CC co-administered during low dose HP uFSH versus uFSH for CC-resistant PCOS yields significantly higher ovulation rate and less consumption of FSH.

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The aim of this study was to investigate the effect of lavender oil inhalation on labor pain among parturient women. Methods: A quasi-experimental trial was carried out at Labor and Delivery Unit of Mansoura University Hospital-Mansoura City on 250 parturient women in the active phase of the 1st stage of labor, who were selected by purposive sampling technique. They were free from any medical and obstetric problems, age between 20-35 years, with single viable fetus, occiptoanterior position and gestational age from 37 to 42 weeks. They were divided into either control or intervention group 125 per each group. The intervention group: inhaled two drops of 2% pure Lavender oil while the control group inhaled two drops of placebo oil. Pain score were measured by Numeric Pain Intensity and FLAAC Scales just before, immediately and after 30-40 minutes after oil inhalation. Results: pain level of the intervention group was lower than that of the control. Recommendation: the study suggests that lavender oil should be integrated into care provided during 1st stage of labor. Conclusion: lavender oil inhalation associated with lower pain level during the 1st stage of labor.

Background: Postpartum blues is a transitional depressive state that viewed as a highly prevalent mental health problem.Setting of the study: the study was conducted in Obstetrics and Gynecology department at Mansoura University Hospitals. Aim of this study: is to assess the effectiveness of an instructional Brochure on relieving postpartum blues. Research Hypothesis: The intervention group who will receive informational instructions brochure about postnatal blues within the first day of giving birth will experience lesser blues at end of 1st week postpartum than the control group. Study Design: Intervention study design carried out between of January 2013 to July 2013. Methods: Intervention study design was conducted in Obstetrics and Gynecology department at Mansoura University Hospitals on 184 postnatal women. Women divided into two groups: control group; received routine discharge instructions and intervention group received information on postpartum blues, on top of routine discharge instructions. Socio-demographic data questionnaire and Arabic version of Beck Depression Inventory Questionnaire (BDI) are used for data collections. Participants filled in both tools on first day of birth and BDI alone at end of 1st and 2nd week postpartum. Results: The study findings revealed that frequency of blues at end of 1st week postpartum is lower in the intervention group than the control group (20.7% versus 69.5%). Conclusion: Instruction information about postnatal blues within the first day of giving birth is an effective method on relieving postpartum blues. Recommendations: The educational brochure was recommended to be distributed and implemented in all maternity health services and MCH center in Mansoura Governorate.

It is clear from the table that the provided values resulted in almost the same statistical differences and thereby same conclusion. Dr. Papathanasiou has admitted that the statistical significance observed in our study was not changed after making the amendments. Meanwhile, he expressed his concern that the effect size statistics may have changed. Our research question was whether clomiphene citrate plus gonadotropins was as equal as gonadotropins alone or not, in terms of ovulation rate. The questions about the effect size and the number needed to treat may be important points when making inference and recommendations for the general population. In our study we acknowledged the need for larger trial or a metaanalysis of small randomized trials. Either of these, may be the optimum platform to calculate statistical measures as effect size and number needed to treat.As regards predictors of ovulation, we attempted to underline the relative importance of features of CC-resistant PCOS as predictors of treatment outcome. Although multivariate analysis was the better statistical tool for this purpose , yet, and as suggested by our statistician, the ROC curve has been used in similar situations [1,2].Dr. Papathanasiou has mentioned contradiction between the confidence interval (0.51-0.77) and the p value (0.05), the reported P value of ( 0.05) resulted from summing up of The online version of the original article can be found at http://dx