جستجوی مقالات مرتبط با کلیدواژه "مادر و نوزاد" در نشریات گروه "پزشکی"

Given the great importance of mother and child health in the community, it is important to identify risk factors during cesarean delivery which is considered as one of the most common gynecological surgeries. Therefore, this study aimed to explore risk factors threatening the health of mother, fetus, and infant during cesarean delivery.

This grounded theoretical study was conducted in 2020 in Fatemieh Hospital in Hamadan. In this study, through purposive sampling, 25 semi-structured interviews were conducted with individuals involved in cesarean delivery. The accuracy of the data was checked using Lincoln and Guba criteria and analyzed based on Strauss and Corbin method.

In this study, 3 categories and 8 sub-categories were identified, which include: 1.Background factors (high-risk pregnancy, abnormal fetus, and background risk factor), 2.environmental factors (Unfavorable medical equipment, unsafe electrosurgery, excessive workload), and 3.human factors (lack of skilled medical team and the individual errors of the medical team).

The results of this study showed that background, environmental and human factors can cause complications during cesarean delivery. Therefore, it is important to take in to account these results and apply appropriate management strategies to prevent the negative effects of identified factors to ensure the safety of the mother and child during surgery.

 The birth of a premature infant as a stressful event and severe emotional crisis disrupts the functioning of parents and endangers the physical and mental health of mothers. Muslim mothers tend to recite the Holy Qur’an in such circumstances. Therefore, the aim of this study was to investigate the effect of Qur’an recitation on improving the health status of mother and infant.

 In this review study, by using SID, Magiran, Google Scholar, PubMed and Science Direct databases, the keywords including mother, infant, Qur’an recitation and health in Persian and English were searched in studies published from 2010 to 2020. Out of 243 titles obtained during two stages of review based on inclusion and exclusion criteria including reviewing a) the title and abstract and b) the whole article, 15 articles were finally selected for the current study.

 The articles used in the present study were categorized as clinical trial (11), review (1) and qualitative (3) articles. The focus of the studies was on the effect of reciting Qur'an on various aspects of maternal and preterm infant health. According to the studies, reciting Qur'an for infant stabilized physiological parameters, reduced pain level and facilitated comfort and growth levels of infant. For mother, it declined stress, anxiety, depression and pain, improved physical, mental and psychological characteristics as well as empowered mother to play her role and control stressful life situations.

 Recitation of the Holy Qur’an is suggested as one of the powerful strategies in meeting the health needs and accelerating the improvement of mothers and infants.

This study aimed to compare the effect of attachment behavior with relaxation training on maternal fetal attachment and infant prime pregnant. This clinical trial was conducted on 126 pregnant prime gravida women. The participants consisted of pregnant women who referred to Hafiz and Shushtari hospitals in Shiraz. The method of sampling was simple sample into three groups: 42 patients were selected randomly and divided into three groups of relaxation training, attachment training and control. The instruments used included a form for demographic information, maternal fetal attachment (Cranly) questionnaire, and maternal neonatal (Avant) questionnaire. Experimental groups underwent four two-hour sessions of training courses on attachment behaviors during childbirth and relaxation The control group received usual care during their pregnancy. Maternal fetal attachment scores were calculated before and at the end of the first three months in the three groups.. Also, maternal attachment to the baby was measured through Avant sheet. The statistical software SPSS version 17 was used to analyze the data. Chi-square, T- test, and paired test were applied. The mean attachment score in three groups before the intervention was not significantly different (P=0.738) but the mean scores after the intervention were significantly different in the three (P=0.003). Increase in the attachment scores, after the intervention was significant among the groups (P=0.001). But the difference in the control group after the intervention was not significant. Education attachment behaviors and relaxation increase the attachment of the mother to the fetus and infant.

Upon skin-to-skin contact with the mother, newborns immediately seek their mother's breast and start sucking without help. The aim of this study was to determine the effect of skin-to-skin contact on breast feeding status in full term cesarean section newborns.

In this randomized clinical trial conducted by convenience sampling, 90 pairs of mothers and cesarean section infants were selected and randomly assigned to skin-to-skin (case group; n=46) and routine care (control group; n=44). In the case group, the mother and newborn were transferred to the ward after cesarean section, and the naked infants in diapers were positioned between their mother’s breasts in a prone position for 1 hour. In the control group, the infant was dressed and put in the cot and later embraced by their mothers to be breastfed according to hospital routine care. During one hour of skin-to-skin contact, the mothers in the two groups were educated in breastfeeding. After one hour, the status of breastfeeding was assessed by the Infant Breastfeeding Assessment Tool (IBAT). The data were analyzed in SPSS (version 17) using descriptive statistics including frequencies, means, standard deviations, independent t tests, and Chi-square.

The chi-square test showed significant difference between full term infants’ breastfeeding status in skin-to-skin group and the control group in terms of readiness to breastfeed (p=0.021) and sucking (p=0.03) Concerning latching Concerning latching. Furthermore, the means of breastfeeding assessment total score showed a significant difference in the skin-to-skin group (8.76±3.63) and in the routine care group (7.25±3.5) (p=0.048).

Skin-to-skin contact of the mother and the newborn for one hour after cesarean delivery can enhance infant’s breastfeeding success.

The first hours of childbirth are a critical period for formation of the mother-infant attachment and reduce anxiety regarding infant and separating mother and infant at this time lead to harmful effects. The Purpose of this study was to investigate the effect of skin to skin contact، immediately after delivery on mother-infant attachment and anxiety regarding infant. This Randomized controlled trial was conducted on 114 primigravid mothers who referred to Om-ol-banin hospital of Mashhad، Iran in 2008. The Participants were divided into two groups، skin to skin contact and usual care groups. In skin-to-skin contact group، naked infants were placed chest to chest position immediately after delivery on skin contact with their mothers. In usual care group، infants were placed under radiant heater after delivery. Maternal and infants data were collected using questionnaire. Two groups followed up at end of the neonatal period to assess mother-infant attachment and anxiety regarding infant. Data were analyzed by SPSS software version 14، Chi square، independent t-tests and Mann-Whitney tests. P value less than 0. 05 was considered significant. 92 mother-infant dyads completed the study. The mean of maternal attachment in skin to skin contact group was significantly higher than the usual care group (51. 17±3. 88 vs. 49. 19±4. 56، (p=0. 02)) and mean of anxiety regarding infant in skin to skin contact group was significantly lower than the usual care group (28. 2±3. 32 vs. 26. 07±4. 16، (p=0. 03). Mother-infant skin to skin contact increase maternal attachment and reduce anxiety regarding infant.

The number of cesarean sections continues to rise in developed countries. This is one of the main concerns of society, especially in obstetrics and gynecology fields. The overall goal of this research is to determine and compare the outcomes of cesarean and vaginal delivery for mothers and infants in selected hospitals in Tehran in 2009. This was a prospective population-based cohort study of 246 pregnant women who delivered in Tehran hospitals. 114 healthy women undergoing a cesarean section and their infants henceforth known as the “cesarean group” were considered for the comparison with an otherwise similar group of 132 women delivering vaginally. The data were collected in three stages (at childbirth, before discharge and 10 days after birth) and analyzed through SPSS Software V.16 at 0.05 level of significance. There was no significant correlation between early postpartum hemorrhage, PPH leading to an intervention and treatment after 10 days of postpartum, infection and postpartum urinary retention, infection leading to treatment, readmission within 10 days after delivery and postpartum blouse syndrome. In contrast, there was a significant relation between the decrease of more than 10% of hematocrit before and after delivery and type of delivery (p<0.001), and also between the type of delivery and the incision pain (Episiotomy or cesarean) (p<0.001), birth satisfaction after 10 days (p=0.001. Also, there was a significant relationship between the type of delivery and hospitalization duration (p<0.001) and also hospitalization costs (p<0.001). There was no significant correlation between type of delivery with newborn Apgar score during one minute and five minutes after birth. There was no significant relationship between newborn weight, jaundice and respiratory depression, and need to admission in NICU. There was no significant relationship between type of delivery with fever leading to treatment, infant feeding, impatience and death of newborn during 10 days after birth. The study found no statistically significant difference in maternal and neonatal outcomes between C-section and vaginal birth groups. More studies are needed to understand the short term and long term complication of the delivery mode on maternal-child outcomes.

Plasma ascorbic acid level is a reasonable index of reports which suggest that decreased maternal ascorbic acid level is associated with certain complications such as prematurity,preeclampsia, low birth weight and increased prenatal mortality. Our objective was to determine the pattern of ascorbic acid levels in mothers and their newborns and its relationship with birth weight. The current research studied 101 mothers, who were administrated for childbirth in 5 different hospitals in Shiraz, and their newborns..Their anthropometric characteristics were recorded, blood sample were collected from mothers before the delivery, and cord blood was collected after the delivery. Plasma ascorbic acid was measured by colorimetric method. Data were analyzed by SPSS software. Mean of birth weight was 3233.871 ± 411.43 grams. Moreover the mean of maternal age was 23.604 ± 9.97 years. Mean maternal plasma ascorbic acid was 1.22 mg/dl and significantly lower than in the cord blood, which was 1.97 mg/dl (p < 0.001). Plasma ascorbic acid was correlated to birth weight, and showed a significant difference in birth weight groups of lower than 3215 grams (P = 0.0006). The higher level of ascorbic acid in the cord blood is in agreement with the "Selective Retention" hypothesis. On the other hand, it seems necessary to consider vitamin C as an important part of the maternal diet for maintaining optimal plasma level, which supports the newborn for optimal health and birth weight, especially during pregnancy.

Postpartum blues is a complication that threatens mother health and her binding with newborn and her physical and psychological health. Skin to skin contact is a simple, effective and available method that its advantages were approved. There is some evidence that it can decrease postpartum blues. The aim of this study was to investigate the effect of skin to skin contact on postpartum blues. This clinical trial study was performed on 80 patients (40 cases and 40 controls) with postpartum blues who were hospitalized in postpartum ward of Amol Imam Ali hospital in 2009. Case group received skin to skin contact with newborn 20-30 minutes daily for 10 days and no intervention was done for control groups. Severity of postpartum blues was evaluated by Zung Self Rating Depression Scale on the 3rd, 4th and 10th days after birth in case and control groups and then compared. There was not statistically significant difference between two groups with regard to demographic and obstetric variables. Mean of postpartum blues on the 1st day was 57.2±4.3 in case group and 56.2±3.8 in control group that showed no significant difference. Mean of postpartum blues score was 58±4.4 in case group and 60.9±3.7 in control group on the 4th day and it was 49.2±5.6 in case group and 60.4±3.6 in control group on the 10th day that showed significant difference (p=0.002 and p<0.0001, respectively). Mean of postpartum blues severity in these days in case groups was lower than control group. The results of this study showed that mother and newborn skin to skin contact was effective for decreasing postpartum blues severity. Therefore it is a simple, useful and cost free method to improve postpartum blues and its application is recommended for improving maternal psychological health.