Background and Objective: Post-term pregnancy (gestational age of ≥294 days [≥42 weeks] is associated with increased perinatal morbidity and mortality. The present study was conducted to compare the effect of vaginal capsule of evening primrose oil and misoprostol on cervical ripening of nulliparous women with post-term pregnancy. Materials and Methods: This research has been conducted with the one-blind randomized trial method on 130 pregnant women with post-term pregnancy visiting to the labor ward of sanandaj Besat Hospital. Samples were divided into two groups of intervention and control with the randomized allocation method. The intervention group receiving 500 mgvaginal evening primrose capsule and 25 micrograms of sublingual misoprostol, and the control group receiving a placebo-vaginal capsule and 25 micrograms of misoprostol sublingually. Data collecting tools include: demographic specifications questionnaire and Bishop Checklist. Data was analyzed through SPSS software version 21 and by using Chi-square, T-test, covariance analysis, one-way ANOVA, and repeated measures. P <0.05 was considered significant. Results: The results showed that the mean Bishope scores of the subjects in the intervention group were significantly higher than the control group (p <0.05). There was no significant difference in uterine contractions, fetal heart rate and vital signs between two groups (p> 0.05). Conclusion: The results of the present study showed that vaginal capsule of evening primrose oil is effective on the rate of cervical ripening in post-term pregnancies. Also, no significant effect on was observed on fetal heart rate, uterine contractions, and vital signs of the mother.

Postpartum delivery care, considered as one of the most important health care activities, is a very important factor in preventing unwanted maternal outcomes. This course is an ideal time to intervene in order to improve their health. Nowadays, the most important way to improve the quality of care is to evaluate the quality. Therefore, the present study aimed to determine the quality of postpartum care from the viewpoint of recipients using the SERVQUAL pattern in Sanandaj comprehensive health centers in 2018. Methods: This descriptive-analytic study was conducted on 384 women who referred to the comprehensive health centers of Sanandaj for postpartum care. Sampling was done by classification. Data was collected by the standard SERVQUAL questionnaire, which measures the quality gap in 5 dimensions of the service (tangibility, reliability , assurance, accountability and empathy) and measures 22 questions. Data was analyzed by SPSS 23 using descriptive statistics, t-test and ANOVA. Results: In all five dimensions of quality of services there was a negative quality gap. The highest mean quality was in the reliability dimension (-1.82) and the lowest mean gap was related to the responsiveness dimension (-1.55). Also, there was no significant relationship between age, education level and number of children and quality gap (P> 0.05). Conclusion: The results showed that there is a gap between expectations and perception of service providers, and efforts to meet needs and achieve expectations are necessary.

Introduction: Post-term pregnancies are pregnancies that last more than 42 full weeks (294 days) from the first day of the last menstrual period. With increasing gestational age, the rate of maternal and fetal morbidity and mortality significantly increases. Among medical methods, misoprostol is widely used to prepare the cervix in post-term pregnancies. But today, due to the high side effects of misoprostol, especially the increasing need for cesarean section, some complementary medicine methods are used to prepare the cervix. The aim of this study was to compare the effect of Misoprostol and Evening primrose oil capsule with Misoprostol on delivery method in post-term pregnancies.Methods: This study was performed as a single-blind randomized clinical trial on 130 pregnant women with post-term pregnancy referring to the delivery ward of Besat Hospital in Sanandaj, Iran. The samples were selected by available sampling method and assigned to the intervention and control groups by random sampling method. In the intervention group, a 500 mg capsule of evening primrose oil was given vaginally and 25 micrograms of misoprostol were given sublingually, and in the control group, an ineffective capsule was given vaginally with 25 micrograms of misoprostol sublingually. Demographic data, clinical characteristics and delivery method were used for data collection. Data were analyzed by SPSS software version 21 and statistical tests such as Chi-square, t-test and ANOVA. P-value less than 0.05 was considered significant.Results: Findings showed that there was no significant difference between the two groups in terms of demographic and midwifery characteristics and the two groups were homogeneous in this respect (P value>0.05). But in the evening primrose oil and misoprostol group, the mean bishop score was significantly increased compared to the misoprostol group (P value<0.05). Also, in the evening primrose oil and misoprostol group (12.3%), the need for cesarean section was lower than placebo and misoprostol group (41.5%) (P value<0.0001). Conclusion:The results of the study showed that the use of vaginal capsules of evening primrose oil with misoprostol compared to misoprostol alone while helping to ripening the cervix is associated with a lower rate of cesarean section.

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