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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Iranian Journal of Neonatology
- نوع مقاله: Journal Article
- کلمات کلیدی: Labor pain,Hypnosis,Apgar score,Neonatal outcome
- چکیده:
- چکیده انگلیسی: Background: Many techniques have been proposed to relieve labor pain, one of which is hypnotherapy, which can be defined as the usage of hypnosis during labor to alleviate pain or anxiety. The aim of this systematic review was to examine the possible relationship between hypnosis and neonatal outcomes based on the available reports.
Methods: Major databases, including PubMed, Web of Science, Scopus, and Cochrane CENTRAL, were systematically searched up to February 6, 2018. In the next stage, the titles and abstracts of the retrieved articles were reviewed to identify the relevant studies. The quality of the studies was evaluated using the Jadad scale. Study appraisal and data extraction were carried out by one of the authors, and then double-checked by another researcher. Finally, the search process resulted in the inclusion of 10 trials.
Results: Based on eight studies, hypnosis for pain management during labor had no effect on Apgar score in neonates. No significant difference was reported between hypnosis and non-hypnosis groups in terms of the number of admission to the Neonatal Intensive Care Unit (NICU). Furthermore, the short-term effect of hypnosis on the continuation of exclusive breastfeeding was indicated in three studies. However, the duration of neonatal admission to nursery or NICU was not reported in any of the studies. Only one study reported that there was no significant difference between hypnosis and control groups concerning the frequency of hospital readmission.
Conclusion: Based on the evidence reported in the literature, it could be concluded that hypnosis can be regarded as a safe approach for pain management during the labor. Moreover, this intervention did not show to exert any adverse effects on neonatal health status.- انتشار مقاله: 22-06-1397
- نویسندگان: Majid Khadem Rezaiyan,Reza Saeidi,Masumeh Ghazanfarpour,Mohamadghasem Etemadi Mashhadi,Mona Najaf Najafi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Women,Validation,Persian,Postpartum Depression,EPDS
- چکیده:
- چکیده انگلیسی: Background
The aim of this study is to evaluate the psychometric properties of the Persian versionof the Edinburgh Postnatal Depression(EPDS) among Iranian mothers in postpartum period.
Materials and Methods: This secondary analysis examines 200 Iranian mothers registered to receive prenatal care in health centers in Kerman, Iran. The subjects were selected using convenience sampling method. The reliability (Cronbach’s α coefficient), construct validity (confirmatory factor analysis (CFA), and exploratory factor analysis (EFA) were assessed. Model fit index (e.g., the root mean square error of approximation [RMSEA]), the Goodness of Fit Index (GFI), and the Comparative Fit Index (CFI) were calculated.
Results: The overall Cronbach’s α was estimated at 0.70 with subscales ranging from 0.70 to 0.88. EFA identified three factors with extractable eigenvalue >1.00, which accounted for 62% of the total variance. The eigenvalues of the first three factors were 4.11, 1.09, and 1.012. The first factor, labeled "anhedonia", contained items 1 and 2. The second factor, labeled "anxiety", consisted of items 3, 4, and 5, which explain 19.61 of variance. The last factor, labeled "depression", contained items 7, 8, 9, and 10. Item 8 loaded equally on anhedonia and depression factors. The screen plot also suggested three factors. In addition, CFA verified the model extracted from the EFA. The three-factor model displayed an acceptable fit (CFI = 0.94, TLI = 0.92, RMSEA = 0.06, p=0.001).
Conclusion
The results of EFA, CFA, and internal consistency revealed that the Persian version of 10-item EPDS instrument was valid and reliable, and can be used to screen and identify Iranian mothers with anxiety and depression in postpartum period.- انتشار مقاله: 22-05-1399
- نویسندگان: Tahereh Galini Moghadam,Somayeh Moeindarbary,Fatemeh Vafi Sani,Alireza Salehi,Atefeh Ahmadi,Fahimeh Khorasani,Masumeh Ghazanfarpour
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: fennel,Mother,Breast-feeding,Dates
- چکیده:
- چکیده انگلیسی: Background: No systematic review study was found regarding the comprehensive examination of the effects of dates and fennel on breastfeeding adequacy of mothers. The present study aimed to examine the impact of dates and fennel on breastfeeding adequacy of mothers.
Materials and Methods: All clinical trials evaluating the effect of palm date and fennel on breastfeeding in lactating mothers were searched on the online databases of Scopus, EMBASE, Cochrane, and Web of Science and Medline with no language or time restrictions using the combination related keywords of Mesh.
Results: Five studies were included in this study. The results of the first research suggested the positive relationship between consuming fennel herbal tea and dates in enhancing milk production of mothers within the early days following birth. In the second study, the mother's satisfaction with the adequacy of milk showed the positive effect of dates consumption. The results of the third research showed that 80% of mothers in the intervention group had a smoothness score of breastmilk. The higher smoothness in the intervention group showed the positive impact of consumption of date on breastmilk. In the fourth study, a galactagogue drop containing fennel, Anise, dill, parsley, cumin, and fennel flower did not affect the volume of breastmilk and weight gaining of the infant. The fifth study showed the positive impact of the herbal tea of fenugreek seeds and fennel on improving the breastfeeding adequacy with positive changes in the anthropometric indicators, the number of wet diapers, and increased number of breastmilk drinking.
Conclusion: Considering the availability and inexpensiveness of fennel and dates, their usage by breastfeeding mothers is recommended for increasing breastmilk.- انتشار مقاله: 05-12-1398
- نویسندگان: Rana Tafrishi,Shima Shekari,Mohammad Ajam,Elaheh Barati,Seyed Masoud Haghjoyan,Ali Rokni,Omolbanin Heydari,Farzane Ashrafinia,Samaneh Dabagh Fekri,Masumeh Ghazanfarpour,Maryam Abbasi Dalooei
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,aspirin,Preeclampsia
- چکیده:
- چکیده انگلیسی: Background: Preeclampsia is one of the most common causes of maternal mortality. This complication has been attempted to prevent preeclampsia. Many drug treatments have also been tested, including aspirin, one of the drugs prescribed to prevent preeclampsia. Therefore, the present study was designed to summarize the findings and conclusions for the effect of aspirin on preeclampsia.
Materials and Methods: In this systematic review, databases of Iran Doc, IRCT, SID, ProQuest, Medline, Scopus, and Cochrane were reviewed until October 2019. The keywords "Aspirin, Preeclampsia, hypertension, acetylsalicylic acid, ASA, Iran and clinical trials" were searched for references in the literature and their possible combinations in the title and abstract. Qualitative analysis of studies was performed according to the Evidence-Based Medicine Checklist for therapeutic studies.
Results: Six clinical trials including 1,765 pregnant women were studied. In four studies, aspirin had a significant effect on the prevention of preeclampsia. In two studies, calcium-D had a significant effect on reducing the incidence of preeclampsia. Results regarding the effect of aspirin on infant birth weight, preterm labor and intrauterine growth restriction are inconsistent.
Conclusion: The results showed that aspirin (within the lowest daily dose of 75mg) has a positive effect on the prevention of preeclampsia (pregnant women at risk of preeclampsia) among most of the studies and positive results. Judging the definitive efficacy of aspirin in relation to other variables such as neonatal birth weight, preterm labor and intrauterine growth restriction requires more and more detailed studies with a sufficient sample size.- انتشار مقاله: 06-02-1399
- نویسندگان: Farzaneh Rashidi Fakari,Raha Rousta,Fahimeh Rashidi Fakari,Masumeh Gghazanfarpour,Nourossadat Kariman
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: attitude,Breastfeeding,Postpartum Depression
- چکیده:
- چکیده انگلیسی: Background: Breastfeeding and mother-infant physical contact play an essential role in the mother's emotional recovery and readjustment. The present study aimed to investigate the association between attitude toward breastfeeding and postpartum depression.
Materials and Methods: The present descriptive cross-sectional and analytical study was conducted on 200 females with postpartum depression referred to rural and urban health centers, Kerman, Iran. The selection was carried out using the convenience sampling method. The mothers who met the inclusion criteria and had the willingness to participate were included in the study. They were called, and if they had inclusion criteria, they were asked to refer to health centers. Data were collected using a questionnaire about baseline characteristics and the Edinburgh Postnatal Depression Scale (EPDS).
Results: This study showed that there was no special baseline effect on total attitude and aspect of depression. The results showed a significant negative relationship of total attitude with anxiety (r=-0.213, p=0.003), depression (r=-0.163, p=0.022), and anhedonia (r=-0.213, p=0.003). There were the strongest and the weakest relationship between anhedonia and depression (r=0.567, p<0.001), and between total attitude and depression (r=-0.163, p=0.022), respectively. According to the results of the independent t-test, a significant relationship was observed between scores of depression and total attitude, which means that females with depression had a more negative attitude (p<0.001).
Conclusion: The results of this study documented the relationship between the attitude towards breastfeeding with postpartum depression and anxiety.- انتشار مقاله: 06-02-1399
- نویسندگان: Mehrdad Khodabandeh,Leila Kashani,Zanbagh Pirastehfar,Saeed Dashti Dargahloo,Mohammad Tabarestani,Mohammad Dordeh,Ali Rokni,Omolbanin Heydari,Masumeh Ghazanfarpour
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: children,Development,Hip dysplasia,Tübingen hip flexion splint
- چکیده:
- چکیده انگلیسی: Background
Hip dysplasia is an abnormality of the hip joint where the socket portion does not fully cover the ball portion, which might increase the risk of joint dislocation. Hip dysplasia may occur at birth or develop in early life. The purpose of the present study was to assess the effect of treatment with Tübingen hip flexion splint for Developmental Dysplasia of the Hip (DDH), and its safety.
Materials and Methods: The systematicsearch was carried out on the online databases (Medline, Cochrane library, EMBASe, and Scopus) to assess the effect of treatment with Tübingen hip flexion splint for developmental dysplasia of the hip. Articles indexed until 20 April 2020 were reviewed using keywords such as (Hip dislocation, Congenital, DDH, and Tübingen hip flexion splint). The study selection was carried out by two reviewers.
Results: Six studies were included in systematic review and meta-analysis. The pooled successful rate of Tübingen hip flexion splint was 88% with a Confidence Interval [CI]; 87-97%; p <0.001; heterogeneity; I2: 89%%, p <0.001; six trials; random effect model. The heterogeneity level was high among the included studies. Due to high heterogeneity, the sensitivity analysis was conducted to assess the effect of each study on the result and the level of heterogeneity. The results of the sensitivity analysis showed that no studies influenced the outcome and the level of heterogeneity. However, the pieces of advice were not associated with serious side effects.
Conclusion
According to the results, the success rate of this Tubingen brace was 88%. Moreover, the results must be interpreted with caution due to the small sample size and high heterogeneity. The effectiveness of this method in the long term is still debatable.- انتشار مقاله: 09-03-1399
- نویسندگان: Ali Rokni,Vahideh Hosseinzadeh,Fatemeh Vafi Sani,Masumeh Ghazanfarpour,Neda Asadi,Omolbanin Heydari,Sahebeh Dadshahi,Malihe Pouredalati,Seyed Amirreza Akhlagh
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Women,Psychometric,Child,Zung Self-Rating Depression Scale
- چکیده:
- چکیده انگلیسی: Background
Considering the necessity of using a valid and reliable tool to assess depression in women and the lack of similar tools in Iran, the purpose of this study was to investigate the psychometric properties of the Zung Self-Rating Depression Scale (ZSDS) with an emphasis on factor analysis among Iranian women with sick children.
Materials and Methods
In the cross-sectional psychometric study, 102 eligible women were selected by multistage cluster sampling from various environments such as healthcare centers, hospitals, and public and private institutions, who completed the ZSDS. The reliability of the questionnaire was assessed using test-retest and internal consistency, and its validity was tested by confirmatory factor analysis (CFA).
Results
Cronbach's alpha coefficients for the total scale were equal to 0.73, and high test-retest reliability indicated the appropriate reliability of ZSDS. The CFA results indicated a poor fit of the model in determining the factors as initially expressed in ZSDS. After removing six questions with low factor loadings and freeing the covariance error between the two questions, the model was adequately fitted (CMIN/DF= 1.3, CFI= 0.92, TLI= 0.90, GFI= 0.89).
Conclusion
Based on our study, the ZSDS is convenient for identifying clinically significant depressive symptoms among women with sick children.- انتشار مقاله: 23-12-1398
- نویسندگان: Saman Sedighi,Mohammad Reza Najarzadegan,Hoseyn Ghasemzadeh,Mehrdad Khodabandeh,Mahshid Khazaei,Monirsadat Mirzadeh,Masaudeh Babakhanian,Ali Rokni,Masumeh Ghazanfarpour
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: quality,feedback,Congress,Midwifery student
- چکیده:
- چکیده انگلیسی: Background: Clinical education is the basis for medical sciences education, and one of the most critical criteria of professional education, playing a significant role in internalizing the teachings to students. This study aims to investigate the opinions of midwifery students about the quality of feedback provision in clinical education.
Materials and Methods: This cross-sectional study was performed in 2019 in the Congress of midwifery and women’s health, Mashhad, Iran. Census method was used for selecting 98 midwifery students who had participated from all over the country in this Congress. Data collection was performed through a demographic information questionnaire and a standard feedback questionnaire with 21 items. The midwifery students were asked to specify the importance of feedback received during their clinical
Results: Overall, 98 midwifery students participated in this study. According to most students, most of the time the feedback received was as expected (40.8%), clear and explicit (41.8%), constructive (50%), and was useful for correcting their attitude (49%), performance (54.1%), and behavior (50%), and related to clinical skills (55.1%), and most of them had received positive feedback (49%). Except for items 8 and 20, most midwifery students chose the options of often and most of the time for responding to items.
Conclusion: More than half of the midwifery students had adequate satisfaction with the feedback they received during their clinical education (often and most of the time). It is suggested that the quality of feedback provision by midwifery professors could be enhanced for the maximum satisfaction of students.- انتشار مقاله: 04-02-1399
- نویسندگان: Somayeh Oladi,Fereshte Khoshniyat,Masumeh Ghazanfarpour,Sahebeh Dadshahi,Neda Asadi,Faezeh Ghorbani,Amirreza Dehghan Tarazjani,Saeideh Shahsavari
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Aromatherapy,children,Infant,massage,Sleep
- چکیده:
- چکیده انگلیسی: Background: Sleep disturbances among child patients are a commonly reported problem. We aimed to review the effectiveness of aromatherapy on sleep disorders of children and infants.
Materials and Methods: This review was conducted with a systematic search of electronic resources in English such as Medline (via PubMed), Scopus, Web of Science, Cochrane Library, and EMBASE, with no time limit from inception up to February 2019; using the following keywords alone or in combination: (Aromatherapy OR Smell OR Olfactory OR Essential oil) AND (Sleep Disorders OR Sleep OR Sleep Paralysis OR Sleep Arousal Disorders) AND (Children OR Infant OR Baby OR Neonate OR Pediatric).
Results: Four studies were included in the review. In the first study, a comparison of the nights with and without aromatherapy showed no significant difference regarding length of time the children were asleep, sleep onset time and number of interruptions during the night. In the second study, aromatherapy with Rosa damascena essential oil significantly improved sleep quality parameters in children except with daytime sleeping (p=0.059). In the third study, a significant decrease was observed in the sleep quality score in children with acute lymphoblastic leukemia in aromatherapy with oil of orange than in the controls (p<0.05). In the fourth study, the infants in the Lavender bath oil group spend more time in deep sleep and less time crying prior to sleep onset than in the control group (p<0.05).
Conclusion: Aromatherapy with Lavender and Rosa damascena essential oil and orange oil can improve group sleep quality, deep sleep and time crying prior to sleep onset. However, it was not effectiveregarding sleep disorder in children with autism.- انتشار مقاله: 03-09-1398
- نویسندگان: Bahareh Shahidi,Farzane Khajenoori,Mohammad Reza Najarzadegan,Mehdi Mameneh,Shahrzad Sheikh,Masoudeh Babakhanian,Mohammad Tabarestani,Mina Babakhanian,Farzane Ashrafinia,Roozbeh Nasibeh,Masumeh Ghazanfarpour
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Pregnancy,Surgical emergency,Sigmoid volvulus
- چکیده:
- چکیده انگلیسی: Background
Sigmoid volvulus (SV) in pregnancy is a very rare entity, which can be associated with extremely high rates of mortality and morbidity for both mother and fetus.
Care Report
A 22-year-old female patient with a first pregnancy with a gestational age of 27 weeks was referred to the Omolbanin hospital, Mashhad, Iran, and presented with generalized pain, abdominal swelling, and abnormal bowel movements from a week ago. Intestinal loops with thick wall and fluid content decreased with decrease in peristalsis was seen in abdominal and pelvic ultrasound. In addition, abdominal and pelvic X-ray examination showed enlarged bowel with bent inner tube view. Due to severe abdominal pain and available evidence, she underwent laparotomy for suspected intestinal obstruction. A dilated sigmoid colon rotated about two times around its mesentery was seen adjacent to the pregnant uterus. The sigmoid was detorted and was fixed to the pelvic floor through its mesentery. The patient was discharged 4 days after surgery in good general condition, and her baby was born at 38 weeks of gestation by natural vaginal delivery.
Conclusion
Sigmoid volvulus during pregnancy is a rare complication. Its timely diagnosis will prevent intestinal gangrene and reduce maternal and fetal damage.- انتشار مقاله: 18-10-1398
- نویسندگان: Sara Ghahremani,Parisa Razmjouei,Parvaneh Layegh,Ayoub Tavakolian,Masumeh Ghazanfarpour,Fatemeh Shoaee,Somayeh Moeindarbary
- مشاهده