nowadays in Iran, almost half of the births are through cesarean that this statistic is much higher than global statistics. It seems that the fear caused by inability to control the pain and time of vaginal delivery and the fear of the complications are the common thread between doctor and patient which results in final decision for caesarean section. Complementary medicine beside classic medicine has valuable points which helps to natural labor induction that evaluation of these issues help to better controlling of labor process.Methods: At first, various versions of Avicenna were evaluated to select the version which is of most originality from the views of the modifiers of manuscripts and lithography. So that, Canon version in medicine published in Beirut as Arabic was selected. In Canon book version 3, uterine diseases were explained and in this section, a separate part has been assigned to delivery. The mentioned part was translated and the views of Avicenna about labor facilitating were considered in this article. Then, using WHO, the recommendations for performing vaginal delivery were compared with those of Avicenna.Results: World Health Organization and Avicenna have recommended some guidelines in vaginal delivery induction to reduce the complications. These were food recommendations, stress control, how to breathe, how to bath, respectively. Food recommendations, the position of parturient, how to breathe, massage and anoint, and use of deodorant fragrances have been mentioned as detailed in Canon.Conclusion: With regard to the recommendations of Avicenna about labor and comparing them with those of WHO, it seems that Hakim's views are up to date.