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Volume 7, Issue 1 (8-2010)
Abstract

Background and Objective: The pregnancy period has been conceptualized as a time of vulnerability for the women who should adjust to new difficulties and concerns.The present study aimed at determining the mental health status of pregnant women. Material and Methods: In this descriptive study, 315 pregnant women covered by Shahinshahr health care centers were assessed. We used stratified sampling method for choosing health care centers and allocated the participants by using a sampling fraction in each of the centers. The instrument was standard questionnaire of GHQ.Then the data were analyzed by Chi Square (SPSS soft ware). Results: the findings show that 44.8% of pregnant women are suspected to have mental disorders, including social dysfunction (26%), anxiety disorder (18.26%), somatization disorder (17.5%) and depressive disorder (16%).There is no significant difference between mental health of pregnant women and their demogeraghic findings (P>0.05). Conclusion: Based on the results, the mental health in pregnant women is not satisfactory, therefore it is important for primary care providers to be aware of changes in mental health status of pregnant women to help them promote their mental health.
, , , ,
Volume 7, Issue 1 (8-2010)
Abstract

Background and Objective: Pregnancy in the early years of reproductive period has been considered as a high-risk pregnancy. Since different factors interfere with pregnancy and its outcome in teenagers, this study was conducted to determine the outcomes of pregnancy and childbirth in adolescents in Dezyani Hospital of Gorgan, Iran (2008). Material and Methods: In this retrospective case-control study, we compared the pregnancy outcome of 91 primigravida teenagers (less than 19 years) with that of 89 women (19-29 years) as control group. The data collected from patients medical records are mother's age, gestational age, and fetal presentation , gestational hypertension, diabetes mellitus, the way of delivery, hemoglobin status before and after childbirth, first and fifth minute Apgar scores, neonatal anthropometric indices, mode of delivery, congenital anomalies. Data were analyzed with descriptive-analytic tests, using the SPSS.16 software. Results: The mean age of the case and control group is 17.73±1.30 and 24.56±2.54, respectively. In admission, young mothers have significant more weight and height (p<0.05). Mean gestational age is almost the same in teenage (38.59±3.15week) and young mothers (38.09±3.0week). Neonatal anthropometric indices and first and fifth minute Apgar scores are not significantly different in two groups. Conclusion: Mother's age can not be the only determinant of the outcome of pregnancy and childbirth. Pregnancy in teenagers isn't associated with the decrease of gestational age, anthropometric indices and Apgar score, and is not related with the increase of early childbirth and maternal and neonatal mortality.
Mis Akram Sanagoo, Mis Seyyedeh Zahra Moosavi Khorshidi, Mis Leila Joybari, Mis Maryam Chehrehgosha,
Volume 9, Issue 1 (8-2012)
Abstract

  Background and Objective : One of the important factors for safe Parturition of women is considering the birth intervals. It seems that knowing about effective factor on behavior and action of people is good for health policy. Thus, we aimed at studying the knowledge, attitude and practice of married women, referring to Gorgan’s health centers in 2008, about contraception methods.

  Material and Methods : We conducted this descriptive-analytic study on 275 married women, selected via convenience sampling, referring to six health centers in Gorgan. The Data was collected by a researcher-made questionnaire (α=0.8) including four parts of demographic, knowledge, attitude and practice, and analyzed by SPSS software, using descriptive statistics, correlation and Chi Square.

Results: The main reported contraceptive methods are coitus interruptus (36.36%) and condoms (20.72%).­ There is significant relationship between knowledge and occupational status (P=0.011), knowledge and educational level­ (P<0.05), ­­practice and educational level­ (P<0.000), and between attitude and occupational status­ (P=0.012).

  Conclusion: Increased level of knowledge is one of the essential components of improving level of the health and hygiene. The main point for family planning should be stress on heightening of educational level.­ Strengthening the knowledge and changing the attitude may lead to women selecting the safe contraceptive method and modifying ­their fertility behaviors.

  Keywords: Knowledge, Attitude, Action, Contraception methods


Dr Keramatollah Rahmanian, Vajiheh Rahmanian, Mitra Ghasvari,
Volume 10, Issue 1 (4-2013)
Abstract

  Background and Objective: Cesarean section has some adverse effects on maternal and neonatal health . The knowledge of pregnant women about disadvantages of cesarean can affect on the use of cesarean delivery. The aim of this study is to determine the knowledge of pregnant women about disadvantages of cesarean section.

  Material and Methods: In this descriptive study, we studied 360 pregnant women referring to obstetric and gynecology clinics, via convenience sampling. ­The women who were physicians or midwives were not assessed. We used a questionnaire including demographic part and eighteen questions about knowledge. ­­The data were recorded by SPSS version 11.5 then analyzed by use of t- test and Chi square.

  Results: The mean of knowledge is (12.23­­±4.0).­ There is a significant relation between knowledge and education level (p=0.008). But it is not significant for other variables (p>­0.05).

  Conclusion: In terms of our findings, the knowledge of pregnant women is not very good about cesarean disadvantages that it can affect on the selection of delivery type. Therefore, it is a necessity for health officials to perform appropriate programs to increase the knowledge about disadvantages of cesarean section.

 


Dr Masoomeh Hemmati Maslakpak, Reza Ghaneie, Vajiheh Baghi,
Volume 10, Issue 1 (4-2013)
Abstract

  Background and Objective: Self-medication is one of the health predicaments, especially among pregnant women due to the risk of fetal abnormalities caused by drugs. we consider it necessary to study self - medication status in pregnant women referring to health centers in Saghez city, Iran.

  Material and Methods: This cross- sectional study was carried out in 2011. The subjects (N= 116) selected via convenience sampling were the pregnant women referring to health centers in Saghez city. The data collected by a questionnaire and interview was analyzed by using descriptive and inferential statistics.

  Results: The results indicate that 27.6% have the behavior of self- medication. The most common reason for self- medication mentioned by 47.4% is “it (medical problem) is so little considering” . Using Chi-square, there is no significant correlation between self-medication and variables such as insurance status , educational level and career status .

  Conclusion : Due to the high expenses of drugs and the side effects of over the counter­, esp. for pregnant period, which may cause abnormality, measures should be taken to educate mothers and prevent from this unsafe behavior.

 


Fatemeh Raeesian, Dr Minor Lamiyan, Dr Ebrahim Hajizadeh, Sareh Bakouie, Somayeh Soltanmoradi, Dr Lida Moghaddam Banaem , Fatemeh Seifi,
Volume 12, Issue 1 (4-2015)
Abstract

Background and Objective: Preterm delivery is a critical factor in neonatal morbidity & mortality. The present study was performed to determine the relationship between the serum level of zinc& iron and preterm delivery. 
Material and Methods: This cohort study was conducted, via multi-stage sampling, on 1033 pregnant women referred to the prenatal centers in Tehran, Iran. The instrument was demographic- productivity questionnaire completed within the14th-20th weeks of gestation. Serum level of zinc & iron was measured by spectrophotometric atomic absorption method and Ferene test, respectively. To analyze the data, we used T test, χ2 and logistic regression using SPSS16 software. 
Results: The incidence of preterm delivery was 10.5%. This rate increased to 12.5% and 18.2% in lack of iron and zinc, respectively. There was no significant link between lack of zinc level and preterm delivery (P>0.05), But the relationship between lack of iron and preterm delivery was significant (P< 0.05). Based on logistic regression, there was higher risk of preterm delivery if iron serum level was low. 
Conclusion: Given the high impact of lack of iron on preterm delivery, we recommend that the factors effective on intake & absorption of iron be emphasized in reproductive education courses.

Mahshid Moeinimehr, Azam Foroghipour, Sabihe Shokrani, Shadi Goli, Dr Bahram Soleymani,
Volume 12, Issue 1 (4-2015)
Abstract

Background and Objective: Depression and preeclampsia have an effect on both mother and fetus. Hence, we aimed to assess depression during pregnancy and preeclampsia in third trimester of pregnancy. 
Material and Methods: This cohort Study was conducted on 966 pregnant women, who were multigravida and 18-35 years, referring to three prenatal care centers. Using convenience sampling, the data was collected by Patient Health Questionaire-9 and analyzed by chi square, Mann-Whitney, Logistic Regression. 
Results: Of 966, 70.1% were depressed and 29.9% were not depressed. The relationship between depression and preeclampsia was significant (P=0.017, adgusted OR=2.99). In 9.32 percent of preeclamptic patients, 91.68 suffered from mild depression in 8.33 percent of them, 91.67% from moderate depression and in 33.33 percent of the preeclamptic patients, 66.67 % suffered from moderate-severe depression. 
Conclusion: Given that dpression may lead to preeclampsia and the intensity of depression is related to preeclampsia, early recognition and treatment of depressed women can be helpful in the management of preeclampsia.


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