[Comparison of hemoglobin concentration, after cesarean .section, between two methods: general anesthesia and spinal anesthesia]

The use of halogenated agents during balanced general anesthesia may result in an increase in blood loss associated with cesarean section but in some studies this result rejected. The aim of this study was. Comparison of hemoglobin concentration, after cesarean section between two methods: general anesthesia and spinal anesthesia. This clinical trial study comprised 170 pregnant women, who were elective cesarean section candidates for the second time. This study was approved by the local committee of medical ethics. Patients were randomly divided into two groups, each with 85 members. Exclusion criteria were: cardiac diseases, coagulate disorders, anemia, preeclampsia, abruptio placenta, emergent cesarean section cases, atonia [polyhydramnius ....], birth weight more than 4kg, and long duration of the operation [more than 90']. Patients of the first group underwent general anesthesia and spinal anesthesia was applied for the second group. There was no significant difference between both groups regarding the mean age, operation, and anesthesia durations [p>0.05]. The mean hemoglobin [HP] and hematocrit [Hct] levels were significantly lower in both groups post operatively compared with the same values pre operatively [p<0.05]. Post operative, Hb.Hct reduction rate [preoperative Hb.Hct minus post operative Hct] was significantly higher in general anesthesia group [p<0.05]. If duration of operation time was longer than one hour, Hct significantly decreased. Results of the present study showed that postoperative Hct reduction rate in cesaeran section was higher in patients who received general anesthesia in comparison with spinal anesthesia

effect of Ramadan fasting on preterm labor

Preterm -Labor increases the expenses of health costs. If it starts, there is no definite treatment. Some studies argue about prolonged starvation and Ramadan fasting in pregnancy with preterm Labor. This study is to clarify Ramadan fasting in pregnancy and preterm labor relationship. Two-hundred and seventy preterm labors as case group and 966 term. labor controls are studied regarding Ramadan fasting in pregnancy, In 2003 fasting interval was about 12 hours. Maternal age, parity, gravity, abortion and history of preterm labor was similar in two groups. One-hundred and nine [40.4.%] out of 270 preterm labor cases were fasting in pregnancy and 161 [54.6%] were not. Three hundred and ninety eight [41.2%] out of 966 term labors were fasting and 568 [58.8%] were not. Ramadan fasting in pregnancy did not increase preterm labor probability [P: 0.76]. In the subgroup of Ramadan fasting in the first pregnancy, fasting caused a decrease in preterm labor probability [p: 0.000]. About 12 hours Ramadan fasting in pregnancy does not increase preterm labor probability

Interrelation of ramadan fasting and birth weight

Muslim pregnant women desire to fast in Ramadan month. On the other hand, they worry about fetal health. Obstetricians do not have a clear idea about this issue. A cross-sectional study was done to determine fasting in pregnancy and birth weight interrelationship in term delivered pregnant women in Hamadan province. Four thousand three hundred and forty three appropriate pregnant women took part in the study, in 4 groups, according to the number of fasting days. Non-fasting group [28.9%] did not keep fast in Ramadan at all. Other women kept fast for 1