Background & Aims: Fear of labor pain is a principal factor in pregnant women's tendency for cesarean section. This study was done to investigate the factors that affect quality and intensity of labor pain in order to decrease the rate of elective cesarean sections. Method: a prospective randomized study was performed on 208 parturient women in Maternity ward of afzalipour Hospital by using...

The pain of childbirth is arguably the most severe pain most women will endure in their lifetimes. The pain of the early first stage of labor arises from dilation of the lower uterine segment and cervix. Pain from the late first stage and second stage of labor arises from descent of the fetus in the birth canal, resulting in distension and tearing of tissues in the vagina and perineum. An array...

Background: Detection of women at risk for dystocia will allow physicians to make preparations and treatment decisions that can minimize maternal and neonatal morbidity. We aimed to determine the risk factors for dystocia in nulliparous women. Methods: This case series enrolled 447 nulliparous women who presented with a single pregnancy in the vertex presentation and gestational age of 38-42 we...

Spontaneous pneumomediastinum and subcutaneous emphysema also known as Hamman's syndrome is a very rare complication of labor that is often related to the valsalva maneuver during the labor. In most case, Hamman's syndrome is a self-limiting condition, rarely complicated unless there are underlying respiratory diseases. Chest X-ray can be a useful early diagnostic technique in severe clinical p...

Introduction: Prolonged labor can lead to maternal and neonatal complications. The purpose of this study was to investigate the effect of Pethidine on the duration of active labor in nulli-parous women. Materials and methods: In a randomized clinical 90 nulliparous women with uncomplicated singleton pregnancies at term were randomly assigned into two groups. The first group received 50 mg Pet...

BACKGROUND Prolonged labor can lead to maternal and neonatal complications. The purpose of this study was to investigate the effect of oral propranolol plus oxytocin versus oxytocin only on the process and outcome of labor. MATERIALS AND METHODS In a randomized, double-blind, controlled trial performed in Ilam Mustafa hospital, a total of 146 nulliparous pregnant women at gestational age of 4...

background one of the most painful experiences of women in life is labor. the use of non-drug methods for pain relief is on the increase. this study aimed to compare mono-stage and bi-stage acupressure at sp6 point on the severity of labor pain and the delivery outcome. methods this is a quasi-experimental single blind study from december 2010 to june 2011 in which 150 term pregnant women in la...

Background: Epidural analgesia is generally accepted as the most effective method for pain relief during labor. However, results of published studies regarding the efficacy of epidural analgesia with ropivacaine on the modes of delivery, labor progression, need for oxytocin, maternal and neonatal outcomes are inconsistent. Objective: We conducted a comprehensive meta-analysis to appraise the ef...

Objective. To test the hypothesis that the use of the HEM-AVERT Perianal Stabilizer will result in a reduction of cesarean births and shorter duration of second-stage labor. Study Design. In a prospective controlled trial, 102 women scheduled for vaginal delivery were randomized to either the HEM-AVERT investigational device or control group. Ninety eight (98) patients completed the study. A ch...