Showing 2 results for Negargar
S Atashkhoii, M Jafari Shobeiri, S Negargar,
Volume 19, Issue 3 (11-2005)
Abstract
Background and Objective: Epidural analgesia (EA) has been used to relieve
labor pain in many obstetric units, yet controversy persists about its effect on progress
and outcome in labor. The purpose of the current study was to evaluate the effect of EA
on the rate of cervical dilation and myometrial contractility.
Methods: In a 6-month period, 36 women who received standardized EA were
matched with the next two delivering women of72 patients of the same parity who did
not receive EA. The outcome variables were uterine activity, rate of cervical dilation,
oxytocin therapy, and operative deliveries.
Results: Intermittent EA with bupivacaine and fentanyl did not result in a change
in myometrial contractility and the rate of cervical dilation. Oxytocin therapy was significantly
higher in the epidural group than in the nonepidural group (p<0.002). Operative
deliveries were not more common in those without it (p>0.0S).
Conclusion: After intermittent low-dose bupivacaine and fentanyl EA, myometrial
contractility and the ability of the uterus to dilate the cervix are maintained with
oxytocin. Despite prolongation of the second stage of labor, cesarean delivery was not
common in the epidural group.
Simin Atashkhoii, Sohrab Negargar, Simin Tagavi,
Volume 19, Issue 4 (2-2006)
Abstract
Background and Objective: Hysteroscopy is considered as very important in
the investigation of abnormal uterine bleeding. It is usually performed as an outpatient
procedure under either local or no anesthesia. This study was designed to compare the
combination of paracervical block (PCB) and conscious sedation with paracervical
block or conscious sedation alone for outpatient hysteroscopy in terms of pain control
and patient satisfaction.
Methods: A total of 60 women with abnormal uterine bleeding were considered
eligible for the study. Patients were randomized into three groups. Group A (20 patients)
underwent diagnostic hysteroscopy with conscious sedation, in group B (20
patients) paracervical block was performed, and group C (20 patients) received both
conscious sedation and paracervical block. Main outcome measures were pain control
during the procedure, the postoperative pain score at 15 min, 60 min, and 24 h after the
procedure, and patient's satisfaction rate.
Results: There were significant differences between combination therapy with
other groups in terms of pain control during the procedure (paracervical block plus
sedation versus the other two groups: p
