Iranian Journal of Obstetrics, Gynecology and Infertility
Year:2016 | Volume:19 | Issue:25|Papers Count:4

Introduction: Painful menstruation or primary dysmenorrhea is a common condition among women and is one of the causes of referring to obstetrics clinics. Although primary dysmenorrhea is not life threatening, but it has adverse effect on quality of life in young women and causes insufficiency in severe cases. Therefore, this study was performed with aim to evaluate the effect of zinc acetate capsule on the intensity of primary dysmenorrhea.Methods: This double-blind randomized clinical trial was performed on 78 students (18-25 years old) residing in dormitory of Falavarjan Azad Islamic University in 2014. The subjects were randomly assigned into zinc acetate or placebo group and completed the daily status recording form during 3 first day of mensturation. The experimental group received 30 mg of Zinc acetate capsule daily for two consecutive cycles. Data was collected by the questionnaire and as self-report. Data were analyzed by Wilcoxon and Mann Whitney tests by SPSS software (version 21). P<0.05 was considered significant.Results: Before the intervention, there was no significant difference between two groups in terms of demographic variables and mean of pain intensity (P>0.05), but, pain intensity decreased in both groups after the intervention compared to before the intervention (P<0.001); this decrease was greater in the intervention group (P<0.001).Conclusion: Zinc acetate which is a non-pharmacologic complementary can decrease the pain intensity and can be used for treatment of primary dysmenorrhea.

Introduction: Social tradition may originate from religion or nonreligious root. From long ago, there was female genital mutilation as a social behavior among some ethnic groups. Some people believe that female genital mutilation is a religious obligatory. To understand the accuracy of this assertion, people must know the commands and doctrines divine religions. This study was performed with aim to investigates the views of the heavenly religions of Islam, Christianity and Judaism about female genital mutilation.Methods: Collecting data in this review article was library resources, scientific journals, WHO and UNICEF, databases of Science direct, PubMed, Magiran, Cochran library, Google Scholar, Iran Medex and SID. Time interval for searching references was 2002 to 2016. Information were collected by using the keywords of Female Genital Mutilation, Female Genital Circumcision and Female Genital Cutting along with the keywords of doctrine, Sunni, Shia, Jewish, Christian, Islam and Religion. Data were analyzed qualitatively.Results: From 68 searched articles, 28 articles which met inclusion criteria and were related to the purpose of the study were reviewed. The results showed that although nowadays female genital mutilation is performing by Muslims, Christians and Jews, but Koran, Bible or Torah has not recommended it and don't know it as a mutilation obligatory for girls. Only, Shafei know it necessary to remove the skin of clitoris.Conclusion: In societies where female genital mutilation is done, cultural tradition is dominant on religious convictions; although the advocates for justifying their actions claim that the reason is religious orders.

Introduction: The incidence of myocardial infarction (MI) during pregnancy is 6 cases per 100000 births which occur more commonly at third trimester. Its maternal morbidity is 19-37% and fetal mortality is 9-13%. Anterior wall is the most common location of myocardial infraction (78%). The risk factors for myocardial infarction during pregnancy included: maternal age >35 year, hypertension, diabetes, smoking, preeclampsia, infections, and thrombophilia. On the other hand, pregnancy is a predisposing factor for coronary artery dissection. In this study, a case of myocardial infarction during pregnancy was reported.Case report: The patient was a 37 year old pregnant woman with second pregnancy who was admitted with diagnosis of acute anterior ST elevation Myocardial infarction at 37th weeks of gestation. She had received fibrinolytic agent. After performing angiography in referral center, regarding to that the lesion was thrombotic and with good distal run off, antiplatelet and anticoagulant agents was administrated for her. After 12 hours, active labor started, probably because of retroplacental bleeding, and vaginal delivery was performed. With some days delay, percutaneous coronary intervention (PCI) was done on the dissected lesion of Left anterior descending artery by using of drug-eluting stent (DES). After 50 days, implantable cardioverter-defibrillator (ICD) was implanted for her because of low left ventricular systolic function.Conclusion: If myocardial infarction occurs in pregnancy, invasive approach (angiography and Coronary stenting and then, continuing the antiplatelet agent is best choice for re-run off. In this patient, according to the angiography result, some thrombosis in LAD artery with good distal run off, antiplatelet and anticoagulant agents were administrated for her and after some days delay, angioplasty was done. If acute myocardial infarction occurs in the center without the procedures of invasive intervention, if the mother's life is threatened, at first, fibrinolytic should be used and then, invasive intervention be performed.