Age at Menopause and Associated Factors in Middle-Aged Women in Mashhad City, 2010-2011
Habibollah
Esmaili
Associate Professor, Department of Biostatistics, Health Sciences Research Center, Faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Rasoul
Alimi
M.Sc. Student of Biostatistics, Faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Niloufar
Javanrouh
M.Sc. Student of Biostatistics, Faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Hoda
Azizi
Assistant Professor, Department of Traditional Medicine, Faculty of Traditional Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Fatemeh
Vahid Roudsari
Associate Professor, Department of Obstetrics and Gynecology, Women's Health Research Center, Faculty of Medicine, University of Medical Sciences, Mashhad, Iran.
author
text
article
2013
per
Introduction: There are two turning points in woman life related to the menstrual cycle. One is menarche around the age of 12 and another is the cessation of menses around the age of 50. Since the age at menopause is associated with risk of several chronic diseases such as cardiovascular diseases, breast and uterine cancers and osteoporosis, identify the factors associated with early and late menopause are important. Methods: This cross-sectional study was conducted on 2498 women aged 35 to 65 years in Mashhad city in years 2010 to 2011. Stratified - cluster sampling was done. Data gathering tool was a questionnaire whose validity was confirmed by content validity and its reliability by test-retest. Besides the age at menopause, demographic characteristics, variables related to pregnancy and socio-economic status were collected by the questionnaire. SAS software version 9.2, Kaplan-Meier and Cox Regression models were used in determining age at menopause and its effective factors. P value less than 0.05 was considered statistically significant. Results: Mean age of women was 46.8±7.8 years. Estimated median age at menopause was 52 years by Kaplan-Meier method with confidence intervals of 95% (51.9, 52.5). 2018 women were housewife (80.8%), 539 women (21.6%) had a history of smoking and 578 cases (23.1%) had a history of hypertension. The variables of history of hypertension (p<0.001), level of education (p=0.001), and occupational status (p=0.044) significantly associated with a reduction in age at menopause, but the number of children (p<0.001) and marital status (p=0.002) has a significant relationship with increasing the age at menopause. Conclusions: The variables related to socio-economic status such as level of education, occupational status and a history of hypertension decrease in age at menopause and number of children and marital status can increase in age at menopause.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
15
v.
36
no.
2013
1
7
https://ijogi.mums.ac.ir/article_346_fbb688871d31e82fba9081650b9dfe30.pdf
dx.doi.org/10.22038/ijogi.2013.346
Assessment the Prognostic Value of Platelet Indices in Preeclampsia
Serveh
Heidary
Resident of Obstetrics and Gynecology, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran.
author
Fariba
Farhadifar
Associate Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran.
author
Ezatollah
Rahimi
Assistant Professor, Department of Internal Medicine, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran.
author
Sholeh
Shahgheybi
Associate Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran.
author
Masoumeh
Rezayi
Assistant Professor of Obstetrics and Gynecology, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran.
author
Nasrin
Soufizadeh
Assistant Professor of Obstetrics and Gynecology, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran.
author
text
article
2013
per
Introduction: Prognosis and proper management of preeclampsia may improve maternal and neonatal outcome. Different clinical and laboratory parameters are used to demonstrate prognosis of preeclampsia, but there is no appropriate and cost-effective test for differentiating between mild and sever preeclampsia. The aim of this study was to assess the prognosis value of platelet indices in preeclampsia. Methods: This case control study was conducted on 110 cases of preeclampsia and 135 normal pregnant women in Sanandaj city in 2011. All pregnant women with gestational age more than 20 weeks who referred to midwifery ward of Besat hospital and fulfilled inclusion criteria. Cell blood count and platelet indices were assessed. Data were analyzed using SPSS software version 11.5, chi square, Fisher, independent t-test and Mann-Whitney tests. ROC (Receiver operating characteristic) curve was used for finding cut-off-point. P value less than 0.05 was considered statistically significant. Results: In order to differentiate between mild and severe preeclampsia, the largest area under the ROC curve area was assessed for platelet distribution width, platelet large cell ratio, and then mean platelet volume indices. The platelet distribution width index was 0.701 in the area under the ROC curve and the cut-off-point was calculated as 16.7 for this index; sensitivity and specificity were 46.4% and 92.6% respectively at this point. The number of leukocyte, hemoglobin and hematocrit were not verified as good prognosis indices. Conclusion: None of platelet indices (platelet large cell ratio, mean platelet volume and platelet distribution width) had prognosis value for differentiation between preeclampsia from normal pregnancy. However, platelet distribution width was the best index and platelet large cell ratio and mean platelet volume indices were the next choices for differentiation between mild and severe preeclampsia.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
15
v.
36
no.
2013
8
14
https://ijogi.mums.ac.ir/article_348_1de560031560d66977c5c6d7b8ef50d8.pdf
dx.doi.org/10.22038/ijogi.2013.348
Evaluation of Knowledge and Practice of Midwife's in Nutrition during Labor by Evidence Based Care
Sedigheh
Yousefzadeh
Lecturer of Midwifery, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Mahin
Tafazoli
Lecturer of Midwifery, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Salmeh
Dadgar
Assistant Professor, Department of Obstetrics and Gynecology, Women's Health Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
text
article
2013
per
Introduction: Although, parturient mothers need a lot of energy during labor, less scientific information is available regarding the effects of eating and drinking on labor progress. As people's knowledge directly affect on their activities, the successful duty performance depends on knowledge based on professional practices. This study was performed aimed at investigating knowledge and practice of midwives about nutrition during labor by evidence based care. Methods: This single-group single-phase descriptive study was conducted on 55 employed midwives of Mashhad university of medical sciences hospitals. First, scientific sources have been searched by reliable evidence based care for nutrition during labor. Then, a self-made researcher questionnaire (designed based on the reliable references and evidence based care studies) has been completed by midwives. Data were analyzed using SPSS software version 11.5 and statistical descriptive tests. Results: Most of studied cases (72.8%) had remarkable knowledge about role of nutrition during labor. 44 midwives (79.4%) believed that nutrition during labor decreases the labor time. As practice, 37 midwives (67.2%) suggested nutrition during labor based on recommended diet in evidence based care. Conclusion: Most ofmidwives (72.8%) had sufficient Knowledge in importance of nutrition during labor, but their Knowledge about safe diet strategy which recommended on evidence based study only is moderate (66.67%).
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
15
v.
36
no.
2013
15
21
https://ijogi.mums.ac.ir/article_350_4c4aac93482f6b470e653863b5d7a9d9.pdf
dx.doi.org/10.22038/ijogi.2013.350
Investigating Awareness, Attitude and Practice of Women Who Referred to Health Centers of Mashhad City toward Pop Smear
Zahra
Abedian
Lecturer of Midwifery, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Maliheh
Dormohamadi
M.Sc. of Midwifery, Islamic Azad University of Ghuchan, Ghuchan, Iran.
author
text
article
2013
per
Introduction: According to World Health Organization, 25% of women deaths are due to malignant tumor that 18% of them are because of cervical cancer. Cervical cancer is also one of the most common cancers in Iran and is the third leading cause of death after cardiovascular disease and accidents. Pap smear is the most effective screening method for cervical cancer. In this regard, this study was conducted aimed at investigating awareness, attitude and practice of women toward pap smear. Methods: This descriptive study was done on 300 healthy women aged 15-65 years, without history of cervical cancer in their family in 2009. Sampling was multi-stage. Data was obtained by a self-made researcher questionnaire which was completed by women. Validity of questionnaire was determined with content validity and its reliability was measured with equivalent reliability method. Data were analyzed using SPSS software version 14.5 and statistical descriptive tests with confidence intervals of 95%. Results: 41 women (13.8%) of women had good awareness, 178 women (59.4%) had medium level of awareness and 80 women (26.8%) had poor awareness toward pap smear. 162 women (54%) had good practice, 12 women (4%) had medium practice and 124 women (41. 3%) had poor level of practice. 241 cases (80.2%) had positive attitude, 57 cases (19.1%) had no even attitude, and 2 cases (0.7%) had negative attitude toward pap test. The most important motivation factor to do pap smear test was respectively recommendation of health personnel (31.5%), doctor's advice (19.8%) and cancer prevention (6.4%). Conclusion: According to poor practice toward pap smear in about half of studied women, and high positive women’s attitude about pap test, but their medium level of awareness, offering strategies to raise women’s awareness toward pap smear in order to increase women’s practice seems necessary.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
15
v.
36
no.
2013
22
28
https://ijogi.mums.ac.ir/article_351_36cacd41ec6628a04c3c4c1a5fa18b43.pdf
dx.doi.org/10.22038/ijogi.2013.351