Journal of Family and Reproductive Health
Volume:4 Issue: 2, Jun 2010

This study aims to describe the blood pressure profile of newborns of preeclampsia mothers in Vali-e-Asr hospital during 2003-2004. In this cross-sectional descriptive analytical study 200 mothers and their newborns were studied. Blood pressure of all newborns was checked by oscillometric method on the first day after birth and recorded in a questionnaire along with information pertaining to the mother, obtained by interview or through medical file retrieval. The newborns of mothers with high systolic (>140 mmHg) and diastolic (>90 mmHg) blood pressure had mean systolic (65.40 mmHg) and diastolic (42.85 mmHg) blood pressures higher than that in neonates of normotensive mothers(P <0.006). Mean systolic and diastolic blood pressure of neonates whose mothers were preeclampsia (68.2/42.11 mmHg or chronically hypertensive (68.59/ 41.50 mmHg-) were significantly higher than neonates of normotensive mothers (P<0.0001 and P<0.002, respectively).Newborns of smokers had significantly higher blood pressures too (P<0.02). Mother's blood pressure can affect neonatal blood pressure. Chronic hypertension, pre-eclampsia, and cigarette smoking in mothers can adversely alter neonatal blood pressure. These maternal conditions should be screened and managed as soon as possible.

Maternal factors such as age, health, diet, and environment are significantly associated with low birth weight. The objectives of this study were to determine the incidence, distribution and major risk factors of low birth weight in Hospital Kuala Lumpur. A hospital based case–control study was done in Obstetric Ward of Maternity Hospital in Hospital Kuala Lumpur. Data was obtained using questionnaire and Performa. Out of 1021 deliveries, 330 were selected randomly as respondents that comprises of 110 cases and 220 controls. The outcome measure was low birth weight (<2500 grams). The incidence of low birth weight was 10.8%. Among races, the highest occurrence of low birth weight was in Malay, while the highest age group was between 21 years old to 34 years old with majority of the respondent were married. Among the maternal socio-demographic factors, maternal height of less than 150 cm has a significant relationship with low birth weight. In addition, maternal weight of 45 kg and less and maternal weight gain during pregnancy of less than 10 kg were also found to be risk factors. However, none of the socio-demographic factors were significantly associated with low birth weight deliveries. Similarly, signs of premature delivery, maternal vaginal bleeding and fetal growth retardation (IUGR) had a significant association. The mothers that have experienced any of the risks that were identified should be monitored and effective prevention should be taken to decrease the chances of low birth weight but not forgetting to promote a health lifestyle to the mother and father as well.

To investigate the prevalence of physical and psychological violence against women with female factor infertility. A total of 400 women with primary infertility attending the Vali-e-asr Reproductive Health Research Center in Tehran, Iran, were interviewed using the conflict tactics Scales (CTS2) questionnaire to investigate their experiences of physical and psychological violence. The prevalence of psychological violence was 135 (33.8%), followed by physical 56 (14%). All women reported their husbands to be the perpetrators. Clinicians should identify the abused women and provide them with medical care and supportive counseling.

Reporting some biological side effects with special attention to reproductive points which were seen after different experiments in laboratories of the Plasma Physics & Nuclear Fusion in atomic energy organization of Iran. Dosimeter analysis and interpretation of biological side effects of research studies in nuclear fusion laboratories. In the last 3 decades, neglecting the principles of the radiation protection has been confirmed in laboratories of the plasma physics and nuclear fusion research school of Iran, especially on DAMAVAND and ALVAND Tokamaks and DENA Plasma Focus. Also a series of biological side effects such as alopecia and thyroid function disorders, oligospermia and stomach cancer have been seen in personnel working in related laboratories. As in our laboratories transportation of the peripheral components such to further distances from the main devices seems not to be cost effective. The level of the absorbed dose of the personnel must be decreased in other ways such as: lowering the number of attended shots for each person and proper shielding.

Intrauterine insemination (IUI) is known as a routine method for infertility treatment. The effectiveness of IUI is not identical in all cases. So in this study to evaluate different methods of IUI in order to increase pregnancy rate, IUI with cleaning cervical canal by swab is compared to IUI without cervical canal cleaning. This study was conducted from 2008/2/1 to 2008/9/30 in MirzaKochak Khan Infertility center. Totally 224 cases were selected for IUI divided into two groups. Group one (n=112) had cervical cleaning with swab before IUI and group two (n=112) was control group. Pregnancy rate were compared in two groups. Two groups were matched regarding age, type of infertility and number of follicles. Pregnancy rate in cervical canal cleaning (group one) and control group (group two) was 15.1% and 9.8% respectively. The difference was not significant. In this study with cleaning cervical canal by swab before IUI there was a non-significant increase in pregnancy rate.

Satisfaction and postoperative care of women who undergo cesarean section is an important aspect and demand due attention. Hunger and thirst are frequently encountered after cesarean delivery. These increase distressing symptom and unsatisfaction. The aim of this paper was to detect the effect of early post cesarean feeding on mother's satisfaction. This study was a controlled trial. The research population was women delivering by cesarean section in Ommolbanin hospital, Mashhad, Iran. The samples consist of 82 women randomly assigned in two groups of study and control. The study group started oral fluids 4 hours after surgery, followed by regular diet after return of bowel sounds. The control group started oral fluids 12 hours after surgery and solid food was allowed after defecation. The groups were compared about satisfaction rate before discharge with VAS scale. Data were analyzed using chi-square, Fisher exact test, Kruskal walis test, t test and Mann Whitney. The mean of women's satisfaction was 96.2 in early feed group and 56.7 in the control group. There was a statistically significant difference between two groups (p=0.000). this study showed that early feeding increases women's satisfaction. It is a safe, easy and enforceable intervention that can be usual in surgical units.

Prolactinomas are the most common pituitary tumors in pregnant women. We conducted this study on pregnant women with prolactinoma to determine their clinical symptoms and signs and eventual necessity to medical therapy.A descriptive study was performed on 85 pregnant women with prolactinoma.Patients were followed up by physical examination, imaging, and perimetry for diagnosis of visual field defect. If tumor was increased in size perimetry was performedin order to determine eventual visual field defect (VFD). Patients with progressive visual field defect had absolute indication for trans sphenoidal surgery (TSS).In other cases with progressive enlargement of adenoma size but without VFD bromocriptine was administered. Patients without increasing adenoma size were just followed up.In this study 72 patients (84%) had microadenomas, 7 patients (8%) had macroadenomas without previous medical or surgical therapy and 6 patients (7%) had macroadenomas with previous medical therapy with bromocriptine. Totally 20 patients (23 %) had tumor enlargement during pregnancy and was symptomatic in 7 patients (8.2%). There was significant difference between 3 groups according to incidence of symptomatic tumor enlargement.(p<0.05)Macroprolactinomas are more likely to enlarge during pregnancy than microprolactinomas. In our study conservative management was successfully done in all patients without surgery or medical therapy.

Isolated fallopian tube torsion is rare and often difficult to diagnose. Definitive diagnosis is always made at laparoscopic or via laparotomy exploration performed for suspected ovarian torsion. Early diagnosis and conservative laparoscopic treatment especially in a reproductive age woman is warranted as a means of preserving fallopian tube integrity and maintaining fertility. Here, we describe a case with isolated right fallopian torsion being managed by conservative laparoscopic surgery.