Obstetrics and Gynecology
Ali Massoudifar; Nozhan Alimi; Ainaz Boostan; Atoosa Etezadi; Ezzatalsadat Haji Seid Javadi; Misa Naghdipour Mirsadeghi
Volume 8, Issue 6 , November and December 2023, , Pages 549-555
Abstract
Background & Objective: Because childbirth is a natural process, pain is therefore part of the process. The amount of labor pain is probably directly related to the pregnant woman's mood, familiarity, awareness and self-confidence. Therefore, it is illogical to accept the complications of surgery ...
Read More
Background & Objective: Because childbirth is a natural process, pain is therefore part of the process. The amount of labor pain is probably directly related to the pregnant woman's mood, familiarity, awareness and self-confidence. Therefore, it is illogical to accept the complications of surgery and anesthesia and harm to the baby in order to escape the pain. Therefore, the aim of current study was investigating the relationship between the perception of labor pain and the number of deliveries.Materials & Methods: This study is descriptive-analytical correlational study. Two questionnaires were used for gathering information: one on personality traits and the other on labor pain. One hundred participants were chosen according to their demographic information, from a pool of pregnant women at maternal ward of the Persian Gulf Hospital in Bandar Abbas City, Iran. The data was analyzed by means of descriptive_ analytical measures such as Pearson Factor.Results: The mean age of women was 27.15±4.6. Collected data showed that 31% of women were gravida 1, 33% gravida 2, 15% gravida 3, 10% gravida 4, 5% gravida 5, 4% gravida 6, and 2% were gravida 7. a significant relationship was found between pain in the first delivery and pain in the second, third, fifth and sixth deliveries, so that the pain in the first delivery was more than the pain in the second, third, fifth and sixth deliveries.Conclusion: According to the results of this study the severity of labor pain in primiparous and multiparous women was not statistically significant and the intensity of reported pain level was high in all mothers.
Obstetrics and Gynecology
Khadijeh Elmizadeh; Misa Naghdipour; Fatemeh Lalooha; Seyedeh Masoomeh Hosseini Valmi; Ali Massoudifar; Marzieh Sarafraz
Volume 7, Issue 3 , January and February 2022, , Pages 158-164
Abstract
Background & Objective: Hysterectomy is one of the major gynecologic operations. This procedure can be performed by different methods including abdominal, vaginal, and laparoscopic hysterectomy. In fast-track hysterectomy (FTH), patients do not receive opioids during surgery and there is no ...
Read More
Background & Objective: Hysterectomy is one of the major gynecologic operations. This procedure can be performed by different methods including abdominal, vaginal, and laparoscopic hysterectomy. In fast-track hysterectomy (FTH), patients do not receive opioids during surgery and there is no need for a 12-hour pre-surgery hospitalization. Patients are encouraged to eat and move at most 6 hours after operation. This study was performed to compare the outcomes of FTH with those of routine abdominal hysterectomy (RAH).Materials & Methods: This case-control pilot study was carried out on 82 candidates for hysterectomy at Kowsar Training Hospital in Qazvin, Iran, during 2016. Patients were divided into two randomized groups of FTH and RAH. Parameters such as pain visual analogue scale (VAS) after 3, 6, 12, and 24 hours, diet tolerance, analgesic dose, postoperative nausea and vomiting, hospital stay, postoperative adverse effects, gas passing time, and readmission were investigated and compared between two groups.Results: Analgesic use, gas passing time, and hospital stay were significantly lower in the FTH group (P < /em>=0.0001). While postoperative nausea and vomiting, adverse effects, food tolerance, and readmission rate were the same in both groups (P < /em>>0.05). Moreover, diet tolerance was observed in all patients. In general, pain VAS was lower in FTH with significant difference at 3rd (P < /em>=0.002) and 12th (P < /em>=0.001) hours, and at suture removal time (P < /em>=0.026).Conclusion: It can be concluded that FTH may result in reduced pain, analgesic use, gas passing time, and hospital stay in comparison with RAH.
