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 ...
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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.
Obstetrics and Gynecology
Mahboobeh Shirazi; Mehnoosh Torkzaban; Samira Fallah; Marjan Ghaemi
Volume 7, Issue 1 , September and October 2021, , Pages 20-24
Abstract
Background and Objective: Pain is the most common side effect of induced medical abortion. However, the optimal analgesia method remains as a clinical challenge. This study aimed to compare the efficacy of two methods of administration of diclofenac as a prophylactic or a therapeutic in pain management ...
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Background and Objective: Pain is the most common side effect of induced medical abortion. However, the optimal analgesia method remains as a clinical challenge. This study aimed to compare the efficacy of two methods of administration of diclofenac as a prophylactic or a therapeutic in pain management in induced second-trimester medical abortion. Materials and Methods: This randomized clinical trial study was conducted upon pregnant women who were candidates for induced medical abortion and referred to a tertiary educational hospital between October 2019 and December 2020. Participants were divided into two groups based on the mode of diclofenac administration, which was either simultaneously with the first dose of misoprostol or after beginning of the pain. Pain severity, induction-to-abortion time interval, total misoprostol dosage, Hemoglobin concentration, length of hospitalization, and size of retained pregnancy products by ultrasound, and the cumulative dose of opioid usage were compared between the groups.Results: The severity of pain which was measured by a visual analog scale (VAS), residual of conceived products, hospitalization days, and the total misoprostol dosage were significantly lower (P < /em><0.05) in the prophylaxis compared to the treatment group.Conclusion: Simultaneous administration of diclofenac with misoprostol as prophylactic method of pain management may be an optimal method in induced medical abortion in the second trimester.
Khadigeh Mirzaiinajmabadi; Somayeh Makvandi; Masoumeh Mirteimoori; Ramin Sadeghi
Volume 3, Issue 1 , March and April 2018, , Pages 29-37
Abstract
Aims: Labor is a painful process. Managing and controlling labor pain is an essential aspect of midwifery services and is the main goal of childbirth care. One of the methods used in traditional medicine to relieve labor pain is aromatherapy. This systematic review and metaanalysis study was an update ...
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Aims: Labor is a painful process. Managing and controlling labor pain is an essential aspect of midwifery services and is the main goal of childbirth care. One of the methods used in traditional medicine to relieve labor pain is aromatherapy. This systematic review and metaanalysis study was an update conducted with the aim of critically evaluating and summarizing all available evidence obtained from randomized clinical trials on the effect of aromatherapy with lavender on labor pain relief.
Information and Methods: In this systematic review, searching a number of foreign databases, including MEDLINE/PubMed, Cochrane Library, Cochrane Central Register of Controlled Trials (CENTRAL), and Scopus, from the start date of these databases to December 2017 was independently conducted by two researchers, using symbols, i.e. Lavender* OR Lavandula* OR silexan AND labor OR labour OR birth OR childbirth. Comprehensive Metaanalysis (CMA) software version 2 was used for statistical analysis.
Findings: Based on the search strategy, 244 primary studies were found. Finally, 5 studies including 541 participants were examined in this systematic review. Three studies were subjected to meta-analysis. In general, the quality of clinical trials was moderate and combinatory. Aromatherapy with lavender reduced labor pain in the active phase. The mean difference of labor pain in the aromatherapy groups with lavender and control groups was 1.05 (0.552-1.548; p=0.000036).
Conclusion: Using aromatherapy with lavender among pregnant women reduces the labor pain. The availability of information obtained from this study can be useful for gynecologists, midwives, and nurses working in labor and delivery units.
