The Survey on Ten Years Management with Hysteroscopy of Patients referred to Rasool Akram Teaching Hospital in Tehran
Mansoureh
Vahdat
Associate Professor of Obstetrics & Gynecology, Iran University of Medical Sciences, Tehran, Iran
author
Maryam
Aghaee
Obstetrician & Gynecologist, Baqiyatallah University of Medical Sciences, Tehran, Iran
author
Amin
Setarehdan
M.D., Iran University of Medical Sciences, Tehran, Iran
author
text
article
2009
per
Introduction: From mid 1980s, hysteroscopy has replaced blind dilatation & curettage as a standard procedure for definite diagnosis as well as treatment of intrauterine pathologies such as abnormal uterine bleeding, and infertility. We aimed to evaluate the indications and complications of using hysteroscopy in the management of patients referred to a teaching hospital in Tehran during a 10-year period.
Methods and Material:This is an observational analytic retrospective study that was done on the archived files of the patients referred to gynecologic department of Rasool Akram Hospital affiliated to Iran University of Medical Sciences during 1996-2006. A check list containing questions regarding the demographic variables, patients' complaints, findings of physical examinations and sonographic evaluations, previous treatments, and any complications was completed. The data were analyzed using SPSS software version 11.5and Chi-Square and ANOVA tests.
Results:Totally 910 files were reviewed. Of them, 26 were excluded because of incomplete records. The mean age of the remaining 884 patients was 34.8 years. Of the 656 multiparous women, 290 (44.2%) had at least one abortion. Also 427 women had abnormal uterine bleeding. After hysteroscopy only seven women (0.8%) had early complications and four women (0.5%) had late complications. In patients for whom myomectomy and septum resection were done, three and two cases of early complications were observed respectively. No complication was seen in patients with uterine ablation.
Conclusion:Hysteroscopy is an effective method for management of intrauterine pathologies and is accompanied by low complications.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
12
v.
1
no.
2009
1
6
https://ijogi.mums.ac.ir/article_5897_39fa2190287c9c01fb998d286b0e2d4d.pdf
dx.doi.org/10.22038/ijogi.2009.5897
Comparing the Marital Satisfaction in Infertile and Fertile Women Referred to the Public Clinics in Mashhad in 2006-07
Elham
Jonaidy
M.Sc. Student of Midwifery, Faculty of Nursing & Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
author
Shahla
Noorani Sadodin
M.Sc. of Midwifery, Faculty of Nursing & Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
author
Naghmeh
Mokhber
Assistant Professor of Psychiatric, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
author
Mohammad Taghi
Shakeri
Associate Professor of Public Health & Epidemiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
author
text
article
2009
per
Introduction: Marital satisfaction affects mental health, life satisfaction, professional achievements, and social interactions. It is also one of the most important features of life satisfaction. Various factors affect marital satisfaction; one of the most important ones is the fertility situation. Some researchers believe that infertility can cause emotional distress; hence leading to sexual dissatisfaction. In contrast some studies reported that performing various tests for infertility by the couples enhanced the intimacy and relationship between them and might consequently lead to increased martial satisfaction. There have been few studies on the relation between infertility and marital satisfaction in Iran. Therefore we aimed to compare the marital satisfaction between a group of fertile and infertile women in Iran.
Methods and Material: In this cross–sectional study, 200 women aged 22-45 years who referred to the public health centers in Mashhad and fulfilled the eligibility criteria were enrolled. Included women were literate Iranian women living in Mashhad. One hundred women with at least one healthy child were assigned in fertile group and the other 100 women who fulfilled the infertility criteria were assigned in the infertile group. The women in both groups were asked to complete validated and self administered questionnaires including marital satisfaction questionnaire, general health questionnaire (GHQ28), and another questionnaire about the demography, obstetrics history, and treatment history.
Data were analyzed using SPSS software version 11.5and Chi-square, Mann-Whitney, and ANOVA tests.
Results: Infertile women had significantly higher score for marital satisfaction than the fertile women (79.17±12.49vs 74.6±13.53, P=0.014).
Conclusion: Infertility does not decrease the marital satisfaction in infertile women.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
12
v.
1
no.
2009
7
16
https://ijogi.mums.ac.ir/article_5898_c08db7398996ab6270c39bf4da9c7634.pdf
dx.doi.org/10.22038/ijogi.2009.5898
Modeling of Associated Factors that A ffect the M ethod of Pregnancy Termination
Abolfazl
Mohamadbeigi
M.Sc. of Epidemiology, Faculty of Health and Paramedical Sciences, Arak University of Medical Sciences, Arak, Iran
author
Narges
Mohammad Salehi
M.Sc. in Epidemiology, Arak University of Medical Sciences, Arak, Iran
author
text
article
2009
per
Introduction: Cesarean section is the surgical delivery of a fetus, placenta, and the membranes through an incision in the mother's abdomen and uterus. Nowadays about 50-65% of all deliveries in our country are being done using this method. So we aimed to identify the factors that affect the method of delivery.
Methods and Material: This study was done on 414 pregnant women referred to public and privative hospitals in Shiraz from1384 To 1385 Data regarding the mothers’ demography, history of previous deliveries, fetuses’ presentations, and neonates’ physical examinations were collected using a structured questionnaire and interview as well as using the medical records. The data were then analyzed using SPSS software version 13. Fisher exact test, independent t test, and multiple regression test were used to compare two groups.
Results: The overall prevalence of performing cesarean section was 66.4%, which were 89% and 63.28% for privative and public hospitals respectively. Age, height, body mass index, socioeconomic status, nulliparity, admissions to privative hospitals, history of previous cesarean section, pharmacologic induction of labor, macrosomia, shoulder dystocia, and breach presentation showed a significant correlation with cesarean section (P<0.05). In regression model, history of previous cesarean section, mothers’ age> 35 years, and the level of mothers’ education were the most important factors that were accompanied by performing cesarean section as the method of delivery.
Conclusion: Cesarean section is known as the recommended method of delivery in some specific emergency situations. However its prevalence is increasing because of economical benefits for physicians as well as mothers’ fear from labor pain. So persuading mothers especially the nulliparous ones to vaginal delivery is essential to decrease the related side effects and the rate of cesarean section in the following pregnancies.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
12
v.
1
no.
2009
17
24
https://ijogi.mums.ac.ir/article_5899_aeed45e4c9fecf1fad59bc1766171c2c.pdf
dx.doi.org/10.22038/ijogi.2009.5899
Repair of Extensive and Complicated Vesicovaginal Fistulae with Segment of Ileum or Ileocecum for Augmentation Cystoplasty
Reza
Mahdavi
Professor of Urology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
author
Davood
Arab
Assistant Professor of Urology, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran
author
Fatemeh
Tavasoli
Associate Professor, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
author
Mohamad Hadi
Shakibi
Resident of Urology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
author
Meysam
Mahdavi
M.D. Student, Faculty of Medicine, Islamic Azad University of Mashhad, Mashhad, Iran
author
text
article
2009
per
Introduction: Vesicovaginal fistula is a complication of difficult labor or operation on female genital tract. Various methods have been used to repair the extensive and complicated vesicovaginal fistulae. The aim of this study was to evaluate the effect of using ileal or ileocecal segments to repair extensive vesicovaginal fistulae and augment contracted and fibrotic bladders in patients with history of unsuccessful previous repairs.
Methods and Material: From March 1989 to January 2005 more than 87 patients with vesicovaginal fistulae were operated on in the urology center, Imam Reza Hospital affiliated to Mashhad University of Medical Sciences. Of them, seven patients had extensive vesicovaginal fistulae with fibrotic and contracted bladders. All of the seven patients had the history of several previous unsuccessful operations to treat their fistulae. For six out of the seven patients, after closing the fistulae augmentation cystoplasty were performed using a segment of detubularized ileum. In the remaining one patient we used ileocecal segment for augmentation and the appendix as conduit.
Results: Mean age of the patients were 46.3 (±SD=11.2). Mean follow-up was 38 months (range:14–76 months). No early complications were seen but in one patient with the appendix as conduit, 3 years after the operation several stones were formed in the reconstructed bladder. Four patients could void normally and did not have significant residual urine; however the other three patients had significant residual urine and needed clean intermittent catheterization twice daily. None of the patients had urinary incontinence during the follow-up period.
Conclusion: In patients with extensive vesicovaginal fistulae with contracted and fibrotic bladder, augmentation cystoplasty is an effective method to salvage the remnant bladder and to treat the urinary incontinence.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
12
v.
1
no.
2009
25
30
https://ijogi.mums.ac.ir/article_5900_7735d4d0e90d6e4e35af43a75d0a780b.pdf
dx.doi.org/10.22038/ijogi.2009.5900
Mental Health and Its Related Factors in Young Women in Kashan City
Zahra
Sepehrmanesh
Assistant Professor of Psychiatry, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran
author
text
article
2009
per
Introduction: Women are more susceptible to mental disorders than men. Promoting women's mental health leads to promote the mental health of the family and the community. This study was designed to evaluate the mental health and its related factors of the young women living in Kashan city.
Methods and Material: Four hundred women aged 20-40 years were participated in this cross sectional study. The participants were selected through cluster sampling from different regions of Kashan city (center of Iran). Informed consents were obtained from all the participants. Their mental health was evaluated by using General Health Questionnaire (28-item). We also used a comprehensive demographic questionnaire to evaluate the related factors, which included some questions regarding the: age, age at the time of marriage, marital status, age at the time of the first delivery, number of children, age discrepancy with the husbands, and history of mental disorders and physical diseases. Data were analyzed using SPSS software version 11and Descriptive statistical tests and Chi square test.
Results: Forty percent of the participants had psychopathology on the basis of the scores they obtained after answering the General Health Questionnaire. The women had more mean scores in two subscales; anxiety (9/23), and somatic symptoms (8/68). Mental health of women had significant relationship with age, number of children, age discrepancy with their husbands, socioeconomic status,education level and history of mental disorders and physical diseases (P<0/05) Women's mental health had not significant relationship with marital status, age at the time of marriage, and employment (P>0.05)
Conclusion: Mental disorder is prevalent in women in Kashan city. Multicenter studies are proposed to assess women's mental health in other parts of Iran in order to find the prevalence, the contributing factors, and treat the affected individuals.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
12
v.
1
no.
2009
31
41
https://ijogi.mums.ac.ir/article_5901_cca72d96b247de4c18dc41143780cc4c.pdf
dx.doi.org/10.22038/ijogi.2009.5901
Effect of Different Pushing Methods in the Second Stage of Labor on Perineal Injury
Raheleh
Assali
M.Sc. of Midwifery, Faculty of Nursing & Midwifery, North Kkhorasan University of Medical Sciences, Bojnord, Iran
author
Mahin
Taffazoli
M.Sc. of Midwifery, Faculty of Nursing & Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
author
Zahra
Abedian
M.Sc. in Midwifery, Faculty of Nursing & Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
author
Habiballah
Esmaieli
Associate Professor of Public Health & Epidemiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
author
text
article
2009
per
Introduction: Despite the questions about the effectiveness of active pushing method in the second phase of delivery, this method is still being used in many centers. Researchers have shown that spontaneous pushing method decreases the perineal injuries. However such studies have not yet been done on Iranian women. We studied the effect of pushing method in the second stage of labor on perineal injury in a group of Iranian primiparous women.
Methods and Material: Randomized clinical trial of 108 primiparous women with uncomplicated labor a base fliess table randomly assigned to spontaneous and active groups. In spontaneous group used her own urge to push and active groups encouraged to take a deep breath, hold it and push for ten numbers. After delivery evaluation of perineal condition
Results: Episiotomy incidence lower in the spontaneous group (p< 0/021). Length and deep of pisiotomy lower in the spontaneous pushing versus active pushing (length p < 0/01 & deep p< 0/001). Perineal lacerations were no significant between groups.
Conclusion: Spontaneous pushing leads to lower rate of episiotomy. It is also an effective method that is accompanied by lower maternal complications after delivery.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
12
v.
1
no.
2009
43
48
https://ijogi.mums.ac.ir/article_5902_1f9399540c40358c0afa99271f9fede2.pdf
dx.doi.org/10.22038/ijogi.2009.5902
Comparison of Energy and Nutrient Intakes in Pregnant Women in Sabzevar with Dietary Reference Intakes
Akram
Kooshki
M.Sc of Nutrition, Faculty of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran
author
Mohammad Ali
Yaghoubi
M.Sc. of Public Health, Sabzevar University of Medical Sciences, Sabzevar, Iran
author
Fatemeh
Rahnama Rahsepar
M.Sc of Nursing,Faculty of Nursing & Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran
author
text
article
2009
per
Introduction: Many factors effect on pregnancy and its outcome. Although, the role of nutrition on the outcome of pregnancy has not been confirmed, it was determined that the nutritional status of pregnant woman affect the pregnancy outcome considerably. Therefore, this study was done to compare the energy and nutrient intake of pregnant women in Sabzevar city (north-east Iran) with the values recommended by Dietary Reference Intakes.
Methods and Material: This cross-sectional analytic study was done on 561 pregnant women who were selected by using cluster sampling method from all the municipal regions of Sabzevar city. They are including who no disease and like to be in this research. Their nutritional intake in the last 24 hours was recorded, using the food recall technique, by filling a questionnaire for three days. The data of the nutritional intake were analyzed by using the Food Processor (CAT-2 factory and the U.S.A country) software for each person to find the exact amount of nutrient each woman had received. Also, their pregnancy time was evaluated by sonography. The obtained data were statistically analyzed by SPSS version 11.5. Descriptive statistics and one sample t test were used to compare data with the values recommended by Dietary Reference Intakes.
Result: The mean pregnancy duration was 4/29±3/2 months. The results of our study showed that mean energy and all nutrient intakes except vitamin B12, phosphorous, sodium, and selenium in our study sample were less than the values recommended by Dietary Reference Intake.
Conclusion: Having considered the low nutritional status in pregnant women in our region, educational programs regarding the recommended nutrition for pregnant women should be prepared.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
12
v.
1
no.
2009
49
53
https://ijogi.mums.ac.ir/article_5903_1b4db0ed1ad23990ef92b932c47ad7b0.pdf
dx.doi.org/10.22038/ijogi.2009.5903
The Prevalence and Complications of Multifetal Deliveries in Omalbanin Women Hospital in Mashhad
Abdulkarim
Hamedi
Associate Professor of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
author
Monireh
Poyurjavad
Professor of Obstetrics & Gynecology, Faculty of Medicine, Mashhad university of Medical Sciences, Mashhad, Iran
author
Salmeh
Dadgar
Resident of Obstetrics & Gynecology, Faculty of Medicine, Mashhad University of Medical Science, Mashhad, Iran
author
text
article
2009
per
Introduction: Recently multifetal deliveries have increased because of the widespread use of induction ovulation drugs and reproductive technologies used in the treatment of infertility. Multiple pregnancies are accompanied by high risk for both mothers and neonates. We aimed to evaluate the prevalence of multiple pregnancies and associated complications for mothers and their neonates during a 6-year period.
Methods and Materials: This is a descriptive prospective and retrospective study done in Omalbanin Hospital affiliated to Mashhad University of Medical Sciences during 2003-2008. For 3 years of this period the archived files of the women referred to the hospital for delivery were evaluated for the required data. And for the other 3 years the women were evaluated prospectively. The women with multiple pregnancies and their neonates were followed up for 3-7 days. The collected data were coded and analyzed by using SPSS software version 13 and X2 test.
Results: Out of the 23360 deliveries conducted in the 6-year period, 99.1% were singletons, 0.87% was twins and 0.025 % were triplets. The prevalence of twin and triplet pregnancies was 8.7 and 0.25 per 1000 live births. The most common age group of the mothers was 20-29 years and the youngest age group was 15-19 years. Multiple deliveries were rarely observed in women older than 29 years and also in multiparous women. Overall 69.4% of mothers suffered from various types of complications of pregnancy. Fetal and neonatal complications were observed in 70%. There were direct relationships between multiple pregnancies and age of mothers and also weight of neonates. The most common complications in mothers and newborns were preterm labor and prematurity.
Conclusion: Multiple pregnancies are accompanied by high risk for both mothers and newborns. Physicians should prescribe induction ovulation drugs with caution and should watch mothers with multiple fetuses closely during the pregnancy and labor period.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
12
v.
1
no.
2009
55
60
https://ijogi.mums.ac.ir/article_5904_8d572d8bc8520cb1375c90e8c1112b14.pdf
dx.doi.org/10.22038/ijogi.2009.5904