64 research outputs found
Perspective of midwives working at hospitals affiliated to the Isfahan University of Medical Sciences regarding medical errors
No full textBackground: Committing an error is part of the human nature. No health care provider, despite the mastery of their skills, is immune from committing it. Medical error in the labor and obstetrics wards as well as other health units is inevitable and reduces the quality of health care, leading to accident. Sometimes these events, like the death of mother, fetus, and newborn, would be beyond repair. The purpose of this study was to investigate the perspective of gynecological ward providers about medical errors.
Materials and Methods: This was a descriptive–analytical study. Sample size was 94 participants selected using census sampling. The study population included all midwives of four hospitals (Al-Zahra, Beheshti, Isa Ben Maryam, and Amin). Data were collected by a self-administered questionnaire and analyzed using SPSS software.
Results: This study shows that three factors (human, structural, and managerial) have affected medical errors in the labor and obstetrics wards. From the midwifery perspective, human factors were the most important factors with an average score of 73.26% and the lowest score was related to structural factors with an average score of 65.36%. Intervention strategies to reduce errors, service training program tailored to the needs of the service provider, distribution of the tasks at different levels, and attempts to reform the system instead of punishing the wrongdoer were set in priority list.
Conclusions: Based on the results of this study on the perspectives of participants, among the three factors of medical errors (human factors, structural factors, and management factors), human factors are the biggest threat in committing medical errors. Modification in the pattern of teaching by the midwifery professors and their presence in the hospitals, creating a no-blame culture, and sharing of alerts in medical errors are among appropriate actions in the dimensions of human, structural, and managerial factors
Comparative study on the influence of three delivery positions on pain intensity during the second stage of labor
No full textBackground: Labor is a physiologic process, and consideration of labor pain and relieving that is among the major components of maternal care. Application of some labor position can lay the fetus better in pelvic canal direction. The present study aimed to investigate the effect of laying the mother in three labor positions on the pain severity in the second, third, and fourth stages of labor.
Materials and Methods: This is a clinical trial conducted on 96 primiparous pregnant women randomly selected through convenient sampling from those who were hospitalized in the hospitals of Isfahan and Jahrom. Women with a gestational age of 37-42 weeks, singleton pregnancy, who had passed the first labor stage through physiologic process, and with cephalic presentation were selected. The subjects were randomly allocated to be in the groups of lithotomy, sitting, and squatting positions. Pain severity in the second, third, and fourth labor stages was measured with visual analog scale (VAS) as well as McGill present pain intensity (PPI). The data were collected through interviews and observations with the help of VAS. The data were analyzed by Chi-square and Kruskal-Wallis statistical tests.
Results: In the latent phase of the second labor stage, mean pain severity in lithotomy (2.27) and squatting positions (2.48) was significantly less than the mean pain severity in sitting (5.33) position (P = 0.001). Pain severity in the active phase of the second and third labor stages was significantly less in squatting position (6.14) group compared to the other two groups (7.59 and 7.41 in sitting and lithotomy positions, respectively) (P = 0.024). Pain severity in the fourth labor stage showed no significant difference in all three groups.
Conclusions: Application of various labor positions as one of the non-medicational methods to reduce pain in the second and third stages of labor leads to labor pain reduction
Evaluation of Field Training from the Viewpoints of Management and Informatics Students of Isfahan University of Medical Sciences
No full textIntroduction. Considering the improvement of teaching quality in higher education, this study was planned to evaluate the field training in the Faculty of Management and Medical Information by students. Its results will be used in planning field training for this faculty.
Methods. A checklist with five variables was distributed among 57 students in this descriptive survey. The validity and reliability of the questionnaire was confirmed by content validity and test, re-test. Data analysis was done by SPSS software.
Results. Student’s self-assessment of their competences was significantly different in all three groups. A significant relationship was observed between students learning from their teachers and their competences in management training and using databases. There was also a significant relationship between their competence, and their self-study and assignments.
Conclusion. According to the results of this study, revising practical training in some sections, increasing training hours and involving faculty members more in training seem to be necessary
Comparing the effect of auriculotherapy and vitamin B6 on the symptoms of premenstrual syndrome among the students who lived in the dorm of Isfahan University of Medical Sciences
No full textBackground: Premenstrual syndrome (PMS) is a series of physical and psychological symptoms before menstruation which its prevalence around the world has been reported to be 80%. Consumption of vitamin B6 is a common treatment for this syndrome, and this study was conducted to compare the effect of auriculotherapy and vitamin B6 on the symptoms of premenstrual syndrome. Materials and Methods: This study was a clinical trial. Eighty-four female students who lived at the university dorm were randomly selected and allocated into two groups of 42. The first group received auriculotherapy (10 sessions) for two menstrual cycles and the second group consumed 40 mg of vitamin B6 daily from a week before their menstruation for two menstrual cycles. The severity of symptoms was recorded for both groups during two cycles before the intervention and two cycles after the intervention. Data gathering tool was a 28-question, questionnaire to assess the severity of symptoms of premenstrual syndrome based on DSM-IV. Results: The mean score of symptoms in the auriculotherapy group in the first and second cycles was 26.70 (19.49) and 24.76 (17.07), respectively, and in the vitamin B6 group, was 22.60 (10.87) and 24.17 (14.15), respectively, which showed a significant difference compared to before the intervention (P = 0.001). However, comparing the total score of symptoms in the first and second cycles after the intervention between both groups showed no significant difference. Conclusions: Auriculotherapy, similar to vitamin B6, decreases the severity of PMS symptoms
The effect of acupressure on fatigue among female nurses with chronic back pain
No full textAim: To investigate the effect of acupressure on fatigue among female nurses with chronic back pain. Background: Chronic back pain is one of the most common problems among nurses and has numerous physical and psychological effects. One of these effects is fatigue that impairs an individual's life. Materials and methods: This randomized single-blind clinical trial was conducted on 50 nurses with chronic back pain working at the selected hospitals in Isfahan, Iran. After convenient sampling, the subjects were randomly allocated, through lottery, to the two groups of experimental (n = 25) and sham (n = 25). In the experimental group, acupressure techniques were performed during 9 sessions, 3 times a week for 14 min for each patient. In the sham group, points within 1 cm of the main points were only touched. Data were collected using the Fatigue Severity Scale (FSS), before, and immediately, 2 weeks, and 4 weeks after the intervention. Data analysis was performed using SPSS software. Results: The mean score of fatigue severity before the intervention was not significantly different between the two groups (P = 0.990). However, it was significantly lower in the experimental group than the sham group immediately (P < 0.001), 2 weeks (P = 0.005), and 1 month after the intervention (P < 0.001). Conclusions: Acupressure on specific points of the foot and back improves back pain so, reduces fatigue. Therefore, acupressure can be used as a drug-free and low-cost approach without side effects to improve fatigue in nurses with chronic back pain. (C) 2017 Published by Elsevier Inc
Reciprocal Effects of Multiple Sclerosis, Childbirth, and Postpartum
No full textBackground: Multiple sclerosis (MS) is a chronic disease of the central nervous system, which is more prevalent in women than men. Considering the onset of MS in the women of reproductive age, the present study aimed to investigate the reciprocal effects of MS, childbirth, and postpartum. Methods: This retrospective, descriptive-analytical study was conducted on 110 women diagnosed with MS during pregnancy in Isfahan, Iran during 2016-2017. The subjects had become pregnant within the recent decade and were selected via random sampling. Data on the demographic characteristics, pregnancy and postpartum profile, medicinal changes, symptoms, severity, and attack rates of MS were collected. Data analysis was performed in SPSS version 16. Results: Mean age at the completion of pregnancy was 38.13 weeks. In total, 63.9 of the deliveries were accomplished via caesarean and 35.1 of the women had natural vaginal delivery. Mean pain intensity at childbirth was 7.11. No symptoms of MS attacks were reported in 86.7 of the subjects during delivery and 90.7 of the women within the first six weeks of childbirth. All the neonates were healthy, and 66.3 of the mothers had no psychological and emotional postpartum complications. In addition, 40.3 of the women started their MS medication within the first six months after childbirth. Conclusion: According to the results, MS was not associated with the increased risk of preterm or post-term delivery. Moreover, it did not increase the severity of labor pain in the mothers. On the other hand, the rate of elective cesarean section was higher in MS patients compared to the general population, especially in the cases with disabilities. According to the Friedman curve, MS caused no substantial changes in the progression of delivery, and most of the neonates were healthy males with an Apgar score of 10. However, the severity of limb numbness and blurred vision increased in the women with MS in the postpartum period
Effect of Relaxation Technique on Anxiety, Stress, and Depression Scores of High-risk Pregnant Women Prone to Preeclampsia and the Physiological Indicators of Their Babies
No full textBackground and Objective: Stress, anxiety, and depression during pregnancy have adverse effects on both mother and baby. Stress and anxiety have been reported as high-risk factors for preeclampsia. Relaxation exercises can reduce the adverse effects of high-risk pregnancies in mothers prone to preeclampsia and improve pregnancy outcomes.
Materials and Methods: This clinical trial study was conducted on 100 high-risk pregnant women referring to healthcare centers in Isfahan, Iran. The samples were randomly divided into experimental (n=46) and control (n=50) groups. Relaxation in was performed the experimental group in 16 sessions. Mean scores of stress, anxiety, and depression were measured and recorded using the Depression, Anxiety, and Stress Scale-21 Items Questionnaire. The collected data were analyzed by statistical tests in SPSS 16 software.
Results: The mean scores of stress, anxiety, and depression were obtained at 6.80, 4.49, and 5.98 in the experimental group, respectively, and 1.20, 0.94, and 1.03 in the control group, respectively. The results showed that the mean scores of stress and anxiety were significantly lower after the intervention in the test group than in the control group (P0.05). No Neonatal significant difference was observed between the two groups in the physiological indices, including mean 1- and 5-minute Apgar scores, weight, height, and head circumference (P>0.05).
Conclusion: Based on the results of this study, relaxation reduced the level of anxiety and stress among high-risk pregnant mothers. Therefore, the implementation of this technique during pregnancy is recommended for high-risk pregnant women prone to preeclampsia
Effect of Auriculotherapy on Neonatal Apgar Score and Maternal Postpartum Hemorrhage and Vital Signs
No full textIntroduction: One of the risk factors for postpartum hemorrhage is the elongation of labor. Today, various pharmaceutical and non-pharmaceutical methods are used to reduce pain and duration of delivery. One of these effective methods is the use of auriculotherapy (ear stimulation) in labor that not only reduces maternal pain, but also shortens the delivery duration. The effective methods in reducing labor duration may also affect the complications of increased delivery duration. Regarding this, the aim of the present study was to investigate the effects of this method on maternal postpartum hemorrhage and vital signs, as well as neonatal Apgar score.
Methods: This randomized clinical trial was conducted on 84 pregnant women within the age range of 18-35 years referring to Shahid Beheshti Hospital in Isfahan, Iran, for delivery. The subjects were randomly assigned into two groups of intervention (auriculotherapy) and control (routine care). The data were collected using a questionnaire consisting of two parts, the first section of which covered demographic characteristics (i.e., age, place of residence, occupation, education level) and gestational age, and the second part was related to maternal postpartum hemorrhage and vital signs. Data analysis was performed in SPSS software (version 16), using independent t-test and Chi-square test. P-value less than 0.05 was considered statistically significant.
Results: The mean neonatal fifth-minute Apgar score was higher in the auriculotherapy group than that in the control group (P=0.001). However, there was no significant difference between the auriculotherapy and control groups in terms of the rate of postpartum hemorrhage (P=0.51). Maternal respiratory rate (P=0.007) and postpartum temperature (P=0.021) showed significant changes in both groups. The results indicated that maternal vital signs in the intervention group were closer to normal conditions after delivery.
Conclusion: In this study, auriculotherapy was used to stimulate the points of Shen Men, point zero, thalamic, endocrine, autonomic, cerebral, and sensorial points, specialized spots including three uterine points, anterior pituitary point, posterior pituitary (oxytocin), two prostaglandin points, and external genital points (perineum and vagina). This intervention resulted in the improvement of neonatal Apgar score and left no unpleasant complications for mothers
Comparison of the effectiveness of hypnotherapy and menstrugol capsules on the volume of menstrual bleeding: A clinical trial study
No full textBACKGROUND:
Menstrual bleeding refers to the average blood loss in a normal menstrual period, which is approximately 40 cc. Heavy bleeding during menstruation is one of the common problems of reproductive age. Therefore, to compare the effectiveness of hypnotherapy and Menstrugol capsules on the volume of menstrual bleeding, a clinical trial study was conducted.
MATERIALS AND METHODS:
The present study is a two-group clinical trial conducted on 72 girls who referred to the clinics of Al-Zahra, Amin, and Shahid Beheshti hospitals in Isfahan city in 2023. The girls who met the study entry criteria were selected by the available sampling method. Then they were divided into two control groups (use of Menstrugol capsules: 500 mg every 12 hours) and the intervention (hypnosis: three 20-min sessions individually, once a week). The PBLAC chart was completed by all participants to determine the volume of bleeding before the intervention, immediately after the intervention, and 2 months after the intervention. The collected data were analyzed by spss software version 20.
RESULTS:
The results of this study showed that the average volume of bleeding in the control group is 32% higher compared to the intervention group, which is statistically significant (P = 0.01).
CONCLUSION:
The results of data analysis showed that hypnosis significantly reduces the volume of bleeding according to the number of pads used. Based on the results, it is recommended to use hypnotherapy as a method to reduce the volume of menstrual bleeding. Considering the importance of bleeding due to iron deficiency in girls of childbearing age and the desire of most people to use non-pharmacological methods, as well as safe and cheap, hypnosis can reduce the side effects caused by drugs
The effects of aromatherapy on the mood state and resilience of pregnant women: A clinical trial
No full textBACKGROUND:
Pregnancy has always been associated with rapid physiological, emotional, and social changes that can cause mothers’ stress and anxiety, eventually leading to psychological effects. Therefore, resilience and knowing how to deal with stress during pregnancy are of great importance. As a result, this study aimed to investigate the effects of aromatherapy on pregnant women’s mood and resilience.
MATERIALS AND METHODS:
This clinical trial study was conducted on 70 pregnant women in 2021. Participants were randomly selected from Isfahan’s health centers and then divided into two groups. A handkerchief sprinkled with orange blossom essential oil was given to the experimental group to inhale for an hour, three times a week for a month. However, the control group received only the usual care. The mood state and resilience of the participants were evaluated before the intervention, immediately after, and also one month after the intervention. Data analysis was carried out using Statistical Package for the Social Sciences (SPPS) 24.0, independent-samples t-test, Chi-square, and Mann–Whitney U-test.
RESULTS:
According to the results, the score of mood state in the experimental group was 60/97±14/26 before the intervention, 40/97±14/30 immediately after receiving the intervention, and 49/86±11/78 one month after the intervention. These findings indicated that the score of mood state in the experimental group was significantly lower than that in the control group (P < 0/05). Moreover, the mean score of resilience in the experimental group was 60/83±13/02 before the intervention, 66/54±7/85 immediately after receiving the intervention, and 62/80±8/07 one month after the intervention. The results showed that the mean score of this variable was significantly higher in the experimental group compared with the control group immediately after the intervention and insignificantly higher than the control group one month after the intervention.
CONCLUSION:
Aromatherapy with orange blossom oil can enhance mothers’ mood state and resilience during the third trimester. As a result, orange blossom oil can be used as a complementary therapy
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