مجله زنان مامائی و نازائی ایران
سال هجدهم شماره 158 (هفته چهارم امرداد 1394)

Respiratory distress syndrome (RDS) due to lack of enough surfactant in fetal lung tissue is one of the common causes of neonatal mortality. There are several laboratory methods to determine the amount of fetal lung surfactant. The purpose of this study is to assess the lamellar body count for prediction of the amount of pulmonary surfactant for diagnosis of neonatal respiratory distress syndrome in premature neonates. This cross-sectional and applied study was performed on 91 infants with gestational age between 28-40 weeks for 6 months in 2013. In this study، lamellar body count test was performed for all infants. Lamellar body count was performed by a cell counter (Sysmex model K-X21). ROC Curve was also used for data analysis. Among 91 samples، 14 cases (15. 4%) had respiratory distress syndrome. There were significant relationship between the prevalence of respiratory distress and gender (P=0. 05)، gestational age (P=0. 01) and neonatal weight (P=0. 01). The best cut off point for lamellar body count was less or more than 22500. Also، sensitivity، specificity، positive and negative predictive values were 94. 7%، 100%، 100% and 94. 7%، respectively. Lamellar body count is a useful test for screening in terms of neonatal pulmonary surfactant. The test has appropriate sensitivity and specificity in the diagnosis of respiratory distress syndrome.

changes in the physical condition of pregnant women is one off the factors of lumbar lordosis in the spine and its related disabilities. Exercise is one of the methods to reduce it. Taping is of new therapies. This study was performed with aim to compare the effect of taping and exercise on functional disability and lumbar lordosis in the second trimester of pregnancy. This randomized clinical trial was performed on 90 pregnant women with gestational age of 16-24 weeks referred to health centers of Mashhad to receive services in 2014. This study was conducted in three groups (exercises، taping and control) for six weeks. In exercise group، stretching and strengthening exercises were performed every other day، twice a day for 15 minutes، and in taping group، the tape was inserted on two strip muscles on either side of the spine parallel to the T12- L5 and a tape on the lower back. The Oswestry functional disability questionnaire was used to assess the disability and flexible ruler was used to measure lumbar lordosis. Data analysis was performed by two-way analysis of variance with repeated measures، ANOVA and paired t-test. In exercises and taping groups، functional disability after six weeks was significantly decreased (P<0. 001)، but the changes were not significant in the control group (P=0. 072). In exercise group، lordosis after six weeks was significantly reduced (P<0. 002)، but these changes were not significant in taping (P=0. 776) and control (P=0. 586) groups. onclusions: Exercise and taping as equal reduce the functional disability in pregnant women and the exercises can be used to reduce the lumbar lordosis.

Massage is proposed as a non-pharmacological methods of pain relief، but the effectiveness of massage in obstetric interventions is not clear. This systematic review was performed with aim to evaluate the effectiveness of massage for pain relief and duration of labor based on systematic review of clinical trials. In this study، a systematic review of all published trials and pilot studies as Persian and English in the world and all the articles published from 1990 to June 15 of 2015 were studied. Cochrane، Science direct، PubMed، Scopus، Sid، Iran medex، Iran doc، Magiran، Google scholar database were used to search the studies. The keywords were as follows: massage AND labor pain، pregnancy AND massage، touch AND labor pain، complementary medicine AND labor pain. Two researchers simultaneously performed the studies searching. To increase the validity and reliability of the study، two persons separately evaluated the quality of articles and Jadad scale was used to evaluate the papers. in this study، 18 clinical trials were evaluated. After evaluation by Jadad scale، 7 studies with score of ≥ 3 were enrolled and others were excluded. In this studies، the intensity of pain in the intervention group was less than the control group، and in two studies، duration of labor was less than the control group. This study slowed credible evidence for massage in labor pain relief. The massage can be used to reduce labor pain، however، to use this method in order to reduce the duration of labor، there were no sufficient studies with high quality، and the performed studies were moderate to high in terms of bias. Therefore، massage is not recommended to reduce the duration of labor in this area.