Maternal and fetal complications in vaginal birth after cesarean
Masoumeh
Mirteimouri
Associate Professor, Department of Obstetrics and Gynecology, Women's Health Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Seyedeh Azam
Pourhoseini
Assistant Professor, Department of Obstetrics and Gynecology, Women's Health Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Maryam
Emadzadeh
Assistant Professor, Department of Statistics, Research Development Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
nazanin
yousefi
Resident, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Somayeh
Moein Darbari
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
2020
per
Introduction: Vaginal birth after cesarean is one of the methods used to reduce the increasing number of cesarean sections. This study was performed with aim to evaluate maternal and fetal complications in women who had successful vaginal delivery after cesarean. Methods: This retrospective study was performed on 160 women who had successful vaginal delivery after one cesarean section with transverse uterine incision at Mashhad Omolbanin hospital in 2016-2018. Demographic data related to delivery and the infants' data were collected from the patients' records. Data was analyzed by SPSS software (version 11) Kolmogrov-Smirnov, Chi-square and t-test. p < 0.05 was considered statistically significant. Results: Among 160 patients, 141 cases (88.12%) had successful normal vaginal delivery and 19 cases (11.88%) had cesarean section. The two groups of success and failure of normal delivery after cesarean section had no significant difference in terms of mean maternal age (p= 0.18), body mass (p=0.07), gestational age (p= 0.15) and distance from previous cesarean section (p=0.07). The bishop score less than 6 was significantly higher in the failure group than in the success group (p=0.02). In the failure group, postpartum hemorrhage (p= 0.03) and NICU admission (p=<0.001) were significantly higher. Conclusion: Vaginal delivery after cesarean is a safe delivery method and reduces maternal and fetal risks caused by repeated cesarean section.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
23
v.
8
no.
2020
1
7
https://ijogi.mums.ac.ir/article_17279_95264bf0c72cc315e75473ed4efdb597.pdf
dx.doi.org/10.22038/ijogi.2020.17279
Anxiety caused by new coronavirus (Covid-19) in breast cancer patients during the coronavirus pandemic
Marzieh
Haghbin
Assistant Professor, Department of Surgery, Women’s Health and Disease Research Center, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
author
Alireza
Abbasi
Assistant Professor, Department of Infectious disease, Non-Communicable Diseases Research Center, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
author
Elham
Rafei
B.Sc. in Health, Women’s Health and Disease Research Center, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
author
Alireza
Kheradmand
Medical Student, Student Research Committee, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
author
Farshid
Javdani
Medical Student, Student Research Committee, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
author
Naser
Hatami
Medical Student, Student Research Committee, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
author
Parya
Afraz
B.Sc. in software, Mashhad University of Medical sciences, Mashhad, Iran.
author
Navid
Kalani
MSc in Health Services Management, Clinical Research Development Unit of Peymanieh Hospital, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
author
text
article
2020
per
Introduction: Breast cancer is the most common cancer among women. Anxiety can weaken the body's immune system and make them vulnerable to the diseases such as coronavirus disease. This study was performed with aim to evaluate the level of anxiety caused by the new coronavirus (Covid-19) in patients with breast cancer during the coronavirus pandemic. Methods: This descriptive cross-sectional study was performed in 2020 on 102 breast cancer patients in Jahrom. Data collection tools were Demographic Information Questionnaire and Coronavirus Disease Anxiety Scale (CDAS). Scoring range in this study was 0-54. Data were analyzed by SPSS software (version 21) and statistical tests of t-test and ANOVA or its non-parametric equivalent. p < 0.05 was considered statistically significant. Results: The mean score of anxiety caused by Covid-19 virus 19 in patients with breast cancer was 22.44±16.61, which is lower than average level. Among the components of anxiety, the mean score of psychological symptoms (36.81±24.38) in patients with breast cancer was higher than physical symptoms (12.76±11.73). No significant relationship was observed between other demographic variables and anxiety caused by Coronavirus 19 (P>0.05). Conclusion: The results of the present study showed that the level of anxiety in women with breast cancer in Jahrom is lower than average level.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
23
v.
8
no.
2020
8
17
https://ijogi.mums.ac.ir/article_17286_92731260f530ac63c9a7726c03c3bb08.pdf
dx.doi.org/10.22038/ijogi.2020.17286
Pregnancy associated breast cancer: mammographic and sonographic findings
Somayeh
Izadjou
Resident, Department of Radiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Ali
Feizi Laein
Assistant professor, Department of Radiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Aida
Sharifi Haddad
Resident, Department of Radiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Negar
Morovatdar
Assistant professor, Department of Community Medicine, Clinical Research Unit, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Donya
Farrokh Tehrani
Associate professor, Department of Radiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
text
article
2020
per
Introduction: Delay in diagnosis of PABC (pregnancy associated breast cancer) is common and the lack of awareness of PABC may preclude timely imaging investigation or biopsy. This study was performed with aim to evaluate the mammographic and sonographic findings in women with PABC. Methods: This retrospective cross-sectional study was conducted on 24 women with PABC during pregnancy and lactation in radiology ward of Imam Reza hospital, Mashhad university of Medical sciences in 2006-2018. The mammographic and sonographic features were assessed in 24 women with PABC. The diagnosis of PABC was performed after histological examination in all patients. Data were analyzed by SPSS software (version 22). p < 0.05 was considered statistically significant. Results:PABC was diagnosed in six patients (25%) during pregnancy and in 18 patients (75%) after delivery. The most common cause of admission was breast mass (83%). The most common finding in mammography examination was breast mass with microcalcification (40%). The most common finding in sonography was breast mass (83.3%). The most common manifestation in sonography was hypoechoic mass with non-uniform echogenesity with irregular margin and vertical orientation. Pathology finding showed ductal invasive carcinoma in 22 patients (91.66%), non-invasive carcinoma in one patient (4.16%) and inflammatory carcinoma in one patient (4.16%) Conclusion: Ultrasound appearance of PABC may be different from that of breast cancer in non-pregnant women and ultrasound findings such as prominent cystic component, posterior enhancement, and parallel orientation are not uncommon findings in PABC. So, ultrasound findings may mimic benign breast lesion during pregnancy and lactation. Mammography and ultrasound are two complementary imaging methods in women with palpable mass during pregnancy and lactation.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
23
v.
8
no.
2020
18
29
https://ijogi.mums.ac.ir/article_17287_79d4156e1b48e212e3b996cff8eac822.pdf
dx.doi.org/10.22038/ijogi.2020.17287
Prevalence of Chlamydia trachomatis infection with ELISA method and its related factors in women with a history of abortion referred to Bental-Hoda Hospital
Reza
Besharati
PhD Candidate of Microbiology, Faculty of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran.
author
Hossein
Lashkardoost
Instructor, Department of Epidemiology & Biostatistics, School of Public Health, North Khorasan University of Medical Sciences, Bojnurd, Iran.
author
Andishe
Hamedi
Instructor, Department of Epidemiology & Biostatistics, Shirvan Center of Higher Health Education, North Khorasan University of Medical Sciences, Bojnurd, Iran.
author
Mohamadamin
Mehrabi
Doctor of Medicine, Student Research Committee, Faculty of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran.
author
Sepideh
Gholami
Instructor, Department of Operating Room, School of Nursing, North Khorasan University of Medical Sciences, Bojnurd, Iran.
author
text
article
2020
per
Introduction: Chlamydial infection is a common infection. This bacterium can cause complications such as: pelvic inflammatory infection (PID), ectopic pregnancy, infertility and abortion. This study was performed with aim to evaluate the prevalence of Chlamydia trachomatis infection in women with a history of abortion referred to Bental-Hoda Hospital in Bojnurd.
Methods: This descriptive study was performed on 90 women with a history of abortion who had referred to the Bental-Hoda Hospital in 2019. The research tool was the questionnaire and the study's sample was blood which was transferred to microbiology laboratory for ELISA test. Patient's demographic information and medical history including age, number of pregnancies, number of abortions, place of residence and number of successful deliveries were collected. Data were analyzed using SPSS software (version 19) and Chi-square and Fisher's exact tests. P<0.05 was considered statistically significant.
Results: The prevalence of Chlamydial infection was 12.2% (n = 11). There was no significant relationship between the test's result (Chlamydial infection) and patients' age (p=0.92). The mean age was 27.7± 7.8 years in patients with chlamydia positive infection and 27.9±7.6 years in patients with negative infection. Also, no significant relationship was found between gestational age, number of pregnancies, place of residence, number of abortions and number of successful deliveries with test's result (chlamydial infection) (p<0.05).
Conclusion: Since in this study, the prevalence of Chlamydia infection was 12.2% in women with a history of abortion, in order to reduce the burden of disease in the community and prevent its complications, screening for Chlamydia by ELISA method can be considered as a part of routine care programs before and during pregnancy in all health centers.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
23
v.
8
no.
2020
30
36
https://ijogi.mums.ac.ir/article_17288_f1e11c23c885eef0744190da5b6658b6.pdf
dx.doi.org/10.22038/ijogi.2020.17288
Association between polymorphism of has-miR-125 (rs12976445) and susceptibility to idiopathic recurrent pregnancy loss in Iranian women
Sara
Nemati Vahedi
PhD student in Molecular Cell Biology, Faculty of Basic Sciences, Islamic Azad University Sirjan Branch, Sirjan, Iran.
author
Babak
Kheirkhah
Assistant Professor, Department of Microbiology, Faculty of Veterinary Medicine, Islamic Azad University Baft Branch, Baft, Iran.
author
Ali Akbar
Malekirad
Associate Professor, Department of Biology, Faculty of Basic Sciences, Payame Noor University, Tehran, Iran.
author
text
article
2020
per
Introduction: Many new studies related to peri-implantation period and maintenance of pregnancy suggest that microRNAs have fundamentally role in regulating critical pathways in early pregnancy loss and implantation failure. This study was performed with aim to evaluate the possible association between has-miR-125 T>C polymorphism and susceptibility to idiopathic recurrent pregnancy loss (RPL).
Methods: In this case-control study, 116 females with at least two or more recurrent pregnancy loss and 89 healthy women with a history of two successful pregnancies and without a history of miscarriage were evaluated. DNA molecule was extracted by RGDE method and genotyping was performed by ARMS Tetra method. Data were analyzed by SPSS software (version 22) and Chi-squared test. P<0.05 was considered statistically significant.
Results: The frequency of TT, TC and CC genotypes of rs12976445 polymorphism were 50.86%, 42.25% and 6.89% and in women with RPL and were 58.43%, 39.33% and 2.24% in healthy women. There was no significant relationship between rs12976445 polymorphism and recurrent pregnancy loss (P=0.238).
Conclusion: No significant association was found between rs12976445 polymorphism and RPL.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
23
v.
8
no.
2020
37
48
https://ijogi.mums.ac.ir/article_17292_d3647e587e1a4eb351ebefa88d556bf7.pdf
dx.doi.org/10.22038/ijogi.2020.17292
Level of knowledge, attitude, and practice of women in Sabzevar concerning home quarantine for prevention of the new coronavirus disease
Zahra
Keyvanlo
M.Sc. in Health Services Management, Non-Communicable Diseases Research Center, Sabzevar University of Medical Sciences, Sabzevar, Iran.
author
Neda
Mahdavifar
Instructor, Department of Statistics and Epidemiology, Non-communicable Diseases Research Center, School of Health, Sabzevar University of Medical Sciences, Sabzevar, Iran.
author
Reza
Shahrabadi
Assistant Professor, Department of Health Education and Public Health, School of Health, Sabzevar University of Medical Sciences, Sabzevar, Iran.
author
Ali
Mehri
Assistant Professor, Department of Health Education and Public Health, School of Health, Sabzevar University of Medical Sciences, Sabzevar, Iran.
author
Hamid
Joveini
Assistant Professor, Department of Health Education and Public Health, School of Health, Sabzevar University of Medical Sciences, Sabzevar, Iran.
author
Masoumeh
Hashemian
Assistant Professor, Department of Health Education and Public Health, School of Health, Sabzevar University of Medical Sciences, Sabzevar, Iran.
author
text
article
2020
per
Introduction: Quarantine is medically very effective in protecting the public from disease. Given the significant role of women in forming the health behavior of the family, this study was performed with aim to investigate the level of knowledge, attitude, and practice of women in Sabzevar concerning home quarantine for prevention of the new coronavirus disease.
Methods: This cross-sectional study was performed on 605 women of Sabzevar in 2019. The study tool was a researcher-made questionnaire whose validity and reliability were approved. The range of scores in each dimension of the questionnaire was between 0 and 100. Data were collected by available and non-probabilistic sampling methods as virtual dissemination. Data were analyzed by SPSS software (version 16) and t-test, analysis of variance, Pearson correlation test, and linear regression test. P<0.05 was considered statistically significant.
Results: The highest mean score of practice concerning the home quarantine program were observed in the age group upper 55years (82.58±22.31) and College education (70.77±21.95). The mean scores of women's knowledge, attitude, and practice concerning the home quarantine program were 73.45 ± 13.73, 80.74 ± 7.27, and 69.71 ± 22.14, respectively. Age (P =0.004, B =2.6), education level (P = 0.03, B = 4.45), and attitude (P = 0.03; B =0.27) had an increasing impact on women’s practice.
Conclusion: The level of knowledge, attitude, and practice about the implementation of home quarantine to prevent coronavirus disease was satisfied. However, despite the positive attitude of women about the implementation of home quarantine, their practice was not satisfied. This shows that given the role of women in improving the health behavior of the family, enhancing their skills and capabilities is essential.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
23
v.
8
no.
2020
49
57
https://ijogi.mums.ac.ir/article_17293_0f6720856bf2b6d15532c81822d64906.pdf
dx.doi.org/10.22038/ijogi.2020.17293
Relationship between duration of breast feeding and endometrial cancer: a case-control study
Zohreh
Yeganeh
M.Sc. of Midwifery, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Zohreh
Sheikhan
Instructor, Department of Midwifery, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Parastoo
Hajian
Radiologist-Oncologist, Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Taraneh
Esteki
Assistant Professor, Department of Nutrition , School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Malihe
Nasiri
Assistant Professor, Department of Biostatics, School of Paramedics, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Nahid
Khodakarami
Assistant Professor, Department of Midwifery and Reproductive Health, Infertility Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
text
article
2020
per
Introduction: Endometrial cancer is the most common gynecologic malignancy in developed countries. The incidence of endometrial cancer is increasing in Iran. The risk of endometrial cancer is related to estrogen levels that breastfeeding reduces it. This study was performed with aim to compare breastfeeding duration in women with endometrial cancer and women without endometrial cancer.
Methods: This retrospective case-control study was performed on 240 women referring to the hospitals of Shahid Beheshti University of Medical Sciences, Tehran in 2017. The case group included women with endometrial cancer and the control group was women without endometrial cancer. Data was collected by interview and completion of demographic and fertility characteristics, medical records and endometrial cancer information. Data were analyzed by SPSS (version 21) and Chi-Square, independent T-Test, Mann-Whitney and ROC curve. P< was considered statistically significant.
Results: 24 women (20%) in case group and 41 women (34%) in control group reported the history of breastfeeding. The mean duration of breastfeeding in the case group was 58.58±22.19 months and in the control group were 72.61±15.38 months. The duration of breastfeeding in the case group was significantly shorter than the control group (p = 0.004).
Conclusion: Women with endometrial cancer had shorter duration of breastfeeding, so breastfeeding training must be noticed as postpartum care.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
23
v.
8
no.
2020
58
65
https://ijogi.mums.ac.ir/article_17295_68591a7e09cecca045e9eb8c9e88beb3.pdf
dx.doi.org/10.22038/ijogi.2020.17295
Relationship between human papillomavirus and breast cancer in women with this cancer in Khuzestan province
Pegah
Hosseinpouri
M.Sc. student of Biochemistry, School of Sciences, Lorestan University, Khorramabad, Iran.
author
Seyed Hesamaldin
Hejazi
Assistant Professor, Department of Biology, School of Sciences, Lorestan University, Khorramabad, Iran.
author
Faranak
Hadi
Assistant Professor, Department of Biology, School of Sciences, Lorestan University, Khorramabad, Iran.
author
text
article
2020
per
Introduction: Breast cancer is one of the most common malignancies in the world. Although the etiology of breast cancer is not completely known, but exposure to Human papilloma virus (HPV) is suggested as a risk factor for breast cancer. This study was performed with aim to investigate the presence of HPV-DNA in tissue samples of healthy and breast cancer women in Khuzestan province.
Methods: In this retrospective study conducted in 2018, 40 paraffin blocks were collected from patients with diagnosis of breast malignancy and 20 healthy paraffin blocks from those without malignant lesion (Fibro adenoma) in Khuzestan province. After DNA extraction, amplification of beta-actin housekeeping gene was done for evaluation of DNA purity. The presence of DNA-HPV16,18 was examined by polymerase chain reaction (PCR) using virus specific primers. Data were analyzed by SPSS software (version 16) and Cramer test. P<0.05 was considered statistically significant.
Results: DNA-HPV16 was detected in 25 cases of 40 breast cancer samples (%62.5), and DNA-HPV 18 was detected in 10 cases of 40 breast cancer samples (%25). None of the 20 control samples showed the presence of DNA-HPV16 and DNA-HPV18. Statistically, the Cramer index for HPV16 and HPV18 infection in cancer sample was calculated 0.598 and 0.316, respectively.
Conclusion: There is a significant relationship between breast cancer and HPV16,18 virus infection in women of Khuzestan province.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
23
v.
8
no.
2020
66
74
https://ijogi.mums.ac.ir/article_17297_4a75eefff9742285d19ec36e1b751be9.pdf
dx.doi.org/10.22038/ijogi.2020.17297
Role of surgery in treatment of infertile women with endometriosis: a review study
Firouzeh
Ghaffari
Assistant Professor, Department of obstetrics and gynecology, Royan Institute, ACECR, Royan Institute for Reproductive Biomedicine, Department of Endocrinology and Female Infertility, Tehran, Iran.
author
Arezoo
Arabipoor
M.Sc. of Midwifery, Researcher at Royan Institute, ACECR, Reproductive Biomedicine Research Center, Department of Endocrinology and Female Infertility, Tehran, Iran.
author
text
article
2020
per
Introduction: Endometriosis is a chronic inflammatory disease which affects fertility. This study was performed with aim to evaluate the clinical role of surgical intervention and assisted reproductive technology (ART) in infertile women with endometriosis on the basis of recent clinical guidelines.
Methods: In this review study, the published articles in the databases of PubMed, Science direct, Scopus, Google scholar were searched using the keywords of "endometriosis" and / or "endometrioma" and / or "assisted reproductive technology" and / or "infertility" and / or "laparoscopy" and / or "cystectomy" and / or "surgery" and/ or "guideline" from January of 2000 to November 2019. All guidelines published in English in the field of laparoscopy and surgery in endometriosis and infertility were reviewed.
Results: Until now, 6 international guidelines have been published in this field and we reviewed these articles in the present study. According to the recent evidences, laparoscopy is not routinely performed prior to ART and its clinical application is to diagnose mild from moderate endometriosis; however surgical resection is considered if mild endometriosis is present, as it may improve the spontaneous pregnancy rate. In the case of more severe types of disease (endometrioma and deep penetrating endometriosis), the benefits of pre-ART surgery are still unclear and its risks and benefits should be assessed.
Conclusion: Based on the available guidelines, it is suggested that decision for surgery in infertile women with endometriosis should be made individually and on the basis of the patient’ selection, age and ovarian reserve, association with annoying symptoms, other causes of infertility, location of lesion and possible risk of repeated surgery.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
23
v.
8
no.
2020
75
86
https://ijogi.mums.ac.ir/article_17298_bce2752f3a3ffb63aa1c3fc620d25dd9.pdf
dx.doi.org/10.22038/ijogi.2020.17298
Relationship between Social Determinants of Health and Postpartum weight retention in Iran Based on the WHO Model: A Systematic Review
Shahin
Bazzazian
PhD Candidate of Reproductive Health, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Hedyeh
Riazi
Associate Professor, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Zohreh
Mahmoodi
Associate Professor, Department of Midwifery, Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran.
author
Saeideh
Nasiri
PhD Candidate of Reproductive Health, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran.
author
Giti
Ozgoli
Associate Professor, Department of Midwifery and Reproductive Health, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
text
article
2020
per
Introduction: Postpartum weight retention has a significant effect on obesity, chronic disease, and adverse maternal, fetal, and neonatal outcomes. Nowadays, social factors are of the basic causes of health and disease. The present systematic review was conducted with aim to investigate the relationship between social determinants of health and postpartum weight retention in Iranian studies.
Methods:In this systematic review, Persian and English observational articles (cohort, case-control, cross-sectional) were searched in databases of PubMed, Google Scholar, Scopus, Embase, Web of Science, SID, Magiran, Irandoc using the different combination of keywords related to “Social determinants of health” And “postpartum weight retention” obtained from Medical Subject Headings (MeSH) from 2000 to 2019. The articles were selected based on the inclusion and exclusion criteria. The quality of selected studies was evaluated using the Newcastle–Ottawa Scale.
Results: From 485 reviewed articles, eight studies were selected. Social determinants of health were classified into structural and intermediate groups based on the WHO model. The structural determinants included education, occupation, income, and residence area. Intermediate determinants were classified into three domains of behavioral factors, biological factors, and psychosocial factors based on this model. According to the results of the reviewed studies, a statistically significant relationship was observed between postpartum weight retention with mother's education, exercise, postpartum functional status, exclusive breastfeeding, formula feeding, pre-pregnancy weight, gestational weight gain, parity, mode of delivery, age, depression, and anxiety.
Conclusion: The results of the current systematic review illustrated the impact of structural and intermediate social determinants of health- including women's education and factors in behavioral, biological, and psychosocial domains- on postpartum weight retention. This result confirms the need for health authorities and staff to pay more attention to these influencing factors along with other medical factors to help prevent or reduce the extent of this problem and its complications.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
23
v.
8
no.
2020
87
106
https://ijogi.mums.ac.ir/article_17302_82d9ad7a2a3911aa86b7564f431edcbe.pdf
dx.doi.org/10.22038/ijogi.2020.17302
A review of the effective herbal medicines on hot flashes in menopausal women
Roghayeh
Abdnezhad
M.Sc. in Midwifery, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Masoumeh
Simbar
Professor, Department of Midwifery and Reproductive Health, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Science, Tehran, Iran.
author
text
article
2020
per
Introduction: Vasomotor symptoms occur in approximately 75% of menopausal women. Hot flash is the main reason of women's referring to receive menopausal care. Estrogen therapy is the most effective way to treat symptoms; given the known risks of hormone therapy, many women are interested to use herbal medicines for treatment of menopausal symptoms including hot flushes. Therefore, this study was performed with aim to evaluate the clinical trials conducted to evaluate the effectiveness of herbal medicines for treatment of hot flashes.
Methods: In this review study, to find the related articles, the databases of SID, Pubmed, Scopus and Web of Science were searched using the keywords of Menopause, Herbal medicine, medicine and Hot flash from 2002-2019. The articles which were performed as clinical trial were selected.
Results: 31 randomized clinical trials were identified. These studies had investigated Vitagnus (2), soybean (4), Black cohosh (3), Ginkgo biloba (2), sage (4), Valerian (2), Flaxseed (2), red clover (5), Hypericum perforatum (1), evening primrose (2), fenugreek (1) and passion flower (1), and one study was also done as combination. It seems that phytoestrogens and lignans found in these plants can reduce the severity and duration of hot flashes with minimal side effects.
Conclusion: Overall, the findings of this study showed that herbal medicine which belongs to phytoestrogens or lignans like as Vitagnus, licorice, soy, red clover, flax seeds, sage, passion flower, valerian, Hypericum and evening primrose can lead to improvement of hot flashes, but further studies in larger populations are needed.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
23
v.
8
no.
2020
107
119
https://ijogi.mums.ac.ir/article_17303_d0ee0bb3dd005b348807e1e39e7b28cd.pdf
dx.doi.org/10.22038/ijogi.2020.17303
A pelvic mass with final diagnosis of spontaneous splenosis in patient with previous splenectomy: a case report
Sedigheh
Ghasemian Dizajmehr
Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran.
author
Setareh
Akhavan
Associate Professor, Department of Oncologic Gynecology, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
author
Mohammadreza
Salehi
Assistant Professor, Department of Infection, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
author
Masoomeh
Safaei
Assistant Professor, Department of Pathology, Cancer Institute, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
author
Farzaneh
Rashidi Fakari
Assistant Professor, Department of Midwifery and Reproductive Health, Faculty of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran.
author
Narges
Zamani
Assistant Professor, Department of Oncologic Gynecology, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
author
text
article
2020
per
Introduction: Spleen is an immunologic organ and has critical role in prevention of capsulated microorganism infection. Accessory spleen after splenectomy is important due to this immunologic effect. On the other hand, accessory spleens should be considered in differential diagnosis of abdomino-pelvic masses. In this report, we present a rare case of pelvic mass with final diagnosis of autoimplantationof accessory spleen on the mesentery of the rectum.
Case presentation: The patient was a 32-year-old nulligravidarum woman with history of primary infertility and previous splenectomy due to spleen trauma in childhood without the history of hospitalization due to infection. The imaging results showed solid and hypervascular pelvic mass following IVF assessment.
The patient was admitted in Gynecology Oncology Surgery Section in Emam Khomeini hospital, Tehran University of Medical Sciences. She underwent laparotomy, and the result due to the frozen section pathology, was reported as accessory spleen.
Conclusion: Abdominopelvic masses with normal serum tumor marker, especially in patient with previous trauma and splenectomy, should be considered in differential diagnosis of accessory spleens, and should be confirmed with exact assessment by nuclear scan or laparoscopy, so that by accidental resection of these kind of masses the immunological safety of patients wouldn't be at risk.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
23
v.
8
no.
2020
120
125
https://ijogi.mums.ac.ir/article_17304_b86a276a3f6c5ad6c615c344c03a6429.pdf
dx.doi.org/10.22038/ijogi.2020.17304