جستجوی مقالات مرتبط با کلیدواژه « Normal delivery » در نشریات گروه « پزشکی »

Women's satisfaction with the experiences and process of childbirth is a decisive factor in the mental health of the family and society, and also affects their fertility intentions, so that many women with bitter memories of a previous birth do not want to have children again. Accordingly, the purpose of this study was to compare the satisfaction of delivery based on the type of delivery performed in Fatemieh Hospital in Hamadan.

This case-control study was performed on 242 pregnant women referred to Fatemieh Educational and Medical Center in Hamadan. Sampling was performed by available sampling among individuals who met the inclusion criteria. Written informed consent was obtained from these individuals. Data collection tools were demographic characteristics questionnaire and McKay delivery satisfaction questionnaire which was completed from 2 hours after delivery until the mother was discharged from the hospital. Study data were collected according to the objectives of the study and analyzed using SPSS23 statistical software and the significance level was considered 0.05

The results of this study showed that there was no significant difference between the two groups in terms of most demographic variables. .There was no statistically significant difference between the two groups in terms of comparing the satisfaction of women with childbirth

This study shows that there is no statistically significant difference in terms of women's satisfaction with childbirth between the two methods of delivery with spinal analgesia and routine delivery without analgesia.

The aim of this study was to compare the abnormal uterine bleeding with a history of cesarean section and normal delivery in women referred to the gynecology and obstetrics clinic of Ali Ibn Abitaleb Hospital in Zahedan, Iran in 2020-21.

Patients were divided into two groups of 100 patients. For each patient, information including demographic characteristics and evaluation of the causes of abnormal uterine bleeding in patients based on paraclinical procedures, BMI calculation, vaginitis and Pelvic inflammatory disorder (PID) were obtained.

The mean age of patients in the normal delivery group was 30.14 ± 6.26 years and in the cesarean section patients was 29.13 ± 6.70 years. There was no statistically significant difference between the two groups in terms of age. There was a statistically significant difference between the two groups in terms of type between menorrhagia (p value = 0.047) and in comparison between the two groups in terms of bleeding causes, anatomical cause (p value = 0.02) and neoplasia (p value = 0.04).

The present findings showed that the incidence of menorrhagia was higher in cesarean delivery and the incidence of abnormal uterine bleeding (AUB) in cesarean delivery may occur after delivery with a shorter time interval than the delivery time. The most important cause of abnormal bleeding in both groups was infection, but with regards to anatomical causes, the most important cause was fibroids in both groups.

The maternal health is one of the priorities of the World Health Organization and countries around the world. In this regard, promoting physiological childbirth has always been important for health care policy makers. However, fear of pain is one of the main reasons for pregnant women to refuse a natural childbirth, while this pain can be reduced by various analgesic methods. This study is a report of our experiences in painless deliveryand the related problems and complications.

In this retrospective cross-sectional study,all cases of painless delivery performed over a period of seven years in Taleghani Hospital affiliated to the Shahid Beheshti University of Medical Sciences in Tehran were investigated. The data was collected from the maternity ward by a questionnaire.

Out of 3398 pregnant women referred to the maternity ward, 421 (11%) underwent various analgesic methods for painless delivery. Out of 421 pregnant mothers, neuraxial analgesia performed in 283 cases including 208 (73%) spinal, 33 (11%) epidural and 46 (16%) combined spinal and epidural methods. Thirteen patients (4%) had labor pain despite neuraxial analgesia.

Most cases underwent spinal anesthesia. The results showed that despite a well-equipped center and appropriate facilities, a significant number of pregnant mothers did not agree with neuraxial analgesia.

One of the important areas of midwifery services is safe satisfying delivery with the least amount of pain. The moral and professional commitment of health professionals and caregivers is the most important aspect of labor pain management. So, the purpose of the study was to assess the relationship between observance codes of professional ethics by the birthing team with the perception of labor pain as the parturient viewpoint in Yasuj city.

This was a descriptive correlational study involving 200 parturient women who were referred to a labor center affiliated to Yasuj university of medical sciences for vaginal birth. The sampling method was convenient sampling method. For collecting data, three questionnaires, comprising demographic information, perception of labor pain questionnaire, and a questionnaire about women's attitudes toward medical ethics in the childbirth process were completed by parturient women during 24 and 48 hours after delivery. The data were loaded into SPSS-22 and analyzed using the Pearson correlation coefficient and multiple linear regression analysis in p<0.05 significance level.

The results of multiple regression analysis showed that among the four principles of professional ethics, the first (autonomy), second and third principles of medical ethics (as beneficence and non-maleficence) predicted the perception of labor pain (p<0.05). Among the components of these principles, mother’s privacy related to first principle (B=-0.28, p=0.003), mother’s health (B=-0.23, p=0.017) and mother’s need for pain reductions (B=-0.18, p=0.014) related to second and third principles were negative predictors of labor pain perception score.

According to the findings of this study, the birthing team can make a pleasant experience for mothers by considering autonomy, benefice, and non-malfeasance principles to parturient and improvement of communication skills in the delivery room. As a result, it would be taken a step in the improvement of maternal and child health and the prevention of further irreversible mental damage.

Increasing the rate of cesarean section is a major public health problem; Because cesarean section threathened mothers and infant's health. Also, the cost of health care is higher compared to natural childbirth. The aim of this study was to determine the knowledge and attitude of nulliparous women towards the type of delivery in patients referred to Ganjavian Hospital in Dezful.

The present study is a cross-sectional study that was conducted on 425 primiparous women over 18 years of age whose gestational age was between 28-40 weeks of gestation that whom referred to the midwifery clinic of Ganjavian Hospita. Data collection tool in this study was a three-part questionnaire including demographic characteristics, the questions on knowledge and attitude towards CS and normal vaginal delivery. The validity of the questionnaire was confirmed by content validity method and the reliability of the questionnaire was confirmed by retest. The questionnaire was completed through interviews. Statistical analysis was performed by SPSS 22 software.

The results of the present study showed that the mean and standard deviation of the age of primiparous women was 24.6 ± 5.4 and the mean gestational age was 39 weeks. About natural childbirth, 28.9% of primiparous women had poor knowledge, 66.2% had intermediate knowledge and 4.9% had good knowledge. About cesarean section, 24.9% had poor knowledge, 68.9% had intermediate knowledge and 6.2% had good knowledge. In addition, regarding the attitude towards natural childbirth, 2% had a neutral attitude, 98% had a positive attitude, and none of them had a negative attitude. Regarding the attitude towards cesarean section, 19.7% had a neutral attitude, 79.8% had a positive attitude and 0.5% had a negative attitude. In this study, there were significant relationships between mother's age (p = 0.049, r = 0.131), gestational age (p = 0.044, r = 0.129), number of pregnancy visits (p = 0.052, 0.119) r = and the degree of knowledge about cesarean section and also, there were significant relationships between location of residence (p = 0.048, r = 0.126), gestational age (p = 0.007, r = 0.613), level of education (p = 0.080,  r = 0.092), the number of pregnancy visits (p = 0.001, r = 0.034) and the attitude towards normal delivery. In addition, there was a statistically significant relationship between sources of getting information (p = 0.014, r = 0.161), level of education (p = 0.000, r = 0.165) and attitudes toward cesarean section. In the present study, there was no statistically significant relationship between degree of knowledge about the type of delivery and attitudes toward the type of delivery.

Considering the positive attitude of pregnant women towards both natural childbirth and cesarean section, it seems that appropriate educational interventions along with empowerment programs can be effective in women's decision-making in choosing natural childbirth as the first preference for childbirth.

Many changes occur in postpartum period in the body and soul of mothers that may lead to mothers' feeling fatigue. The use of reflexology has been well established as a branch of complementary medicine in the promotion of health care, especially in the field of maternal and neonatal health. Therefore, this study was performed with aim to investigate the effect of foot reflexology on postpartum fatigue in primiparous women.

This clinical trial study was performed on 70 primiparous women referred to the healthcare centers in the south of Tehran in 2018. The subjects were divided into two groups of control and reflexology. The mothers of the control group received postpartum routine care and the reflexology group received massage for 3 consecutive days for 30 minutes (15 minutes per leg). Both groups completed the fatigue assessment-visual questionnaire before and after the intervention (immediately and one week after completion). Data were analyzed by SPSS statistical software (version 21) and parametric inferential statistical tests such as analysis of variance with repeated measures and non-parametric measures (Chi-square). Also, independent t-test was used to determine the significant difference between the mean of some social demographic characteristics with the treatment outcome. p < 0.05 was considered statistically significant.

Demographic characteristics and severity of fatigue before the intervention were the same in both reflexology and control groups. Immediately after the intervention (p <0.001) and one week after the intervention, the severity of fatigue between the two groups of reflexology and control showed a statistically significant difference (p <0.001).

Supportive and rehabilitation measures such as foot reflexology can be effective in reducing fatigue of primiparous mothers after normal delivery.

Postpartum depression is a serious and persistent psychological disorder that sometimes causes disability in the daily functioning and activity of the individual. The aim of this study was to evaluate the rate of depression in both normal and selective delivery cesarean groups and their neonatal outcomes. The present study was a two-stage, descriptive-analytic study. A simple random sampling was available with satisfaction from 80 pregnant nursing mothers, single term pregnancies, without history of drug use and history of chronic disease and complications of pregnancy. Demographic questionnaire and standard Beck questionnaire were used to collect data. Data analysis was performed at the significant level of p <0.05 using SPSS software version 20. The mean depression score in the selected cesarean section (8.09) was higher than the normal delivery group (7.70). This difference was not significant significantly. No significant relationship was found between demographic characteristics and depression. There was a significant relationship between mean depression score and physical activity during pregnancy (p <0.05). Although the mean postpartum depression in the two groups did not differ significantly, the high mean depression score in our cesarean section led us to physical exercises, giving the mother the opportunity to initiate spontaneous pain and normal delivery. We will also see improvement in fetal weights.

  Pregnancy and childbirth are a major event in women's life. Fear of childbirth is one of the most important reasons for not choosing a normal delivery method. In this study, the prevalence and causes of fear of childbirth in primiparous pregnant women were studied. This descriptive cross-sectional study was performed by census method on 181 pregnant women who were referred to health centers in Talesh County. The data collection tool was a questionnaire including demographic characteristics, Information related to childbirth and caesarean, and the causes fear of childbirth. Data were analyzed by SPSS 21 software and descriptive statistics, Chi-square, Fisher exact test and Statistical tests such as Independent t-test and analysis of variance were used to evaluate the difference between averages and rank. In this study, 82.7% of mothers had a degree of fear of childbirth(31.8% low fear and 32.9% moderate fear and 17.9% high fear).There was a significant difference between the knowledge of the complications of cesarean section and the mean score of fear of normal delivery (P= 0.017) and fear of childbirth was reduced with increased awareness. The most common cause of fear of childbirth was harm to the baby. considering the importance of fear of childbirth in increasing cesarean section, the reasons for this fear must be taken into account by health authorities and providing counseling services to reduce the fear of childbirth in primiparous women is recommended.

Mothers' experience and their satisfaction with midwifery care during labor and childbirth are the most important factor in assessing the midwifery quality. The aim of this study was to determine the factors relating to women's satisfaction with normal childbirth.

126 postpartum women, hospitalized in the postpartum ward, participated in a descriptive cross-sectional study. Participants were selected using a convenience sampling method. Data collection tool was a researcher-made questionnaire containing three parts as; personal factors, environmental factors, and actions related to labor and childbirth. Data were analyzed using SPSS-20 software by Spearman correlation, Pearson correlation, and t-test tests.

The mean score of mothers' satisfaction of care during normal birth was 59.03±6.53 which was near the average. The environmental factors had the highest satisfaction among participant (68.00±2.78). Access to the labor facilities and obtaining enough information about the birth had the same effect on the mothers' satisfaction during the birth experience (p<0.001, r=0.54). Caregivers’ respectful manner was the most important factor in women’s childbirth satisfaction in care experiences (r=0.60, p<0.001).

The quality of the relationship between women and caregivers’ during labor and childbirth was one of the important factors in women’s satisfaction by normal birth. Promoting the women-centered maternity services and having an appropriate relationship are two main factors in improving the care quality in terms of women’s satisfaction by normal birth

Postpartum depression is the most important mood disorder after delivery, in which lack of particular attention and appropriate treatment may result in irreversible damage. Regarding the etiology of depression with respect to delivery mode, we aimed to determine the difference of depression scale between women with normal and those with cesarean section delivery. In the current study, a causal-comparative methodology was applied. The statistical group of this research included pregnant women who had referred to Arak hospitals for delivery during May-June 2016. By using convenience sampling method, 142 women (70 normal delivery and 72 cesarean section) were selected. The research variables included demographic information and Edinburg’s Postpartum Depression Scale (EPDS). Collected data was analysed using SPSS software and independent T-test was used for analyzing the quantitative variables. The results showed the mean postpartum depression score was 12.09 in women with normal delivery and 12.02 in women with cesarean section. Based on T- test results, there was no significant difference in depression scores between groups of normal delivery and cesarean section (sig: 0.486, T: 1.69). The current study did not find any difference in postpartum depression between two groups of women with normal delivery and women with cesarean section. According to the EPDS, delivery mode had no influence on the occurrence of postpartum depression

Increasing the number of elective caesarean section in Iran caused by several factors including fear of normal delivery that is psychological factor. This study was conducted to investigate the relationship between triple dimensions (Subjective, psychological and spiritual) of well-being in prediction of fear of normal delivery in pregnant women.
This research method was descriptive and correlational. The research sample included178 pregnant women that referred to the clinic of two hospitals in Tehran with two tendencies of normal delivery and caesarean for childbirth, and were selected by convenient sampling. Participants completed the spiritual well-being scale, subjective well-being scale, psychological well-being index and researcher made questionnaire of fear of childbirth. Data were analyzed using Pearson correlation and stepwise regression analysis.
The results showed negative significant correlation between spiritual well-being, religious and existential well-being, life satisfaction, positive affect and psychological well-being with fear of normal delivery in pregnant women and positive significant correlation between negative affect and fear of childbirth (P≤0.01). Results also showed that existential well-being has negative significant role in predicting the fear of normal delivery. The final research model explains significantly 9% of variance of fear of normal delivery.
From correlation between fear of normal delivery with the subjective, psychological and spiritual well-being in pregnant women, it can be concluded the increasing of satisfaction with life, positive affect and enriching the existential and religious beliefs in pregnant women can reduce their tendency for caesarean section and increase their readiness for selecting normal delivery.

This study was designed to investigate the causes and factors related to natural childbirth among pregnant women who attended prenatal care of Arak. This cross-sectional study was carried out among 595 women who attended to prenatal care of Arak. Five hospitals were selected randomly. Only the pregnant women who wish to complete the questionnaire were enrolled in the study. The data were analyzed using chi-square test, t-test, the Mann-Whitney –u test, x2, Friedman Test through SPSS16 software. The average sample age was 26 ±5.3 years. The mean score for nulliparous women on the Fear of Childbirth Questionnaire (26.2 ± 7.8) was significantly higher than that of multiparous women (23.9 ± 7.9), p<0.0 01. There was a significant difference between the scores of childbirth, women who chose the caesarian 27.5 ±5.1 and the women who chose natural childbirth 24.1±3.2 p= (0.02). The results indicated that the most common cause of fear was of the possible harm to the baby 77.9% (459). As far as the women’s fear regarding child birth were mostly higher among nulliparous and cesarean women, it is recommended to make them aware about the causes of fear and provide consulting services in order to reduce the demand of caesarean as a way of childbirth.

Mother's mood is significant in the outcome of labor.According to service providers, policy makers,one of the most important indicators of the quality of maternal care is Women's satisfaction from childbirth experience. Therefore this clinical trial was conducted to comparison Anxiety and satisfaction in physiologic and routine methods of delivery in nulliparous momen referring to Zanjan Hospitals in 2013. This pre-experimental study was conducted on 200 primiparous women, referring to zanjan Hospitals in 2013. who were divided into equal normal delivery and routine-care.Collect demographic information, anxiety measured with STAI and satisfaction measured with the Macky questionnaire. Data analyzed by SPSS software, using t-tests and Chi-square. The results in anxiety levels at different hours of delivery is significantly less than the control group (p = 0.001).In this study, over 69% of mothers were satisfied with the normal delivery process while only 18% of mothers in routine-care were satisfied with the care provided. of the differences between the two groups Satisfaction was significant (p <0.000). According to results, we conclude that being an normal delivery can bring about childbirth satisfaction, decreased anxiety, and widespread use of the method of delivery will improve maternal health quality indicators.

To create new developmental tasks، such as motherhood، pregnancy is a critical period for woman. Nowadays، due to the stress of birth، women''s desire to cesarean delivery has increased. This research is designed to identify the effect of educational coping skills on labor outcome. In this interventional study، 64 primiparous women were included in this study by cluster method and were randomly divided into two groups of case and control (32 subjects in each group). The experimental group attended eight coping skills sessions in 18-22 weeks of pregnancy and control group received routine antenatal care. Labor outcome were evaluated and compared in two groups. Mean age in case and control groups was 20. 25±1. 40 and 20. 43±1. 86 years، respectively. There was a significant difference between two groups in requesting cesarean delivery [3 subjects (10%) in case group versus 12 (48%) in control group] (p=0. 002). However caesarean rate، low birth weight and preterm neonate in case group were less than control group، but the difference was not significant. According to the results، childbirth preparation using behavioral-cognitive skill is a suitable method in decreasing childbirth outcomes including requesting cesarean delivery.