Showing 8 results for Labor
Mansoor Ebrahimzadeh,
Volume 10, Issue 2 (10-2013)
Abstract
Background and objective: Diabetes Mellitus (DM) leading to increasing risk in the health of society is one of the main problems worldwide. The main goal is having normal blood glucose to reduce the progression of neurovascular complications. We aimed at comparing the performance of five glucometer devices with that of standard laboratory technique in patients with DM admitted to endocrinology ward of Razi Hospital in Rasht.
Material and Methods: This comparative-analytic study was conducted on 250 diabetic patients. A part of venous blood sample was investigated by five glucometer devices (Glucoplas, Accu-chek, Easyguloco, Bionime and On-kalyz) and the remaining tested by standard laboratory technique. The data was analyzed by SPSS software, using paired-t-test.
Results: The results showed that the mean of Glucoplus was the least (237.52) and that of On-kalyz was the highest (297.82). Using Paired-sample t-test, the mean difference between venous blood glucose by Glucometer and that of standard laboratory technique was reported in order 2.40 mg/dl for Bionim, -3.62 mg/dl for Easyguloco and -4.34 for Accu-chek Glucometer. Glucoplas and Onkalyz were significantly different from Laboratory standard method (p<0.0001).
Conclusion: The mean difference of On-kalyz and Glucoplas glucometer devices that is orderly greater than the mean difference of laboratory standard method are less reliable for measuring blood glucose levels, compared to Bionime, Easyguloco avd Accu-chek having the least difference.
Somayyeh Naghizadeh, Fahimeh Sehhati, Dr Morteza Gojazadeh,
Volume 11, Issue 1 (5-2014)
Abstract
Background and Objective: The time of admission to delivery center can have an important impact on the outcome of labor. This study aimed at comparing the post delivery consequences in women admitted in latent and active phase of Labor.
Material and Methods: This descriptive study was conducted on 500 parturients, in Taleghani hospital of Tabriz, divided into two equal groups of latent phase (N = 250) and active phase (N=250). For data collection, we used a demographic Questionnaire, a Checklist for assessing the third and fourth labor stages and the results of mothers' physical examination (pre discharge and 10 days after delivery).
Results: In accordance with age, number of pregnancy, delivery , abortion, stillbirth and the number of natural pregnancy, the difference between two groups was not significant. But about the complications of 4th stage of labor, postpartum hemorrhage and pre- discharge Hb & Hct, the difference was significant. Apgar score in the first minute (p<0.03), Cord ABG (p<0.001) and the interventions conducted on infants such as resuscitation (p<0.001) were significantly different between two groups of latent and active phase.
Conclusion: Admission in the latent phase is accompanied by increased complications and early medical interventions. Hence, admitting in latent phase is not recommended unless there are some specific medical indications.
Shahnaz Tork Zahrani , Khadijeh Ghobadi, Dr Reza Heshmat, Dr Nozhat Shakeri,
Volume 11, Issue 2 (11-2014)
Abstract
Background and Objective: Delivery period can be an effective factor on pregnancy outcomes and feto-maternal complications. Since its prolongation may lead to medical and surgical interventions, we aimed to determine the effect of acupressure on delivery duration of nulliparous women.
Material and Methods: This clinical trial was conducted on 150 parturients referring to Dezianii Hospital in Gorgan, Iran. They were assigned to three groups of acupressure by researcher, acupressure by mother and routine care (control group). The intervention was 20 minutes of pressure for one to five sessions. Data was analyzed by SPSS-17 software, using ANOVA and Kruskal-wallis.
Results: The first stage of labor in researcher (269.78±102.27), mother (302.72±115.83) and control group (345.92±140.63) was not significantly different (P=0.084(.Furthermore, the period of second stage in all three groups showed no significant difference (P=0.77).
Conclusion: Given that acupressure is a simple, accessible and free of side effect method, it has not significant impact on the duration of labor.
Amin Haghgoo , Mohammad Zoladl, Khairollah Nooryan , Shirali Kharamin, Soleiman Afrooghi,
Volume 15, Issue 1 (2-2018)
Abstract
Background: Collaborative care can be used as a component of self-care in reducing the complications of care in family caregivers of mental patients. Therefore, the present study aims to "determine the impact of the use of collaborative care model on the care burden parameters of the family of patients with mental disorders".
Methods: In this clinical trial, 66 households from family caregivers of mental patients participated who were eligible for inclusion in a study in the Shahid Rajaee Hospital of Yasuj in 2014. The samples were available and were divided into two groups of intervention (33 families) and control (33 families) based on simple random sampling. The instruments were demographic information sheet, primary needs assessment checklist, Novak’s caregiver burden inventory (CBI). Collaborative care model was implemented based on the motivation, preparation, involvement and evaluation phases in the intervention group for 11 sessions. No intervention was performed for control group during this period. Data analysis was performed based on descriptive and inferential statistics (Chi-square, independent t-test, and Mann-Whitney) using SPSS V.21 with a significant level (p< 0.05).
Results: The results showed that there was no significant difference in the scores of care burden between the two groups before intervention (P> 0.05); however, after implementation of the model, there was a significant difference between the mean care burden and all the components of the intervention group and the control group. (P< 0.05).
Conclusion: Implementation of collaborative care model is effective in decreasing the care burden of the family of patients with mental disorders. Therefore, it is recommended using of this model in health care.
Soheila Nooriani, Sonia Oveisi, Ahad Alizadeh, Forouzan Olfati,
Volume 19, Issue 2 (9-2022)
Abstract
Background: Improving patient safety is a common international priority because errors and other forms of unnecessary damage to the process of patient care and treatment are global problems. Training programs such as web-based programs enhance the patient safety culture in staff. This study was carried out to evaluate the impact of virtual collaborative learning with mobile devices on patient safety culture among the staff of a maternity center.
Methods: This study was conducted on staff working in Kowsar Hospital of Qazvin in 2019 with a pretest-posttest design. Sixty-three eligible participants were recruited using convenience sampling. The educational contents were shared on a website. Data were collected online using the hospital Survey on Patient Safety Culture questionnaire. Educational intervention sessions were held once a week, for 8 weeks. The paired t-test and chi-square test were used for statistical analysis. The significance level was set at 0.05.
Results: The mean score of safety culture increased significantly from 141.19±16 to 147.93±14.05 after the intervention (P<0.001). Error reporting at the center also increased significantly after the intervention (P<0.001).
Conclusion: This research showed that the collaborative method using mobile learning can be effective for the promotion of patient safety culture among the maternity center staff.
Nahid Haji Hoseini , Narjes Sadat Borghei , Mitra Reyhani , Mahin Tatari,
Volume 20, Issue 2 (10-2023)
Abstract
Background: Husband attendance during labor provides psychological support for her, and may also affect the duration of childbirth. Therefore, the present study was conducted to investigate the effect of the husband attendance in delivery ward on duration of labor and mode of delivery of primigravid women.
Methods: The present study is a field trial study that was performed on 57 couple in Kalaleh hospital in 2021 of primigravid women. The samples were assigned to two groups using a quadratic block method. The intervention group husbands attended beside their wife for at least two hours during active phase and control group received routine care. Data were collected using information form and checklist and analyzed using Mann-Whitney, Chi-square and Fisher's exact test.
Results: The mean of husband attendance during labor in minute was 152.32±32.25 in the intervention group. The mean of active phase in minute was 279.43±169.78 in the intervention and 345.69±167.94 in the control groups, despite the difference of 66.26 minutes in the averages, it was not statistically significant (p>0.05). In addition, there was no significant difference in the mode of delivery in the two groups.
Conclusion: There was no difference in the duration and mode of delivery in the two groups under investigation, thus 2 hours husbands' attendance in delivery ward did not affect time and mode of delivery.
Nhan Thi Nguyen, Quang Minh Lam, Huong Thi Do,
Volume 21, Issue 2 (6-2024)
Abstract
Background: Labor pain and perineal trauma are the most common complications during childbirth and negatively impact a woman’s physical and emotional well-being. The World Health Organization recommends using warm compresses during the second stage of labor to mitigate perineal injuries. This systematic review evaluates the effectiveness of this intervention to guide informed clinical decisions.
Methods: Searches were conducted on PubMed, Google Scholar, and ScienceDirect from inception up to the present day (as of July 2023) for randomized and quasi-experimental trials in English, focusing on vaginal births using warm compresses and measuring outcomes related to pain and perineal trauma. The review followed PRISMA guidelines, and biases were assessed with the Cochrane risk-of-bias tools.
Results: The search strategy identified a total of 75 articles, of which 13 were included in the review. In most studies, pain scores in the warm group were significantly lower than in the control group. Warm compress intervention was also associated with lower rates of perineal laceration and a higher rate of intact perineum. Results in suturing-required perineal injuries, severity of perineal trauma, or episiotomy were mixed.
Conclusion: It is suggested that the application of warm compresses during the second stage of labor has been shown to be an effective method for reducing labor pain and perineal trauma that does not require suturing. Due to the mixed results found, considerations should be made before applying this intervention for the purpose of reducing perineal tears or episiotomies during labor.
Rohaya Rohaya , Murdingsih Murdiningsih , Yunetra Franciska , Siti Hindun, Ocktariyana Ocktariyana,
Volume 22, Issue 1 (3-2025)
Abstract
Background: Yoga is a non-pharmacological intervention that enhances maternal strength and flexibility while improving the mother's capacity to adapt to physiological changes and labor responses. This study aimed to evaluate the effect of prenatal yoga on the duration of the first, second, and third stages of labor, as well as blood volume during the fourth stage of labor.
Methods: A quasi-experimental study was conducted involving 92 pregnant women in their third trimester who presented no complications and exhibited low-risk factors. The participants were assigned to either the yoga intervention group or the control group using a simple random sampling method. The intervention group engaged in yoga sessions lasting 30 min, conducted over eight weeks, beginning at 30 weeks of gestation. In contrast, the control group received routine standard care without any yoga intervention. The durations of the first, second, and third stages of labor as well as blood volume during the fourth stage, were analyzed between the intervention and control groups using independent t-test and Mann-Whitney U test, with a significance level of p <0.05.
Results: The study revealed a significant difference in the duration of the first (p=0.004) and second stages (p=0.0001) of labor, as well as in the bleeding volume during the fourth stage of labor (p=0.0001) between the yoga intervention group and the control group. However, no significant difference was observed in the duration of the third stage of labor (p=0.234).
Conclusion: Prenatal yoga during the third trimester of pregnancy may help maintain physiological conditions during the first and second stages of labor and reduce the risk of bleeding.
