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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Evidence Based Care Journal
- نوع مقاله: Journal Article
- کلمات کلیدی: Stress,labor,Mint,Alternative Medicine,Chewing gum,salivary cortisol
- چکیده:
- چکیده انگلیسی: Background: Delivery is one of the critical stressful incidents in lives of most women and its associated complications can disturb the progress of labor and exacerbate post partum problems. Chewing gum is one of the new non-pharmacological methods to reduce stress. So far no study has been conducted to investigate the effect of chewing gum on the stress of labor.
Aim: To determine the effect of mint chewing gum on salivary cortisol in nulliparous women in the first stage of labor.
Methods: The study was a randomized, single-blind, controlled clinical trial in which 60 nulliparous women, who admitted at the first stage of labor in Omolbanin Hospital in Mashhad in 2012, were allocated to two experimental and control groups. The experimental group was asked to chew mint gum (1 gr) for 20 minutes and then their saliva sample were taken to measure cortisol level. Data were analyzed by independent and paried t-test in 5 percent level of significance with SPSS software version 11.5.
Results: The mean salivary cortisol levels at the first and second measurement were respectively 44/9 ± 12/7 and 41/4 ± 13/0 in experimental and also 39/3 ± 10/3 and 42/8 ± 11/0 nmol in control group. The salivary cortisol level showed a significant increase from the first to the second measurement in control group(P<0.009), whereas a significant decrease was seen in these two measurments in experimental group (P<0.014).Two groups were significantly different in terms of the changes in stress levels between two measurements (P>0/001).
Conclusion: Mint chewing gum reduces salivary cortisol level at the first stage of labor in nulliparous women, which is an evidence for reducing stress. Although careful judgment aboute the exact changes in stress level are needed both laboratory and clinical studies.- انتشار مقاله: 21-12-1391
- نویسندگان: Parvin Salari,Fatemeh Alavian,Mohammad Reza Fayyazi Bordbar,Eshagh Hashemi
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Midwifery and Reproductive Health
- نوع مقاله: Journal Article
- کلمات کلیدی: Primary dysmenorrhea,Childbirth,Menstrual Pattern
- چکیده:
- چکیده انگلیسی: Background & aim: Dysmenorrhea also known as menstrual cramp or painful period is one of the most prevalent health issues among women. There are contradictory evidence regarding the impact of childbirth on the occurrence of dysmenorrhea. Also, only pain severity has been examined, as one of the clinical features of dysmenorrea in most related literature and the other characteristics of pain including duration, quality, location, as well as the associated symptoms have been overlooked. Therefore, the present study aimed to compare the patterns of primary dysmenorrhea before and after childbirth in primiparous women.
Methods: In this cross-sectional study, 124 primiparous women with only one delivery were examined. The multistage sampling method was used to select the subjects who referred to the healthcare centers of Mashhad, Iran in 2010. The research tools included a demographic questionnaire, a form to record menstrual pattern, and verbal multidimensional scoring system for assessment of severity of dysmenorrhea. Data were analyzed by Wilcoxon signed-rank test and Cohen’s kappa coefficient using SPSS.
Results: The findings showed statistical significant differences in all pain characteristics before and three cycles after childbirth including pain severity (P1<0.001, P2<0.001, and P3<0.001), duration (P1<0.001, P2<0.001, and P3<0.001), quality (P1<0.001, P2<0.001, and P3<0.001), location (P1<0.001, P2<0.001, and P3<0.001), and associated symptoms (P1<0.001, P2<0.001, and P3<0.001).
Conclusion: According to the results of this study, childbirth could alter the pattern of primary dysmenorrhea including severity, duration, quality, and location, as well as associated symptoms. It seems that childbirth could be accepted as a factor influencing the pattern of primary dysmenorrhea.- انتشار مقاله: 09-12-1393
- نویسندگان: Mahboobe Firouzi,Tahere Zahedifard,Parvin Salari,Seyed Reza Mazlom
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Midwifery and Reproductive Health
- نوع مقاله: Journal Article
- کلمات کلیدی: Stress,Social Support,stressor,Postpartum period,Primiparous women,Multiparous women
- چکیده:
- چکیده انگلیسی: Background: Postpartum period is an exclusive period after birth which can act as a potential stressor and could be accompanied with psychological disorders. Social support could play an important role in maternal mental health. Considering various stressors and different levels of social support for women, this study aimed to compare postpartum stressors as well as social support level between primiparous and multiparous women.
Method: This descriptive comparative study was conducted on 400 primiparous and multiparous mothers who referred to urban health centers, Mashhad, Iran in 2011. They had no history of medical or psychological problems and had healthy term neonates who were 8-25 days old. The sampling was carried out through a multistage cluster sampling. Data were collected using modified Hung questionnaire of postpartum stressors, Helen questionnaire of anxiety and Hopkins social support questionnaire. Data were analyzed using descriptive analytic statistics by SPSS version 11.
Results: The mean stress scores were 242.5±157.1 in primiparous and 28.8±179.8 in multiparous women. The main stressor of primiparous and multiparous women was neonate bathing and lower-back pain, respectively. The mean score of social support was 108.3±8.25 in the primiparous and 102.0±26.6 in multiparous women, which showed a significant difference between two groups (P=0.000).
Conclusion: Various care programs are essential to support primiparous and multiparous mothers from different stressors that they face in postpartum period. It is also recommended to provid more information regarding the social support for the families.- انتشار مقاله: 01-10-1392
- نویسندگان: Parvin Salari,Sakineh Nazari,Reza Mazlum,Bahram Ali Ghanbari Hashem Abadi
- مشاهده