influence of academic educations on choosing preferable delivery method in obstetrics medical team: investigating their viewpoints

The prevalence of cesarean section in our country is growing. Our aim was to investigate the education and attitudes of obstetrics team toward the preferable delivery method in some selected educational hospitals in Tehran. The population under investigation in this descriptive cross-sectional study was a group of interns, gynecology residents, obstetricians, midwifery students, and midwives working in delivery wards of Baqiatollah, Najimeh, Shariati, Imam Khomeini, and Bouali hospitals in Tehran. The questionnaire included patients' demographic data, individuals' attitudes toward delivery methods and their willingness to cesarean section, their knowledge about delivery methods, and their satisfaction with the education they received during academic years. Data was analyzed by SPSS software using Chi[2], Fisher exact test, ANOVA, and Mann Whitney. Fifty two cases of cesarean out of total 103 deliveries, provides an approximate rate of 50.5% cesarean among the medical population. The amount of education received during academic period was reported as perfect and comprehensive by 17.7% of them and 26.4% mentioned normal delivery as a better method for delivery. The increase in the willingness of medical society toward cesarean section compared to other countries in an unbelievable manner, counts for their poor level of knowledge about benefits and deficiencies of cesarean as well as the dissatisfaction of students and graduates of medical disciplines with received educations. Medical and midwifery education administrators should regard this matter seriously

[Local anesthetic effect of bupivacaine in pain relieving after cesarean section]

One of the most common causes of fear from the surgery in patients is post operative pain. Opioid analgesic and NSAIDs are commonly used to relieve pain in patients. Both groups have some side effects. In this study we evaluated the local anesthetic effect of bupivacain in pain relieving after cesarean section. This clinical-trial study was performed on 100 pregnant women who were referred to the Najmiyeh hospital in Tehran, Iran, for cesarean delivery. Pregnant women were randomly divided into two equal groups. Case group was injected bupivacaine 0.5% [10 ml subcutaneously] after the cesarean delivery. Pain Intensity was evaluated in 1st, 2nd, 4th, 6th, 9th and 12th hours after caesarean operation using Visual Analogue Scaling [VAS]. Sedative [Petedin] consumption was measured and was compared in both groups. Results were analyzed using student t-test and Mann- whiney test. The results of this study demonstrated that mean analgesic consumption in case group was 25.63 +/- 16 [mg] and it was 35.05 +/- 13.6 [mg] in control group [P<0.05]. Mann- Whitney test demonstrated that pain intensity is significantly lower in case group in 4th, 6th and 9th hours after cesarean operation compared to the control group. The data of this study shows that bupivacaine 0.5% can have a good sedative effect after cesarean operation

Evaluation of the effects of painless labor in mothers at Najmieh Hospital Tehran

Painless labor provides conditions for mother during painful contractions of uterus and dilatations of cervix. In addition to providing smooth progression of the process, the mother remains calm and pain free. Painlessness is produced by 3 methods A By systemic drugs, B By regional methods, C By non pharmacologic methods. Some of the complications of painless labor are: 1-sympathic block and hypotension, 2-motor nerve block, 3-nausea and vomiting, 4- urinary retention, 5-respiratory depression, 6-pruritis, 7- meningitis, 8-headache. This study was a cross - sectional descriptive study in which the complications of painless labor were assessed in 200 mothers during a 6 months period in Najmieh hospital. 200 mothers with painless labor were included in this study and 2 women [l%] were hospitalized, one woman was hospitalized for severe headache because of spinal anesthesia and another because of sympathic block, hypotension and headache probably because of drugs side effects. 2 women [1%] had respiratory depression. 5 women [2/5%] had nausea and vomiting, 3 of them had G.A and 2 women had regional anesthesia [1 spinal and 1 epidural]. 7 women [3.5%] had headache. 2 of them G.A and 5 women had regional methods. 3 women [1/5%] had pruritis and all of them had G.A anesthesia. 2 women [1%] had sympathic block and hypotension. One of them had G.A and another had regional anesthesia [spinal]. And in 1 case, Ketamine had been adminstered. 2 women [1%] had urinary retention. None of the patients had convulsion, meningitis and motor nerve block