s.h. sharami

A pregnancy tumor, also known as pyogenic granuloma, is a reactive exophytic lesion that occurs in the oral cavity due to an intensified hyperplastic response in a localized area during pregnancy. These lesions can cause bleeding, pain, discomfort, and difficulties in eating, particularly when they are larger. This can lead to inadequate nutrition for the mother and hinder proper fetal development. This study aimed to examine the frequency of pregnancy tumors and associated factors among pregnant women at Al-Zahra Hospital in Rasht, Iran.

This cross-sectional analytical study included 707 pregnant women referred to Al-Zahra Hospital in Rasht from 2022 to 2023. After collecting demographic and clinical information, intraoral examinations were conducted using a mouth mirror, probe, and tongue depressor. Data were analyzed by SPSS 28 using the independent t-test, Mann-Whitney U test, and Fisher’s exact test, at a significance level of p-value≤0.05.

The prevalence of pregnancy tumors among pregnant women was 0.8%. There was a significant relationship between the frequency of pregnancy tumors and oral hygiene indices, including the plaque index and gingival inflammation. Gingival inflammation (p=0.011), the number of quadrants with gingival inflammation (p<0.001), and the mean plaque index (p<0.001) were significantly higher in individuals with pregnancy tumors compared to the overall average.

The prevalence of pregnancy tumors among pregnant women is 0.8%.

As a result of globally increasing trend in infertility, taking advantage of reproductive technology to deal with this issue is recommended. Taking the well-founded claim about Vitamin E as a powerful antioxidant with a protective role in the body, this study was instigated to find the relationship between levels of vitamin E in Follicular fluid and morphology of oocyte along with embryo quality in IVF patients. This cross-sectional analytical study was carried out on oocytes and embryos obtained from 50 women with IVF admitted to Al Zahra Hospital of Rasht city. Patients underwent a similar ovulation stimulation protocol and then ten thousand units of hCG injected. After 36 hours, they underwent Follicle suction and mature oocytes were isolated for fertilization. Vitamin E level was measured and consequently the morphology of oocytes and the quality of embryo were evaluated by means of inverted optical microscopy. Of 50 treated IVF women, 583 oocytes and 275 embryos were examined. No significant relationship was observed between age, BMI, duration or cause of infertility and Vitamin E (P>0/05). At 0.5-1 mg/dl level of vitamin E, there were higher MII oocytes in comparison with other levels (p= 0.014). Despite the mean number of 2PN embryos at this level of vitamin E was more than other levels, this difference was not statistically significant (P=0.872). The results prove the evidence that at 0.5-1mg/dl level of Vitamin E, oocyte morphology and embryo quality were significantly improved.

Cesarean sections delivery is the most common surgical procedures performed in Guilan, and postoperative pain is a common complain in this patients.

To determine leaving peritoneum opened after Cesarean sections deliveries on postoperative pain in patients.

In a double blind clinical trial, with a non- randomized sampling 150 patients randomly assigned in two groups: experiment group with leaving peritoneum opened and control group with postoperative closed peritoneum as routine procedures. All information about patients (including background variables and experimental variables) recorded on forms. Pain assessment performed by visual analog scale two times with 12 hours interval. Statistical analysis carried out using t- test, Manwithney test, and chi- squared tests. Type 1 (alpha) error considered 5%.

There was no difference on background variables, type of abdominal incisions, and anesthetic methods between two groups. The means of pain numbers had statistically significant differences in two groups (P<0.01) The mean of administering injection analgesics had statistically significant differences (in experiment group less than control group).

As leaving peritoneum opened has a lot of advantages such as decrease postoperative adhesion in peritoneum. Based on the findings of this study decreasing postoperative pain is another advantage of that.