مجله زنان مامائی و نازائی ایران
سال هفدهم شماره 97 (هفته سوم اردیبهشت 1393)

Labor pain during normal vaginal delivery is one of the most severe pain conditions that women experience during their life and have unpleasant effects on mothers and their fetuses. So، it is necessary to be familiar with power of decrease of pain and complications of different ways are used for labor pain relief. This study was performed aimed to assess the side effects، outcomes and pain relief rate of spinal and epidural anesthesia in vaginal delivery. This clinical trial was performed in 2013 on 50 patients hospitalized in Amir hospital of Semnan، Iran. An intravenous catheter was inserted for all patients and 500-1000 cc serum Ringer infused. The patients were divided into two groups of spinal and epidural anesthesia. When the cervix dilated 4 cm، in first group 10 mg metoclopramide and 8 mg dexamethasone were injected intravenously، and then 25 mg pethidine plus 1. 5 cc Dextrose 10% (totally 2cc) were injected in subarachnoid space. In second group، a bolus of 15 cc of 0. 125% bupivacaine plus 10 microgram sufentanil (2cc) in 3 divided doses every 5 minutes were injected in epidural space. The pain score، vital signs، side effects، muscular tone، Apgar score and patients'' satisfaction were evaluated. Data were analyzed by SPSS software (version 16)، Kolmogorov-Smirnov، t-test Mann-Whitney، chi-square and Fisher exact tests. P value less than 0. 05 was considered significant. During all recorded times، the pain severity was less in the group received pethidine. The level of satisfaction was more in spinal group (p<0. 001). None of the patients in spinal group had nausea، vomiting، itching and hemodynamic instability. Spinal administration of pethidine provides good pain relief with less muscular tone disturbance. This method has rare and predictable side effects and has no late side effects and respiratory depression.

Infertility is accompanied by physical and psychosocial stress and perfectionism is accompanied by overly critical self and others'' evaluations. So، these two factors may cause sexual disorders by increasing the stress. The main aim of this study was to determine the relationship between perfectionism and sexual function of infertile women in Mashhad، Iran.

This correlation-descriptive study was conducted in 2012 on 200 infertile women were selected by availability sampling method from infertility centers of Mashhad، Iran. Women were examined with multiple perfectionism scale (MPS) and Female Sexual Function Index (FSFI). Data were analyzed by SPSS software version 16، regression analysis and Pearson correlation tests. P value less than 0. 001 was considered significant.

The different aspects of perfectionism (self-oriented، other-oriented and socially prescribed perfectionism) had significant negative relationship with sexual function in infertile women (p<0. 001); the more perfectionism make less sexual function in infertile women. In addition among of different aspects of perfectionism، socially prescribed perfectionism has more significant relationship with sexual function (p=0. 014).

Different aspects of perfectionism، especially socially prescribed perfectionism lead infertile women to have more stress and the stress threatens women’s sexual function.

Stress resulting from premature delivery and its special care harms the mother psychologically and physically vastly and has a negative impact on psychological stress of the mothers. The present study investigated the effects of spiritual self-care training on the psychological stress of the mothers with premature infants admitted in neonatal intensive care unit.

This clinical trial was conducted in 2013 on 60 mothers of preterm infants in Omolbanin and Ghaem hospitals of Mashhad، Iran. Mothers were divided into two groups of intervention and control. The mothers of two groups filled DTS (depression-tension-stress) form at the first، the end and the follow up period. They were trained for 14 days (15 minutes/day) to know more about the babies'' condition. The intervention group also received spiritual self-care education for 6 sessions as 45 minutes/every other day. We followed up after two weeks by calling them twice a week. Data were analyzed by SPSS software version 16، Kolmogorov-Smirnov، Shapiro Wilk، analysis of variance with repeated measures، independent t-test and chi-square tests. P value less than 0. 05 was considered significant.

Mean of DTS scores before the intervention was 38. 5±7. 6 in control group and 35. 4±7. 2 in intervention group and independent t-test shows no significant difference in DTS between two groups (p=0. 112). After the intervention، mean of DTS was 33. 7±7. 0 in control group and 41. 9±6. 7 in intervention group and independent t-test shows significant difference in DTS before and after the intervention (p=0. 000). At follow up period، mean of DTS was 39. 1±7. 7 in control group and 42. 2±6. 4 in intervention group that was not statistically significant between both groups (p=0. 106)

Spiritual care training decreasespsychological stress and improves quality of life in mothers of premature infants admitted in neonatal intensive care unit.