Showing 4 results for First
Zohre Abasi, Zahra Abedian, Alireza Fdaii,
Volume 11, Issue 1 (3-2008)
Abstract
Introduction: Prolonged labor is an important problem during labor which can have undesirable effects on both maternal and fetal health. Shortening the duration of labor has always been one of the aims of obstetricians. Hence, the purpose of this research was to investigate the effect of massage on the duration of labor in women attending to Bentolhoda Maternity Unit in the city of Bojnord, Northern Khorasan, Iran in 2005. Materials and Methods: In this clinical tial study, 62 primiparous women with normal pregnancy were participated. The indications of normal pregnancy included a gestational age of 37-42 weeks, single tone, and vertex presentation. Sampling was done by purposive method. Women were randomly allocated in two groups. The experimental group (n=32) received a 30-minute directional, reasonably firm and rhythmic effleurage massage in the back in each of the three phases of labor. The control group (n=30), did not receive any form of massage and received a routine 30-minutes nursing care in each of the three phases. Measurements were then made for strength, interval and frequency of contractions and the duration of each phase. Data were analyzed using student t, Chi-square and Mann-Whitney tests. Results: Findings showed a significant decrease in the duration of labor after massage sessions. The mean duration of labor for the massage group was 5.75 hourse and for the routine nursing care group 9.15 houres (p=0.001). Conclusion: According to the above results, there was a significant decrease in duration of the first phase of labor in pregnant women receiving massage sessions. Therefore, this method can be used to decrease the period of hospitalization.
Akram Bayati, Abolfazl Mohammad Beigi, Babak Eshrati, Maryam Jafari,
Volume 12, Issue 2 (9-2009)
Abstract
Background: Providing health not only is responsibility of governmental organizations but also is responsibility of Community Health Vounteers help to health staff in health centers and try to promote people's knowledge and practice about their health. This study is conducted to determine knowledge and practice of the volunteers before and immediately after education and evaluated long – term education effects. Methods and Materials: This interventional (semi- experimental) study was carried out on 78 health communicators Arak with census method. In Arak axis education were included check of vital signs and rescue method during disasters. Methods of education were lecture, smallgroup, problem solving, and practical training in Skin lab. Data were gathered with questionnaire and check list and were analyzed with Paired T-test and Pearson correletion coefficient. Data was analyzed using paired t-test and Pearson correlation coefficient. Results: There was a significant difference between mean of knowledge and practice scores before and immediately after training (p<0.001). But the relationship between scores immediately after training and one year later, was not significant. Conclusion: It seems updated knowledge and practice of health volunteers change health behavior, promote knowledge and practice and decrease health care expenses.
Nastaran Safavi Ardebili, Nourossadat Kariman, Abbas Hajifathali, Hamid Alavi Majd,
Volume 14, Issue 4 (9-2011)
Abstract
Background: Preeclampsia is one of major reasons of mortality in mother and child and its early diagnosis is one of the most important parts of health care during pregnancy. The current study was done to find the relationship between hemoglobin and hematocrit in the first trimester of pregnancy and the incidence of preeclampsia in women referring to Milad Hospital in Tehran in 2009-2010.
Materials and Methods: This prospective cohort study was conducted on 700 pregnant women in the first trimester of pregnancy, selected by convenience sampling. Prenatal tests were run in Milad Hospital and the results were recorded. Then samples were monitored for preeclampsia until delivery. Data were analyzed by SPSS version 18 (P < 0.05).
Results: The highest percentage of research groups suffering from preeclampsia was in hemoglobin ≥12/5% g/dl and hematocrit of ≥38% group. There was a significant relationship between hemoglobin and hematocrit levels during the first trimester of pregnancy and preeclampsia (P<0.001, P=0.002). Hemoglobin of ≥ 12.45 g/dl presented a sensitivity of 85%, the specificity of 43.04%, positive predictive value of 9.63%, and negative predictive value of 97.57%. Hematocrit of ≥ 38% presented the sensitivity of 77.5%, the specificity of 50.71, the positive predictive value of 10.1%, and the negative predictive value of 96.93%.
Conclusion: The presence of high hemoglobin and hematocrit in the first trimester of pregnancy can be a predictive factor for diagnosing preeclampsia
Hamideh Mohammadnia Kojidi, Mohammad Rafeie, Mohammad Ali Daneshmand, Jalal Rezaei,
Volume 21, Issue 2 (5-2018)
Abstract
Abstract
Background: Early diagnosis of prenatal illnesses and timely treatment of congenital anomalies has been the mainstay of the health system. In this study, our aim is to provide Roc curve multivariate modeling in detection of fetal abnormalities using associated markers in screening Down syndrome in the first and second periods of pregnancy.
Materials and Methods: This is a descriptive-analytical study that uses information from two sets of data. In the first set, 152 individuals, who had the results of the first- trimester and second screening tests at risk and in the second group, 75 individuals with normal results. The studied variables included the serum markers in the first- trimester and the second- trimester screening, auxiliary variables (includes demographic information). Statistical analysis was performed by using ROC regression, incremental value analysis and Stata 12 software.
Results: In evaluating the value of each diagnostic test in the presence of auxiliary variables using logistic regression and rock curves, the results generally showed that in screening the first- trimester of PAPP-A and in the screening the second-trimester,Inhibin-A can be used alone as a diagnostic test.
Conclusion: Best diagnostic test in the first- trimester, respectively, PPAP-A, NT, FREE B-HCG and in the second- trimester of screening, respectively, Inhibin-A, HGG, UE3 and AFP were based on the area under the ROC curve. In addition, the most significant effect of the predictor variable on the outcome of the diagnostic test was family history.
