abstract background: using non-pharmacological pain relief methods for reducing labor pain has always been one of the major concerns in obstetrics and gynecology. objective: comparing the effects of aromatherapy with jasmine and salvia on pain severity and labor outcome in nulliparous women. materials and methods: in this randomized clinical trial, 156 nulliparous women in labor were randomly s...

Objective: The aim of this study was to investigate the effect of parity on cervical ripening and labor induction with intra-vaginal slow-release dinoprostone and to determine the safety and efficacy of this medication in a tertiary referral center. Methods: The medical records of 2090 pregnant women who underwent cervical ripening and induction of labor with Dinoprostone between January 2007 a...

A 39-year-old nulliparous female was admitted with massive splenomegaly. Computed tomography of abdomen revealed multiple aneurysms in the distal half of the splenic artery. Splenic artery aneurysms are rare in nulliparous women and most cases are reported in females with a past history of pregnancy. Splenic artery aneurysms, though very rare are clinically significant as they have a high prope...

BACKGROUND Smoking is a modifiable lifestyle factor that has been shown to be associated with adverse perinatal outcomes and to have adverse health and dose-dependent connective tissue effects. The objective of this study was to examine whether smoking during pregnancy was associated with the incidence of obstetric anal sphincter injuries (OASIS) among six birthweight groups in singleton vagina...

BACKGROUND Epidural analgesia is considered one of the most effective methods for pain relief during labor. However, it is not clear whether similar effects of epidural analgesia on the progression of labor, modes of delivery, and perinatal outcomes exist between nulliparous and multiparous women. METHODOLOGY/PRINCIPAL FINDINGS A retrospective cohort study was conducted to analyze all deliver...

background and aim: cervical ripening before the onset of labor is an important factor for the prediction of delivery mode, and is directly associated with vaginal delivery. the search for a safe, inexpensive, and easy method of cervical ripening is of great significance. few studies have focused on the effect of date fruit on uterine contractions and cervical ripening. therefore, the purpose o...

objective: to study maternal and neonatal outcomes, the nulliparous women submitted to a training program in third trimester. materials and methods: this randomized controlled trial was carried out on 64 nulliparous pregnant women divided into two groups according to their participation including; training group; n=34 or not; n=34. the program consisted of 8 meetings (between the 28 th and the ...

Objective: To identify predictors of cesarean section in a term nulliparous women presented in labour. So that we can avoid unnecessary primary cesarean section and in the same time avoid, as much as we can, obstructed labour. Methods: This was a cohort study of 216 nulliparous patients presenting in labour at term with singleton vertex fetuses who were followed till delivery either vaginally (...

Two intrauterine devices (IUDs) are available in the United States, the levonorgestrel-bearing intrauterine system (Mirena) and the copper-bearing T380A (Paragard). These devices have very low typical-use failure rates but are used by only a minority of women. In particular, there is concern about their use in nulliparous women. We review the available data to address common concerns about usin...