مجله زنان مامائی و نازائی ایران
سال هفدهم شماره 136 (هفته دوم اسفند 1393)

Vulvovaginal candidiasis is an annoying disease among women caused mainly by Candida albicans (C. albicans) and Candida glabrata (C. glabrata). This study was performed with aim to evaluate the antifungal effect of apple vinegar، grape vinegar، and date vinegar، methanol extract of Fumaria officinalis (shahtareh)، and methanol extract of Echinacea angustifolia (sarkhar gol) compared to fluconazole to prevent Candida albicans and Candida glabrata isolated from vagina candidiasis. This cross-sectional study was performed on 49 samples of vaginal dischargeof women with positive Vulvovaginal who had not respond to fluconazole at Tehran Mahdieh Hospital in 2013. Among these 49 samples، 13 cases of candida albicans and glabrata were diagnosed and isolated. Extracts of plants were obtained by maceration method. Agar well diffusion was performed to determine inhibition zone (halo) diameter; Candida albicans and Candida glabrata susceptibility or resistance against prepared plant compounds were examined. Data was analyzed by SPSS software (version 16) using Wilcoxon and Mann–Whitney tests. Fluconazole had larger inhibition zone compared to studied organic compounds. However، apple and grape vinegars had significant effect among natural compounds. Other compounds had no significant effect. Medical plants and vinegars had smaller inhibition zone than fluconazole، had no serious side-effects، and impose very less cost. Moreover، no definite method has been known to reliably evaluate the plants considering to inhibition zone (halo) diameter

Postpartum depression is the most important mood disorder. Social support has been known as one of the risk factor for postpartum depression. Since preeclamptic women are faced with unexpected perinatal complaints، they need to receive more support; therefore this study was performed with aim to evaluate the relationship between social support and postpartum depression in women with preeclampsia.

This Correlational study was performed on 122 women with preeclampsia admitted in public and Tamin Ejtemaei Hospitls of Mashhad in 2013. Beck Depression Inventory II (BDI-II) was completed six weeks after delivery، and Social support Questionnaire was completed two and six weeks after delivery. Data was analyzed by SPSS software (version 16) using Pearson Correlation and Kruskal-Wallis tests.

The mean social support score after two weeks of delivery was 34. 1±1. 39 and after six weeks of delivery 23. 3±1. 04. There was significant relationship between social support 2 weeks after delivery with social support 6 weeks after delivery (P=0. 001). Mean depression score was 11. 1 ± 5. 5. There was positive significant relationship between social support score 2 weeks (p=0. 01) and 6 weeks (p=0. 02) after delivery with depression 6 weeks after delivery.

There was positive correlation between social support and postpartum depression. Depression increased by increasing the postpartum social support.

Despite good improvement in postpartum and prenatal mortality and morbidity، the rate of have been increased over the recent two decades worldwide. This study was performed with aim to evaluate the women’s knowledge and attitude towards choosing mode of delivery in the first pregnancy. This descriptive – analytical study was performed on 216 mothers referred to medical-health centers of Ilam in 2012-2013. Data were collected by trained midwives using a standard questionnaire. Statistical analysis was performed using SPSS 16 the software. The collection tools of function and knowledge data was a questionnaire including demographic characteristics (questions related to the information on individual، social and gynecology characteristics of pregnant women) and determining the level of knowledge (normal delivery، complications and indications of cesarean) in the mothers that was collected using a researcher-made questionnaire by the midwife. Data was analyzed by SPSS software (version 16) and using Chi-square، t، and regression tests. 105 of women (53%) preferred cesarean section (CS). Totally، weak or moderate level of attitude toward vaginal delivery was 55. 5% (53) and cesarean delivery 22/5% (24). Mean score of negative attitude was not statistically significant in mothers with vaginal delivery and mothers with cesarean (P = 0. 12). There was a significant relationship between level of attitude and knowledge toward choosing mode of delivery and level of education (P < 0. 001). There is direct relationship between level of knowledge and attitude toward vaginal delivery and we can increase knowledge and change attitudes of nulliparous women، and thereby، encourage them to choose vaginal delivery.