ABSTRACT
Introduction: In the first 6 months of life, infant growth had maximum of its speed but abnormality growth may reflect on a chronic disease, inadequate nutrition or may be depend on another complications such as dietary, psychosocial development
Objective: The goal of this study was to investigate relationship of In-Arms holding a baby during breast feeding and growth rate in Kashan health centers
Methods: This study was a descriptive correlational design. 94 mothers entered in study who reffered to Kashan health center. A questionnaire developed by the researcher was tool that was completed by interview. Data were analyzed by descriptive and inferential statistical tests [t-test, Pearson, chi-square test]
Results: Mean maternal age was 27.980 [6.836 +/- ]. The mean birth weight was 3272.5 [427.133 +/- ], mean of height 49.280[3.022 +/- ] and mean of head circumference was 34.928[2.371 +/- ]. Time of infant In-Arms Holding by mother was between zero to five hours a day and average time was 4/55 [845/0 +/- ]. Time of In-Arms Holding for other family members and relations was 1 to 5 hours and mean time of In-Arms Holding was 4/910 [223/1 +/- ]. T-test showed that there aren't significant relationship between In-Arms Holding baby by the mother and friends and indices of growth in 2, 4 and 6 months[p>0.05]
Conclusion: in this study relationship between skin to skin contacts of neonatal growth rate was irrelevant, but due to conflicting results on similar studies, interventional studies with the higher sample size are recommended
ABSTRACT
Introduction: Primary dysmenorrhea is common in women during reproductive age
Objective: this study aimed to determine the effect of acupressure on sixth spleen point [SP6] on relief of primary dysmenorrheal
Methods: this study is a clinical trial. Students with primary dysmenorrheal living in dormitory were studied during three menstrual cycles. Pain intensity was measured on the first cycle without intervention. Subjects were divided into two parallel groups [pressure on SP6 and placebo groups], using a randomized block design with odds ratio of 1:1 based on the intensity of pain. In the second and third cycles, pressure was exerted by the samples. Pain intensity was compared with the visual analogue scale before and after intervention. Samples, person dividing the groups, data analyzer were blinded to study groups. At the end data related to 30 students in experiment group and 32 students in control group were analyzed. T test, chi-square, Friedman, Mann-Whitney and ordinal regression were used to compare the pain severity in experiment and control groups
Results: pain severity up to 3 hours after giving pressure on SP6 [p<0.004] and four hours after giving pressure on control point [p<0.001] was decreased compared to before intervention. There was no difference observed pain in groups before and after intervention
Conclusion: since pain severity was less in both groups after intervention, more studies are recommended
ABSTRACT
Prolonged pregnancy influences different aspects of maternal and neonatal health. Although it is generally accepted that drug intervention is necessary before labor in prolonged pregnancy, there is still debate about the termination time of the pregnancy. Regarding the high prevalence of prolonged pregnancy we studied the neonatal health in the hospitalized women with prolonged pregnancy in kashan, in 2002-2003. This descriptive study was carried out on 450 women at gestational age over 40 weeks [based on their LMP or sonography before 30 weeks] admitted for termination of pregnancy by induction. The cases had no obstetrical problems. Neonatal health including type of delivery and dystocia, fetal distress, meconium, apgar in 5 minutes, NICU [neonatal intensive care unit] stay and weight were recorded and the cases were categorized into 4 groups based on gestational age: 40 weeks to 40weeks and 3days, 40weeks and 4days to 41weeks, 41weeks and 1days to 41weeks and 3days and 41weeks and 4days and more. The results were analyzed by descriptive statistics chi-square, Kruskal-Wallis, and Mann-Whitney. The results showed that studied women terminated their pregnancy as follows: 131 individuals [29.1%] terminated their pregnancy during 40 to 40weeks and 3 days, 150[33.3%] during 41 weeks and 1 day to 41 weeks and 3 days, and only 39 women [8.7%] terminated their pregnancy after 41weeks and 3days, 12 [2.7%] of whom were over 42 weeks. There was no significant difference between women in fetal stress, meconium, apgar in 5 minutes, NICU stay, neonatal weight, type of delivery and dystocia. However, the studied groups differed significantly in terms of cesarean cause based on pregnancy. Statistical tests showed that the studied groups in terms of mother's age [P=0.4], the history of prolonged pregnancy [p=0.08], number of parities [p=0.7], dilatation [p=0.2], cervix effacement based on pregnancy age had no significant difference. Based on the study results, termination of pregnancy prior to 41.5 weeks of gestational age due to fear of neonatal outcome is not necessary. Pre- term intervention can cause enhancement of cesarean. Thus, pregnancy termination could be delayed in pregnant women who are under control and have no compilcations