Maternal Satisfaction about Prenatal and Postnatal Caresin Vaginal and Cesarean Section Delivery at Teaching andNon- teaching Hospitals of Tabriz/ Iran.

Naghizadeh, Somayyeh; Azari, Sahar; Fatemeh, Mohammady; Mehdi, Ebrahimpour Mirza Rezaei; Sehhati, Fahimeh

doi:10.15296/ijwhr.2014.22

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…Furthermore, as less severe hemodynamic changes are seen with midazolam, it seems that midazolam can be a much better choice than propofol. Also,to increase the patients satisfaction which is an important factor in conscious patients undergone a surgery like cesarean section, especially in teaching hospitals which is lower than nonteaching hospitals, as presented with Nagizadeh et al ( 24 ), we can reach to this purpose with appropriate use of low doses agents with no adverse effect of drugs overdose.…”

Section: Discussionmentioning

confidence: 99%

Effect of SubhypnoticDosesof Propofol and Midazolam for Nausea and Vomiting DuringSpinal Anesthesia for Caesarean Section

2014

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Background:Spinal anesthesia has been associated with intraoperative nausea and vomiting (IONV), especially during cesarean section, which is attributed to several mechanisms.Objectives:In the present study, therapeutic and preventive properties of sub hypnotic dose midazolam and propofol and their effects on the occurrence and severity of intraoperative nausea and vomiting during elective cesarean section under spinal anesthesia were evaluated.Patients and Methods:In a randomized, double-blind, and placebo-controlled clinical trial, 90 parturients, ASA class I and II, aged 20-30 years, who undergone spinal anesthesia for cesarean section were randomly allocated to one of three groups receiving midazolam (1 mg bolus and 0.1 mg/kg/hr, n=30), propofol (20 mg bolus and 0.1 mg/kg/hr, n = 30), and placebo (saline, n=30) intravenously (IV) immediately after umbilical cord clamping. Bupivacaine hydrochloride (10 mg) was used for induction of the anesthesia. Patients’ hemodynamics was monitored at 3-minute intervals. Furthermore, intraoperative and post-delivery emetic episodes, severity of emesis, scores of sedation and ephedrine consumption were recorded.Results:The incidence of nausea, retching, and vomiting was significantly higher in the control group compared to propofol and midazolam groups. Overall, PONV (postoperative nausea and vomiting) in midazolam group was as low as propofol group without any significant hemodynamic changes as seen in placebo group or even with propofol group.Conclusions:Subhypnotic doses of midazolam or propofol are effective in the prevention of nausea and vomiting during and after cesarean section with spinal anesthesia and does not significantly influence hemodynamic of the patients.

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Section: Discussionmentioning

confidence: 99%

Effect of SubhypnoticDosesof Propofol and Midazolam for Nausea and Vomiting DuringSpinal Anesthesia for Caesarean Section

2014

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“…The World Health Organization (WHO) considers satisfaction for dignity, and status to be an important factor to improve the health of clients, while mentioning the most important rights of patients as including the right to informed consent, information confidentiality, access to health services, and their privacy [13,14].…”

Section: Discussionmentioning

confidence: 99%

“…This problem can also bring about such disorders as sleep problems, post-traumatic stress disorder, neglecting health care, sexual disorders, and decreased desire to have children. Studies have demonstrated that changing the method of subsequent delivery is another result of dissatisfaction in the childbirth process [13]. As dissatisfaction in different stages of childbirth can entail significant complications according to the studies, the degree of dissatisfaction the present study carried out to determine Afghan immigrant and refugee women's satisfaction with maternity wards services in Iran.…”

Section: Scibasejournalsorgmentioning

confidence: 97%

Afghan Immigrant and Refugee Women’s Satisfaction with Maternity Wards Services in Iran

Khorasani,

Mobasher,

shafiei

et al. 2023

SciBase Epidemiol Public Health

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Background: Pregnant refugee women are considered a vulnerable group. They are at too high risk of adverse outcomes for mother and newborns. This study aimed to determine Afghan immigrant and refugee women’s satisfaction with maternity wards services. Materials and methods: A retrospective study carried out on 317 mothers who had referred for postpartum, or abortion care to health care centers. A researcher-developed questionnaire with 32 questions in six different domains was used the level of satisfaction. Data were analyzed by SPSS software, and Spearman, Mann-Whitney, and Kruskal-Wallis tests. Results: Results showed that the mean age of the participants was 27.55±6.24 years. 50.7% had vaginal delivery. The mean score of verbal (15.73±0.53), physical (13.82±0.47), confidentiality (5.88±0.46), and payment process (4±0) domains of satisfaction was good. There was relationship between age of participants and verbal (r=0.15; p=0.02), physical (r=0.16; p=0.02), and consent on care domains of satisfaction (r=0.17; p=0.01). And the type of delivery was related to the negligence domain (p<0.001). Conclusions: Participants received good respectful care except in negligence and consent on care domains. Specific interventions, or plans appear to be essential to improve all domains of care.

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Subhypnotic Doses of Propofol Versus Midazolam to Prevent Nausea and Vomiting During Spinal Anesthesia for Caesarean Section

Khudadad¹,

Aghawaise²

2019

JSMC

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Background Nausea and vomiting is a common complication in parturients with cesarean delivery under spinal anesthesia it may causes significant distress to the patient and increases the chance of aspiration pneumonitis, it also affects the surgical procedure. Many drugs have been used to prevent this complication but none proved to be effective to abolish it completely. Objectives Subhypnotic dose of Midazolam or Propofol were evaluated to prevent intraoperative nausea and vomiting during elective cesarean section under spinal anesthesia. Methods This study is a randomized control clinical trial, after local ethical committee approval A 93 consenting (ASAII ) parturients, who underwent spinal anesthesia for caesarean section were divided randomly into three groups received Propofol (20 milligram bolus and 0.1 milligram /kilogram/hour by infusion immediately after the bolus dose, 30 parturients ), Midazolam (1 milligram bolus and 1 milligram/hour by infusion after bolus dose, 31 parturients ), and placebo (saline, 32 parturients ) intravenously after umbilical cord clamping. Bupivacaine 0.5% (12.5-15 milligram) used for spinal anesthesia. Intraoperative and post delivery emetic episodes were recorded. Results The incidence of nausea and vomiting was significantly less in the propofol and Midazolam groups in compared to placebo group. There was insignificant difference between Propofol and Midazolam group in postoperative nausea and vomiting (P = 0.616) and there were no significant hemodynamic changes in all the groups. Conclusion The use of Propofol is as effective as Midazolam in decreasing nausea and vomiting during Caesarean section under spinal anesthesia.

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Maternal Satisfaction about Prenatal and Postnatal Caresin Vaginal and Cesarean Section Delivery at Teaching andNon- teaching Hospitals of Tabriz/ Iran.

Cited by 3 publications

References 9 publications

Effect of SubhypnoticDosesof Propofol and Midazolam for Nausea and Vomiting DuringSpinal Anesthesia for Caesarean Section

Effect of SubhypnoticDosesof Propofol and Midazolam for Nausea and Vomiting DuringSpinal Anesthesia for Caesarean Section

Afghan Immigrant and Refugee Women’s Satisfaction with Maternity Wards Services in Iran

Subhypnotic Doses of Propofol Versus Midazolam to Prevent Nausea and Vomiting During Spinal Anesthesia for Caesarean Section

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