Explanation the experiences of mothers with gestational diabetes about the factors affecting self-care: A qualitative study

Background and aims: Diabetes is the most common medical complication of pregnancy. This disease is a growing health problem in the world. Self-care is the most important factor in the control of chronic diseases such as diabetes. Several factors include biological factors, psychological, economic, social, cultural and health care system. Community Treatment is effective directly and indirectly on self-care behaviors in patients with diabetes.The aim of this study was to assess mothers, experiences with gestational diabetes on the factors influencing self-care. Methods: This study is a qualitative conventional content analysis research. In this study, data were collected by semi-structured individual interviews. Interviews were performed based on interview guidance. Participants were pregnant women diagnosed with gestational diabetes in 24th-36th week of pregnancy who referred to the clinics affiliated to Shahid Beheshti University of Medical Sciences. After 12 interviews with participants, data were saturated. Conventional content analysis was done for data analysis. To assess the accuracy and reliability of data, four criteria provided by Lincoln and Guba, including dependability, credibility, confirmability and transferability were used. For the analysis of qualitative data in this study, the conventional qualitative content analysis methods and software MAXQDA 10 was used. Results: Perception of pregnant women led to the extraction of two themes: barriers and facilitators to self-care. The former was featured with four main categories: insolvency, perceived problems, admission disease and support from others. 13 sub- categories were also classified in the main form. Results showed that mothers for self- care actions, need to get further information via health-care provider and get more support from their relatives. It was also found barriers and facilitators to take care of mothers in most societies is almost the same. Conclusion: According to the results of this study, it is needed to do appropriate proceedings to promoting culture, providing appropriate information and higher quality services, and promoting healthlevel and self-care of mothers with gestational diabetes

Increased risk of pre-eclampsia (PE) among women with the history of migraine

The Objective of this study was to assess possible association of history of migraine with pre-eclampsia (PE). This was a retrospective study to compare history of migraine in 90 women affected by PE with 90 women without PE as the control group. They recruited by a nonrandomized consecutive sampling method. Data were collected by a questionnaire including demographic, medical, obstetrics, and migraine assessment sections. Data were analyzed using SPSS. Results showed an increased risk of PE in women with history of migraine (odds ratio: 2.87; p < 0.05). Result demonstrated that migraine history in the case group is 144 and in control group is 56. Gestational age (GA) at delivery and weight of neonate (WN) were significantly lower compared to control (GA: 37.3 ± 2.6 vs. 38.7± 1.3 weeks T test; P < 0.01) (WN: 2930 ± 690 vs. 3330 ± 420; T test; P < 0.0). Cesarean section was more frequent in the PE group compared to the control group 37 (42) vs. 14 (15.6); chi square; p < 0.01. The association of migraine with PE is the result of some similar mechanism leading to endothelial dysfunction. Frequent reports of an association between migraine and PE in different populations suggest a history of migraine as a risk factor for PEgestational hypertension (GH). Copyright © Informa UK Ltd

Case Report: Anaplastic cervical cancer in a virgin girl

Anaplastic cervical cancer in a virgin girl without any known risk factor, is rare. With respect to its rarity, severity and prognosis, we introduce a case referred to Shohada hospital in Tehran, in 1378. The case, a 31 years old virgin girl with acute urinary retention, anemia, fever and abnormal uterine bleeding was admitted. Many times, she expelled vaginally some tissues with pathologic report of highly malignant neoplasm of unknown cellular origin. Regarding clinical and paraclinical data, the patient underwent radical hysterectomy (Wertheim) and pelvic lymph node dissection. Pathologic report was highly malignant anaplastic neoplasm with massive lymphatic invasion to cervix. The operation followed by chemotherapy and radiotherapy. Five months later, the patient managed by chemoradiation, because of recurrence of tumor in para-aortic lymph nodes. Finally nine months following the first diagnosis, she expired from uremia. In conclusion, supposing unknown risk factors for cancer of cervix, probability of this cancer in virgins should be considered. Early detection of cervical cancer in this group who are apparently without any known risk factors, is of utmost importance

Determining the Effect of Early Feeding after Cesarean section Compared with Regular Diet on the Gastrointestinal Function of Women Referred to Tajrish Hospital, Iran

Background & aim: Early feeding after cesarean section can have beneficial effects, however, no sufficient study has been conducted in this area. The aim of this study was to determine the effects of early feeding on the gastrointestinal complications in women after cesarean section and comparing it with a regular diet. &nbsp; Methods: The present randomized-clinical-trial study was conducted on 160 women who admitted to Shohada hospital and underwent cesarean section in 2011-2012. The inclusion criteria included women with gestational age more than 37 weeks, singleton pregnancy, having at least 8 hours of fasting, and regional anesthesia (spinal cord), respectively. After registration of demographic characteristics and pregnancy, women were randomly divided into two groups: Early feeding (2 hours after completion of the operation, 250 ml filtered juice, tea and biscuits style regime in the next 2 hours and 2 hours after the usual diet) and the usual power (8 hours of operation clear liquid diet the day after the usual diet) groups. Presence of gastrointestinal symptoms in 2, 4, 8 and 12 hours after surgery, time to the bowel sounds auscultation, passage of flatus and stool were recorded. Data were analyzed by SPSS software version13.The significance level of p-value was considered <0.05. &nbsp; Results: The prevalence of gastrointestinal symptoms (nausea, vomiting, loss of appetite, abdominal distension, feeling of flatulence and abdominal cramp) was significantly higher at 2 and 4 hours after operation and in early feeding group and after 8 hrs. in surgery of normal diet respectively(P0.05). &nbsp; Conclusion: Early feeding caused the acceleration of gastrointestinal symptoms, earlier bowel sounds auscultation and earlier utilization of gas. It is recommended to investigate the different diets and examined the level of compliance and satisfaction. &nbsp

A clinical comparative study of oral and topical ginger on severity and duration of primary dysmenorrhea

Background and objectives: Primary dysmenorrhea has remained a health problem. This study has compared the effect of oral and topical ginger on severity and duration of primary dysmenorrhea.  Methods: A single-blind randomized trial was conducted on 70 female students with moderate and severe primary dysmenorrhea. The participants were stratified randomized between two groups of oral and topical ginger. The oral group received 250 mg capsules of ginger powder and the topical group applied five drops of ginger oil topically every 6 hours from two days before through the first three days of menstruation for three cycles. The severity and duration of pain, and the number of mefenamic acid consumption were assessed in each cycle. Before-after changes were evaluated in each group and were compared between two groups. Results: The reduction of pain severity was 3(±3.2) in the topical compared to 2.6(±3.4) in the oral group (