Showing 6 results for Delivery
M Modarres, M Moshrefy,
Volume 8, Issue 3 (7-2002)
Abstract
For diagnosing PROM, the need has been acutely felt for special care in obstetrics. Coordinated management for patient care between the clinician and midwives is the custom in several obstetric care centers. Diagnosis and treatment by the physician has greatly facilitated the work of midwives, to the extent that they now play an important role in the special nursing of women in solving obstetrics. This article reviews important topics such as: epidemiology, physiology, pathology and patho-physiology. It also covers preventive measures, objective and subjective evaluation, diagnostic tests and management of PROM, as well as the psychological aspects of hazards for motherhood, fetus and childbirth.
T Mirmawlai, A Mehran, S Rahimi Gasabeh,
Volume 9, Issue 2 (7-2003)
Abstract
Childbirth is one of the most stressful situations in a woman's life. In order for a woman to adjust to the stress of delivery and to make it a happy experience for her, she should be supported with adequate information as well as emotionally and physically. This research was undertaken to analyze the opinion of mothers concerning the importance of and their satisfaction with information, physical and emotional support received in the labor and delivery rooms. In this descriptive-analytic study 400 post-partum mothers from 10 various training hospitals in city of Tehran in the year 2000 were randomly selected and interviewed by questionnaire in the post-delivery ward. Results showed that most of the mothers placed great importance on physical, informational, and emotional support, respectively. They had received inadequate physical and informational support and relatively adequate emotional support. But most of them were satisfied with the informational, emotional and physical support, respectively. There was no significant association between the level of satisfaction of the mothers with these three types of support and their importance but there was a significant association with the way that support was received. (P<0.05). Complete satisfaction with the support offered, despite their inadequacy or limitations, may be due to the fact that mothers are unaware of their rights and have few expectations or may be due to the time of conducting the interview (just before discharge). The lack of any relation between the demographic variables and the value of importance in the different areas of support shows that these are basic needs and all should be equally provided. In order to increase satisfaction, support and care should be provided to mothers in the best possible fashion. Finally, regarding the presence of midwifery students and their teachers in teaching hospitals, they should be made directly responsible for the reformation of the hospital system, preparation of hospital charts and their organization.
F Jamshidi Evanaki , Z Khakbazan , Gh Babaei , T Seyed Noori ,
Volume 10, Issue 3 (7-2004)
Abstract
Introduction: Cesarean section (CS) is more dangerous than normal delivery for mothers and neonates. Rates of CS in our country are very high, especially in Guilan province (57.6% in urban areas). The claim that a major reason for these high rates is maternal request, hidden behind of the routine medical diagnoses, was the basis of present study.
Materials and Methods: A total of 210 pregnant women in Rasht who were at 36-40 weeks of pregnancy and had chosen CS as their delivery method without previous history of CS or any medical reason were included in this study. Cluster sampling was performed at health-treatment centers of Rasht. Data were collected by interview and a questionnaire was completed by the investigators. Statistical analyzing was performed by descriptive and analytic methods (Chi square and Fisher exact test).
Results: The majority of participants (68.6%) had moderate knowledge about benefits and harms of CS and most had taken their information from relatives and friends. The majority of women (71.4%) had moderate attitude toward CS. More than 50% of the mothers had chosen CS for following reasons, in decreasing order of frequency: child&aposs health, fear of pain, stress and anxiety, prevention of genital tears, fear of vaginal exams, prevention of deformity and relaxation of genitalia and shortening of delivery time. There was a significant relation between some of the demographic factors or obstetrical history, level of knowledge and kind of attitude with some of the reasons of choosing CS for example, age, level of knowledge (both p<0.05) and kind of attitude (p=0) with fear of pain.
Conclusion: Reasons for choosing CS by the medically low risk mothers are not medically acceptable and midwives and the other health workers can successfully explain this to mothers. They can also support pregnant women informationally, emotionally and socially in different ways such as holding childbirth preparation classes. In this way they can influence women&aposs decision about method of delivery and promote mothers&apos and neonates&apos health by decreasing CS rates.
A Manokian , Sh pedram Razi , Z monjamed , S faghihzadeh ,
Volume 13, Issue 3 (6-2007)
Abstract
Background & Objective: Job satisfaction is the person&aposs attitude toward his/her work. Increasing nurses&apos job satisfaction result in better quality of nursing care and reduces the number of nurses who leave their job. Conditions of different wards of hospitals can affect nurses&apos job satisfaction. The aim of this study is to compare nurses&apos job satisfaction in oncology and delivery wards.
Methods & Materials: This is a cross-sectional comparative study. A total of 144 nurses (94 nurses in oncology and 50 nurses in delivery wards) of Tehran University of Medical Sciences hospitals participated in the study. Data were collected using a questionnaire. Data were analyzed using descriptive and inferential statistical test (chi-square).
Results: Comparison of the global job satisfaction among oncology and delivery nurses, indicated that there was no statistical significant relationship between them from working in a specific ward point of view (P=0.637). Also there was no significant relationship between intrinsic job satisfaction and working in a specific ward (P=0.966). There was statistical significant relationship between extrinsic job satisfaction and working in specific ward (P=0.039).
Conclusion: Considering that extrinsic job satisfaction of oncology nurses were low, reconsideration about specific conditions of oncology wards and taking efficient measures in improving nurses&apos extrinsic job satisfaction (especially oncology nurses) is essential.
F Rahimikian, M Mirmohamadaliei, A Mehran, K Aboozari Ghforoodi, N Salmaani Barough,
Volume 14, Issue 4 (3-2009)
Abstract
Background & Objective: High rates of cesarean delivery have worried health policy makers. One of the main reasons for cesarean section in Iran is cesarean election. Health Belief Model (HBM) is one of the most powerful models used in health education programs. The objective of this study was to determine the effect of education designed based on HBM on choosing delivery mode among pregnant women.
Methods & Materials: In this experimental study, 128 nulliparous women were recruited from Shahrood health care centers and private gynecologists' offices. Samples were randomly allocated into two equal groups. Women in the experimental group participated in two 40-minutes educational classes which were designed based on HBM. Data were gathered both before and after the classes, and then were analyzed using SPSS.
Results: The results indicated that there were no significant differences between two groups in demographic characteristics, infertility history, disease history, perceived susceptibility, and perceived benefits and barriers. After the intervention, significant differences were found between perceived susceptibility (P<0.001), perceived severity (P<0.001), perceived barriers (P=0.004), with practice (choosing the delivery mode) (P<0.001).
Conclusion: The results showed that using HBM in program designing was effective in the pregnant women's decision-making toward delivery mode.
Fatemeh Rafat, Parvaneh Rezasoltani, Atefeh Ghanbari, Maryam Moridi,
Volume 22, Issue 2 (7-2016)
Abstract
Background & Aim: One of the non-pharmacological ways to reduce labor pain is husband’s attendance during childbirth. So, the present study aimed to evaluate couples' attitudes toward husband’s attendance in delivery room.
Methods & Materials: This study was a descriptive-analytical survey conducted on 259 pregnant women and their spouses who referred to Alzahra hospital in Rasht, in 2014. Samples were selected by convenience method. A questionnaire was used to collect demographic data and assess attitudes of mothers and their husbands toward husband’s attendance in delivery room. Data were analyzed by descriptive and inferential statistics using SPSS software version 17.
Results: The mean age for mothers was 26.42±5.59 years and for their husbands was 30.69±5.71 years. The mean score of mothers' attitudes toward husband’s attendance in delivery room was 102.99±13.47 which 97.3 percent had positive attitude, 1.9 percent had neutral attitude and 0.8 percent had negative attitude. The mean score of husbands’ attitudes toward husband’s attendance in delivery room was 100.88±14.36 which 91.9 percent had positive attitude, 5.8 percent had neutral attitude and 2.3 percent had negative attitude. Also, linear regression determined that there was a significant relationship between mother's education level and attitude score, so that attitude score increased about 0.19 with increasing level of education.
Conclusion: Given the high prevalence of couples’ positive attitudes toward husband’s attendance during labor and delivery, it is suggested that these findings be taken into account when designing essential facilities and measures for the implementation of mother-friendly hospital program and the promotion of natural delivery.
