Iranian Journal of Obstetrics, Gynecology and Infertility
Year:2017 | Volume:20 | Issue:7 |Papers Count:12

Introduction: The preferred method in anesthesia of the patients who are candidate for gynecology diagnostic laparoscopic surgeries is general anesthesia (GA) usually, but in patients with any contraindication for GA, Spinal Anesthesia (SA) is used. This study was performed with aim to compare GA with SA technique for gynecology diagnostic laparoscopic surgeries.Methods: This clinical randomized and prospective study was performed on 30 patients who were candidate for gynecology diagnostic laparoscopic surgeries in 2012-2013. The subjects were divided in two groups of GA & SA (n=15 in each group). Data collection tools were checklist and observation. SPO2, MAP, RR, HR, ETCO2 were recorded preoperative and intraoperative. Nausea, vomiting and shoulder pain were evaluated in recovery, 2, 8 and 24 hours after surgery. Data were analyzed by SPSS software (version 15), and using T-test and Chi-square. P<0.05 was considered significant.Results: The changes of SPO2 and HR at the studied times were not significantly difference between two groups (p=0.141, p=0.531, respectively), and only EtCO2 after Inflation (p=0.015) and RR and EtCO2 during inflation (p=0.004, p=0.013, respectively) were significantly different between two groups. MAP in all the state in the SA group was lower except before inflation. The incidence of shoulder pain at 2, 8 and 24 hours after surgery had significant difference between two groups (p=0.009, p=0.035 and p=0.011, respectively); so that it was higher in the SA group. Nausea in the recovery had higher incidence in SA group (p=0.024).Conclusion: The use of SA for diagnostic laparoscopic surgeries in women is safe and reliable and like as any other anesthesia method has benefits and disadvantages.

Introduction: Osteoporosis is the most common metabolic bone disease that could causes many dangerous fractures. In this condition bone mass reduces, so fractures can easily occur. The aim of this study was assessing the effect of eight weeks of aerobic training on serum parathormone, estrogen and Alkaline phosphatase concentration in Women with premature menopause.Methods: Methods: In this study semi-experimental study, in 2014, 21 women with premature menopause (age 35-45 year, body mass index (BMI>30 kg/m2), height: 161.19±2.64 and weight 83.97±1.98) were selected by convenience sampling method and they were randomly divided into two groups experimental (n=10) and control (n=11). The subject in experimental group had an aerobic training program for eight week (3 sessions in week, each session 45-60 minutes, the intensity of exercise was 65 to 75 percent of maximum heart rate). Blood samples were taken from the subjects’ 24 hours before the first session and 48 hours after the last training session at end of eight week in order to measure factors such as (parathyroid hormone (PTH), estrogen and some bone metabolism) by using a radioimmunoassay (RIA) and ELISA method in 12 hours of fasting. Then Data for inter and between group comparison, paired and ANCOVA test were used (significance level p<0.05).Results: The result of this study show that, eight weeks aerobic training lead to a significant increase in mean values of serum calcium (p=0.001), phosphor (p=0.001), estrogen (p=0.001), parathormone (p=0.001) in aerobic training group; while, the amount of alkaline phosphatase did not change at the end of period (p=0.92).Conclusion: Eight weeks aerobic training with 65 to 75 percent of maximum heart rate intensity was efficient in increasing of serum calcium, phosphor, estrogen, parathormone in women with premature menopause. It is concluded that regular training can help to increase bone density and reduces the risk of fractures in women with premature menopause.

Background & Objective: Nausea and vomiting are common complaints after cesarean section which typically occurs during the first postoperative times. Also herbal medicine use is one way to improve the syndrome. Therefore, this study was conducted to determine the effect of Anethum graveolens L. Oil on nausea after cesarean in sabzevar Mobini hospital.Materials & method: This double-blinded clinical trial, involving 128 women who underwent cesarean (placebo 59 - drug 69), was carried out in Mobini Hospital in Sabzevar in2014.The method was eat drug and placebo after finished npo, three dose 40 drop per 20 minutes in those women with nausea. The effect of Anethum graveolens L oil on nausea with using v.a.s. was evaluated.This scale was shown patient's feelings with different colors. Significantly was p<0.05.The study statistical methods included Chi-square, Fisher's exact test, and t-student.Results: According of result, chi – Squire Test indicated a significant difference between two groups in nausea had decreased in second and third 20 minutes (P<0.001). Subjects did not declaration any side effects either during or after the study.Discussion: Therefore, Anethum graveolens L oil is effective on nausea intensity after cesarean section then the research hypothesis was confirmed.Also considering the importance of maternal and neonatal healthy, a similar study on other nausea causes is recommended.

Introduction: Physical and mental physiological changes associated with menopause is affected all the female body systems including the gastrointestinal tract that In fact, one of digestive disorders are constipation which in severe cases quality of life reduced. So this study was performed with the aim to determine constipation and its associated factors in postmenopausal Women in Roudan.Methods: Present study was cross sectional study.450 postmenopausal subjects aging 46 to 65 years that referred to selected health centers in Roudan, were selected by convenience sampling in 2016. The data collection tools included a standard questionnaire based on the Rome III criteria by interviewing. The statistical analyses were performed using SPSS (version 16.0) software and data were analyzed using the dependent t-test‚ Chi-square tests and logistic regression.Results: The average age of participants was 56.88±4.74 years. The prevalence of constipation based on the Rome III criteria was 33.7% (168 individuals). There was a significant statistical relationship between constipation and the variables of education level, occupational status, marital status, economic situation, number of pregnancies, number of natural childbirths, history of pelvic floor surgery, daily sports activities, number of fruits and vegetables servings, number of milk and dairy products servings, and amount of sleep per day (by hour) (P<0.05).Conclusion: The prevalence of constipation in postmenopausal women is relatively high. Due to the increasing population of postmenopausal women and since constipation can significantly affect their quality of life. it is recommended that in aged care programs, more attention is paid to intestinal disorders (especially constipation).

Introduction: Osteoporosis is a chronic, progressive skeletal disease associated with high health cost for the treatment of respective complications, follow-up care, and rehabilitation. Lifestyle plays a critical role in the prevention of the diseases, especially during adolescence and early adulthood. The aim of this study was to determine the effect of educational intervention on lifestyle modification associated with osteoporosis in female students of Islamic Azad University, Kazerun Branch.Materials and methods: This pre-and post- controlled semi experimental study was carried from October to February 1395, on 136 female students of Islamic Azad University randomly selected using multistage sampling method (68 students for each of intervention and control groups). To collect data in this study, two questionnaires including demographic questionnaire related to demographic and socioeconomic status and Walker standard lifestyle questionnaire for measure of health promotion behaviors including six areas of nutrition, exercise, health responsibility, stress management, interpersonal support and self-actualization were used and before the intervention, immediately and 2 months after the intervention were given to the participants. Data were analyzed using student t-test, Chi-square and repeated measures variance analysis using SPSS software (version 24). P value less than 0.05 was considered significant.Results: Analysis of variance in repeated measures showed that the mean score of lifestyle questionnaire in total of p Conclusion: Educational intervention is effective in improving preventive life style of osteoporosis.

Introduction: Pregnancy is one of the most common background factors of sleep disorders. Sleep disorders can cause physical and psychological problems in pregnant women and may also cause some problems for fetus. This study was performed with aim to determine the relationship between sleep disorders during pregnancy with premature labor and low birth weight (LBW).Methods: This analytical cross-sectional study was performed in 2012 on 400 pregnant women at third trimester who continuously referred to the Ganjavian hospital in Dezful. Data collection tools were the questionnaire of demographic and obstetrics information and the standard questionnaires of Intensity Sleepiness Index, Sleepiness Scale, Pitisburgh Sleep Quality Index. Data were analyzed by SPSS software (version 19) and Chi-square test. P<0.05 was considered significant.Results: The frequency of sleep disorders at third trimester of pregnancy was 63% that significant relationship was found between sleep disorders at third trimester of pregnancy and preterm labor (p=0.038), but there was no significant relationship with LBW (p=0.617).Conclusion: There is a relationship between sleep disorders at third trimester of pregnancy and some undesirable outcomes of pregnancy such as preterm labor, so performing the needed measurements to treat sleep disorders can avoid these kinds of pregnancy outcomes.

Introduction: Leg cramp is associated with high levels of blood glucose, triglycerides, blood pressure, obesity and decreased HDL in middle-aged women that is associated with painful contractions, which leads to disorder of walking and health in the individual. Therefore, due to these disorders, this study was performed with aim to investigate the effects of calf muscles and hamstrings stretching training on pain severity and leg cramps in women with metabolic syndrome.Methods: This semi experimental study was performed by pretest-posttest with control group in 2015 on 24 patients with metabolic syndrome in Fouman city. After the measurement of leg cramps and metabolic syndrome variables, the subjects were randomly divided into two groups of experimental and control. Stretching training was performed for 6 weeks, 5 days per week for 45 to 50 minutes. The intensity and frequency of leg cramps were assessed by visual analogue scale. Data was analyzed by SPSS software (version 20) and dependent t test and covariance analysis. P<0.05 was considered significant.Results: Stretching training significantly reduced the intensity and frequency of leg cramps (p<0.05); while the changes of pain severity was not significant between two groups (p>0.05). Also, the changes of metabolic syndrome indices and anthropometric measurements before and after training was not significant the experimental group (p>0.05).Conclusion: 6 weeks of stretching training can affect the leg muscles cramps and so can be useful in improving of leg cramps indices (intensity of frequency). Therefore, according to the results, women with metabolic syndrome can use stretching training for possible prevention of leg muscles cramps disorders and reducing its complications in daily life.

Introduction: The results of the studies are different about the relationship between mental stress and hypertensive disorders as one of the most important unresolved issues in obstetrics. This review study was performed with aim to present a regulated collection of recent studies on the relationship between mental stress and hypertensive disorders during pregnancy.Methods: In this review study, the related English and Persian papers were collected from databases of Google scholar, Pubmed, Scienc direct, SID, Irandoc and using the key words of stress, mental, preeclampsia and the Persian words of stress, preeclampsia, eclampsia, pregnancy- induced hypertension, and toxemia from 1980 to 2017. The papers which got the score of 16 in evaluation based on STROBE checklist were entered to this study. Results were presented as qualitative report.Results: Finally, 8 papers were entered to the study that evaluated different type of stress by various scales. In these studies, there was no sufficient homogeneous for combining data, so data were only reported. Among these studies, there was significant relationship between maternal mental stress and hypertensive disorders in 6 studies and no relationship was found in other two studies.Conclusion: In majority of studies, there was relationship between stress and hypertensive disorders. However, more prospective analytical studies with controlling confounding variables is required to more determine this relationship.

Introduction: Severe vaginal bleeding after postpartum is an emergency in obstetrics and if not treated appropriately associated with high mortality. Uterine artery embolization is a minimally invasive procedure and effective method in addition to control bleeding, moreover may also preserve fertility. However, this method is also associated with complications such as ischemia and uterine rupture. The aim of this article is to report of a case of necrosis and rupture of the uterus following uterine artery embolization.Case report: A 23-year-old woman with clinical presentation of massive postpartum hemorrhage was referred. She had history of twice Cesarean section and suffered severe vaginal bleeding after last surgery. Uterine artery embolization was performed and following it, because of repeated and uncontrolled vaginal bleeding, inevitably explorative laparotomy was performed. During surgery due to rupture of the myometrium and the impossibility of its restoration, she underwent hysterectomy. Pathology report confirmed the diagnosis.Conclusion: Despite the effective beneficial outcomes of uterine artery embolization, due to its complications, proper indication and careful attention should be considered.