With regard to the high prevalence of moderate to severe depression and its association with preeclampsia, our findings support and suggest efforts for screening depression among pregnant women and appropriate educational studies for mental and psychological problems during pregnancy.
Objective Childbirth pain and anxiety are often unnatural, as opposed to being one of the most practical ways to use non-pharmacological methods. The aim of this study was to compare the effectiveness of virtual reality and chewing mint gum on childbirth pain and anxiety. Methods This is a single-blind, three-group clinical trial study on 93 mothers referred to Allameh Bohlool Gonabadi and Sajjadieh Torbate Jam Hospitals for natural childbirth in 2018–2019. Subjects were randomly divided into three groups of chewing gum, virtual reality, and control using six blocks. Chewing gum interventions in one group and virtual reality in the other group were performed twice in 4–5 cm and 7–8 cm dilatations for 20 min. In the control group, no intervention except routine care was performed. The research tools included Visual Analogue Scale of Pain and Spielberger’s Anxiety Inventory. Data were analyzed using SPSS) version 22(, ANOVA, Kruskal–Wallis, Chi-square and Tukey tests. Significance level was considered 0.05 in this study. Results The main result was differences in pain and anxiety before and after the intervention. There was no significant difference between pre-intervention pain and anxiety scores in the three groups, but there was a significant difference between pain and anxiety scores immediately and 30 min after the intervention. Conclusion The results of this study showed that virtual reality and chewing mint gum intervention reduce pain and anxiety in the first stage of childbirth. Trial registration IRCT20181214041963N1.
Context: Vitamin B6, which is known as pyridoxine, is used as a nutritional supplement for many therapeutic purposes in medical centers. Women's health is important because they are assumed as the guarantors of health in societies. Breast pain is a common complaint in women of reproductive age and one of the most common reasons for women’s referral to health centers. The present study reviewed the impact of vitamin B6 on breast pain. Evidence Acquisition: In order to gather relevant articles, the databases of IRCT, Iran Doc, SID, MagIran, Medline, Cochrane, Embase, PubMed, Scopus, Science Direct, and Web of Knowledge were searched from 1980 up to July 2019. Keywords were extracted from MeSH, which included "Pyridoxol", "Rodex”, "PLP", "Pyridoxal-5-Phosphate", "Pyridoxine Hydrochloride", "Pyridoxine", "Vitamin B6", "Mastodynia", "Mammalgia", "Breast Pain", (Pain AND Breast), "Mastalgia", "Cycle Mastalgia", and "Non-Cycle Mastalgia". The same keywords were also searched in Persian databases. All selected studies had control and intervention groups and compared the pain-relieving effects of vitamin B6 with that of other therapies or placebo. Results: Among 338 examined articles, seven fulfilled our inclusion criteria and were included in the review. The results showed that vitamin B6 was more effective than placebo in improving breast pain even at low doses. Conclusions: Vitamin B6 is effective in relieving breast pain. However, there are also other supplements and medications to treat breast pain, so some factors like cost-effectiveness, availability, and side effects should be considered to choose a suitable agent.
Aims This study was designed and implemented to compare the effect of prenatal education on the fear of natural birth in pregnant women. Subject and method This research was a semi-experimental study with a control group conducted on 96 pregnant women in Mashhad. People were randomly allocated to face-to-face and virtual groups. The Wijma childbirth experience/expectation questionnaire version A and the midwifery personal information form were used as pre-test and post-test tools. Results In the face-to-face and virtual groups, the average scores before and after the intervention were different, which indicated a decrease in fear of Natural childbirth in pregnant women, which was statistically significant. The changes in fear of natural childbirth score were significantly different between the three groups, and these changes were higher in the face-to-face group than in the other two groups. Conclusion Attendance in natural childbirth preparation classes in face-to-face and virtual training methods positively affects the fear of natural childbirth. Therefore, encouraging and supporting women to participate in training courses increase the women’s desire for natural childbirth.
: Coronavirus disease 2019 (COVID-19) is an emerging and potentially dangerous disease. Pregnancy is accompanied by partial suppression of the immune system, making pregnant women vulnerable to viral infections. This study aimed to report a pregnant woman with coronavirus. A 30-year-old female patient, third pregnancy, parity two, 18 weeks pregnant, who complained of mild cough, was referred to the health center. Diphenhydramine was prescribed by the visiting doctor. However, the next day, the coughs intensified, and she developed a fever of 38 degrees, shortness of breath, and high blood pressure of 140/90. She went to the emergency department of Imam Ali Hospital in Amol, Iran, and received oxygen therapy and serum therapy. Complete blood count, differential count, fasting blood sugar, and computerized tomography of lungs were requested. She received B complex seroflo spray and three doses of immunoglobulin. On the seventh day, the patient's coughs and fever stopped. Moreover, the shortness of breath improved. The patient was quarantined at home for two weeks and used cefixime, diphenhydramine syrup, pantoprazole capsules, and seroflo spray for ten days at home. Approximately three months after COVID-19 treatment, the general condition of the patient was good, and she was monitored only for blood pressure daily.
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