مجله زنان مامائی و نازائی ایران
سال شانزدهم شماره 61 (هفته سوم امرداد 1392)

Clients satisfaction is a valuable means to assess the performance of the planners and executive authorities of health and treatment system and lead to plan for promotion of the ways for providing the care services. The aim of this study was determining the effect of E-learning education on nulliparous women’s satisfaction about postpartum cares.

This prospective quasi-experimental study was carried out on 72 nulliparous women in postpartum period who referred to Beheshti hospital in Isfahn، Iran in 2012-2013. Subjects were divided randomly into two groups of experimental (electronic) and control (booklet) groups. Women’s satisfaction questionnaire about postpartum cares was completed by both groups before and 2 weeks after education. Data were analyzed using SPSS software version 11. 5، t-test and paired t-test. P value less than 0. 05 was considered significant.

No significant difference was observed in satisfaction scores of two educational groups before intervention (p=0. 030)، while the difference between the scores of two groups was statistically significant 2 weeks after intervention (p=0. 010). Also there was a significant correlation between the rate of changes in increased satisfaction in two groups (p=0. 014).

E-learning program can increase the satisfaction level in nulliparous women during the postpartum period.

The investigation of the adolescents’ quality of life and its effective factors leads to the formation of a general insight from their health status and the presentation of the appropriate solution in relation to the health programs and policies in the society. The presented study was done to determine the relationship between life style and health related quality of life among the girl students of high schools in Mashhad. This correlational study was conducted on 810 girl high school students in Mashhad، ran in 2012-2013. The stratified cluster method was applied in this study. The participants filled demographic، strengths and difficulties، adolescent health promotion and health-related quality of life questionnaires. Data were analyzed using SPSS software (version 11. 5) and the statistical tests such as Spearman correlation coefficient، independent t، Mann-Whitney، Kruskal Wallis and ANOVA. P value less than 0. 05 was considered significant. There was a significant correlation between the total score of life quality and the life style and its different aspects (p<0. 001). In different aspects of life style، the most correlation was between «spiritual growth» and «stress management» and the least correlation was observed for «nutritional behavior». A significant correlation existed between total score of life style and quality of life (p<0. 001). Among 10 aspects of quality of life، two aspects of «psychological well-being» and «physical well-being» had the most correlation and «social acceptance» showed the least correlation with life style. Also there were a positive significant correlations between all aspects of life style and quality of life (p<0. 05)، and only the correlation of 3 aspects of life style including «nutrition» (p=0. 174)، «interpersonal relationships or social support» (p=0. 860) and «physical and sport activities» (p=0. 071) had no statistically significant with the life quality aspect of «social acceptance». There is a significant correlation between the life style and the health related quality of life and its aspects among adolescents.

Ectopic cervical pregnancy is a rare clinical condition and the most common symptom is vaginal bleeding that has differential diagnosis with placenta previa. Transvaginal sonography is helpful in diagnosis and three-dimensional ultrasound and Magnetic resonance imaging (MRI) help in confirming the diagnosis. Case report: A 25 year old primigravid woman with painless vaginal bleeding during the first trimester and an ultrasound assessment in 14th week of pregnancy that showed complete placenta previa and repeated vaginal bleeding in second and third trimester underwent cesarean delivery in 37th week of pregnancy due to beginning of labor pain. During cesarean section it was perceived that placenta was completely located in lower segment of uterus from anterior to posterior wall and fundal height was about 10th week of pregnancy. Hysterectomy was performed because of profuse and uncontrollable bleeding. After two weeks، the patient was discharged without any complications. The pathology report revealed complete implantation of placenta into the cervical canal (cervical pregnancy).

The most gestational age of cervical pregnancy which was reported was 14 weeks، while our patient was the first case that her pregnancy continued to 37 weeks. According to the history and performed sonographies، placenta previa was diagnosed for our patient. So، it is strongly recommended that all pregnant women who experience vaginal bleeding and placenta previa is reported in their ultrasound، they should be evaluated regarding cervical pregnancy through three-dimensional sonography and MRI.