P. Rad , H. Hossein, H. Delaviz , R. Vanda ,
Volume 1, Issue 1 (1-2020)
Abstract
Aims: Spinal analgesia is the most common method that provides pain relief during labor and controversy exists about its effect on the maternal and fetal among the women.
This study was conducted to determine the effect of intrathecal analgesia (ITA) on perineal laceration, duration of the first, second, and third stage of labor, and Apgar score.
Materials & Methods: Fifty primipara parturients with gestational age ≥37 weeks, in the active phase with cervical dilation of 3-4 cm participated in this randomized clinical trial study. Any participant with contraindication for vaginal delivery or spinal analgesia, the use of sedative drugs, and fetal malpresentation was excluded from the study. Based on whether they consented to ITA or Non-ITA parturients, they were divided to the ITA (n=25) and non-ITA (25) groups. The duration of the first, second, and third stage of labor, perineal laceration, birth weight, and Apgar scores were recorded and compared.
Results: Duration of the first stage of labor was significantly higher in the ITA (7.34±4.27) parturients compared to the non-ITA (5.52±2.1) group (p<0.039). There was no significant difference in the duration of third stage of labor between two groups (p>0.321). The number of Perineal laceration increased significantly in the ITA group compared to the non-ITA parturients (p=0.001). Neonatal outcomes demonstrated that there was no statistical significant difference in the first and fifth minute Apgar scores between 2 groups.
Conclusion: Intrathecal analgesia can provide effective analgesia for labouring patients, but prolong the first and second stage of labor.
F. Ansari, J. Zabihirad, Sh. Kohan, L. Akbari,
Volume 4, Issue 1 (3-2023)
Abstract
Aims: Pregnancy is a stressful process and nursing is also one of the most stressful jobs for women. The addition of occupational stress in women nurses can exacerbate pregnancy stress and affect pregnancy outcomes. Therefore, this study aimed to investigate the relationship between occupational stress and adverse consequences of pregnancy in nurses.
Instrument & Methods: This descriptive cross-sectional study was carried out on the population of married women with a history of pregnancy in the nursing departments and operating rooms of medical education centers in Isfahan city, Iran, in 2018. Totally, 325 female nurses who had the experience of just one pregnancy while working in the nursing profession were selected using census method. Data collection tools were the OSIPOW occupational stress inventory and a reproductive health researcher-made questionnaires. The data were coded and analyzed using SPSS 16 software by Chi-Square, Kruskal-Wallis, and Mann-Whitney tests.
Findings: The mean of occupational stress score was 160.0±19.5. There were no significant relationships between the mean of stress score of the subjects with the demographic parameters except the standard noise level in the workplace (p=0.004). There was a significant relationship between occupational stress and spontaneous abortion at 20-37 weeks (p=0.009).
Conclusion: The level of stress in most of the nurses is moderate to severe and there are no relationships between the stress score and adverse pregnancy outcomes.
S. Mashayekhi, Z. Abbaspoor, B. Cheraghian , M. Javadnoori ,
Volume 5, Issue 2 (6-2024)
Abstract
Aims: The significance of men’s health before embarking on pregnancy has been acknowledged in the past decade. Identifying and mitigating risk factors to ensure successful fertility and favorable pregnancy outcomes is crucial. In Iran, preconception care primarily targets women. There is limited knowledge about men’s preconception health. This study was undertaken to assess the health status of men before pregnancy in couples in Ahvaz health centers.
Instrument and Methods: In this descriptive study, 384 married men were chosen from couples registered at health centers in Ahvaz, Iran, between 2019 and 2020. Inclusion criteria included the intention for pregnancy within the next three months or having a pregnant woman in her first trimester. Data were collected using a demographic information form and the General Health Questionnaire, and the obtained data were analyzed using SPSS 22 software.
Findings: Based on the results, 72.9% of men exhibited at least one pre-pregnancy male risk factor: abnormal body mass index (33.9%), hypertension (10%), borderline or abnormal blood glucose levels (20.8%), a condition impacting reproductive health (17.18%), significant mental health issues (37.2%), drug use (14.3%), substance abuse (38%), and exposure to environmental and occupational hazards (51.3%).
Conclusion: The majority of men have at least one risk factor associated with unfavorable pregnancy or fertility outcomes.
