مجله زنان مامائی و نازائی ایران
سال هجدهم شماره 141 (هفته سوم فروردین 1394)

Gynecologic cancers can have profound effects on function of women''s life. In women with ovarian cancer، treatment leads to changes in the anatomy and function of the vagina. This study was performed with aim to evaluate sexual dysfunction in women with ovarian cancer.

This cross-sectional study was performed on 210 women with ovarian cancer admitted to Mashhad Ghaem and Omid hospitals and 130 healthy women who were matched with our patients in terms of age from 2009 to 2013. The subjects completed the form of sexual function questionnaire (FSFI) through an independent inquiry. Data was analyzed by SPSS software (version 16. 5).

31. 9% of patients were within 5 decades of life and had mean age of 48. 15 years. According to Pearson test، the prevalence of sexual dysfunction was 85. 7% in patients with ovarian cancer and 52. 9% in healthy women that the difference was significant (P< 0. 001).

Sexual dysfunction is more prevalent in patients with cancer compared to healthy subjects. Disorders were highly prevalent in the excitement and libido، vaginal moisture، orgasm and pain during intercourse.

Menopause is effective on women’s general health and quality of life. Since so far، no study is performed in Iran about the effect of continued walking on general health in the postmenopausal women، the present study was performed with aim to determine the effect of regular walking with pedometer on general health in the postmenopausal women at medical-health centers of Ahvaz. This randomized clinical trial was performed on 106 qualified postmenopausal at women medical-health centers in east and west of Ahvaz in 2014. The subjects were randomly placed in two groups of intervention and control. The intervention group had walking at least three times a week، each time for half an hour، and their steps were recorded with a pedometer. The data were collected using Goldberg’s General Health Questionnaire-28 (GHQ-28) and Demographic Questionnaire when GHQ was used in four stages (before intervention، four weeks، eight weeks، and twelve weeks later). Data was analyzed using SPSS software (version 19) and Kolmogorov-Smirnov test، t، Mann-Whitney، chi-square، and repeated measures. Mean general health in the intervention group at the beginning and end of the study were 25±7. 7 and 19. 4±4. 7، respectively (P=0. 001)، and in the control group، 22. 7±7. 7 and 24±5، respectively (P=0. 85). Mean physical symptoms in the intervention group at the beginning and end of the study were 6. 7±2. 3 and 5. 80±1. 6، respectively (P<0. 001)، and in the control group، 6. 4±2. 8 and 7. 3±2. 3، respectively (P=0. 86). Mean anxiety and insomnia in the intervention group at the beginning and end of the study were 7. 8±3. 8 and 4. 2±2. 8، respectively (P=0. 002)، and in the control group، 6. 8±3. 3 and 7. 2±2. 5، respectively (P=0. 8). Mean social function in the intervention group at the beginning and end of the study were 7. 7±3. 1 and 8. 4±1. 9، respectively (P=0. 5)، and in the control group، 7. 5±2. 5 and 6. 7±1. 5، respectively (P=0. 58). Mean depression in the intervention group at the beginning and end of the study were 2. 8±3. 3 and 1. 6±2، respectively (P=0. 02)، and in the control group، 1. 8±2. 2 and 3. 1±1. 6، respectively (P=0. 2). Regular walking in menopausal women maintains physical and psychological health and promotes their general health. Therefore، according to the results of the study and the access to supportive sources in health system، the necessity of holding the training sessions about physical activity and walking at health centers becomes much more evident.

Long labor stages lead to harmful outcomes of labor. this study was performed with aim to compare mean length of labor stages in two groups of physiological and traditional delivery. This one blind clinical trial study was performed on 370 nulliparous mothers in Talesh Shahid Nooraani hospital in 2011. The subjects were randomly placed in two groups of A (physiological delivery) and B (traditional delivery). Methods of pain relief were performed in physiological delivery group and the interventions were done in both groups based on Partograph. Data collection tool was a checklist including the characteristics of the subjects، Partograph form and assessment of first، second & third stages of labor. Data was analyzed using SPSS software (version 13) and t-test and chi -square test. P < 0. 05 was considered significant. Length of first and second stages of labor between two groups had statistically significant difference (P<0. 001). Length of first and second stages of labor was longer in physiological delivery group than traditional group، but length of third stage of labor was not statistically significant between two groups (P<0. 72). The results showed that the method of physiological delivery can increase the length of labor.