Solmaz Fakhari; Hojjat Pourfathi; Haleh Farzin; Eisa Bilehjani
Volume 3, Issue 4 , November and December 2018, , Pages 137-142
Abstract
Breast cancer is a common type of cancer among female human populations. Approximately, one million new cases are diagnosed per year and it is expected that this amount will increase in the future. In recent years, the common standard surgical procedures for the treatment of breast invasive carcinoma ...
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Breast cancer is a common type of cancer among female human populations. Approximately, one million new cases are diagnosed per year and it is expected that this amount will increase in the future. In recent years, the common standard surgical procedures for the treatment of breast invasive carcinoma are breast-protective surgery and modified radical mastectomy. Residual tumor after surgery, stage T3–T4, metastases to 4 axillary lymph nodes or greater, and extracapsular axillary lymph node disease that is treated with adjuvant chemotherapy are indications of surgery. Post-mastectomy radiotherapy results in an increased disease-free condition and survival rate. With the improvement of survival rate, the procedure has been focused on quality of breast cancer survivors.
Hojjat Pourfathi; Haleh Farzin
Volume 3, Issue 3 , September and October 2018, , Pages 93-97
Abstract
Aims: Postpartum depression is a common event after delivery. Among some possible causes, pain is an important contributing factor which can play role in increasing psychiatric disease. The aim of the present study was to assess the effect of neuraxial analgesia methods on reducing incidence of postpartum ...
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Aims: Postpartum depression is a common event after delivery. Among some possible causes, pain is an important contributing factor which can play role in increasing psychiatric disease. The aim of the present study was to assess the effect of neuraxial analgesia methods on reducing incidence of postpartum depression.
Materials & Methods: 280 pregnant women (140 cases, 140 controls) without depression history who referred for vaginal delivery in the maternity ward of Taleghani teaching hospital, from February 2016 until February 2017 were participated in this randomized clinical trial. Samples were selected by random sampling method. Depression risk was assessed by Edinburgh Postnatal Depression Scale (EPDS) and the pain was measured by Visual Analogue Scale (VAS). Data were analyzed by SPSS 22 using Mann-whitney test and independent t-test for comparing of quantitative mean values. The association between qualitative variables was assessed by Chi square and exact Fisher tests.
Findings: Postpartum depression occurred in the painless delivery group and natural delivery group. There was statistically significant difference between them (p=0.04). It means that depression rate in painless delivery group was lower than natural delivery group. High Edinburg score was associated with high risk of depression.
Conclusion: Postpartum depression in women with painless delivery is lower comparison to women with natural delivery.
