Obstetrics and Gynecology
Fahimeh Ghotbizadeh; Zahra Panahi; Azam Tarafdari Manshadi; Saeed Soltani; Razieh Akbari; Mahdieh Parsapur
Volume 8, Issue 1 , November and December 2022, , Pages 68-75
Abstract
Background & Objective: Social factors which are integrated with health status are considered crucial in pregnancy morbidity. Mothers with a developed level of health literacy (HL) experience a lower risk of preterm delivery. This study aimed to evaluate the relationship between maternal HL ...
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Background & Objective: Social factors which are integrated with health status are considered crucial in pregnancy morbidity. Mothers with a developed level of health literacy (HL) experience a lower risk of preterm delivery. This study aimed to evaluate the relationship between maternal HL and prenatal care and pregnancy outcome.Materials & Methods: The research was a cohort study. A total of 323 participants were selected from prenatal clinics. The women were followed until delivery. Women who had gestational diabetes or preeclampsia or gestational hypertension during pregnancy were omitted. Data were collected with a survey.Results: The result found 34.1%, 33.1%, 23.8%, and 9% were categorized as having inadequate, problematic, sufficient, and excellent maternal HL. Women with sufficient and excellent literacy were meaningfully better in having earlier and more frequent antenatal care, earlier folic acid consumption, and exercise before and during pregnancy, pregnancy alarm sign awareness, neonatal birth weight, and breastfeeding.Conclusion: The results proposed that sufficient and excellent HL among women is related to good pregnancy outcomes and poor HL causes a poor chance to gain a positive pregnancy outcome. A cooperative work to grow maternal HL by considering HL levels, revision of educational materials into plain language, and provision of pregnant women with verbal and video instruction in addition to written materials are highly recommended.
Obstetrics and Gynecology
Zahra Akbarian Rad; Shahla Yazdani; Mina Galeshi; Neda Eftekhari; Fatemeh Shafizadeh
Volume 7, Issue 1 , September and October 2021, , Pages 45-51
Abstract
Background & Objective: Premature preterm rupture of membranes (PPROM) occurs in about 2-5% of singleton pregnancies and is known to cause one-third of preterm births. Our primary aim was to determine the maternal and neonatal outcomes in PPROM cases in mothers with a gestational age of less than ...
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Background & Objective: Premature preterm rupture of membranes (PPROM) occurs in about 2-5% of singleton pregnancies and is known to cause one-third of preterm births. Our primary aim was to determine the maternal and neonatal outcomes in PPROM cases in mothers with a gestational age of less than 37 weeks.Methods: In this prospective cross-sectional study, eligible singleton women between 24+0-37+6 weeks of gestation with the PPROM enrolled who had referred to Ayatollah Rouhani Hospital in Babol, Iran, during the years 2019-2020. Maternal and neonatal outcomes were obtained by the checklist.Results: The mean age of the studied mothers was 29.3± 6.19 years, and their mean body mass index was 30.6 ±5. The incidence of chorioamnionitis at the gestational age of >32 weeks was more than that in women at gestational age equal to or over 32 weeks (P < /em>≤0.0001). Vaginal bleeding was almost more than twice as high in women with a gestational age of less than 32 weeks compared to those with a gestational age equal to or over 32 weeks (P < /em>≤0.0001). Neonatal morbidity was higher in all cases at less than 32 weeks of gestation (P < /em>≤0.0001). The neonatal mortality rate was 5.35%, but it was 25% at less than 32 weeks of gestation (P < /em>≤0.0001). The latency period greater than 7 days had more odds ratio for neonatal morbidity.Conclusion: Due to the high incidence of maternal and neonatal outcomes in gestational age less than 32 weeks, it is suggested that appropriate instructional materials and proper proceeding should be taken to prevent preterm labor and preterm rupture of the membranes.
Obstetrics and Gynecology
Zahra Naeiji; Saleheh Heydari; Melina Bahaar; Masoomeh Mirzamoradi; Atefeh Moridi; Marzieh Fathi
Volume 6, Issue 4 , August 2021, , Pages 195-201
Abstract
Background & Objective: Pessary is a silicone, rubber or plastic device, available in different shapes and sizes, which may prevent preterm labor in some pregnant women.Materials & Methods: We enrolled >18-year-old women with gestational age between 24 weeks and 0 days to 34 weeks ...
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Background & Objective: Pessary is a silicone, rubber or plastic device, available in different shapes and sizes, which may prevent preterm labor in some pregnant women.Materials & Methods: We enrolled >18-year-old women with gestational age between 24 weeks and 0 days to 34 weeks and 0 days, admitted to hospital with signs/symptoms of preterm labor (threatened preterm labor) and shortened cervical length (<25 mm in ultrasound measurement). Included subjects were randomly allocated to 2 groups. In first group a cervical pessary was placed for patient in lithotomy position. In second group no pessary was inserted and patients received only the routine standard institutional treatments.Results: Demographic characteristics, Body Mass Index, mean cervical length, parity status, fertilization type (natural, assisted) and route of delivery had no statistically significant difference in 2 studied groups. Although gestational age at which patient had experienced her first preterm labor episode was similar in 2 groups, gestational age at delivery was higher in pessary group compared with expectant management group (38.64 weeks versus 35.80 weeks which was statistically significant). Neonatal outcome measures (like rate of respiratory distress, orotracheal intubation, low birth weight, NICU admission, fetal death, etc.) were better (statistically significant) in pessary group.Conclusion: Using cervical pessary after successful control of a threatened preterm labor episode in women with short cervix can postpone the labor significantly, leading to increased gestational age and improved neonatal outcome.
Maternal Fetal Medicine
Fatemeh Bahadori; Zahra Fakour; Roghayeh Redaei; Hamid Reza Khalkhali; Zahra Sahebazzamani
Volume 6, Issue 1 , January 2021, , Pages 10-15
Abstract
Background & Objective: This study aimed to assess the effect of betamethasone on neonatal and maternal complications of late preterm labor. Materials and Methods: The women at the gestational age of 34 weeks to 36 weeks and 6 days who referred to Shahid Motahari Hospital, Urmia, Iran for premature ...
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Background & Objective: This study aimed to assess the effect of betamethasone on neonatal and maternal complications of late preterm labor. Materials and Methods: The women at the gestational age of 34 weeks to 36 weeks and 6 days who referred to Shahid Motahari Hospital, Urmia, Iran for premature labor or had a maternal indication of pregnancy termination were selected for this study. The participants were classified into the case group receiving two doses of 12 mg intramuscular betamethasone every 24 h or the control group who did not receive betamethasone. The incidence of respiratory distress syndrome (RDS), need for mechanical or noninvasive ventilation, days of stay in Neonatal Intensive Care Unit (NICU) or Neonatal Ward, umbilical arterial blood gases, maternal hyperglycemia, and wound infection were evaluated.Results: A total of 200 pregnant women were enrolled with a mean age of 27.06±6.55 years. Out of 200 neonates, 52 cases had RDS of which 21 received betamethasone. The first-minute Apgar score was 6.96±0.75 in the control and 7.57±0.67 in the case groups (P < /em><0.001). The incidence of RDS, need for surfactant administration, noninvasive ventilation, and days of stay at NICU or Neonatal Ward were significantly different between the study groups. However, because of the low number of cases (2 cases), we did not find a significant difference in the need for mechanical ventilation between the two groups (P < /em>=0.041). There was maternal hyperglycemia in 65% of women in the test group. Conclusion: Administration of betamethasone in late premature pregnancies can be effective in the reduction of neonatal complications without any increase in maternal complications.
Monireh Rahimkhani; Alireza Mordadi; Mohammad Zayandeh; Laya Sam
Volume 3, Issue 3 , September and October 2018, , Pages 111-114
Abstract
Aims: Preterm labors and abortions are among dangers that threaten mothers’ and infants’ lives. Several bacterial, viral, and parasitic agents can cause preterm labor and abortion. Among these bacterial agents, Chlamydia trachomatis plays a very key role. The aim of this study was to detect ...
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Aims: Preterm labors and abortions are among dangers that threaten mothers’ and infants’ lives. Several bacterial, viral, and parasitic agents can cause preterm labor and abortion. Among these bacterial agents, Chlamydia trachomatis plays a very key role. The aim of this study was to detect and isolate Chlamydia trachomatis from urine and its role in preterm labor.
Materials & Methods: This cross sectional study was carried out from 2016 to 2017 in AlMahdi Clinic under the supervision of Tehran University of Medical Sciences. 119 pregnant women who were in the first trimester of pregnancy (between 12 and 14 weeks) referred to a health center for screening tests were selected using available sampling method and were collected their urine samples. The obtained samples were centrifuged and the DNA was extracted from urine sediment. Using specific PCR kits for detecting Chlamydia trachomatis, the presence or absence of this bacteria was investigated in the urine sediment. The data were analyzed using Chi square test.
Findings: The rate of isolating Chlamydia trachomatis from the urine of these pregnant women was 6.72%. There was no significant relationship between chlamydia infection and history of abortion (p=0.93).
Conclusion: The level of the isolation of Chlamydia trachomatis from the urine of pregnant women is twice more than the level of its isolation from samples taken from vaginal and cervical discharge in pregnant women. Therefore, urine is an appropriate sample for the diagnosis of Chlamydia trachomatis since the sampling method is non-invasive and has more positive cases
