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INTRODUCTION: Lifestyle during pregnancy has long-term effects on health of mother and child. Having previous illness or unexpected maternal or fetal conditions such as preeclampsia can complicate pregnancy and interfere with health-promoting behaviors and cause stress might interfere with health-promoting behaviors. This study was carried out to examine the relationship between health-promoting lifestyles and perceived stress in women with preeclampsia. METHODS: This study is a descriptive correlation design that was conducted on 182 pregnant women with preeclampsia attending in the high risk clinics of Al-Zahra and Talegani hospitals in Tabriz 2014. Data gathering tools were three: demographics, health-promoting lifestyle (HPLP-II), and perceived stress questionnaires. SPSS Ver. 13 was used for data analysis. RESULTS: The mean (SD) of health promoting lifestyle among pregnant women with preeclampsia was 2.4 (0.4). Among the dimensions of health promoting life style, the highest mean score was for sub domain of nutrition, i.e. 2.8 (0.5), and the lowest score was achieved by the sub-domains of physical activity, i.e. 1.5 (0.5).The mean (SD) score of perceived stress was 27.3 (7.1). There was reverse relationship between perceived stress and health -promoting behaviors. CONCLUSION: Based upon the results, health promoting behaviors were decreased by increment of perceived stress. Therefore, midwives can help women with preeclampsia by promoting health behaviors to reduce their stress and increase health-promoting behaviors.
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INTRODUCTION: Improving the lifestyle of infertile couples led to the preservation of their performance, increase their quality of life, and reduce health cost. So, the aims of this study were to determine the health-promoting lifestyle and its predictors among infertile couples. METHODS: In a cross-sectional, analytical study 322 infertile couples referred to an infertility clinic in Tabriz was participated with convenience sampling method. The demographic and the standard Health Promoting Lifestyle-II (HPLP II) questionnaires were completed by all couples individually. For determining the demographic predictors of health-promoting lifestyle, the multivariate linear regression was used. RESULTS: The mean (standard deviation) score of health-promoting lifestyle in couples was 2.4 (0.4) of the achievable score ranged from 1 to 4. The highest mean score was for nutrition subscale 2.6 (0.5) in both men and women and the lowest mean score was for physical activity subscale in women 2.1(0.5) and men 2.3(0.5) and health responsibility subscale (2.3(0.5) in both men and women. Educational level, cause of infertility, adequacy of income for living expense, and living situation were predictors of health-promoting lifestyle. CONCLUSION: The results showed that participants do not carry out all health-promoting behaviors, especially physical activity and health responsibility, in an acceptable level. These behaviors have an important role in improving the quality of life, health maintenance, and fertility. Thus, the provision of strategies, including those in accordance with predictors of health-promoting behaviors, is important for improving the health status of infertile couples.
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INTRODUCTION: The process of pregnancy and labor has a dramatic impact on society's health. Considering the importance of obstetrical cares and the role and presence of midwife at parturient bedside, this study aimed to evaluate the impact of care and conti-nuous presence of midwifery on labor duration. METHODS: This was a semi-experimental study. The study population included parturient women referred to 29 Bahman Hospital in Tabriz who had normal vaginal delivery indication. 100 women were randomly se-lected and divided into experimental and control groups (50 in each group). In the expe-rimental group, obstetrical cares were provided by one midwife since the beginning of active phase of labor with her continuous presence at the bedside of parturient (continu-ing care) whereas in the control group, cares were provided by several midwives and without their continuous presence. Labor consequences (including labor duration) rec-orded for both groups. The data were analyzed through SPSS13 and inferential statistics including independent sample t-test. RESULTS: In the experimental group, the lengths of the first and second stages were shorter (per minute) than those of control group (p = 0.001). However, the length of the third stage of labor had no significant difference between the two groups (p = 0.083). Totally, the lengths of delivery including the first, second and third stages were shorter in the experimental group than in control group (p = 0.001). CONCLUSION: The results showed that low number of midwives and their continuous presence on bedside of parturient had a positive effect on reducing the deli-very duration. Therefore, being with "parturient" not only does promote the quality of obstetric care, also can promote the health of society.
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INTRODUCTION: Episiotomy is a medical intervention in delivery which is still one of the most common surgical procedures. Topical phenytoin cream possesses analgesic, anti-bacterial and anti-inflammation effects as well as accelerating tissue healing. Hence, the present study aimed to compare the effect of topical phenytoin cream with betadine solu-tion on pain reduction of episiotomy incision. METHODS: In this double-blind clinical trial, 120 primiparous women with episiotomy that were referred to Al-Zahra Medical Center of Tabriz in 2010 were randomly allocated to phenytoin or betadine groups (60 in each group). Pain assessment was determine and compared using visual analog scale (VAS) in the first 24-hours and then in the 10(th) day after delivery. Data analysis per-formed using chi-square, independent t-student and repeated measurements ANOVA tests. RESULTS: The mean pain intensity in the first 24-hours postpartum was 4.39 ± 1.11 in phenytoin group and in betadine group it was 7.11 ± 1.48 (p < 0.001). In the tenth day after delivery, mean pain intensity in phenytoin and betadine groups was 0.72 ± 1.04 and 3.45 ± 2.00 respectively (p < 0.001). CONCLUSION: The results showed that local phenytoin is effective on reducing the pain of episiotomy wound and can be replaced with betadine.
