Fixation and unfixatjon of folley catheter in cesarean section, a comparative study

It is recommended to fix Folley catheter during and after cesarean section. In such circumstances, not only the bladder is drained continuously but also it doesn't disturb surgeon. But Folley catheter induces infection, in this study we didn't fix Folley catheter and evaluated studied patients for complications. In this prospective study, 100 parturient who needed elective cesarean section and entered two hospitals in Ahwaz were evaluated. Control and study groups had 50 parturients each. In control study only eight women [16%] out of fifty needed Folley catheter fixation and Bladder trauma wasn't seen in both the groups. It is recommended to fix Folley catheter during casarean section, but it is uncomfortable for parturients. Hematuria and urinary tract infection were evaluated in both groups but the results weren't significantly different. It is suggested not to fix Folley catheter routinely but only in those patients in which it is indicated

[Mean duration of pregnancy in spontaneous deliveries in Ahwaz university affiliated hospital in 2007]

Accurate knowledge about gestational age is very important in taking decision for pregnancy management and termination. According to Naegele's rule the length of pregnancy is 280 days after LMP and according to studies performed in Harvard University, duration of pregnancy in nullipare and multipare women has been respectively 288 and 283 days and according to a study performed in Oxford University it is influenced by factors such as age, parity, some illnesses and personal habits. In this retrospective study, all laboring women admitted in Ahwaz Medical University Hospitals in 2007 including 689 nulliparas and 774 multiparas with true labor pain and reliable LMP were studied for pregnancy duration. Data were analyzed by SPSS software. Mean duration of pregnancy was 273.17, 274.31 and 273.77 days in nulliparas, multiparas and overall respectively. Parity has no significant association with pregnancy duration. According to the sonography below 26 weeks duration of pregnancy is calculated 270.07 days which had no significant relationship with LMP. According to this study parity has no effect on pregnancy duration. Mean pregnancy duration was shorter comapared to Naegele's rule and Harvard University studies

Comparison between cephalothin and ampicillin + gentamicin in treatment of pyelonephritis in pregnancy

Urinary tract infection is a common problem in pregnancy and its complications affect both pregnant woman and her fetus. Different treatment strategies have been suggested and some of them are less safe. This study compared the effectiveness of cephalothin treatment with ampicillin + gentamycin protocol. Sixty pregnant patients with pylonephritis in Imam Khomeini and Razi hospitals in Ahwaz were randomized in two groups of 30 patients, one with cephalothin only treatment and the other with ampicillin+gentamycin. Both groups were compared in term of duration of fever, CVA tenderness, symptoms and length of stay in hospital. Cephalothin only group had less duration of fever, approximately eleven hours, which was statisticaly significant. Length of stay and symptoms' relief were also less in cephalothin only group but it had no statistical significance. Cephalothin is a safe and effective remedy in the treatment of pyelonephritis in pregnancy and may be used as the first choice treatment even in severely ill patients