[Survey the effect of acupressure on sixth spleen point on primary dysmenorrheal relief]

Introduction: Primary dysmenorrhea is common in women during reproductive age

Objective: this study aimed to determine the effect of acupressure on sixth spleen point [SP6] on relief of primary dysmenorrheal

Methods: this study is a clinical trial. Students with primary dysmenorrheal living in dormitory were studied during three menstrual cycles. Pain intensity was measured on the first cycle without intervention. Subjects were divided into two parallel groups [pressure on SP6 and placebo groups], using a randomized block design with odds ratio of 1:1 based on the intensity of pain. In the second and third cycles, pressure was exerted by the samples. Pain intensity was compared with the visual analogue scale before and after intervention. Samples, person dividing the groups, data analyzer were blinded to study groups. At the end data related to 30 students in experiment group and 32 students in control group were analyzed. T test, chi-square, Friedman, Mann-Whitney and ordinal regression were used to compare the pain severity in experiment and control groups

Results: pain severity up to 3 hours after giving pressure on SP6 [p<0.004] and four hours after giving pressure on control point [p<0.001] was decreased compared to before intervention. There was no difference observed pain in groups before and after intervention

Conclusion: since pain severity was less in both groups after intervention, more studies are recommended

[Effective factors for choosing the delivery method among the pregnant women in Kashan]

Considering the increasing number of cesarean cases and to identify the effective factors in choosing such surgery, this study was performed to evaluate the attitudes of medical specialists and gynecological assistants toward the type of delivery and the reasons for increasing rates of cesarean. Data were gathered through a semi-structured interview and analyzed using a content-analysis method. Finally, 11 physicians and assistants were participated in the study. The participants were selected through purposeful sampling. The first two participants were selected through accessible sampling, while the others by previous participants to consider the variety of physicians' experiences and attitudes. Data were analyzed using the Cheevakumjon method. After reviewing the data, key sentences and concepts were derived and finally categorized. Fear of the delivery pain was one of the most important reasons that made women to select the cesarean, while having a good delivery experience was one of the most important reasons for choosing the vaginal delivery. Four categories of factors, some facilitators for choosing the cesarean and the others for vaginal delivery, affecting the choice of delivery were related to patient, culture, delivery conditions and also the outcomes. Several factors should be considered in choosing a delivery method. Furthermore, preparing a woman for a painless and pleasant delivery and also changing the attitudes toward the type of delivery are very important