A Survey on Subsequent Pregnancy Outcome after Molar Pregnancy
Negin
Rezavand
Associate Professor, Department of Obstetrics and Gynecology, High Risk Pregnancy Research Center, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
author
Mastaneh
Kamravamanesh
Lecturer of Midwifery, Faculty of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
author
Firoozeh
Veisi
Assistant Professor, Department of Obstetrics and Gynecology, High Risk Pregnancy Research Center, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
author
Maryam
Zangeneh
Assistant Professor, Department of Obstetrics and Gynecology, High Risk Pregnancy Research Center, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
author
Sareh
Basiri
General Practitioner, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
author
Mansour
Rezaei
Assistant Professor, Department of Biostatistics and Epidemiology, Faculty of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.
author
text
article
2013
per
Introduction: Molar pregnancy is one of the challenging problems in obstetrics and gynecology medicine. But the subsequent pregnancy outcomes are more important than molar pregnancy. Incidence probability of the subsequent molar pregnancy is an important question of patients with history of molar pregnancy. Therefore the study is to survey the subsequent pregnancy outcome after molar and normal pregnancy. Methods: This analytical-descriptive study was carried out on 793 pregnant women with diagnosis of molar and normal pregnancy who referred to Emam Reza and Motazedi hospitals of Kermanshah, Iran during 2006 to 2011. Sampling method was available. Data were collected by a self made information form via interview. Data were analyzed by SPSS software (version 16) and chi-square, independent t-student and Levense tests. P value less than 0.05 was considered significant. Results: The mean age of two molar and normal pregnancy groups were respectively 26.5 and 23.93 years. There were no significant differences between two groups in stillbirth, ectopic pregnancy, preterm labor and preeclampsia in subsequent pregnancy (p= 0.702). Abortion rate in molar group was significantly higher (p=0.0001). Interval between pregnancies was longer in normal group (p<0.001). Probability of subsequent molar pregnancies was 2.79% and the difference was significant between molar and normal groups (p=0.003). Conclusion: Patients with molar pregnancies could be reassured that their subsequent pregnancy in general will not end in high-risk outcomes.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
16
v.
54
no.
2013
1
6
https://ijogi.mums.ac.ir/article_1105_cd4e52e1bd9398b9221f94c14031a4f4.pdf
dx.doi.org/10.22038/ijogi.2013.1105
Relationship between Maternal Fatigues during Pregnancy with Postpartum Blues
Elahe
Banafsheh
Lecturer of Midwifery, Faculty of Nursing and Midwifery, Gonabad University of Medical Sciences, Gonabad, Iran.
author
Parvin
Salari
Lecturer of Midwifery, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Paria
Hebrani
Associate Professor of Psychiatry, Psychiatry and Behavioral Sciences Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Salmeh
Dadgar
Assistant Professor of Obstetrics and Gynecology, Ovulation Dysfunction Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Roghieh
Rahmani
Lecturer of Midwifery, Faculty of Nursing and Midwifery, Gonabad University of Medical Sciences, Gonabad, Iran.
author
Narjes
Bahri
Ph.D. Student of Reproductive Health, Faculty of Nursing and Midwifery, Gonabad University of Medical Sciences, Gonabad, Iran.
author
text
article
2013
per
Introduction: Women commonly experience fatigue during pregnancyand postpartum period. The fatigue may be lead to postpartum blues. This study was accomplished to investigate the relationship between maternal fatigue during pregnancy with postpartum blues. Methods: This correlational study was conducted on 60 pregnant women who referred to health care centers in Mashhad, Iran, 2009. Cases were selected through a multi-stages sampling method. Fatigue was assessed by “Modified Fatigue Symptom Checklist” in 36th and 37th weeks of pregnancy and 5th day after childbirth. Postpartum depression was evaluated by Edinburgh scale and interview at 5th and 14th days after child birth. Data were analyzed using SPSS software version 14, Fisher's exact test, t-student and chi-square tests, lambda correlation and logistic regression tests. P value less than 0.05 was considered significant. Results: There were significant correlation between fatigue in 37th week of pregnancy with postpartum blues in 5thday (r=0.651, p=0.038) and 14th day (r=1.000, p<0.0001) after childbirth. Also there was a significant correlation between fatigue in 36th week of pregnancy and postpartum blues in 14th day after childbirth (r=0.80, p=0.017). Logistic regression showed that postpartum blues was related to fatigue in 37th week of pregnancy (p=0.015). Conclusion: Fatigue in the last weeks of pregnancy is correlated with postpartum blues. Therefore it should be considered as a predicting factor of postpartum blues in routine prenatal care.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
16
v.
54
no.
2013
7
15
https://ijogi.mums.ac.ir/article_1168_1898c05fff04d0eaf737ce2843026ca2.pdf
dx.doi.org/10.22038/ijogi.2013.1168
Prevalence of Congenital Abnormalities and Its Related Risk Factors in Ardabil, Iran, 2011
Rahele
Alijahan
M.Sc. of Midwifery, Ardabil Health Care Center, Ardabil University of Medical Sciences, Ardabil, Iran.
author
Mehrdad
Mirzarahimi
Fellowship of Neonatology, Faculty of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.
author
Peimaneh
Ahmadi Hadi
B.Sc. of Midwifery, Ardebil Health Care Center, Ardabil University of Medical Sciences, Ardebil, Iran.
author
Sadegh
Hazrati
Assistant Professor, Department of Health, Faculty of Health, Ardabil University of Medical Sciences, Ardabil, Iran.
author
text
article
2013
per
Introduction: Congenital anomalies are the most common causes of disability and mortality in developed and developing countries. Cost of hospitalization and treatment of congenital anomalies impose a significant burden to families and society. The aim of this study was to determine the prevalence of congenital abnormalities and its related risk factors. Methods: A cross-sectional study was conducted on all neonates who were born from November 2010 to July 2011 in Ardabil hospitals, Iran. All the live newborns were examined during the first 24 hours of life. Out of 6868 live births during the study, 57 neonates with obvious congenital abnormalities were selected as case group and 180 normal neonates as control group. Data were collected using a self-designed questionnaire from review of prenatal and hospital delivery records. Data were analyzed using SPSS software version 16, univariate and multivariate regression analysis. P value less than 0.05 was considered significant. Results: The prevalence of congenital abnormalities was 8.2 per 1000 live births. The most common congenital abnormalities were respectively malformation of musculoskeletal system (35.1%), central nervous system (22.8%), digestive system (17.5%) urogenital system (15.8%) and chromosomal anomalies (8.8%). Polyhydramnios (p=0.001, OR=14.4), oligohydramnios (p=0.009, OR=13), preeclampsia (p=0.001, OR=11.3), unwanted pregnancy (p=0.001, OR=4.9), urinary tract infection (p=0.04, OR=2.8), consanguineous marriages (p=0.038, OR=2.2) were determined as the risk factors of congenital abnormalities. Conclusions: Early diagnosis of pregnant women with polyhydramnios, oligohydramnios, preeclampsia, unwanted pregnancy, urinary tract infection and consanguineous marriages may be an appropriate policy toward the prevention of congenital anomalies.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
16
v.
54
no.
2013
16
25
https://ijogi.mums.ac.ir/article_1086_85065aec64e9af28a7d19896fc675bc1.pdf
dx.doi.org/10.22038/ijogi.2013.1086