جستجوی مقالات مرتبط با کلیدواژه « زایمان و کورتیزول » در نشریات گروه « پزشکی »

Lack of knowledge in primiparous women about the process of vaginal delivery usually causes anxiety. This anxiety can have negative impacts on fetus، mother and childbirth process. Therefore، supporting the mother can reduce her anxiety and help her to cope better with labor. We aimed to determine the effect of listening to the Quran on reducing anxiety and serum cortisol levels in primiparous women during the first stage of labor. This clinical trial study was conducted in 2013 on 60 pregnant women who had vaginal delivery in Zainab hospital of Shiraz، Iran. Parturients were randomly allocated into interventional and control groups. In the interventional group، parturients listened to the Quran for 45 minutes using headphone during the active phase of labor. However، in the control group no audio was played through the headphone. Women''s anxiety was measured with Spielberger questionnaire before and after using the headphone and cortisol levels were also evaluated. Data were analyzed using SPSS software (version 21) and chi-square، paired t-test، Fisher and Kruskal-Wallis tests. P value less than 0. 05 was considered significant. Hearing the Quran was effective in reducing anxiety in the interventional group and this effect was statistically significant between two groups (p<0. 001) The serum cortisol levels was 101. 47±48. 00 µg/l in the intervention group and 226. 53±105. 77 µg/l in the control group after hearing the Quran and the difference was statistically significant (p<0. 001). In the intervention group، anxiety was reduced more effectively in parturients with high familiarity with the Quran (p<0. 05). Listening to the Quran during the labor، especially in women who are much more familiar with the Quran has positive effects in reducing anxiety. This method is a valuable technique with high quality effects on normal vaginal delivery process that may reduce cesarean delivery without indication.

In general population in response to fear, stress and anxiety stress-related hormones such as cortisol are changing. Labor is the most women's life event stressor. Over 90% of stress and anxiety during pregnancy is associated with birth process. The purpose of this study was to investigate the impact of stress, anxiety and pain in salivary cortisol levels in first stage of labor on primiparous women. This descriptive cross-sectional study was conducted on 80 primiparous pregnant women who referred to Ommol Banin hospital in Mashhad, Iran in 2012. In the first stage of labor with dilatation of 7-5 cm visual analog scale of stress and pain and Spielberger anxiety questionnaire were completed for all subjects and saliva samples were taken to measure cortisol levels. Data were analyzed by SPSS software (version 11.5). P value less than 0.05 was considered significant. There was a significant correlation between salivary cortisol levels and mean levels of maternal stress on the visual scale (p=0.005) but the Pearson correlation test was not significant between mean salivary cortisol levels and mean levels of anxiety (p=0.173) and pain (p=0.581). Labor as the most stressful women’s physical and mental event affect on women’s physiological and psychological parameters during labor. Thus, stress during labor affect on cortisol index as an indicator of hypothalamic - pituitary axis activity and autonomic nervous system.