The effects of peganeum Harmala Smoke cervical ripening, initiation and outcome of labor

Introduction: cervical ripening is on of the main stage of initiating of labor and it is very important for successf initiating or induction of labor. Prganeum Harmala seeds thru have derivatives such as vasecine and vasicnone cause stimulat of uterus contraction and other derivatives like Harman cause to release nitric oxide. That inductor cervical ripening. This study accomplished with the aim of determining the effect of peganeum Hrmala smoke on cervical ripening, initiation and outcome of labor. Method: In randomize clinical trial 204 term pregnant women – referring to shahid moarefi zadeh Hospital in shadegan were chosen and randomly were put in 2 groups: intervention, (give of peganeum Garmala that warm by barazier to change smoke) and control (to get warm by barzier)/ Subjects were followed with regard to cervical ripening and initial of labor after 48 and 72 hours and admission time. The tools for gathering information were demographic characteris tics and midwifery questionnaire, observation form and physical examination, daily record and follow up forns. Content validity is used for determining validity. Inter- rater reliability is used. Manvitney, chi-square, fisger exact tests are used for analysi> statistic with spss 18. Results: Cervical ripening was significant difference between two groups after 48 hours and 49-72 hours (p<0/001). Bishop score mean was increased siynificant, in the 48 hours and admission time. (p<0/001). Labor initiating time, first and second stage of labor was shorter in the intervention group than the control. Analgesic and oxytocin want rate to be decreased, between two groups significantly (p<0/001). There was showed significant difference in fetal complications such as: birth time and five minet Apgar score, meconium discharge, fetal distress and patient satisfaction from child birth, between two groups (p<0/001). Discussion & Conclusion: Research results show that peganeum harmala smoke is safe and almost free of any side effecs. It can cause cervical ripening.