جستجوی مقالات مرتبط با کلیدواژه "normal vaginal delivery" در نشریات گروه "پزشکی"

The postpartum period is a dangerous potential time for postpartum depression. Postpartum depression is the reducer instrument for postpartum support. The purpose of the current study is to determine the effectiveness of postpartum supports on the postnatal women depression after childbirth.

This study a semi experimental study was conducted in Marand hospital. Two hundred sixty mothers agreed to take part and were randomly allocated to an intervention group
(n = 130) or control group (n = 130). The intervention group received telephone counseling for 20- minute at the first week twice, second week till 6th weeks once at week plus routine care. The control group received only the routine care. Also for evaluation of the unanticipated mother’s needs, 24-hour telephone access to researcher was provided. The main outcome measure was recording demographics data sheet, postpartum problem’s checklist and the Edinburgh Postnatal Depression Scale (EPDS) administered by presence interview questionnaire at six weeks after delivery. Control group received general postpartum education. The data were analyzed by χ², Fisher test and T test.

At 6 week postpartum, mean of depression was obtained in the intervention group (15/80 ± 5/12) and in the control group (18/43 ± 5/90). On the EPDS scale, in the intervention group was significantly decrease to control group (P < 0.0001).

The result of this research showed that Postpartum Fallow Up by midwife could effective to decrease women’s postpartum depression in the pureperium.

One of the goals of the health reform program (HRP) which was started in 2014, was normal vaginal delivery (NVD) promotion. Although, HRP has been successful in increasing NVD, it seems medical complaints related to the delivery have been rising during this program. Therefore, this study examined the complaints related to the NVD and cesarean section in 2011 to 2017.

In this retrospective study, the complaints registered in the field of obstetrics and gynecology surgery in the sub-branch of midwifery, in the Forensic Medicine Organization and the Police Department of Tehran were investigated (before and after the HRP) randomly.

The results of this study showed that in 18 cases (16.3%) of the investigated medical complaints, malpractice occurred, 14 cases of which (77.8%) related to before and 4 cases (22.2%) related to after the implementation of the HRP.

The results of this study showed that some medical malpractices are avoidable. Health system managers should pay more attention to avoidable malpractice to improve the quality of the services. The results of this study showed that the implementation of the HRP did not cause an increase in the number of registered complaints related to the delivery.

Postpartum pelvic hematomas are classified as vulvovaginal, paravaginal and retroperitoneal hematomas. Retroperitoneal hematoma is the most uncommon condition after normal vaginal delivery. In the present study, a rare case of large retroperitoneal hematoma after uncomplicated vaginal delivery is reported.

The patient was a 25-year-old woman P1L1 who was admitted to a university hospital of Mashhad in July 2021 for pregnancy termination due to preeclampsia. She developed dizziness while walking 24 hours after uncomplicated normal vaginal delivery. CT-scan showed large retroperitoneal hematoma.

In the case of any abnormal findings in vital signs after delivery, the diagnosis of pelvic hematomas, especially large retroperitoneal hematoma, should be considered. Prompt diagnosis and treatment of this complication can reduce the risk of maternal morbidity and mortality.

Objective (s): 

The Iranian Health System Transformation Plan was implemented on May 6 (2014) and consisted of 8 service packages. As such a program was to promote Normal Vaginal Delivery. This article aimed to critically review the implementation of this service package.

Several databases including Google Scholar, ISD, and PubMed were search for relevant papers. Keywords included Health Transformation Plan, Childbirth, Health care, and Labour. Out of 83 research articles on the Health Transformation Plan, 9 related articles and 3 reports were retrieved and reviewed.

Based on the results, the costs paid by patients and the rate of cesarean delivery reduced. This prevalence reduction was in hospitals that affiliated to medical universities. However, the reduction was still far from global standards. However, midwives were dissatisfied with the implementation of the plan due to the injustice of the payment system.

One of the most important factors driving women to Natural Vaginal Delivery and public hospitals, in addition to financial benefits, were the role midwives who did not receive appropriate gain form the project. In view of the above, it is necessary to revise the health transformation plan to ensure that all parties gain benefit from this service package.