مجله دانشکده پزشکی اصفهان
پیاپی 671 (هفته سوم تیر 1401)

Premature infants usually don't have optimal breastfeeding. Given the insufficient awareness and lack of support of mothers can lead to the discontinuation of breastfeeding. The aim of this study was to investigate the effect of telephone monitoring of mothers throughout the breastfeeding period in preterm infants.

In this quality improvement study,74 mothers with premature infants hospitalized at the NICU, one of the teaching hospitals of Babol University of Medical Sciences in 2020 and their infants were included using random blocking method and divided into intervention and control groups. Breastfeeding Continuation training program after discharge for the intervention group was implemented via smartphone and WhatsApp messenger program during weekly calls for 3 months addressing the problems and challenges faced by breastfeeding mothers. Control group received the usual training at the wards. Data were collected via questionnaire including demographic characteristics of parents and infants, feeding method used and records of infant weight (once a month for 3 months after discharge). Data were analyzed using the Chi-square, T-test, and analysis covariance.

Our findings showed that the rate of breastfeeding in intervention group increased from 27% at time of discharge to 86% at third month, while in control group breastfeeding decreased from 24% at time discharge to 19% at third month. This difference was significant. The mean weight of infant in first and second month in intervention group were 3294.59 ± 574.17, 4577.02 ± 680.23 and control group 3067.56 ± 378.08, 4283.78 ± 508.68, respectively, which was statistically significant. However, this rate was 5856.75 ± 720.83 and 5663.51 ± 645.13 in intervention and control groups in third month respectively. There was no overall significant difference.

Continuing breastfeeding training after discharge using smartphone messaging app can influence success in continuation of breastfeeding by mothers and infant weight gain.

Surgical site infection (SSI) is one of the most important nosocomial infections that increases costs and mortality. The aim of this study was to evaluate the frequency of infection after surgery in gynecology.

In a cross-sectional descriptive-analytic study, the data of 329 patients who underwent gynecological surgeries at Al-Zahra Hospital in Isfahan in 2019 were included in the study. Data related to age, body mass index (BMI), underlying diseases, urgency of surgery, history of surgery at the same site and number of days of hospitalization before surgery were extracted. Patients were examined for 30 days after surgery. Cases of infection after surgery were diagnosed by a specialist. Data analysis was performed by Chi-square and Independent t-tests.

Among the 329 patients who underwent hysterectomy, salpingo-oophorectomy, tubal ligation and tumor resection in the gynecology ward, a total of 21 patients (6.38%), developed wound infection at the surgical site. The highest and lowest occurrence of infection after surgery occurred in patients undergoing hysterectomy (30%) 99 and tubal ligation 43 (13.06%), respectively. Among patients who underwent hysterectomy, women with a higher mean BMI were significantly more likely to develop postoperative infections.

Emergency operation without administration of prophylaxis antibiotic and obesity increased the frequency of surgical wound infection in gynecological surgeries.

The most common mental disorder to be reported in the 21st century is anxiety disorders and the effect of indoor plants on anxiety levels has got more attention recently. Therefore, the present review study was conducted with the aim of reviewing the impact of indoor plants on anxiety.

In this study, a review to obtain studies published by April 2021 english databases like Pubmed, Scopus and Web of science and Persian Iran Medex, SID and Magiran using Persian and English keywords such as "anxiety", "stress". "Indoor plants", "Houseplants", "Pots", "Nature" and "Indoor" and "Angst", "Nervousness", "Hypervigilance", "anxiety", "Foliage", "indoor plants", "Indoor planting", "indoor flower", "Nature base environment", "potted plants", "house plants" were searched with all possible combinations.

Out of 46 studies found, 10 studies were reviewed based on inclusion criteria and the results were extracted. The results of 9 studies have significantly shown that indoor plants reduce the level of anxiety in individuals. One Study refutes this finding and shows that indoor plants have no effect on anxiety levels.

The result of most studies has been shown to reduce the effect of indoor plants on the level of anxiety in individuals and plants can be used as a non-pharmacological method to reduce the level of anxiety in indoor environments. However, due to the small number and many limitations in related studies, it is recommended that more research be done in this area.