Postnatal quality of life in women after normal vaginal delivery and caesarean section

<p>Abstract</p> <p>Background</p> <p>Caesarean section might increase the incidence of surgical interventions and problems resulting from hospitalization and thus affecting quality of life in women after delivery. This study aimed to compare quality of life in women after normal delivery and caesarean section.</p> <p>Methods</p> <p>This was a prospective study. A sample of women with normal delivery and caesarean section from 5 health care centers in Isfahan, Iran were entered into the study. Quality of life was measured using the SF-36 at two points in time (time 1: 6 to 8 weeks after delivery; time 2: 12 to 14 weeks after delivery). Data were analyzed to compare quality of life in the two study groups.</p> <p>Results</p> <p>In all 100 women were interviewed (50 with normal delivery and 50 with caesarean section). Postnatal quality of life in both groups was improved from time1 to time 2. However, comparing the mean scores between the normal and caesarean delivery groups the results showed that in general the normal vaginal delivery group had a better quality of life for almost all subscales in both assessment times. The differences were significant for vitality (mean score 62.9 vs. 54.4 P = 0.03) and mental health (mean score 75.1 vs. 66.7, P = 0.03) at first assessment and for physical functioning (mean score 88.4 vs. 81.5, P = 0.03) at second evaluation. However, comparing the findings within each group the analysis showed that the normal vaginal delivery group improved more on physical health related quality of life while the caesarean section group improved more on mental health related quality of life.</p> <p>Conclusion</p> <p>Although the study did not show a clear cut benefit in favor of either methods of delivery that are normal vaginal delivery or caesarean section, the findings suggest that normal vaginal delivery might lead to a better quality of life especially resulting in a superior physical health. Indeed in the absence of medical indications normal vaginal delivery might be better to be considered as the first priority in term pregnancy.</p

Corresponding Author Effects of Creatine and Glutamine Supplements in Comparison with Proper Nutrition on Performance Factors of Wrestlers 1 Glutamine Supplements in Comparison with Proper Nutrition on Performance Factors of Wrestlers

ABSTRACT Aim; The aim of this study was to investigate the effects of glutamine and creatine supplements and proper nutrition on hand grip strength and agility of athletes. Materials and Methods: The samples for this study consisted of 28 elite wrestlers of Mazandaran province, aged 18 to 25 years old. They were randomly divided into four groups. Proper nutrition with carbohydrate solution made of 5% honey instead of water, creatine supplement group (0.3 g/Kg/ for 15 days), glutamine group (0.3 g/kg for 15 days), control group. After a usual warm-up exercises for 15 minutes, for the agility test, 9x4 agility test was performed and following a 10-min rest period, subjects used hand grip for the grip strength test; after 15 days of glutamine and creatine supplements and proper nutrition consumptions, the physical performance tests were conducted in the same condition. Statistical analyses were performed using SPSS software. Results: Statistical analysis of the grip strength and agility in post test showed significant difference between the proper nutrition, in comparison with the control group (p&lt;0.05). Therefore, it seems that through proper nutrition (which provides all necessary substances for an elite athlete) there is no need for these supplementation agents and the proper nutrition can be used as an alternative for these supplements. Conclusion: Our current investigation showed that proper nutrition can be used as a competent alternative for the common supplements such a creatine and glutamine