مجله زنان مامائی و نازائی ایران
سال شانزدهم شماره 88 (هفته دوم اسفند 1392)

Couples seeking assisted reproductive donation procedures are faced with complex challenges throughout their treatment which can have important psychological impacts on their life. Selecting a suitable donor is one of the hardest decisions they will ever make. This study was done aimed to provide an in-depth description of the experiences of couples in relation to donor selection.

In this descriptive exploratory qualitative study 32 infertile couples who were candidate to use assisted reproductive donation procedures were purposefully selected from Montaserieh infertility center، Mashhad، Iran in 2012. Data were collected through conducting semi-structured interviews and analyzed using conventional content analysis. Member check and expert debriefing were used to enhance study rigor.

The experiences of infertile couples in relation to donor selection were classified in three categories: challenging selection of type of donor، adopting selection criteria and searching for donor suitability. Most of the couples agreed with unknown donors. The most important criterion for donor selection from couples'' point of view was moral issues. Nevertheless، due to limited number of donors، in most cases couples did not search about donor before selection.

Limited number of donors is the most important issue in most of couples to make decision regarding donor selection، which caused they relinquish from thinking on the type of donor and selection criteria.

Primary dysmenorrhea is a common disorder characterized by painful uterine cramping before or during menstruation in the absence of any pelvic pathologic conditions. Finding a treatment without any side-effect for dysmenorrhea has always been a concern. The purpose of this study was to evaluate the effect of vitamin D on reduction of pelvic pain in primary dysmenorrhea. This double blind randomized clinical trial was conducted during 2012 and 2013 on 54 women suffering from primary dysmenorrhea. For case group (n=27)، a single dose of 300،000 IU of vitamin D was prescribed 5 days before the beginning of menstruation، for three consecutive cycles. For control group (n=27)، placebo was prescribed. NSAIDs (non-steroidal anti-inflammatory drugs) were given to both groups if they had pain. Pain severity was evaluated using Visual Analogue Scale for one month before the study and during 3 months of the study. Data were analyzed by SPSS software version 16 and chi-square، Mann-Whitney U، t-test، Fried Man and kolmogorov-smirnov tests. P value less than 0. 05 was considered significant. There were no statistically significant differences between two groups in terms of age (p=0. 704)، level of vitamin D (p=0. 271)، family history of dysmenorrhea (p=0. 54)، using NSAIDs (p=0. 72)، educational status (p=0. 28)، and body mass index (p=0. 097). The mean of pain severity before treatment was not significantly different between two groups (7. 25 ± 1. 70 in case group and 7. 25 ± 1. 70 in control group، p= 0. 584). At first، pain severity was high in both groups، and then it decreased in the first months. In placebo group، pain severity did not decrease in the second and third months، but it increased. Though pain severity decreased in the second and third months in the group of Vitamin D. There was no significant correlation between vitamin D and pain severity in four stages (before and three stages after) (p=0. 526، p=0. 248، p=0. 513، p=0. 059). A single dose of vitamin D reduced dysmenorrhea، and can be used beside NSAIDs.

Episiotomy is the most common obstetrical surgery that like any other wound can be infected or cause delayed healing. Delay in episiotomy wound healing increases the risk of infection and poor anatomic results and this infection can lead to serious complications and even maternal death. The aim of this study was to determine the effect of local gentamicin solution on episiotomy healing. This randomized clinical trial was carried out on 80 primiparous mothers in Ahvaz Sina hospital، Iran in 2013. Before repair، episiotomy site was irrigated with diluted gentamicin solution in case group (n=40) and normal saline in control group (n=40). Episiotomy incision healing was assessed using REEDA scale at 12 hour، 3 and 10 days after the repair. In this scale، lower scores indicate better wounds healing. Data were analyzed using SPSS software version 11. 5 and independent t-test. P value less than 0. 05 was considered significant. The average score of wound healing in case group was significantly lower than control group at 12 hour (p=0. 002)، 3 and 10 days (p=0. 019، P=0. 03، respectively) after delivery that showed better wound healing in case group. Gentamicin solution has a significant effect on better and faster healing of episiotomy wound; Hence، it can be used to accelerate episiotomy wound healing.