الفهرس 
Postpartum Physiological ChangesOnly 14 pages are availabe for public view
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Abstract
The date fruit is rich in B-complex group of vitamins as
well as vitamin K. It contains very good amounts of pyridoxine
(vitamin B-6), niacin, pantothenic acid and riboflavin. These
vitamins are acting as cofactors help body metabolize
carbohydrates, proteins and fats. Vitamin K is essential for
many coagulant factors in the blood as well as in bone
metabolism. Dates help to strengthen the uterus during
pregnancy, and can also help to stop bleeding following birth.
Dates can also prevent or alleviate postnatal depression, as well
as enriching breast milk, so they’re one of the best foods for
expectant and nursing mothers. Dates are rich in nutrients
including minerals and vitamins. There are many health
benefits of eating dates, as they are free from cholesterol and
are very low in fat (Ann Benda, 2006).
In addition, palm date is the best food for pregnant and
postpartum mothers. Dates re-establish blood and nutrients that
are perfect for infants through breast milk mothers consumed
dates, treating anemia, restlessness and tiredness. Ruthab (wet
dates) prevents bleeding for women after childbirth, and
accelerate the process of the position of the uterus as usual,
before the next pregnancy. This is because the fresh dates
contained oxytocin hormone-like hormone, which can help the
process of uterine involution, and breastfeeding (Janrain,
2010).The present study aimed to assess the effect of palm date
on breast feeding and uterine involution. The study had been
implemented at the recovery room of the labor ward and the
outpatient clinic for postpartum follow up of Ain Shams
Maternity University Hospital.
One hundred fifty women had normal vaginal delivery
were included in the study through using A systematic random
sampling technique was used, as every other woman was
included in the study. The previous process was done for two
days per week, one data collection day for study group and the
other for the control group. This technique was repeated until
the completion of sample size. One hundred fifty women
divided into two equal groups (study and control).
Data collection has been carried out throughout the
period from the end of August 2011 till the end of December
2011. Data has been collected through interviewing
questionnaire to assess woman’s knowledge regarding factors
help for accelerate uterine involution and health benefits of
palm date in postpartum period. Women follow up card to
assess woman compliance and pattern of using palm date (the
study group only) and to evaluate uterine involution rate, breast
feeding successfulness for both groups and women and their
newborns health wellbeing and women diary self report which
woman documents of both groups’ lochia, after pain, back pain,
ambulation or their activities, voiding and bowel habits,newborns milk satisfaction, and (patterns & compliance of
eating palm dates for intervention or study group only.
The result of the present study revealed that:
• Women’s age on control group ranged from 19 to 37 years
old. All women included in the study are married. As regard
their educational level 60%, 33.3% of women have
preparatory & primary and secondary education, while
26.7%, 53.3 % of women have preparatory & primary and
secondary education respectively for study group.
• Women’s knowledge regarding factors accelerate uterine
involution of the studied groups illustrates that 45.7%, 40%,
66.7%, 93.4%, 80% of women in control group and 40%,
53.4%, 40%, 40%, 46.7% of women in the study group don’t
know that early ambulation, breastfeeding, regular voiding,
healthy food, and sufficient sleeping respectively accelerate
the uterine involution process.
• Women’s knowledge regarding palm date benefits of the
studied groups indicated that all women of both groups know
that palm dates are beneficial as nutritional source, but 15%
of them know that palm dates increasing breast milk and
none of them don’t know that palm date accelerate uterine
involution .
• Regarding comparison between control and study groups in
relation to uterine involution rate and breast feeding satisfaction rate indicates that normal fundal descent rate
represent 86.6% and 6.7% in control and study group
respectively. Fast uterine involution rate is present only
among the study group representing 93.3%. While 13.4% of
control group only women have later uterine daily descent
rate. Regarding lochia 93.3 % and 100% of women have
moderate lochia. While, 6.7% of control group women 0nly
have heavy lochia. Concerning signs of newborns
satisfaction from breast feeding 20%of women in control
group only have no feeding satisfaction. While, 53.3%and
60.0% of women have incomplete feeding satisfaction and
26.7% and 40.0% of women have complete feeding
satisfaction in both groups.
• In conclusion, the study revealed that palm date have a
positive effect upon uterine involution process and up on
breast feeding sufficiency. As women used palm date
showed faster uterine involution rate and more signs of
sufficient breast feeding and complete feeding satisfaction
and lochia become normal than those of the control group.
The study revealed that most of women on both groups don’t
know factors accelerate uterine involution .Moreover, all
women in both groups all women of both groups know that
palm dates are beneficial as nutritional source, but none of
them know that palm dates increasing breast milk and
accelerate uterine involution.• Based on this finding, the researcher recommended
conduction of awareness secessions for mothers in postnatal
units regarding benefits of palm date for women in
postpartum period. Further researches are still need to study
the effect of palm dates on uterine involution rate in breast
feeding and non breast feeding women and to study of the
effect of palm dates on prevention of atonic postpartum
hemorrhage.