Sedigheh Abdollahpour; Talat Khadivzadeh
Volume 4, Issue 3 , September and October 2019, Pages 86-92
Abstract
Background & Objective: Traumatic childbirth, followed by postpartum stress, imposes many psychological consequences on women and their families. Therefore, this study was conducted to determine the prevalence of traumatic childbirth and postpartum post-traumatic stress in Iran using a systematic ...
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Background & Objective: Traumatic childbirth, followed by postpartum stress, imposes many psychological consequences on women and their families. Therefore, this study was conducted to determine the prevalence of traumatic childbirth and postpartum post-traumatic stress in Iran using a systematic review.
Materials & Methods: In this review, ISI, PubMed, Scopus, SID, Iranmedex, IranDoc, Magiran, and Google Scholar databases were searched to find relevant studies, by looking for the following keywords, i.e., prevalence, traumatic childbirth, post-traumatic stress, post-traumatic stress disorder, delivery or birth, Iran, and their English equivalents, in Persian and English-language journals published from 1981 to November 2018. Data were analyzed by the meta-analysis method using a random-effects model and the studies’ heterogeneity was calculated by the I2 index.
Results: Of a total of 1420 studies, 8 descriptive studies carried out from 2010 to 2017 were finally included after applying the inclusion and exclusion criteria. Among the 800 samples studied, the overall prevalence of traumatic childbirth was 51.3% and the overall prevalence of post-traumatic stress was 29.1% among the total of 2687 samples studied.
Conclusion: The prevalence of traumatic childbirth and post-traumatic stress is high in Iran; hence, it is necessary to carry out further studies to understand this important issue, so that more attention can be paid to mothers’ psychological problems to plan and make policies to maintain and improve their health in the postpartum period.
Hassan Boskabadi; Maryam Zakerihamidi; Fatemeh Bagheri
Volume 4, Issue 3 , September and October 2019, Pages 93-98
Abstract
Background & Objective: Caesarean sections without indication, compared to normal vaginal deliveries, bring about many consequences for the mother and her fetus. Therefore, this study aimed at comparing the characteristics of neonates born by normal vaginal deliveries and caesarean sections.
Materials ...
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Background & Objective: Caesarean sections without indication, compared to normal vaginal deliveries, bring about many consequences for the mother and her fetus. Therefore, this study aimed at comparing the characteristics of neonates born by normal vaginal deliveries and caesarean sections.
Materials & Methods: In this cross-sectional study conducted from 2015 to 2019, 736 term neonates aged 3 to 12 days old with a weight > 2.5 kg and a gestational age > 37 weeks referred to a neonatal clinic were studied after obtaining their parents’ full consent. A researcher-made questionnaire examining maternal personal information, neonate’s characteristics, breastfeeding status, and the type of delivery was completed. The obtained data were analyzed via SPSS 22, using a t-test and Chi-square test.
Results: In the present study, out of the 736 term neonates, 409 neonates (55.6%) were born by normal vaginal deliveries and 327 neonates (44.4%) were born by caesarean sections. There were statistically significant differences between the two methods of delivery in terms of the frequency of breastfeeding per day (P < /em>=0.002), the frequency of urination per day (P < /em>=0.007), the first postpartum defecation time (P < /em>=0.027), and neonates’ chief complaint (P < /em>=0.004).
Conclusion: The results of the current study showed that the neonates born by normal vaginal deliveries, compared to those delivered by caesarean sections, had a more favorable status, regarding the frequency of breastfeeding, the frequency of urination per day, and the first postpartum defecation time. Moreover, the level of weight loss (g) per day and the percentage of daily weight loss were higher in the neonates born by caesarean sections compared to the other neonates.
Mohammad Ranaei; Emad Kohsari; Mina Galeshi; Shahla Yazdani
Volume 4, Issue 3 , September and October 2019, Pages 99-104
Abstract
Background & Objective: Adenomyosis is a prevalent gynecological disorder among women with no specified causes. It is characterized by nonspecific symptoms, and can present itself as abnormal uterine bleeding, abdominal pain, menstrual disorders, and the like. Its diagnosis is made based on the pathologic ...
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Background & Objective: Adenomyosis is a prevalent gynecological disorder among women with no specified causes. It is characterized by nonspecific symptoms, and can present itself as abnormal uterine bleeding, abdominal pain, menstrual disorders, and the like. Its diagnosis is made based on the pathologic histological examination of hysterectomized samples. This study aimed to evaluate the correlation of adenomyosis with other benign endometrial disorders in hysterectomized samples.
Materials & Methods: In this paper a total of 413 patients who referred to Rouhani Hospital of Babol, form 2012 to 2017, and underwent a hysterectomy surgery with pathological reports confirming the diagnosis of adenomyosis, were studied. After reviewing the medical records, the patients’ data, including their age, weight, number of deliveries, place of residence, and main complaints at the time of referral as well as benign endometrial pathologies correlated with adenomyosis, were examined. Finally, the obtained data were analyzed using statistical tests.
Results: The prevalence of adenomyosis in this study was 21.7%. The patients’ most common complaints were abnormal uterine bleeding (86.4%), dysmenorrhea (39.2%), abdominal pain (31.2%), dyspareunia (21.1%), mass outflow (15%), and pelvic pain (9.4%). In the current study, the benign pathologies correlated with adenomyosis were leiomyoma (52.5%), uterine polyp (11.9%), adenomyoma (5.1%), and hyperplasia (0.5%).
Conclusion: In the present study, the prevalence of adenomyosis was high and abnormal uterine bleeding was the patients’ most prevalent complaint. Moreover, leiomyoma had the highest correlation with adenomyosis.
Shapoor Shoja; Seyedeh Reyhaneh Yousefi Sharami; Shole Shahgheibi; Farnaz Zand-Vakili; Shamsi Zare; Daem Roshani; Nasrin Sofizadeh
Volume 4, Issue 3 , September and October 2019, Pages 105-110
Abstract
Background & Objective: The induction of labor is needed to terminate pregnancy in pregnant women lacking labor pain. Common indications of labor induction include rapture of membranes without labor pain, hypertension, fetus’ unreassuring conditions and post-term pregnancies. The purpose of ...
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Background & Objective: The induction of labor is needed to terminate pregnancy in pregnant women lacking labor pain. Common indications of labor induction include rapture of membranes without labor pain, hypertension, fetus’ unreassuring conditions and post-term pregnancies. The purpose of this study is to compare and contrast vaginal misoprostol with Foley catheter in cervical ripening and the induction of labor.
Materials & Methods: This study was done on pregnant women who showed pregnancy termination indication for any cause, using randomized clinical trial method. Inclusion criteria in this study included gestational age equal to or greater than 37 weeks and ultrasonography of the first trimester, unfit cervix Bishop Score 1 equal to or less than 4, single-shot pregnancies, vertex display, intact membrane and the subject’s consent to participate in the research. Patients were divided into two equal groups of 60. Oxytocin was used for the induction of labor if the patient did not enter the active phase.
Results: In this study, the average age of women in Foley catheter group and misoprostol group were 27.03±4.04 and 26.85±3.49 respectively in which there was no meaningful difference statistically. However, the average age of women with cesarean delivery was statistically more than the average age of women with NVD. Bishop score 2 has demonstrated more increase in comparison to Bishop score 1 among Foley catheter group rather than misoprostol group. The average of labor speed, the number of women with NVD and the failure of induction in Foley catheter group exceeded those in misoprostol group.
Conclusion: According to the results gained in this study, Foley catheter application for induction of labor had better outcomes in comparison to vaginal misoprostol. It can even be a better alternative for vaginal misoprostol; hereby the side effects of misoprostol such as possible tachysystol and fetus distress can be prevented.
Soheila Aminimoghaddam; Afsar Ahmad; Setare Nassiri
Volume 4, Issue 3 , September and October 2019, Pages 111-116
Abstract
Background & Objective: Gestational trophoblastic neoplasia contains a group of abnormal trophoblastic tumors including hydatidiform moles (partial and complete) and non-molar trophoblastic neoplasms (invasive mole, choriocarcinoma, placental site trophoblastic tumor). The incidence is 1-2 per 1000 ...
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Background & Objective: Gestational trophoblastic neoplasia contains a group of abnormal trophoblastic tumors including hydatidiform moles (partial and complete) and non-molar trophoblastic neoplasms (invasive mole, choriocarcinoma, placental site trophoblastic tumor). The incidence is 1-2 per 1000 deliveries both in the United States and Europe. The aim of this study was to prove the noninferiuority and safety of misoprostol use in cervical ripening in patient with molar pregnancy.
Materials & Methods: This retrospective cohort study was performed on 150 women with molar pregnancy referred to Firuzgar and Mirza-koochack-khan hospitals in Tehran, between 2006 and 2013. We defined group 1 as 100 patients without Misoprostol pretreatment and group 2 as 50 patients with Misoprostol pretreatment. There was no significant difference in the number of complete or partial mole between the two groups. They were followed by serum ß-hCG level and if it became plateaued in 4 measurements or rose more than 10% in 3 measurements in a period of three weeks, would be defined as persistent.
Results: We found no significant difference of maternal age, fundal height, gestational age, gravity, parity, number of previous abortions and prevalence of complete and partial moles between the two groups. A total of 27 (27%) patients in non-Misoprostol group and 5 (10%) patients in Misoprostol group developed Persistent GTN (P < /em><0.05). We observed no case of trophoblastic embolism in the misoprostol group.
Conclusion: Misoprostol cervical ripening resulted in lower Persistent GTN incidence. Also, trophoblastic embolism following misoprostol administration is so rare that we observed no case.
Elham Shirali; Fariba Yarandi; Mostafa Safavi; Omid Hemmatian; Marjan Ghaemi
Volume 4, Issue 3 , September and October 2019, Pages 117-119
Abstract
Background & Objective: Primary vaginal sarcomas are extremely rare and counts about 2-3% of all vaginal malignancies. We report a case with vaginal leiomyosarcoma which was treated by radical hysterectomy.
Case Report: A 46 year old woman from Iraq, referred to Yas Hospital by chief complaint of ...
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Background & Objective: Primary vaginal sarcomas are extremely rare and counts about 2-3% of all vaginal malignancies. We report a case with vaginal leiomyosarcoma which was treated by radical hysterectomy.
Case Report: A 46 year old woman from Iraq, referred to Yas Hospital by chief complaint of post-coital bleeding and a vaginal mass with pathology report of vaginal leiomyosarcoma. She underwent radical hysterectomy with bilateral salpingo-oophorectomy and partial vaginectomy (2/3 upper of the vagina). She refused to receive chemotherapy after surgery. In 3 years follow up, she did not have any recurrence.
Conclusion: Experiences about vaginal leiomyosarcoma are not sufficient due to rarity of the disease. However, based on review of the literature surgery is still the first choice followed by both chemotherapy and radiotherapy that are preferred based on current reports.
Nadereh Behtash; Setareh Akhavan
Volume 4, Issue 3 , September and October 2019, Pages 120-126
Abstract
Uterine sarcomas (US) are relatively rare malignant tumor of the uterine mesenchymal tumor. The present study evaluated the outcomes of patients with different types of uterine sarcoma in Iranian women during a 5-years survey. During 2014-2019, a case series of twenty-three patients of US (four cases ...
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Uterine sarcomas (US) are relatively rare malignant tumor of the uterine mesenchymal tumor. The present study evaluated the outcomes of patients with different types of uterine sarcoma in Iranian women during a 5-years survey. During 2014-2019, a case series of twenty-three patients of US (four cases of leiomyosarcoma (LMS), nine cases of endometrial stromal sarcoma (ESS), seven cases of carcinosarcoma (CS), and three cases of adenosarcoma (AS)) were studied. One case of AS needed adjuvant radiotherapy and a recurrence was occurred in this case four years later. Two cases of CS have died during study period. All of ESS cases were alive by the study duration. One case who did not receive radio/chemotherapy experienced a bronchial recurrence after 8-years of ESS diagnosis Immunohistochemistry test on tumoral cells of three patients for vimentin+Ki67, BCL2+CD64+Ki67, ER+PR+WT1+Ki67 expressions were 30%, 30%, 15% respectively. Two cases of CS died during the study period. Even with multimodalities of treatment, the prognosis of uterine sarcoma is still poor and early diagnosis seems to improve the prognosis of the patients.
Malihe Hasanzadeh; Fereshteh Bazmi; Parnian Malakuti
Volume 4, Issue 3 , September and October 2019, Pages 127-130
Abstract
Background & Objective: Ovarian microcystic stromal tumor (MST) is a rare subset of ovarian tumors, that usually appears in the form of a pelvic mass which is often unilateral, and has a microcystic realization characterized by small, elliptical, and circular cysts. This microcystic stromal tumor ...
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Background & Objective: Ovarian microcystic stromal tumor (MST) is a rare subset of ovarian tumors, that usually appears in the form of a pelvic mass which is often unilateral, and has a microcystic realization characterized by small, elliptical, and circular cysts. This microcystic stromal tumor is a type of ovarian insufficiency that has recently come to researchers’ attention. However, no meta-cognitive studies have beem conducted regarding the issue. This tumor morphologically and histologically may look very similar to granulosa cell tumor, Sertoli, Lydic and other ovarian tumors but different characteristic of immunohistochemistry, genetic and gene mutation incidence makes it different. Herein, we report a rare case of the microcystic stromal tumor using immunohistochemistry studies.
Case Report: A 60-year-old woman with ovarian mass referred to gynecology clinic in March 2018. She underwent total abdominal hysterectomy and bilateral Salpingo-oophorectomy. Pathology results showed ovarian microcystic stromal tumor. The patient was fallowed up without any intervention after surgery. To date she is alive with no problem.
Conclusion: Ovarian MST is a rare tumor that originates from the ovarian stroma, which is histologically confused with a number of ovarian tumors, especially metastatic tumors. Immunohistochemistry findings are very helpful in differentiating this tumor from other tumors and preventing diagnostic errors.
