mina ataee

This study assessed the relationship between the ratio of fetal lung volume to head circumference and amniotic fluid index (AFI) in the third trimester of pregnancy.

This prospective study was performed on low-risk pregnant women in their third trimester of pregnancy. Fetal lung volume was determined separately using the lung-to-head ratio (LHR) for the right and left lungs. Moreover, the AFI was evaluated, and the Pearson correlation coefficient between LHR for both lungs and AFI was investigated.

Overall, 112 pregnant women were included in the study. The mean ± standard deviation (SD) of fetal Observed/Expected Right LHR (O/E RLHR) and O/E Left LHR (O/E LLHR) were 113.9±0.36 and 97.13±27.87, respectively. The mean ± SD of AFI was 12.5±4.96 cm. Pearson correlation coefficient did not show a significant relationship between AFI and the left and right LHR (P>0.05). However, O/E RLHR was significantly correlated with abdominal circumference (P=0.02, r=0.2), gestational age (P=0.21, r=0.27), and fetal weight (P<0.001, r=0.27). There was a positive correlation between the number of days the infant was admitted to the neonatal intensive care unit and the volume of the right lung of the fetus (P=0.03, r=-0.2). No correlation was observed between fetal parameters and the volume of the left lung of the fetus.

The results of this study showed that AFI in the third trimester of pregnancy was not significantly correlated with LHR.

The infertility experience and its treatment are accompanied by the symptoms of posttraumatic stress disorder (PTSD). The aim of this study was determining the relationship between posttraumatic stress disorder and quality of life and the infertile women’s stress.

In this descriptive-analytic study, 172 infertile women were divided in four groups. Convenience sampling was done and eligible infertile women referred to Qafqaz Infertility Center in Iran were included in the study. The data was collected between January and March 2019 through posttraumatic stress disorder checklist, The Fertility Quality of Life (FertiQoL) questionnaire, and Newton's infertility stress questionnaire. Pearson correlation, linear regression analysis, and two-way analysis of variance (ANOVA) were applied for data analysis with a significance level of 0.05.

The results of two-way analysis of variance (ANOVA) revealed that there was no significant relationship between the type of treatment (p=0.548) and the reception of psychological intervention (p=0.450). In addition, the results of Pearson correlation showed that there was an inverse significant relationship between the total score of posttraumatic stress disorder and quality of life (r=-0.91, p<0.001) and a direct relationship between the total score of posttraumatic stress disorder and level of stress (r=0.56, p<0.001).

The results of this study showed that 41.3% of the infertile women had the symptoms of posttraumatic stress disorder. Due to the relationships of posttraumatic stress disorder with the quality of life and infertility stress, providing regular designed psychological interventions is recommended for infertile individuals.

During pregnancy and postpartum, women bet more concerned and dissatisfied with their bodies. Primiparous women face more physical and mental health problems in the postpartum period.

This study aimed to investigate the effect of a midwife-based counseling program on the quality of life in women with body image concerns during postpartum.

This randomized controlled trial was conducted on 64 primiparous women with body image concerns who had been referred to the health centers in Alborz Province, Iran,in January 2019. The convenience sampling method was used for recruiting the study participants. Then, the samples were assigned to the intervention and control groups by random number table allocation. Next, the intervention group received a three-session counseling program.The data gathering questionnaire in this study included a Multi-Dimensional Body Self-Relation Questionnaire (MBSRQ) and a 36-item short-form quality of life questionnaire.  Questionnaires were completed before, immediately after, and one month after the intervention.The obtained data were analyzed using descriptive statistics, the Chi-square test, Fisher exact test, and repeated measures test.

The mean ±SD age of the study participants was 26.4 ±5.4 years. Also, 94%of the samples had wanted pregnancy, 54%had a vaginal delivery,and 59.4%were overweight.There was no statistically significant difference between the control and intervention groups before the intervention regarding their demographic characteristics. The results of the analysis of variance (ANOVA) with repeated measures test indicated that the length of time affected the total scores of multi-dimensional body self-relation (P= 0.001). Also, the repeated measures ANOVA results showed that time significantly impacted the quality of life score (P= 0.001).

The study results showed that a midwife-led counseling program could affect the score of quality of life in women with body image concerns in postpartum.

Women with high-risk pregnancy are at increased risk of depression and anxiety during pregnancy, as well as a less favorable parent-infant interaction. This study aimed to investigate the effect of midwife-led psycho-education intervention on parental stress, competency, and postpartum depression in nulliparous women hospitalized with high-risk pregnancy.

This randomized controlled trial was carried out on 66 nulliparous women admitted to the high-risk pregnancy ward of Kamali Hospital, Karaj, Iran. Using convenient sampling method, the mothers were randomly assigned to control and intervention groups. In addition to routine care, the intervention group received four sessions of midwife-led psycho-education intervention in two group sessions in pregnancy and two individual sessions immediately after delivery. The parental stress, parental competency, and postpartum depression questionnaires were used for data collection before, after, and one month after the intervention. Data were analyzed using SPSS software ver. 13.0. Repeated-measures ANOVA test was used for comparing the mean scores of parenting stress, parental competency, and depression between and within both study groups before, after, and one month after delivery.

While postpartum depression and parental stress decreased in intervention group, parental competency increased.

Our findings indicated that midwife-led psycho-education was effective on parental stress, competency, and postpartum depression in high-risk pregnancy mothers. Accordingly, prenatal distress in high-risk pregnancies should be assessed routinely.

Infertility stress can have a devastating impact on the lives of couples and influence their physical and psychological health. The purpose of this study was to investigate the effects of group counseling on female stress and gender-role attitudes in infertile women. The present study is a randomized clinical trial conducted on 90 infertile women referred to Rooyesh Infertility Treatment Center in the city of Karaj, Iran. The convenience sampling method was used. Samples were divided into intervention and control groups through four-block random allocations. Accordingly, the intervention group received five-session group counselling and the control group only received routine care. Newton’s fertility problem inventory (FPI) and gender role questionnaire (GRQ) were used for collecting data before, after, and one month after the intervention. The significance level was set at 0.05. The result showed a significant relationship between gender role attitude and stress in infertile women (p=0.03) and indirect association between of them (r=0.13). And also repeated measures test indicated that length of time had affected the total scores of infertility stress (p<0.001) and gender role attitude scores (p=0.001) and there was a significant difference between the two groups in infertility stress scores (p<0.001) and gender role attitude scores (p=0.001). Group counseling can be used in stress reduction and also improved gender role attitude of infertile women.

Primary Extra nodular non-Hodgkin lymphoma during pregnancy is rare with occurrence rate of 0.8 in 100000 pregnancy. In this report, the case of a 19-year-old woman during week 14 of her intrauterine pregnancy with primary extra nodular non-Hodgkin lymphoma is described. The staging consisted with thyroid open biopsy. After induced abortion the subject underwent chemotherapy with CHOP regimen (cyclophosphamide, doxorubicin, vincristine, and prednisolone) for 6 cycles.

Primary dysmenorrhea is a common disorder characterized by painful uterine cramping before or during menstruation in the absence of any pelvic pathologic conditions. Finding a treatment without any side-effect for dysmenorrhea has always been a concern. The purpose of this study was to evaluate the effect of vitamin D on reduction of pelvic pain in primary dysmenorrhea. This double blind randomized clinical trial was conducted during 2012 and 2013 on 54 women suffering from primary dysmenorrhea. For case group (n=27)، a single dose of 300،000 IU of vitamin D was prescribed 5 days before the beginning of menstruation، for three consecutive cycles. For control group (n=27)، placebo was prescribed. NSAIDs (non-steroidal anti-inflammatory drugs) were given to both groups if they had pain. Pain severity was evaluated using Visual Analogue Scale for one month before the study and during 3 months of the study. Data were analyzed by SPSS software version 16 and chi-square، Mann-Whitney U، t-test، Fried Man and kolmogorov-smirnov tests. P value less than 0. 05 was considered significant. There were no statistically significant differences between two groups in terms of age (p=0. 704)، level of vitamin D (p=0. 271)، family history of dysmenorrhea (p=0. 54)، using NSAIDs (p=0. 72)، educational status (p=0. 28)، and body mass index (p=0. 097). The mean of pain severity before treatment was not significantly different between two groups (7. 25 ± 1. 70 in case group and 7. 25 ± 1. 70 in control group، p= 0. 584). At first، pain severity was high in both groups، and then it decreased in the first months. In placebo group، pain severity did not decrease in the second and third months، but it increased. Though pain severity decreased in the second and third months in the group of Vitamin D. There was no significant correlation between vitamin D and pain severity in four stages (before and three stages after) (p=0. 526، p=0. 248، p=0. 513، p=0. 059). A single dose of vitamin D reduced dysmenorrhea، and can be used beside NSAIDs.