مجله زنان مامائی و نازائی ایران
سال نوزدهم شماره 208 (هفته سوم شهریور 1395)

Hirsutism is one of the most common endocrine disorders and considering the impact of epilepsy on the function of endocrine system and reproductive hormon, this study was performed with aim to determine and compare the frequency and intensity of hirsutism in women with and without epilepsy.
This cross-sectional and comparative study was performed on 338 women aged 18-35 years with and without epilepsy in 2016. Ferriman-Gallwey modified scoring scale was used for hirsutism scoring in three area subsed of above the lip, lower abdomen and thighs. A score of ≥4 was considered as hirsutism. Data was analyzed by SPSS software (version 21) and Chi-square test.
There was significant difference between two groups of with and without epilepsy in terms of frequency and intensity of hirsutism (P The frequency and intensity of hirsutism was higher in women with epilepsy compared to women without epilepsy. Also, the frequency of irregular menstruation and emotional disorders was higher in women with epilepsy and in women with hirsutism. The study’s young cases indicates the need to pay more attention to this findings in patients who are of reproductive age.

Toxoplasmosis during pregnancy has some clinical complications including spontaneouse abortions, preterm labor, still birth and fetal anomaly. Since premature rupture of membrane (PROM) is the major factor in preterm labor (PTL), this study was performed with aim to determine the relationship between premature rupture of membrane and toxoplasma gondii infection in pregnant women.
This case-control study was carried out on 150 pregnant women referred to Ahwaz Emam Khomeini hospital for delivery in 2016. 50 pregnant women with preterm labor and premature rupture of membranes were selected as case group and 100 pregnant women with preterm labor and healthy membranes (after completing the questionnaire and examination) were selected as control group. Anti Toxoplasma IgG and IgM antibody was measuresd by ELISA in two groups. Analysis of data was performed by statistical software SPSS (version 21) and Chi-square, logistic regression, independent t-test and Mann-Whitney test.
In women with preterm labor and without rupture of membranes, 51% were positive for Toxoplasma IgG antibody and 3% for Toxoplasma IgM antibody. The above value was 42% in pregnant women with PTL and 4% in pregnant women with PROM. Chi-square test showed no significant difference between rupture of membranes and Toxoplasmosis (P>0.05).
This study showed no relationship between Toxoplasma gondii and PROM. Therefore, the effect of toxoplasmosis in PROM is possibly related to other mechanisms rather than PROM.

Ectopic pregnancy is the most common causes of maternal mortality at first trimester of pregnancy. The mortality rate of this complication is about tenfold of vaginal delivery and five times more than induced abortion. The likelihood of success in the next pregnancy is also reduced, as well as this condition has a negative effect on mental state of the mother. The prevalence varies in different countries. This systematic study and meta-analysis was performed with aim to evaluate the prevalence of ectopic pregnancy in Iran.
In this review article, databases includingPub MED, ISI, Google Scholar, Scopus and Iranian technical and scientific websites such as Magiran, Iranmedex, SID were searched using the keywords of “ectopic pregnancy¡ EP¡ Prevalence¡ incidence, Iran” and their equivalents in Persian up to 21 January 2016. In this meta-analysis on all existing literatures about the prevalence of ectopic pregnancy in Iran, 13 articles were found that based on inclusion criteria, 7 articles were selected that 5 of them in order to determine the prevalence of ectopic pregnancy in Iran and 2 in order to determine the prevalence of ectopic pregnancy in infertility centers were included in meta-analysis. Cochrane test was used to determine the homogeneity of samples. Prevalence was estimated based on Random effect in Revman software (version 5.3).
Prevalence of ectopic pregnancy before 2006 was estimated as 1.9 in 1000 pregnancies and after 2006 as 3.7 in 1,000 pregnancies and in infertility centers as 44 in 1000 pregnancies.
Prevalence of ectopic pregnancy has increased in Iran in the past decade and infertility treatment is a risk factor for it.