Discussion
hemorrhage, bleeding
BLEEDING, POSTPARTUM HEMORRHAGE, STILL, PREGNANCY COMPLICATIONS, HEMORRHAGE
The current study was a randomized clinical trial to determine the effect of date consumption on the amount of hemorrhage after natural childbirth. The results showed that the amount of hemorrhage in the first 24 h after delivery in the date group was significantly lower than in the control group (P = 0.009). Yadegari et al. investigated the effect of dates on the amount and duration of postpartum hemorrhage. The amount of hemorrhage on the first day was less in the intervention group, but it was not statistically significant. Still, there was a statistically significant difference between the two groups regarding the amount of hemorrhage on the second to tenth days. Also, dates did not affect reducing the number of hemorrhage days [On the other hand, Izzaddin et al. investigated the effects of date fruit consumption on labor and vaginal delivery in pregnant women. Date consumption decreased the duration of the first and third stages of labor. Still, it had no significant effect on other maternal outcomes, including the approximate amount of hemorrhage, which is inconsistent with the present research [The limitations of the present study were using self-reporting tools to determine the amount of postpartum hemorrhage. It is suggested to carry out studies using interventions before delivery or continuing the intervention for ten days or more postpartum. One of the present study's strengths was eliminating many confounding variables, such as pregnancy complications, receiving herbal treatments, fetal estimated weight over the 4500 g, abnormal amniotic fluid index, severe bleeding, etc., from the inclusion criteria.