Introduction: Caesarean section, due to delivery and operating room and anaesthesia as well as well-known complications for the patient, can cause anxiety in patients, and this anxiety creates physical problems for the patient. Aim of the research: To investigate the effects of relaxation therapy on decreasing anxiety in patients with elective caesarean section. Material and methods: This clinical trial was conducted on 90 pregnant women (45 persons in each of two groups), aged 20 to 35 years old, who underwent elective caesarean section in Imam Khomeini Hospital, Ahvaz, Iran during 2016. In the muscle relaxation intervention group, progressive relaxation was performed for 20-25 min. These activities were performed every hour for a total of four times before the surgery. For the control group, neutral contents (e.g. benefits of vegetables and fruits) that were prepared as pamphlets were distributed, and no other intervention was performed. The data were collected using the Hamilton Anxiety Rating Scale (HAM-A). Results: The results showed that explicit anxiety in the intervention group was significantly lower than in the control group, but the groups did not show any significant difference in implicit anxiety. However, relaxation therapy decreased total anxiety in pregnant women prior to caesarean section. Regarding anxiety after caesarean section, the condition was similar, and this technique could decrease implicit anxiety and total anxiety of women. In addition, both groups showed no significant difference between the anxiety pre-and post caesarean section, indicating that the anxiety of women continued after caesarean section. Conclusions: The findings showed that relaxation therapy decreases anxiety levels of pregnant women under caesarean section and can be used to decrease stress and anxiety of mothers. Streszczenie Wprowadzenie: Cesarskie cięcie ze względu na poród, salę operacyjną i znieczulenie oraz dobrze znane powikłania może u pacjentek wywoływać lęk, który wpływa niekorzystnie na ich stan fizyczny. Cel pracy: Zbadanie skutków zastosowania technik relaksacyjnych w zakresie zmniejszania lęku u pacjentek poddanych planowemu cięciu cesarskiemu. Materiał i metody: Badanie kliniczne przeprowadzono u 90 kobiet w ciąży (dwie grupy po 45 osób) w wieku od 20 do 35 lat, które w 2016 r. przeszły planowe cięcie cesarskie w Szpitalu imama Chomejniego w Ahwazie w Iranie. W grupie badanej zastosowano metodę progresywnej relaksacji przez 20-25 minut. Zajęcia przeprowadzano co godzinę, łącznie 4 razy przed operacją. W grupie kontrolnej rozdano broszury zawierające neutralne treści (np. dotyczące korzyści ze spożywania warzyw i owoców) i nie wprowadzono żadnej innej interwencji. Dane zebrano przy użyciu Skali oceny lęku Hamiltona (HAM-A). Wyniki: Stwierdzono, że jawny lęk w grupie badanej był znacznie mniejszy niż w grupie kontrolnej, ale nie wykazano istotnych różnic w zakresie ukrytego lęku. Techniki relaksacyjne zmniejszyły całkowity lęk u kobiet w ciąży przed cięciem cesarskim. W przypadku lęku po cięciu cesarskim...
Background: Vulvovaginal atrophy is common and bothersome among postmenopausal women. Hence in this study, the fractional CO 2 laser treatment efficacy was compared with vaginal conjugated estrogen cream in postmenopausal women with vulvovaginal atrophy was assessed. Materials and Methods:In this randomized clinical trial, 130 consecutive postmenopausal women with vulvovaginal atrophy attending to urogynecologic clinic in Imam-Khomeini hospital in Ahvaz in 2015 were enrolled and were randomly assigned to receive either fractional CO 2 laser treatment or vaginal conjugated estrogen cream. The improvement of vulvovaginal atrophy symptoms, sexual satisfaction and function were compared across the groups after 12 weeks.Results: There improvement of vulvovaginal atrophy symptoms, sexual satisfaction, and function were 86.2%, 87.7%, and 87.7%, respectively in laser group and 53.8%, 52.3%, and 52.3%, respectively in primarin group showing statistically significant differences (P=0.0001). There were no side effects. Conclusion:Totally, according to obtained results, it may be concluded that efficacy of fractional CO 2 laser was higher than vaginal conjugated estrogen cream in postmenopausal women with vulvovaginal atrophy.
Nausea is one of the side effects of oral contraceptive pills, and ginger has advocated as beneficial for nausea and vomiting. We aimed the effect of ginger on the nausea and vomiting resulting from the use of combined contraceptive pills in Ahvaz city, 2010. Methods: It was a randomized clinical trial study. The subjects were 140 women aged 18-44 years who had used contraceptive pills since at least four months ago. They were divided randomly into two groups (control and treatment). Data were analyzed by SPSS software. Results: The finding has shown the mean nausea (in days) in different months based on the use of ginger, and indicates that the mean symptoms in the treatment group decreased significantly as compared with the control group. Conclusion: we recommend high efficacy of Ginger to prevent nausea and vomiting in women during the use of combined oral contraceptive pills.
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