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Showing 3 results for Rostamnegad

Farnaz Ehdaivand , Masoumeh Rostamnegad , Homayoun Sadeghi , Nayereh Aminisani,
Volume 4, Issue 2 (Summer 2004)
Abstract

  Background & Objectives: Cesarean section is one of the most common surgeries in women. In developed countries the rate of cesarean section is reported to be 21.2%. In Iran, the rate of cesarean section is even higher than the international norms. In a study in Ardabil, in 2001, cesarean section rate came out to be 42.86%. Postoperative pain after cesarean is one of the complications that all mothers experience in one-way or another. Besides bothering mother it can disorder newborn feeding, ambulation of mother and bonding between newborn and mother if it is not controlled effectively. This study was conducted to compare the effect of intramuscular Methadone and Diclofenac suppository for pain relief after cesarean section in Alavi hospital, Ardabil.

  Methods: This study was a double blind clinical trial. 56 women who experienced cesarean section for the first time were randomly divided into two groups. Diclofenac suppository (100 mg every 8hr) was given to first group and Methadone (5 mg every 8hr) was injected to the second group for 24 hours. Then, the severity of pain was measured with numerical scoring in serial postoperative visits. The data were analyzed by SPSS software using descriptive and analytical statistics such as chi-square and ANOVA.

  Results: The findings indicated that the severity of pain in 2nd, 3rd and 4th postoperative visits was significantly lower in patients who received Diclofenac suppositories than the other group (p<0.05). But overall, there was no statistically significant difference between the pain severity in Methadone receiving group (Mean & SD= 5.85 ± 3.5) and Diclofenac receiving group (Mean & SD= 6.46 ± 2.9).

  Conclusion: There was no significant difference between Diclofenac suppository and Methadone in terms of decreasing the postoperative pain after cesarean section. However, regarding the restrictions in the use of opioids, Diclofenac can be a suitable replacement for these drugs.


Masoumeh Rostamnegad, Firooz Amani ,
Volume 4, Issue 2 (Summer 2004)
Abstract

 Background & Objectives: Mother ’ s milk is the best food for the newborns and has positive effects on both mother and infant health, decreasing infant mortality, satisfying emotional needs of mother and infant and economizing the domestic as well as social expenditures. Unfortunately, because of different economical, social and cultural reasons in many parts of the world breast feeding and its length of time has decreased. WHO emphasizes breast feeding in the first six months of life in developing countries. This study is an attempt to determine the causes of unsuccessful breast feeding in the first six months after birth in Ardabil.

  Methods : This descriptive analyticalstudy was conducted on 160 mothers who had 2- month- old or younger infants and did not have exclusive breast feeding until the end of 6 months. The researchers referred to 4 health centers, selected based on cluster sampling, in order to select the qualified mothers and complete the questionnaires in their presence.

 Results: Most of the mothers (37.5%) have begun feedings supplementary nutrition to their infants at the age of 2-4 months. The most common (90.5%) cause for the lack of the exclusive breast feeding was found to be insufficiency of mother milk.Most of the mothers (67%) stated the infant cry as the main reason for this insufficiency. There is a significant relationship between exclusive breast feeding on the one hand and the delivery, time of first feeding, occupation and mother ’ s education on the other (p<0.05).

  Conclusion : Social and economic conditions and misbeliefs have all affected the success of exclusive breast feeding. Most of these problems can be prevented through proper trainings.


Farideh Mostafazadeh , Mehrnaz Mashoufi , Masoumeh Rostamnegad ,
Volume 6, Issue 4 (Winter 2006)
Abstract

 Background & Objectives: Ceasarean section (CS) has increased in rate during the past years. Due to postoperative complications, long recovery time and high costs of surgery, normal delivery is recommended as a routine method. Regarding the increase in the number of CS and its acceptability on the part of the public, it seems that women’s as well as health personnels' attitudes play an effective role in selecting the termination method. The aim of this study was to evaluate and compare pregnant women’s and health personnels' attitude toward termination procedures.

 Methods: This was a descriptive and comparative study. 84 health personnels and 300 pregnant women who referred to Ardabil health centers in 2002 were selected. These subjects' attitudes were collected through Likert questionnaire and the collected data were analyzed by SPSS, using t-test.

 Results: The findings showed that 30.1% of women and 50% of health personnels had positive attitudes towards normal delivery. The findings also indicated that there was a significant difference between pregnant women and health personnels in their attitudes toward normal delivery and cesarean (p=0.001).

 Conclusions: Since health personnels had a more positive attitude towards normal delivery than pregnant women did, it seems that the young as well as the pregnant individuals in society need more education and awareness to be able to change their attitudes towards delivery methods. Health personnel, due to their high positive attitude towards normal delivery, can play a more beneficial role in this regard.



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مجله دانشگاه علوم پزشکی اردبیل Journal of Ardabil University of Medical Sciences
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