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Prevalence and risk factors associated with preterm births in Neyshabur hospitals, Eastern Iran
Mehrdad Rohaninasab, Masumeh Hesari, Zahra Mollazadeh Narestan , Akram Gazerani,
Volume 21, Issue 3 (10-2024)
Abstract
Background: The increasing prevalence of preterm birth in many societies has raised concerns. This study was conducted to determine the prevalence and risk factors associated with preterm birth in hospitals in Neyshabur, Eastern Iran.
Methods: This cross-sectional study was conducted on 273 neonates born before 37 weeks of gestational age between 2017 and 2019 in the educational hospitals of Neyshabur. The infants were included in the research through convenience sampling. The research tool consisted of items addressing issues related to both mothers and newborns. Data analysis was performed using SPSS version 22, employing descriptive and analytical statistics, including chi-square and Fisher's exact tests.
Results: The rate of preterm birth in Neyshabur over the three-year period was 2.85%. Bicornuate uterus (1.83%) and cervical insufficiency (1.46%) were the most observed uterine factors, while umbilical cord prolapse (1.83%) and placental adhesion (1.46%) were the most prevalent placental factors. Moreover, breech presentation (10.98%) was the most common co-occurring fetal factor in preterm birth. A significant difference was found between the length of pregnancy and the type of delivery (vaginal or cesarean section) (P=0.003).
Conclusion: Due to the high prevalence of preterm birth in Neyshabur, it is recommended that mothers undergo periodic evaluations before and during pregnancy to identify and manage any accompanying problems or underlying conditions promptly.
 

The effect of prenatal yoga on maintaining the childbirth process in a physiological state in Indonesian mothers
Rohaya Rohaya , Murdingsih Murdiningsih , Yunetra Franciska , Siti Hindun, Ocktariyana Ocktariyana,
Volume 22, Issue 1 (3-2025)
Abstract
Background: Yoga is a non-pharmacological intervention that enhances maternal strength and flexibility while improving the mother's capacity to adapt to physiological changes and labor responses. This study aimed to evaluate the effect of prenatal yoga on the duration of the first, second, and third stages of labor, as well as blood volume during the fourth stage of labor.
Methods: A quasi-experimental study was conducted involving 92 pregnant women in their third trimester who presented no complications and exhibited low-risk factors. The participants were assigned to either the yoga intervention group or the control group using a simple random sampling method. The intervention group engaged in yoga sessions lasting 30 min, conducted over eight weeks, beginning at 30 weeks of gestation. In contrast, the control group received routine standard care without any yoga intervention. The durations of the first, second, and third stages of labor as well as blood volume during the fourth stage, were analyzed between the intervention and control groups using independent t-test and Mann-Whitney U test, with a significance level of p <0.05.
Results: The study revealed a significant difference in the duration of the first (p=0.004) and second stages (p=0.0001) of labor, as well as in the bleeding volume during the fourth stage of labor (p=0.0001) between the yoga intervention group and the control group. However, no significant difference was observed in the duration of the third stage of labor (p=0.234).
Conclusion: Prenatal yoga during the third trimester of pregnancy may help maintain physiological conditions during the first and second stages of labor and reduce the risk of bleeding.

Development and validation of a nursing care protocol for pregnant women and newborns in Brazil
Eny Dorea , Luana de Almeida Juca , Clisangela Lago Santos , Valdecyr Herdy Alves , Sheley Borges Gadelha de Lima ,
Volume 22, Issue 1 (3-2025)
Abstract
Background: The standards for the care of women and newborns are a collaborative plan of care based on the prioritization of diagnoses, problems, health issues, and mutually established goals, involving the interprofessional team, the patient, their supportive network, or community. Thus, it is crucial to develop a plan of care and implement it in this field to promote the health of women and newborns. This study aims to develop and validate a clinical protocol modeled on the nursing process for implementation in a Normal Birth Center (NBC) in Brazil.
Methods: This methodological study with a qualitative approach was developed in four distinct phases: scoping reviews, qualitative discussions with nurses, and the construction and validation of the protocol.
Results: The scoping review on diagnoses yielded 26 nursing diagnoses. The scoping review on interventions underscored the significance of employing non-pharmacological techniques for pain relief and maternal and neonatal care, highlighting the importance of providing physical and emotional support to women and their babies. The clinical protocol was developed utilizing the minimum nursing dataset, correlating with the 35 evaluated diagnoses in consultations with nurses, and integrating interventions and linkages from NANDA-NIC-NOC. 10 nursing experts validated the protocol.
Conclusion: The clinical protocol will be implemented in an NBC to enhance nursing care for pregnant women and neonates. Additionally, it is anticipated that this study will stimulate the development of new research on the topic, linking various contributions to the field of obstetric nursing and increasing awareness of its value through individualized, targeted diagnoses, interventions, and activities.

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