influence of academic educations on choosing preferable delivery method in obstetrics medical team: investigating their viewpoints

The prevalence of cesarean section in our country is growing. Our aim was to investigate the education and attitudes of obstetrics team toward the preferable delivery method in some selected educational hospitals in Tehran. The population under investigation in this descriptive cross-sectional study was a group of interns, gynecology residents, obstetricians, midwifery students, and midwives working in delivery wards of Baqiatollah, Najimeh, Shariati, Imam Khomeini, and Bouali hospitals in Tehran. The questionnaire included patients' demographic data, individuals' attitudes toward delivery methods and their willingness to cesarean section, their knowledge about delivery methods, and their satisfaction with the education they received during academic years. Data was analyzed by SPSS software using Chi[2], Fisher exact test, ANOVA, and Mann Whitney. Fifty two cases of cesarean out of total 103 deliveries, provides an approximate rate of 50.5% cesarean among the medical population. The amount of education received during academic period was reported as perfect and comprehensive by 17.7% of them and 26.4% mentioned normal delivery as a better method for delivery. The increase in the willingness of medical society toward cesarean section compared to other countries in an unbelievable manner, counts for their poor level of knowledge about benefits and deficiencies of cesarean as well as the dissatisfaction of students and graduates of medical disciplines with received educations. Medical and midwifery education administrators should regard this matter seriously

[Local anesthetic effect of bupivacaine in pain relieving after cesarean section]

One of the most common causes of fear from the surgery in patients is post operative pain. Opioid analgesic and NSAIDs are commonly used to relieve pain in patients. Both groups have some side effects. In this study we evaluated the local anesthetic effect of bupivacain in pain relieving after cesarean section. This clinical-trial study was performed on 100 pregnant women who were referred to the Najmiyeh hospital in Tehran, Iran, for cesarean delivery. Pregnant women were randomly divided into two equal groups. Case group was injected bupivacaine 0.5% [10 ml subcutaneously] after the cesarean delivery. Pain Intensity was evaluated in 1st, 2nd, 4th, 6th, 9th and 12th hours after caesarean operation using Visual Analogue Scaling [VAS]. Sedative [Petedin] consumption was measured and was compared in both groups. Results were analyzed using student t-test and Mann- whiney test. The results of this study demonstrated that mean analgesic consumption in case group was 25.63 +/- 16 [mg] and it was 35.05 +/- 13.6 [mg] in control group [P<0.05]. Mann- Whitney test demonstrated that pain intensity is significantly lower in case group in 4th, 6th and 9th hours after cesarean operation compared to the control group. The data of this study shows that bupivacaine 0.5% can have a good sedative effect after cesarean operation

[Job satisfaction among faculty members of Isfahan University of Medical Sciences]

Identifying the factors leading to job satisfaction could be useful in increasing faculty members' job satisfaction and motivating them to perform their educational and research activities. This study was conducted to determine job satisfaction rate among faculty members of Isfahan University of Medical Sciences in the year 2005-2006. In a descriptive study, 210 faculty members of Isfahan University of Medical Sciences were selected through stratified random sampling. A researcher-made questionnaire including 45 items in the areas of salary and rewards, promotion opportunities, management stAuts and communications, job security, physical conditions, environment, and nAutre of the work was completed as self-administered. It was analyzed by SPSS software using frequency distribution, mean, and standard deviation. The mean and standard deviation of faculty members' job satisfaction were 65.09 +/- 14.93 out of 100. The mean and standard deviation for the areas under investigation including nAutre of the work, manage-ment stAuts and communications, job security, salary and rewards, promotion opportunities, physical condi-tions and working environment were 82.5 +/- 13.31, 65.3 +/- 17.52, 63.99 +/- 21.64, 61.8 +/- 20.9, 58.7 +/- 20.05, and 58.02 +/- 21.49, respectively, out of the total score of 100. Faculty members were well satisfied with their jobs. Their satisfaction about the nAutre of their work was desirable, and about management stAuts, job security, and salary and rewards, was partially desirable. They were less satisfied with promotion opportunities and physical conditions of working environ-ment. Taking faculty members welfare into consideration and revising promotion procedures could improve the current situation