OBJECTIVE Combined spinal-epidural analgesia (CSEA) is sometimes used for difficult births, but whether it contributes to postpartum pelvic muscle disorder is unclear. This randomized controlled trial examined whether CSEA given during labor affects the electrophysiological index of postpartum pelvic floor muscle function. METHODS A consecutive sample of primiparous women who delivered vagina...

Real-time quantitative PCR (RTQ-PCR) provides a quick, accurate, and reproducible quantification of parasites. However, the value of RTQ-PCR for predicting clinical outcomes of malaria is unknown. Here, we compared RTQ-PCR to microscopy of blood smears, nested PCR (nPCR), and parasite circulating-antigen (CAg) assays for detection of Plasmodium falciparum in pregnant Kenyan women and their infa...

cytomegaloviurs (cmv) is the most frequent cause of congenital infection in humans. in various parts of the world the prevalence of antibodies to cmv ranges from 40-100%. the prevalence of primary infection with cmv in pregnant iranian women and risk of congenital cmv infection in their neonates are unknown. to determine the prevalence of cmv infection in primiparous pregnant (youner) women and...

SELF-CONFIDENCE OF PRIMIPAROUS WOMEN IN POSTPARTUM PERIOD: A RANDOMIZED CONTROLLED CLINICAL TRIAL Fahimeh Sehati Shafaie, Mojgan Mirghafourvand, Marzieh Bagherinia. Assistant Professor, Nursing and Midwifery Faculty, Midwifery Department, Tabriz University of Medical Sciences, Tabriz, Iran; Assistant Professor, Nursing and Midwifery Faculty, Midwifery Department, Tabriz University of Medical Sc...

BACKGROUND Infection in pregnancy may be involved in the aetiology of pre-eclampsia. However, a clear association between acute maternal infection and pre-eclampsia has not been established. We assessed whether acute urinary tract infection, respiratory tract infection, and antibiotic drug prescriptions in pregnancy (a likely proxy for maternal infection) are associated with an increased risk o...

OBJECTIVES To identify the expectations of women requesting the maternal education program (ME) and to determine their evaluation of it. METHODS a multi-centric observational study was conducted in four hospitals in Spain in 2011 with primiparous women. Socio-demographic and obstetrical variables, among others, were collected through interviews and reviews of medical records. The analysis est...

BACKGROUND AND OBJECTIVES Hyoscine butylbromide (HBB) is widely used in labor rooms. There have been many studies on the use of HBB during labor with conflicting results, involving both primiparous and multiparous women. The aim of this trial was to study the efficacy of HBB for shortening the first stage of labor in primiparous women. METHODS The study was a randomized, double blind, control...

Setting 2 semi-urban community hospitals near Toronto, Ontario, Canada. Patients 258 in-hospital, primiparous, breastfeeding women who were ≥ 16 years of age, were able to speak English, had a singleton birth at ≥ 37 weeks of gestation, and were accessible by a local telephone call. Exclusion criteria were factors that could seriously interfere with breast feeding (eg, serious maternal illness ...

abstract background: selection and acceptance of appropriate sexual behavior and sexual function are made difficult by low sexual self‑efficacy in the postpartum period. the general purpose of this research is to define the effects of an 8‑week pelvic floor muscle exercise program on sexual self‑efficacy in primiparous women after childbirth. materials and methods: this clinical trial was perfo...

OBJECTIVE To evaluate in adolescents the association between body mass index (BMI) and obstetric outcomes and to determine whether the outcomes in the BMI groups of adolescents differ from those of a low-risk population of adult women. MATERIALS AND METHODS This is a nationwide population-based register study. Obstetric outcomes of 31,386 singleton primiparous adolescents were evaluated in re...