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Background & Objective: One of the post-operational problems in the cesarean-section is ileus symptoms and the starting point of taking the liquid diet. Some controversy are about this procedures. This study was done to evaluate the rate of ileus symptoms of women who are offered oral hydration shortly after cesarean delivery. Materials & Methods: This study involved 276 women delivered by cesarean under general anesthesia that had no previous cesarean or laparotomy and indisposing and their operations had not been exceeded 90 minutes. For these patients a liquid diet for every other day, partly 6 hours and others 12 hours after operation was started. The patients were examined at the time of starting diet and 6 hours later for bowel sound, nausea or vomiting, abdominal distention and gas passage. 138 women were assigned to each procedure. Results: Nausea or vomiting cases in the early fed group, were more than 12 hourly diets (2.2% versus no case) and (12.3% versus 10.9%) but the difference was not statistically significant. The bowel sound in the early fed group were less than 12 hourly starting the diets, (15.2% versus 12.3%) the difference was not statistically significant. The 6 hourly starting of liquid diet had a significant effect in speeding up bowel movements (P<0.05). Conclusion: Early oral hydration after cesarean was well tolerated and it was associated with rapid return of propulsive bowel movements, so to do, this results in better reply to the physiologic request of the patients.

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Background & Objective: Pyelonephritis is one of the common disease during pregnancy. The aim of this study was assess the effect of cefteriaxone therapy versus cefteriaxone therapy in acute pyelonephritis in patients admitted in high risk pregnancy ward in Fatemieh hospital. Materials & Methods: This is a clinical trail study in pregnant patients with acute pyelonephritis that selected randomized in two therapeutic group. In one group 2 gr cefazoline was injected per 6 hrs and in another group 1 grcefteriaxone injected daily. the treatment continued until disappear of clinical symptoms and if the symptoms still persisted, after 72 hrs, the second line (Gentamycine) be added and then two groups for 7-10 days discharged with oral antibiotic, which determined by antibiogram. The patients were recommended to return during one week to 10 days after end of the period of treatment, to follow and doing urinary analysis and urine culture. Results: Cure in cefazoline group was 86.7% and recurrence was 13.3% and cure in cefteriaxone group was 83.3% and recurrence was 16.7%. There was not any significant differences between two group. Conclusion: This study showed that, the effect of cefteriaxone is the same as cefazoline in acute pyelonephritis in pregnancy.