Obstetrics and Gynecology
Golnaz Goodarzi; Sosan Rajabian; Maryam Ahmadian; Ateeh Kalateh
Volume 5, Issue 2 , October 2020, , Pages 31-38
Abstract
Background & Objective: Episiotomy is the most prevalent surgery in midwifery which can lead to infection or delay in wound healing like any other wound. Prophylactic antibiotics are currently prescribed after episiotomies in most Iranian centers. According to global efforts as well as WHO ...
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Background & Objective: Episiotomy is the most prevalent surgery in midwifery which can lead to infection or delay in wound healing like any other wound. Prophylactic antibiotics are currently prescribed after episiotomies in most Iranian centers. According to global efforts as well as WHO strategies to reduce antibacterial resistance, antibiotics are only prescribed when there is a definite medical indication and the benefit of taking them outweighs the harm. Therefore, this study aimed to compare the incidence of episiotomy site infection in two groups of primiparas with and without taking prophylactic antibiotics after normal vaginal delivery at Bent Al-Huda Hospital in Bojnourd.Materials & Methods: This double-blind randomized clinical trial was conducted on 140 primiparas (70 women in two groups, i.e., cephalexin and placebo capsules) at Bent Al-Huda Hospital in Bojnourd. After episiotomies, the patients took the prescribed medication every 6 hours for 7 days. The wound healing assessment was done by applying the REEDA scale (redness, edema, ecchymosis, discharge, and approximation of wound edges) seven days after the delivery. SPSS 18 were used to analyze the data. P-values below 0.05 were considered significant.Results: On the seventh day after the delivery, the two groups were different in terms of healing score based on the REEDA scale, and statistically significant differences were observed. The healing score was lower in the antibiotic group compared to the placebo group, indicating a better wound healing.Conclusion: The results showed the effectiveness of prophylactic antibiotics in treating episiotomy wounds.
Obstetrics and Gynecology
Arash Moshiri; Maryam Ahmadian; Seyedeh Nafiseh Naseri; Shima Sheibani; Mahboobeh Shirazi; Baratoallah Akbari; Atefeh Hoseinzadeh
Volume 5, Issue 2 , October 2020, , Pages 49-53
Abstract
Background: In this present study, we reported a 31-week pregnant woman who had a history of fever and chills in the past two daysreferred to Mostafa Khomeini Hospital in Tabas.Case report: A 29-year-old pregnant woman with a gestational age of 31 weeks presented to the gynecology clinic. Her chief complaint ...
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Background: In this present study, we reported a 31-week pregnant woman who had a history of fever and chills in the past two daysreferred to Mostafa Khomeini Hospital in Tabas.Case report: A 29-year-old pregnant woman with a gestational age of 31 weeks presented to the gynecology clinic. Her chief complaint was a history of fever and chills in the recent past two days. Since there were no suspicious findings in favor of infections, related to obstetrics and gynecology, the patient was referred to Mostafa Khomeini Hospital in Tabas (June 2020). The initial clinical examination revealed no fever, chills, cough, respiratory distress, body aches, gastrointestinal problems or anything else. The patient’s oxygen saturation level was 98%. Routine laboratorytests were requested for the patient. WBC count was 14000, lymphocyte count was 875 (6.25%), and platelet count was 117000. According to the recent history of clinical symptoms and positive paraclinical results, COVID-19 was suspected. In the chest CT findings, bilateral ground glass opacities (GGO) and consolidations were observed, which were compatible with COVID-19 pattern. Based on the positive clinical and lab tests, COVID-19 was detected and positive RT-PCR COVID-19 test confirmed our diagnosis.Conclusion: The patient was asymptomatic at the time of admission to our ward; however, she reported fever and chills in the last two days, which raised our suspicion about COVID-19. Due to significant lymphopenia and the increase in granulocytes counts, and thrombocytopenia accompanied with complementary lab tests, severe COVID-19 was diagnosed and confirmed with positive RT-PCR test.
