Zahra Molazem; Fatemeh Mohseni; Mahnaz Rakhshan; Sareh Keshavarzi; Masoumeh Younesi
Abstract
Background: Along with an increase in the rate of cesarean sections, the complications and problems associated with this procedure have also increased in Iran. Factors such as complications associated with caesarean scars, the high cost of chemical treatments, and failure of medications in treatments ...
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Background: Along with an increase in the rate of cesarean sections, the complications and problems associated with this procedure have also increased in Iran. Factors such as complications associated with caesarean scars, the high cost of chemical treatments, and failure of medications in treatments have led to an increased use of traditional and biological therapies in the healing and preventing of cesarean wound infections.
Objective: To determine the effect of an amniotic membrane dressing on cesarean wound healing.
Methods: This study is a prospective, randomized double-blind clinical trial. Patients participating in the study were women who underwent cesarean sections at Amir-al-Momenin Hospital in Gerash, Iran. Patients were randomly divided into two groups (N = 45 for each group). In one group, the cesarean wound was dressed using an amniotic membrane; in the control group, the dressing was performed using a simple dressing. The wound healing was assessed by the Redness, Edema, Ecchymosis, Discharge, Approximation (REEDA) scale 24 hours and 8 days after the cesarean procedure.
Results: The average REEDA score, reflecting wound healing was significantly different between the groups 24 hours after the cesarean section, which proved to be less in the amniotic membrane group (.00 ± .00 vs. 0.60 ± 1.30; P = .003). However, on the 8th day after the cesarean section, there was no significant difference between the groups (P = 0.078).
Conclusions: The findings of this study showed that the application of an amniotic membrane dressing can be helpful in early stage wound healing of cesarean.
Zinat Mohebbi; Shahla Najafi; Zahra Molazem; Giti Setoodeh
Abstract
Background: Burns are among the most prevalent mortality causes in developing countries, particularly Iran. In addition to large treatment expenses, burn victims suffer from long-term physical and psychological injuries.
Objectives: This study intends to recognize the epidemiologic factors, causes and ...
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Background: Burns are among the most prevalent mortality causes in developing countries, particularly Iran. In addition to large treatment expenses, burn victims suffer from long-term physical and psychological injuries.
Objectives: This study intends to recognize the epidemiologic factors, causes and outcome of burns among hospitalized women in the Burn Wards of Ghotbeddin Hospital in Shiraz, Iran.
Patients and Methods: This was a cross-sectional study carried out for a period of 2.5 years. The population consisted of all women hospitalized in the Burn Wards of Ghotbeddin Hospital from March 2009 until September 2011. Patients' information was entered in a checklist using old records and documents after which the collected data were analyzed by SPSS software version 15.
Results: A total of 619 women were hospitalized over a 2.5 year period due to burns. Their mean age was 25.78 ± 17 years with a range of 3 months to 103 years. Approximately half of the burns (45.4%) occurred at home, most of which (35.0%) occurred during the spring season. Kerosene was the most prevalent cause of burns (30.0%). Of these, 210 (33.92%) women were referred due to self-immolation; familial disputes were the main cause (46.6%) for these referrals. There were 232 (37.48%) cases whose deaths were attributed to burns and its complications during this period.
Conclusions: Annually, many women have been admitted and treated in burn hospitals, which result in tremendous financial expenses, physical deformities, psychological disabilities and mortality. Therefore, public education of burn prevention measures seems to be necessary.
