ABSTRACT
Background: Preconception counseling is preventive medicine in obstetrics. Preconception care creates an opportunity for examining conditions before pregnancy improving pregnancy outcome. This study was conducted with the aim of determining the adaptation rate of preconception care with the national standards at health care centers, Ahvaz, 2014
Methods: This descriptive study was conducted at health care centers in 2013 selected randomly. The samples of the study included 385 women at their fertility age who came to receive health services. Researcher observed simultaneous care and filled the related forms. The data were analyzed using the descriptive statistic SPSS version 19
Results: Results showed that the presented preconception care as to the case history section was weak for 14.3% of the cases, medium for 42.3% and desirable for the remainders [43.4%]. In addition, presented preconception care at test's section was weak for 38.4% of the cases, medium for 50.1% and desirable for 11.4%. Presented preconception care at exam's section was weak in 82.3%, medium in 16.9%, and desirable in 0.8%. Presented preconception care at immunization's section was weak in 42.3% of cases, medium in 43.1%, and desirable in 14.5%. As to resented preconception care at education's section, it was weak in 81.6% of the cases, medium in 13.8%, and desirable adaptation with the standard guidelines of country in 4.7%. . 84.9% of women were completely satisfied with centers, 11.9% relatively satisfied, and just 3.3% were dissatisfied
Conclusion: Presented preconception care at health care centers is not in the same line with the national standard; thus, a more accurate control is needed
ABSTRACT
Effects of carbohydrate administration, either oral or intravenously, on the course of labor and its coseqences has been less studied. The objective of this study was to compare effects of intravenous normal saline with and without dextrose on length of labour and delivey outcomes in nulliparae. This randomized clinical trial was conducted on 97 primiparous women who divided into normal saline [NS] and dextrsose 5% in normal saline [D5NS] groups. The solutions were injected intraveouly by a machine in rate of 120 ml/min and stages of parturition were monitored. Of 97 subjects enrolled, 80 met inclusion criteria and completed the study.There was a significant difference in the time [min] to complete dilation between groups [NS: 291.5+89.38; D5NS:163.73+39.5] [P=0.000], and length of stage II labor [NS: 58.88+23.13; D5NS: 33.58+10.48] [P=0.000]. There was a significant difference in terms of the need for oxytocin between two groups [P=0.019], but no significant differences were observed between two groups in terms of cesarean section rates, Apgar score at the one and five min after birth, and neonatal hypoxia in the first and two hours after birth. Our findings indicate that intarvenous dextrose solution can reduce effectivly delivery time in nulliparous women.