Maternal Fetal Medicine
Leili Rezaie Kahkha; Farzaneh Zamani; Khadije Rezaie Keikhaie; Masoumeh Mirteimouri
Volume 9, Issue 2 , March and April 2024, , Pages 225-230
Abstract
Background & Objective: Determining the clinical manifestations of COVID-19 in pregnant and recently pregnant women is important to identify risk factors in order to evaluate complications and maternal and perinatal outcomes. The aim of the present study was to investigate the symptoms of COVID-19 ...
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Background & Objective: Determining the clinical manifestations of COVID-19 in pregnant and recently pregnant women is important to identify risk factors in order to evaluate complications and maternal and perinatal outcomes. The aim of the present study was to investigate the symptoms of COVID-19 in pregnant women and its effects on the newborn.
Materials & Methods: The Now study was a prospective descriptive study. This research was conducted in 2020 on 101 pregnant women with COVID-19 infection admitted to the intensive care unit in Zabol city, Iran. All studied patients were examined in terms of clinical symptoms, maternal and neonatal complications, and laboratory findings such as WBC and ESR in all patients were checked. Finally, all information was entered into each patient's form and by using SPSS V22 software analyzed.
Results: Number of 101 pregnant women participated in the study, with an average age of 31.09 years. In this study, 93 individuals had PCR positive (92.1%), 84 individuals with COVID+ in CT scan (83.2%), 25 individuals with an underlying disease (24.8%), and 54 individuals with addiction (53.5%). 20 feet (19.8%) were reported. 20 deaths (19.8%) were reported. The average BMI of the participants was 25.46. Among maternal complications, pulmonary involvement (71.28%) the most frequently was reported. Among the hospitalized patients (95 individuals), 25 individuals had underlying diseases. In this population, maternal complications were significantly more reported (P value=0.012). Among neonatal complications, the most common cases of death were IUFD and abortion. 62.1% of the participants had a natural delivery and 63.4% had a term delivery.
Conclusion: Fever, throat redness and swelling, respiratory distress and cough are the most common clinical symptoms and lung involvement is the most common complication of COVID infection in pregnant mothers. In infants, IUFD and abortion were also very common. PCR and CT scan are two high-sensitivity tests for detecting COVID.
Maternal Fetal Medicine
Adibeh Mauwloudi; Laleh Eslamian; Vajiheh Marsousi; Ashraf Jamal; Maryam Noorzadeh; Mahsa Naemi; Ali Reza Norouzi; Nazila Mesbah
Volume 9, Issue 1 , January and February 2024, , Pages 1-6
Abstract
Background & Objective: The aim of this study was to determine which of the two drugs of ibuprofen, as a common non-steroidal anti-inflammatory drugs (NSAID), and acetaminophen would have the least effect on postpartum hypertension in patients with preeclampsia.Materials & Methods: Clinicodemographic ...
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Background & Objective: The aim of this study was to determine which of the two drugs of ibuprofen, as a common non-steroidal anti-inflammatory drugs (NSAID), and acetaminophen would have the least effect on postpartum hypertension in patients with preeclampsia.Materials & Methods: Clinicodemographic data including age, gestational age at delivery, body mass index, parity, and route of delivery, were collected through interviews with patients and reviewing patient records. In this double-blind clinical trial, among 84 patients included in the study, 42 patients were randomly assigned to the acetaminophen (650 mg every 6 to 24 hours) and 42 patients into the ibuprofen (600 mg every 6 to 24 hours) group.Results: The two groups were not significantly different in terms of mean age (P = 0.322), body mass index (P = 0.950), route of delivery (P = 0.657), parity (P = 0.818), and mean systolic (p = 0.530) and diastolic blood pressure (P = 0.691). Following the intervention, the duration of blood pressure control (P = 0.182), mean systolic blood pressure (P = 0.371), and mean diastolic blood pressure (P = 0.13) were not significantly different in the acetaminophen and ibuprofen groups. There was no significant difference between the two groups in terms of the number of patients and the dosage of opioids used.Conclusion: The results revealed that in patients with preeclampsia, acetaminophen and ibuprofen to control postpartum pain have a similar impact on blood pressure.
Reproductive Medicine
Saeide Saeidi; Elham Javadian; Sima Saravani; Mehrangiz Ghafari; Asal Khosravi
Volume 9, Issue 1 , January and February 2024, , Pages 76-82
Abstract
Background & Objective: Urinary tract infection is one of the most common asymptomatic infectious diseases during pregnancy, which is mostly caused by Escherichia coli infection, which, if not diagnosed and treated, causes harm to the mother and the fetus.Materials & Methods: In a cross-sectional ...
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Background & Objective: Urinary tract infection is one of the most common asymptomatic infectious diseases during pregnancy, which is mostly caused by Escherichia coli infection, which, if not diagnosed and treated, causes harm to the mother and the fetus.Materials & Methods: In a cross-sectional study of 50 pregnant women who referred to the outpatient clinic of Zabol hospital center after completing the questionnaire and examining the patients by obstetrician and gynecologist and ensuring that they were healthy, a sterile mid-stream urine sample was prepared and examined and diagnosed in terms of a complete urine test and placed were and Escherichia coli samples were separated from other colonies by diagnostic tests. The characterization of ZnO-NPs was performed by, Fourier-transform infrared spectroscopy, scanning and transmission electron microscopes, and X-ray diffraction. The antimicrobial activity of ZnO-NPs synthesis in Eucalyptus was studied both in vitro against E. coli clinical isolates from woman.Results: The results of the analyzes showed that the zinc oxide nanoparticles were synthesized in a polyhedral to round shape and the size of the nanoparticles was 21 nm. The results of the antibiotic resistance pattern investigation showed that the most sensitive to the antibiotic amikacin was and also the minimum inhibitory concentration of synthetic zinc nanoparticles was equal to 1500 μg/ml.Conclusion: In this study, it was found that aqueous extract of Eucalyptus leaves has the ability to produce zinc nanoparticles oxide nanoparticles have been synthesized from zinc sulfate, and the synthetic nanoparticles have shown good antimicrobial properties against antibiotic-resistant Escherichia coli bacteria.
Obstetrics and Gynecology
Alaa Abdul Hussein Kareem Al-Daamy
Volume 8, Issue 6 , November and December 2023, , Pages 620-628
Abstract
Background & Objective: Increasing urinary tract infections (UTI) in pregnant women was a reason for which this study aimed to find out the spread of bacteria in them and also study the resistance of bacteria to antibiotics and the type of resistance.Materials & Methods: During November ...
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Background & Objective: Increasing urinary tract infections (UTI) in pregnant women was a reason for which this study aimed to find out the spread of bacteria in them and also study the resistance of bacteria to antibiotics and the type of resistance.Materials & Methods: During November 2022, 50 urine samples were collected from pregnant women with symptoms of UTI. Direct microscopy tests were conducted on the samples. The samples were cultured on the media of MacConkey agar (MAC) and blood agar. Biochemical tests were performed and diagnosed using the VITEC-2 system. Antibiotic susceptibility screening test was done for all isolates.Results: Of the 50 bacterial isolates diagnosed and isolated from pregnant women with UTI, 84% were gram-negative and 16% were gram-positive. The most prevalent bacteria were E. coli, with a rate of 60%, followed by Proteus mirabilis, with a rate of 12%. All E. coli isolates were resistant (100%) to the AMOX antibiotic, and the isolates showed high resistance (87%) to CFR, CN, CZ, CXM, CAE, CPD, CRO NA and SXT antibiotics. 13.3% of E.coli isolates were extended detection and response (XDR), 50% and 25% of Staphylococcus hominis and aureus isolates were XRD, respectively.Conclusion: E. coli is the most common and most resistant bacteria of type XRD, and gram-positive bacteria, staph bacteria, showed resistance to type XRD. In addition, gram-negative bacteria showed high resistance to many antibiotics, including AMOX, CFR, CN, CZ, CXM, and CAE. Gram-positive bacteria showed complete resistance against BENPEN, OXA, CLIN, TEC, VAN, TET, FUS and VAN.
Obstetrics and Gynecology
Omarov Nazarbek Bakytbeko; Thaiba Abdulrazzaq; Entsar Hachim Muhammad; Sundus Mohammed Ali Al Bazi; Mazin A. A. Najm; Talib Kh. Hussein; Zahraa Hamzaa Abd Alzahraa; Sarah A. Hamood
Volume 8, Issue 5 , September and October 2023, , Pages 501-508
Abstract
Background & Objective: The birth of a baby with a low birth-weight (LBW), which has numerous consequences, is one of the most significant problems associated with childbirth. By evaluating the factors influencing LBW in infants, therapeutic interventions can be improved to mitigate its effects. ...
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Background & Objective: The birth of a baby with a low birth-weight (LBW), which has numerous consequences, is one of the most significant problems associated with childbirth. By evaluating the factors influencing LBW in infants, therapeutic interventions can be improved to mitigate its effects. In this regard, the present study aims to identify the causes of LBW in infants and assess these causes' impact.Materials & Methods: In the current retrospective observational study, the required data regarding demographic variables and history of pregnancy and childbirth was extracted from 730 electronic records of deliveries performed from Alwiyah Hospital for Obstetrics and Gynecology in Baghdad in 2021 involving infants with LBW. The SPSS.23 software,the t-test, independent t-test, and multiple logistic regression were used to analyze the data. The results' significance level was deemed to be less than 0.05.Results: The multiple logistic regression analysis model included variables with a significance level of less than 0.05. The results show that the variables of mother's age at delivery, the number of babies born in the current delivery, history of infertility, and iron deficiency anemia increase the chances of LBW by 0.48, 3.12, 0.38, and 0.56, respectively, and had a significant relationship with LBW infants (P<0.001).Conclusion: Paying particular attention to the treatment and improvement of the practical factors in LBW before birth in pregnant women is crucial.
Obstetrics and Gynecology
Rakhmanova Nodira Khodjayazovna; Thaiba Abdulrazzaq; Mazin A. A. Najm; Sadiq M. Al-shaikh; Khulood Majid Alsaraf; Mariam Alaa Toama; Mahmood Hasen Shuhata Alubiady; Shaymaa Abdulhameed Khudair
Volume 8, Issue 5 , September and October 2023, , Pages 520-527
Abstract
Background & Objective: One of the most prevalent musculoskeletal issues during pregnancy is pelvic pain, which most pregnant women may experience to varying degrees. The current research aims to identify and evaluate the risk factors contributing to pelvic pain in pregnant women.Materials & ...
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Background & Objective: One of the most prevalent musculoskeletal issues during pregnancy is pelvic pain, which most pregnant women may experience to varying degrees. The current research aims to identify and evaluate the risk factors contributing to pelvic pain in pregnant women.Materials & Methods: The present case-control research was conducted on 180 pregnant women at Baghdad's Alwiyah Hospital for Obstetrics and Gynecology in 2022. For data collection, two questionnaires and a checklist were utilized. The questionnaires included demographic information about women and questions about risk factors, and the checklist included the results of women's examinations to identify risk factors. Using SPSS.23 software, the data were analyzed, and the statistical significance level of the results was considered less than 0.05.Results: The results showed that from the demographic variables, only the age variable showed a statistically significant difference between the two groups (P<0.05). Also, evaluating the risk factors indicated a significant difference between the two groups for the baby's weight, back pain before pregnancy, and back pain in the previous pregnancy (P<0.001). Other demographic variables and risk factors did not significant difference between the two groups (P>0.05).Conclusion: The results demonstrated that identifying the risk factors could aid in managing aggravating pelvic pain factors during pregnancy and preventing movement restrictions in postpartum women.
Obstetrics and Gynecology
Hadeel Ali Mahamda; Reem Ali Haddad; Ameen Abdulhasan Al Alwany; Noora M. Hameed; Thulfeqar Ahmed Hamza
Volume 8, Issue 4 , July and August 2023, , Pages 366-373
Abstract
Background & Objective: An essential issue in obstetrics is the prevalence of maternal and fetal complications in pregnant women with polycystic ovary syndrome (PCOS). The purpose of the present study was to investigate the prevalence of pregnancy complications among various phenotypes of pregnant ...
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Background & Objective: An essential issue in obstetrics is the prevalence of maternal and fetal complications in pregnant women with polycystic ovary syndrome (PCOS). The purpose of the present study was to investigate the prevalence of pregnancy complications among various phenotypes of pregnant women with PCOS.Materials & Methods: In the current study, the pregnancy period of 143 women with PCOS who were referred to the Babylon teaching hospital in Iraq in 2021 was analyzed based on their medical records. These women were separated into two groups based on their PCOS-related clinical symptoms. People in the first group possessed a severe phenotype, while those in the second group possessed a mild phenotype. SPSS version 23 was utilized for comparing maternal and fetal complications during pregnancy and for data analysis.Results: Regarding maternal and fetal complications, there was a significant difference between the two groups regarding low birth weight (LBW) (P<0.05). In this study, there was no statistically significant difference between PCOS phenotypes and the incidence of gestational diabetes, preterm birth, or spontaneous abortion (P>0.05). In conclusion, women with a more severe phenotype are more likely to give birth to babies with low birth weight (LBW) (approximately 1.9 times).Conclusion: In clinical considerations of pregnant women with PCOS, it appears necessary to consider the disease's phenotype as one of the factors influencing fetal outcomes.
Obstetrics and Gynecology
Ali Abdulhussain Fadhil; Ghazi Mohamad Ramadan; Zahraa A. Al-Ajeeli; Noora M. Hameed; Wael Dheaa Kadhim; Ahmed S. Abed; Iman Hazim Jirjees; Anwar Sabbah Hussen
Volume 8, Issue 4 , July and August 2023, , Pages 374-381
Abstract
Background & Objective: Low and high hemoglobin concentration is one of the main concerns of women during pregnancy due to its high prevalence and adverse effects. The present study aimed to examine the correlation between maternal hemoglobin concentration and the baby's birth weight and height ...
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Background & Objective: Low and high hemoglobin concentration is one of the main concerns of women during pregnancy due to its high prevalence and adverse effects. The present study aimed to examine the correlation between maternal hemoglobin concentration and the baby's birth weight and height in 326 pregnant women referred to the Alwiyah hospital for obstetrics and gynecology in Baghdad, Iraq, in 2019.Materials & Methods: In the current descriptive-analytical study, pregnant women were classified into two groups: anemia and normal; four groups of moderate to severe anemia, mild, regular, and high hemoglobin; and eight groups with intervals of 12 g/L from severe anemia to high hemoglobin. This study's variables included infants' age, number of children, education level, socioeconomic status, weight, and height. The data was analyzed using SPSS version 19, descriptive statistics, t-test, and logistic regression. In this study, the level of statistical significance was deemed to be 0.001.Results: The results showed that the probability of low birth weight and abnormal height increases 4.96 times and 4.13 times, respectively, in mothers with high hemoglobin concentrations versus mothers with low hemoglobin concentrations; these ratios are statistically significant (P<0.001). Also, hemoglobin concentrations ranging from 104 to 115 g/L have the lowest probability. Furthermore, hemoglobin concentrations greater than 125 g/L are statistically significant (P<0.001).Conclusion: The current study revealed that high maternal hemoglobin concentrations during pregnancy could significantly impact the baby's weight and height.
Maternal Fetal Medicine
Bushra Abbas Abdullah; Hala Saadi Abdulwahid
Volume 8, Issue 4 , July and August 2023, , Pages 404-410
Abstract
Background & Objective: Antenatal care service satisfaction is a measure of the degree to which a woman seeking care is happy with the antenatal care service provided to her. As well as, the pregnant women satisfaction is a first indicator about the quality of antenatal care. This study aimed ...
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Background & Objective: Antenatal care service satisfaction is a measure of the degree to which a woman seeking care is happy with the antenatal care service provided to her. As well as, the pregnant women satisfaction is a first indicator about the quality of antenatal care. This study aimed to identify if the reproductive factors can predict the level of satisfaction towards ANC.Materials & Methods: A descriptive cross-sectional study conducted in the city of Diwaniyah in primary health care centers for the period from October 1st, 2022 to March 1st, 2023. The study sample consisted of 150 pregnant women who were selected according to a non-probability sampling approach. The questionnaire was validated according to experts and its reliability was verified through a pilot study. The total number of items included in the questionnaire was 38 items. Data were collected using interviews and analyzed by applying descriptive and inferential statistical analysis.Results: The results of the study indicate that the average age of pregnant women is 27.8 years, (30%) of primary school graduates, and (62%) of housewives, (34.7%) of them expressed more than 900,000 Iraqi dinars as a monthly income, and (60.7%) of them live in the regions Urban area. The results showed that the level of satisfaction was relatively moderate (48%). The reproductive related factors of pregnant women such as number of abortions, number of visits to ANC and gestational age are predicted variables of satisfaction.Conclusion: The most of influencing related factors are number of abortions, number of visits of ANC and gestational age are considered predicted the level of satisfaction. Decision makers in the Health Directorate should be employed based on quality guidelines in order to improve antenatal care services compared to international standards and take into consideration reproductive characteristics in providing those services.
Obstetrics and Gynecology
Zahra Soleimani; Mansoor Nourmohammadi; Neda Hashemi; Maryam Aghaei
Volume 8, Issue 1 , January and February 2023, , Pages 41-46
Abstract
Background & Objective: Considering the importance of good sleep quality during pregnancy and the adverse effects of poor sleep quality on mother before and after childbirth and also its adverse effects on the fetus and newborn, identifying the related factors to sleep disturbance is important. ...
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Background & Objective: Considering the importance of good sleep quality during pregnancy and the adverse effects of poor sleep quality on mother before and after childbirth and also its adverse effects on the fetus and newborn, identifying the related factors to sleep disturbance is important. Therefore, this study was conducted to evaluate the relationship between prenatal and sleep quality in pregnant women.Materials & Methods: The present cross-sectional study was done on 150 pregnant women who were referred to Baqiyatallah Hospital, Tehran, Iran. Convenience sampling method was used for choosing participants. Pittsburgh Sleep Quality Index (PSQI) and Prenatal Distress Questionnaire (PDQ) were used for gathering information.Results: The prevalence rates of poor sleep quality in first, second and third trimesters were 36%, 54% and 62%, respectively. In all three trimesters, the newborn health parameter had the highest score and relationship score had the lowest score. There was a statistically significant relationship between prenatal concerns and sleep quality of pregnant women in all three trimesters of pregnancy (P<0.05).Conclusion: We found the significant relationship between pregnancy concerns and sleep quality of pregnant women in all three trimesters of pregnancy, and this finding indicates the direct effect of pregnancy concerns on sleep quality during pregnancy. Therefore, it is necessary to plan and perform the necessary interventions to minimize the concerns of pregnant women.
Maternal Fetal Medicine
Laleh Eslamian; Ashraf Jamal; Vajiheh Marsosi; Marjan Ahmadi; Alireza Golbabaei; Paria Boustani
Volume 7, Issue 3 , January and February 2022, , Pages 165-170
Abstract
Background & Objective: IUGR (intrauterine growth restriction) fetuses have been known as a significant concern in clinical practice. It is associated with fetal mortality and morbidity and prenatal adverse cardiac remodeling. The aim of this study is the evaluation of the relation between MPI (myocardial ...
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Background & Objective: IUGR (intrauterine growth restriction) fetuses have been known as a significant concern in clinical practice. It is associated with fetal mortality and morbidity and prenatal adverse cardiac remodeling. The aim of this study is the evaluation of the relation between MPI (myocardial performance index) abnormalities and doppler findings in both normal and IUGR fetuses.Materials & Methods: In this cross-sectional study, 400 consecutive pregnant women in Shariati Hospital, Tehran, Iran, in 2019 and 2020 underwent ultrasound assessment at 28-40 weeks, in which among the 400 performed ultrasounds, 47 fetuses with IUGR were selected as a case group, and 47 fetuses with normal weight were selected based on AGA (appropriate gestational age). Cardiac function was evaluated by measuring MPI in diastolic and systolic function in two groups. The results were compared to the IUGR (case group) and control group by SPSS software version 20.Results: In receiver operating characteristic (ROC) analysis, the AUC (area under the curve) for left ventricular MPI (LV MPI) was 0.929 (CI95%: 0.868-0.991; P < /em>=0.001), and the sensitivity and specificity values were 87% and 69.4% with a cut-off point of 0.2850. In ROC analysis, the area under the curve for RV MPI was 0.842 (CI95%: 0.741-0.942; P < /em>=0.001), and the sensitivity and specificity values were 78.3% and 63.9%, with a cut-off point 0.2850. Left and right ventricular MPI showed a significant difference statistically between the case and the control groups.Conclusion: The study showed a significant rise of MPI in IUGR fetuses. MPI can be considered as a useful parameter for evaluating the severity of growth restriction in IUGR fetuses.
Maternal Fetal Medicine
Fatemeh Mirzaie; Khadije Rezaie Keikhaie; Mahin Badakhsh; Bahareh Khajehpour; Samira Ghofrani
Volume 7, Issue 2 , September and October 2021, , Pages 89-98
Abstract
Background & Objective: Pregnancy is a stressful event in and of itself, which may have an impact on the present prevalence of COVID-19 illness. It is crucial to think about what factors can help pregnant women cope with the anxiety brought on by the COVID-19 outbreak. The purpose of this study was ...
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Background & Objective: Pregnancy is a stressful event in and of itself, which may have an impact on the present prevalence of COVID-19 illness. It is crucial to think about what factors can help pregnant women cope with the anxiety brought on by the COVID-19 outbreak. The purpose of this study was to determine the prevalence of COVID-19 in pregnant women, as well as the impact of COVID-19 anxiety on pregnant women's Apgar scores and birth weights of newborns.Materials & Methods: From early January to late March 2021, 102 pregnant women were included in this descriptive cross-sectional study using any accessible sampling method. Questionnaires such as the "Demographic" and "Corona Anxiety Scale" were used to collect data. SPSS software version 22 was used to analyze the data.Results: The mean score of total anxiety caused by COVID-19 in pregnant women was 20.88 ± 21.08, which was moderate. Among the components of anxiety, the mean score of psychological symptoms (13.05 ± 5.31) of pregnant women was higher than physical symptoms (5.64 ± 5.72). There was no statistically significant link between demographic characteristics and COVID-19-induced anxiety (P < /em>>0.05). The findings also revealed no statistically significant connection between COVID-19-induced anxiety and newborn weight or Apgar score 1 and 5 minutes after birth (P < /em>>0.05).Conclusion: The definitive incidence of COVID-19 in pregnant women was low. They experienced a moderate level of anxiety caused by COVID-19, which requires the necessary measurements to be taken by the relevant authorities, family and others to reduce this anxiety during the coronavirus pandemic.
Masoumeh Rahimian; Setare Nassiri; Elham Saffarieh
Volume 4, Issue 1 , March and April 2019, , Pages 16-23
Abstract
Background & Objective: Pregnancy is one of the most important stages of a woman’s life. Although this is a pleasant period for most women, it is often considered as a stressful period accompanied by physiological and psychological changes. This study aimed to examine pregnant women’s ...
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Background & Objective: Pregnancy is one of the most important stages of a woman’s life. Although this is a pleasant period for most women, it is often considered as a stressful period accompanied by physiological and psychological changes. This study aimed to examine pregnant women’s attitude towards sexual desire and its relationship with quality of life and rumination in the last trimester of pregnancy.
Materials & Methods: The statistical population of this descriptive correlational study included all pregnant women in the last trimester of pregnancy. A total of 280 women were selected using a random sampling method. Data were collected using the Index of Sexual Desire, Rumination Scale, and Quality of Life Questionnaire. The data were analyzed by SPSS 11.5 using simultaneous regression analysis.
Results: The results showed that rumination was significantly and negatively predicted by sexual desire. Moreover, the subscales of physical functioning, emotional problems, and general health were positively and significantly predicted by sexual desire. However, sexual desire could not significantly predict other subscales of quality of life, namely fatigue or vitality, emotional health, social functioning, pain, and physical health status.
Conclusion: Our finding revealed that, if guided and employed properly, sexual desire during pregnancy can moderate stress.
