مجله زنان مامائی و نازائی ایران
سال هفدهم شماره 107 (هفته اول امرداد 1393)

Depression is one of the most prevalent psychiatric problems that its incidence is higher in students who are in stressful environments. Due to the side effects of antidepressant drugs and uncertain effects of Omega-3 fatty acids on depression، this study was evaluated the effects of omega-3 fatty acid on depression in female students. This single-blind clinical trial was conducted on 50 female students who were resident at dormitory of Sabzevar university of medical sciences in 2014. Female students with depression were randomly divided into two groups. The first group received 2 grams of omega-3 supplementation in divided doses of two capsules morning and night for two months. Similarly، the second group received placebo. Before and after giving medications، depression symptoms were assessed by Beck- questionnaires in both groups. Data were analyzed using SPSS software version 16، t-test، chi-square and ANOVA tests. P value less than 0. 05 was considered significant. The severity of depression had reduced in case group 8 weeks after taking omega-3 and the difference was statistically significant (p=0. 001)، but the severity of depression did not change after the intervention in control group (p>0. 05). The severity of depression in both omega-3 and placebo groups showed significant differences after the intervention (p=0. 001). Omega-3 fatty acid appears to be effective in reducing depression in female students.

Labor dystocia is the most common indication for primary cesarean section. The psycho-emotional، physical and physiological factors are involved in labor progress. This study was performed to evaluate the effect of continuous support during labor on labor progress in primigravida women. This randomized clinical trial was conducted in 2007-2008 on 80 primigravida women in Omolbanin hospital of Mashhad، Iran. Subjects were divided randomly into two groups of supportive care and routine care. Information related to labor and delivery was recorded by researcher in examination and observation forms for both groups. Data were analyzed by SPSS software version 14 and t-student test، Mann-Whitney، chi-square and Fisher exact testes. P value less than 0. 05 was considered significant. The rate of cesarean delivery was not different in supportive care and routine care groups (%2. 5 in supportive care group and % 2. 5 in usual care group; p=0. 562). But the differences between two groups were statistically significant in terms of duration of active phase at the first stage of labor (p=0. 018)، need for oxytocin augmentation in labor (p=0. 033) and use of intrapartum analgesia (p=0. 042). The midwife’s continuous support reduces intrapartum intervention.

Budd-Chiari Syndrome is a rare disease primarily determined by the hepatic veins thrombosis. Spontaneous thrombosis of the hepatic veins is the main reason، but polycythemia vera and a history of using oral contraceptive pills can be associated with thrombosis. Some patients refer with idiopathic membranous obstruction of the inferior vena cava at the distance between hepatic veins and right atrium which is usually associated with hepatic vein thrombosis of one or both hepatic veins. Initially it was thought that these lesions are congenital، but it is now clear that these lesions result from stenosis due to thrombosis and scar formation. Obstruction after the liver increases sinusoids pressure and eventually portal vein hypertension occurs. Symptoms are usually mild and general at first and include abdominal pain of the right upper quadrant، bloating and anorexia. After a few weeks or months، clinical manifestations presented as sever fever، clinical ascites، hepatomegaly and hepatic necrosis. Venography is one of the ways of diagnosis. Case Report: A 22 years old woman is reported with Budd-Chiari syndrome which started after delivery. The patient was considered following the cesarean section because of ascites symptoms، high fever and high blood pressure due to delays in diagnosis. After conducting ultrasonography and liver biopsy simultaneously، hepatic vein thrombosis was reported and Budd-Chiari syndrome was diagnosed.