Iranian Journal of Obstetrics, Gynecology and Infertility
Year:2016 | Volume:19 | Issue:9 |Papers Count:4

Introduction: Reducing the quality of sleep is one of the most common complaints during pregnancy that can create appropriate field for many mental disorders in this period. Inappropriate sleep quality is related with negative consequences on the mental health in pregnant women. This study was performed with aim to predict the sleep quality based on stress, depression and anxiety with role of mediator cognitive emotion regulation strategies in pregnant women.Methods: This descriptive study was done on 302 pregnant women referred to health centers in Kermanshah city in 2015. To evaluate the relationship between measured variables in suggested conceptual model, structural equations pattern was used. The subjects as self-assessment completed Pittsburgh sleep quality questionnaire (PSQI), Granfeski cognitive emotion regulation strategies questionnaire and depression, anxiety and stress questionnaire (DASS-21). Data analysis was performed using SPSS software (version 22) and AMOS 21, and Pearson correlation coefficient, regression coefficient, path analysis.Results: significant relationship was observed between sleep quality and mental health in pregnant women through cognitive emotion regulation strategies, so that, use of negative emotion regulation strategies such as thought rumination and disaster concept increases the risk of developing depression and anxiety and reduced sleep quality (P<0.05).Conclusion: Poor mental health and maladaptive cognition emotion regulation strategies can reduce sleep quality in pregnant women.

Introduction: Introduction: preeclampsia is associated with various maternal and neonatal outcomes such as intra-uterine growth retardation, preterm labor and increased risk of fetal mortality. It seems that increased uterine vascular resistance is associated with higher risk of preeclampsia progression. This study was performed with aim to investigate uterine artery indexes in Doppler sonography for predicting neonatal outcome in preeclamptic pregnancies.Methods: this prospective study was conducted on 46 pre-eclampsia and 74 normal pregnant women referred to Emam Reza and Omalbanin hospitals in 2014. Trans-abdominal Doppler sonography was conducted between 26-36 weeks of pregnancy at supine position and Doppler signals of uterine artery indexes were evaluated and after delivery, neonatal complications were added to the form of evaluation. Data was analyzed by SPSS software (version 16) and T-student, Chi-square and Mann-Whitney tests. P<0.05 was considered significant.Results: The highest sensitivity, specificity and positive predictive value for the mean Pulsatility index of uterine artery in women with preeclampsia in predicting of low birth weight infants were 51.7% and 90.9% and 93.7%, respectively. The highest sensitivity and positive predictive value of uterine artery resistance index in predicting of low birth weight infants were 62% and 94.7%, respectively. Also, mean uterine artery resistance index in prediction of all adverse pregnancy outcomes had high specificity.Conclusion: Although uterine artery indexes in Doppler sonography has no high sensitivity to predict neonatal outcomes, but their abnormal range can predict low birth weight.

Introduction: Episiotomy is the most common surgical intervention at the end of second stage of delivery and perineal pain is the most common complication of episiotomy. Since this pain affects the quality of life and relationships between the mother and baby, different studies have been conducted in order to expedite treatment of episiotomy wound healing and pain relief. Therefore, this study was performed with aim to have a systematic review on the studies performed to reduce episiotomy pain and improve wound healing in Iran.Methods: In this systematic review, the related information were searched from databases of IRCT, Iranmedex, Magiran, Irandoc, Medlib, Google Scholar, SID, Proquest, Scopus, Pubmed and Science Direct with the keywords of “episiotomy, wound healing, perineum, pain” to December 2015. Then, the articles which obtained score of 3 or higher were entered to the study based on Jadad criteria. Moreover, data were analyzed qualitatively.Results: Finally, 36 clinical trials which met the inclusion criteria were evaluated. The surveys showed that the several methods were used to reduce the pain intensity and improve wound healing such as herbs (lavender, Curcuma, etc), chemical drugs (phenytoin and lidocaine, etc.) and non-pharmacological methods (cryotherapy and ...). Among all the interventions, Lavender, Olea europaea, Aloe vera, Curcuma and Cryotherapy led to greatest pain reduction and fastest recovery of episiotomy wound.Conclusion: Lavender, Olea europaea, Aloe vera, Curcuma and Cryotherapy are the most effective treatments for episiotomy wound. However, more accurate studies with higher sample are required for definite judgment about the effectiveness of these interventions.