Katayoon Vakilian,
Volume 5, Issue 1 (Spring 2002)
Abstract
Introduction: The first hours after birth is a critical for parent infant bonding. Touch of skin to skin contact between the infant and mother is necessary development of future parent child attachment, also increase mother care from infant.
Materials and Methods: This research is random clinical trial, 43 women is group with skin to skin contact and 43 women contact were compared. All of them were primigravida with wanted pregnancy and term newborn. Method of collection data were questionnaire and check list. In case group immediately after birth care, newborn be held with mother for skin to skin, eye to eye contact and breast feeding for 15 minutes. In control group didn’t so contacts. Materred offectionate behavior recorded during feeding in two steps. One in post partum foeld and another in mothers home after one month. The data obtained by descriptive statistics and T.Test.
Results: The mean age of group with contact were 20.6% and control group were 20.34%. 15.2% of group mothers with contact and 53.3% control group mothers knew fetus sex. In first step before leaving the hospital. The highest affectionate behavior in two groups related to looking at infant and lowest to kissing. T.test had significantly different in touching (p=0.01) and talking (p=0.02) in group with contact. Another step, was done after one month all of the mean affectionate behavior in group with contact were high and the highest behavior related to looking at the infant in two groups.
Conclusions: Data showed that maternal affectionate behavior in group with contact were higher than in contact group, first minutes and hours after birth are critical periods, and are necessary to contact between mother and newborn.
Katayoon Vakilian,
Volume 7, Issue 3 (Autumn 2004)
Abstract
Introduction: Most women in first stage of labor complain of low back pain. Nowadays. alternative methods are at interest for pain relief because there are respiratory complications for newborn, and increased mortality and morbidity for mother when pharmacological methods are used. One of the alternative methods is injection of a solution locally to painful area, which is simple with no risk for mother and fetus and has low expense. Studies had shown different results about this technique. So we decided to investigate its effectiveness.
Materials and Methods: This survey is a single blind randomized clinical trial. Sampling method was simple random. 140 mothers were selected which were sat in 2 groups (70 in case group, and 70 in control group). Instruments of data collection were questionnaire, pain ruler , insulin syringe , sterile water and check list. After selecting four injection areas of sacrom, sterile water(0.1 ml) was injected in case group, and control group had dry injection. Then in 10th, 30th, 45th, 90th minutes post injection pain was estimated in both groups .SPSS software and paired t-test and t-student were used for data analyzing.
Results: Data showed that the mean of pain, 10 minutes after injection was significantly increased in case group in comparison with control group (p=0.001). Also in 30th minute after injections pain was increased significantly (p=0.004). The difference between mean of pain before injection and 45 and 90 minutes after that in case group was significant (0.005).
Conclusion: Data showed that subcutaneous injection of sterile water in sacral area did not decrease pain and only lowered the rate of increasing pain. Regarding the effects of many factors for example anxiety, labor environment, culture and parental education on pain perception, using a specific method for relieving pain may be unsuccessful and it may be better to use a combination of alternative methods.
