association of the dietary fat and functional ovarian cysts in women of reproductive age referring to three hospitals in Mashhad, Iran, 2014

Background: Functional ovarian cysts [FOC] are one of the most common gynecological problems among women of reproductive age. Some studies have shown that diet may affect the function of the ovaries, so this study was performed to determine the association between the amount of dietary fat and functional ovarian cysts

Methods: This case-control study was performed on 264 female patients [132 with cyst in the case group and 132 in the control group] aged 13 to 49. The case group had ovarian cyst with a size of less than 8 cm and the control group didn't have any ovarian cyst. Data were collected by questionnaires including a demographic questionnaire, and medical and midwifery characteristics questionnaire; the amount of fat in the diet was measured using food frequency questionnaire [FFQ]. Data were analyzed using SPSS software. P<0.05 was considered significant

Results: The mean of fat consumption in the case group was 119.84 +/- 103.09g and in the control group it was 109.90 +/- 54.66g. The result of data analysis showed that there was no statistically significant relationship between the amount of fat in the diet and FOC in confidence level of 95% [P=0.056]

Conclusion: According to the findings of this study, the amount of fat consumption was higher in women with ovarian cysts; however, this difference was not statistically significant. In this regard, it is recommended that women of reproductive age should reduce their fat intake

[Relationship between prenatal attachment and duration of exclusive breast feeding in primiparous women]

Background and Aims: breastfeeding is the ideal food for infants during infancy. Maximize the benefits is exclusively breastfeeding. According to the downward of exclusive breastfeeding in our countries, the implementation of successful strategies in this field, has the particular importance. This study was conducted with aimed to determine the relationship between prenatal attachment and exclusive breastfeeding in primigravida women

Methods: this was a descriptive-correlational study which was conducted on 100 primigravida women at based on multi-stage sampling. Data were collected by infant feeding daily record form, maternal-fetal attachment and demographic, pregnancy, Edinburg depression, childbirth and postpartum questionnaires. Primgravida women with gestational age 35-41 weeks completed the Cranly attachment questionnaire and infant feeding daily record form during 8 weeks provided them after childbirth. At this time after completing postpartum and Edinburg depression questionnaires, infant feeding daily record forms have been collected and data were analyzed

Results: this study showed that there is a direct and significant statistical relationship between maternal-fetal attachment and duration of exclusive breast feeding during 4 and 8 weeks after childbirth

Conclusion: prenatal attachment is an important factor affecting the exclusive breast feeding and should be considered in the mother's mental health programs and training courses

Assessment off factors affecting afterpain in multiparous women delivered in Mashhad 17-Shahrivar Hospital, Mashhad, Iran

Afterpain is a common phenomenon after vaginal delivery. Any factor that causes a delay in the process of uterus sub involution and consequently returning its size to pre-pregnancy status could affect the severity of afterpain. This study aimed to investigate the factors related to afterpain in multiparous women delivered in 17-Shahrivar Hospital, Mashhad, Iran. In this descriptive study 210 multiparous women during 2-4 hours after uncomplicated spontaneous vaginal delivery with moderate or severe afterpain were conveniently selected and included in the study. Afterpain was measured each hour during the first 12 hours of postpartum period using Visual Analogue Scale [0-100 mm]. The duration of lactation and ambulation, the need for any medication to relieve afterpain and also vital signs were recorded during this period. Data were analyzed with SPSS Version 14, using t Student and correlation test. The mean score of afterpain severity was 55.1 +/- 16.7. There was a positive correlation between the number of pregnancies and the duration of breastfeeding with mean score of afterpain. Also the length of ambulation decreased the afterpain intensity .However, the intensity of afterpain had no significant relationship with stimulation with oxytocin in labor, prescription of methyl ergonowin and also oxytocin after delivery. Considering that longer duration of breast feeding and ambulation in early postpartum period could decrease afterpain, it is suggested to encourage postpartum mothers to begin breast feeding and ambulation as soon as possible after birth

comparative study of the impact of antenatal training care infants to fathers and couple on the fathers' participations after birth

Increasing number of working mothers and changes in viewpoints on fathers' roles in families has increased fathers' participations. Fathers' participation is his broad, positive and active participation in different stages of children's life. Women possess the main role in enhancing and limiting father's participation. Fathers and couples require training to define father's role in infant care and the significance of his role in infant's health and foundation of family. Therefore, the present study is done to determine the impact of training couples and fathers how to take care of infants on the rate of father's participation to take care of infants after birth. The study was done as a clinical trial in three groups, on 150 people who refered to health clinical centers of Medical University of Mashhad. Fathers of training group and couples of training group took part in two training sessions of infant care in weeks 35 to 37 of pregnancy. The questionnaires of role of father's training in infant care were filled by mothers in three groups and were analyzed by SPSS18 software and ANOVA with repeated measure, Bonferroni tests. Role of fathers' participation in infants care in father's training group and couple training group than control group increased significantly [P=0.003]. Training fathers and couples before birth will enhance rate of their participation in infant care

[ effects of lavender oil inhalation on level of anxiety during first stage of labor in primigravida women]

Anxiety is the most prevalent emotional reaction of women during labor. The aim of this research is to determine the effect of lavender oil inhalation on level of anxiety during first stage of labor in primigravida women. This clinical trial which was done in 2008, 102 primigravida women was randomly accomplished on three groups. In lavender oil group, subjects inhaled oil by handkerchiefs smeared with oil for 15 minutes, in placebo group, subjects inhaled sweet almond oil for 15 minutes in the same way and in usual caring group, the routine care of maternity ward was done. The rate of anxiety was measured by Spiel-Berger anxiety questionnaire and compared before, immediately, and 60 minutes after intervention in groups. Data analyzed using chi square, one-way ANOVA and Kruskal-Wallis test. Result show significant decrease in the rate of state anxiety, before and immediately after intervention and before and 60 minutes after it in lavender group compared with placebo and usual care groups [P=0.001]. Also there was significant decrease in the rate of trait anxiety, before and immediately after intervention [P=0.021] and before and 60 minutes after it [P=0.049] in lavender group compared with placebo group. Lavender oil inhalation can reduce the rate of state anxiety during labor until 60 minutes after inhaling, so using the lavender oil for reducing the anxiety of women in each time of labor is suggested