Effect of two different positions on parturients' perception of labor pains intensity

Labor is a local process that involves the abdomen and reproductive organs, but its intensity is so great that almost all body systems are affected. One of the various systems in which major changes occur in response to labor is in the neurological system, which is related to pain. Position assumed during childbirth affects the woman's anatomic and physiologic adaptations to labor. To determine the effect of two different positions on parturients' perception of labor pains intensity. A randomized, crossover study was conducted at the delivery room affiliated to King Fahd University Hospital in Saudi Arabia Kingdom. It included 84 parturient primiparae who were randomly assigned to one of two groups, in which either side-lying or sitting position was first used then alternate with the other position to avoid order effect. Group 1 started in the sitting position for 15 minutes, and then they were asked to reposition themselves in the side-lying position. Group 2 started in the side-lying position for 15 minutes, and then they were asked to reposition themselves in the sitting position. An interview and physical assessment sheet was developed and used by the researchers to collect data about general characteristics as well as general and local physical assessment. The Visual Analogue Scale [VAS] was also used to measure the intensity of labor pains as perceived by participants in each position. The results of the study revealed that mean pain score was statistically decreased in side-lying position among group 1, while it was statistically increased in sitting position among group 2, although sitting position statistically enhanced cervical dilatation and rupture of membranes among group 2. Sidelying position significantly reduces the intensity of labor pains during the active phase of labor

Bilateral Carcinoma breast

Carcinoma of the Breast is the commonest carcinoma in the females; the incidence being one woman out of every 11 women. The disease can also develop bilaterally, rarely. In this report we are presenting the case of a bilateral carcinoma breast in a female aged 35 years