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Nursing Practice Today، جلد ۹، شماره ۳، صفحات ۱۹۰۹-۱۹۰۹
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عنوان انگلیسی Comparing the effects of vaginal and oral evening primrose oil on cervical ripening and labor progress among primiparous women
چکیده انگلیسی مقاله Background & Aim: Cervical ripening is essential to successful delivery and predicts delivery type. There are different pharmacological, mechanical, and surgical methods for cervical ripening. Evening primrose is a medicinal plant with potential effects on labor. This study aimed to compare the effects of vaginal and oral evening primrose oil on cervical ripening and labor progress among primiparous women. Methods & Materials: This single-blind randomized clinical trial was conducted in 2020. Participants were 126 primiparous women with a gestational age of 39 weeks purposively selected from the obstetrics and gynecology ward of Valiasr hospital, Bafgh, Iran, and randomly allocated to a vaginal evening primrose oil, an oral evening primrose oil, and a control group. Participants in the vaginal evening primrose oil and the oral evening primrose oil groups received one 1000-mg evening primrose oil capsule per twelve hours for one whole week through the vaginal and the oral routes, respectively. The Bishop score and pregnancy outcomes were measured when participants referred to the study setting with labor pains. The SPSS/21program for Windows was used for data analysis via the paired-sample t, Chi-square, Tukey's, Kruskal-Wallis tests, and the one-way analysis of variance. Results: After the intervention, the Bishop score in both intervention groups was significantly greater than the control group (P= 0.001). The length of the second stage of labor in the vaginal evening primrose oil group was significantly shorter than the control group (P= 0.009). There were no significant differences among the groups respecting the time interval between hospital admission and delivery (P= 0.21), 1 and 5-minute Apgar scores (P= 0.83), and (P= 0.37), need for induction (P= 0.26), and type of delivery (P= 0.26). Conclusion: Vaginal and oral evening primrose oil administrations have significant positive effects on cervical ripening and the Bishop score and vaginal evening primrose oil have significant positive effects on the length of the second stage of labor.
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نویسندگان مقاله | Parisa Heydari
School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran


| Farahnaz Azizi
School of Nursing and Midwifery, Astara Islamic Azad University, Gilan, Iran


| Zohre Khakbazan
Department of Reproductive Health and Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran


| Mehrnaz Geranmayeh
Department of Reproductive Health and Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
نشانی اینترنتی https://npt.tums.ac.ir/index.php/npt/article/view/1909
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