Leila Pourali; Sedigheh Ayati; Atiyeh Vatanchi; Anis Darvish
Volume 4, Issue 1 , March and April 2019, , Pages 42-44
Abstract
Introduction: Postpartum hemorrhage has different etiologies. One of the rare causes is inner myometrial laceration that makes the diagnosis more difficult. This report aimed to introduce a case of massive postpartum hemorrhage following an inner myometrial laceration.
Case Report: A 24-year-old primigravid ...
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Introduction: Postpartum hemorrhage has different etiologies. One of the rare causes is inner myometrial laceration that makes the diagnosis more difficult. This report aimed to introduce a case of massive postpartum hemorrhage following an inner myometrial laceration.
Case Report: A 24-year-old primigravid woman referred to an academic Hospital due to hypertension of 140/90 and diagnosis of preeclampsia. Her pregnancy was terminated at 39th gestational week. She received two doses of 25 μg misoprostol sublingually. Subsequently, an induction was performed and normal vaginal delivery occurred. A 2800 gr infant was born. After the delivery, the patient suffered from massive postpartum hemorrhage which continued in spite of all medical treatments. With regard of unstable vital signs, laparotomy was done. By transverse uterine incision, a longitudinal inner myometrial laceration was found in the lower uterine segment, which was repaired, thus, hemorrhage was controlled.
Conclusion: An inner myometrial laceration is one of the differential diagnoses of postpartum hemorrhage which should be taken into consideration. Laparotomy and hysterotomy for repairing the inner myometrial laceration would control postpartum hemorrhage and could avoid hysterectomy.
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.
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.
