trend of caesarean delivery in the Islamic Republic of Iran

The Islamic Republic of Iran has witnessed a sharp increase in the number of caesarean sections in the past two decades. This study shows the trend of caesarean sections in the country, focusing on the probable causes of the increase during the past 30 years. The caesarean section rate was 35% in 2000 and increased to 48% in 2009. The study shows that there is a very wide range of prevalence of caesarean section rates in the country. This would indicate that most caesarean sections in our country are not medically indicated, although perhaps in some areas there are not enough caesarean sections. There is a need for research on health outcomes for mothers and infants associated with caesarean delivery without a medical or obstetrical indication. A more detailed examination is needed of mother, insurer, hospital and provider attitudes toward elective caesareans

[ effect of health education on elderly women life quality]

Elderly is a physiological phenomenon with many inevitable complications, which their effects significantly can be reduced by individual's life style. Therefore in this study we have evaluated the impact of subjects' knowledge on their lifestyle. This study was a semi experimental and interventional one that has been conducted in Urmia University of Medical Science. Thus 200 women between 54 to 80 years old were enrolled in this study and their knowledge, attitude and behavior toward a healthy lifestyle was surveyed before and 6 months after giving them a proper education. Subsequently the required information gathered from questionnaires and the data analyzed by mcmanaman paired and t paired tests. In this study all data analyzed by SPSS software and the P value less than 0.05 recognized to be statistically significant. The scores of before 5.86 vs. +/- and 6 months after subjects get the required education were 29.16 6.32 respectively [P +/- 34.26<0.001]. This significant difference demonstrates the positive impact of life style education on attitude, behavior and knowledge of individuals in respect to their lifestyle. These results were even more magnificent comparing the literate and illiterate subjects. Based on our study we conclude that education has an important positive role in all elder groups improving their lifestyle