مجله زنان مامائی و نازائی ایران
سال پانزدهم شماره 8 (هفته دوم تیر1391)

Polycystic ovary syndrome is the most common endocrine disorder among women in reproductive age. These women are high risk for early onset of cardiovascular diseases.The aim of this study was investigating the effects of omega-3 fatty acids supplement on serum lipid profile and markers of oxidative stress including malondialdehyde and serum total antioxidant capacity in polycystic ovary syndrome patients. This double-blind randomized controlled clinical trial was conducted on 64 PCOS patients in year 2011. Subjects were divided randomly into two groups of omega-3 fatty acids (n=32) and placebo group (n=32). Case group were given 4 g omega-3 fatty acids daily for 8 weeks and placebo group took placebo for the same period. Anthropometric and biochemical measurements and dietary intake assessment were performed using 24-hour dietary recalls and Nutritionist software version 4 at onset and end of the study. Data were analyzed by independent T-test, paired T-test, analysis of covariance and SPSS software version 11.5. P value less than 0.05 was considered significant. Omega-3 fatty acids significantly decreased serum levels of total cholesterol (P<0.001), triglyceride (P=0.024), low density lipoprotein cholesterol (P<0.001) and malondialdehyde (P=0.01) and increased high density lipoprotein cholesterol (P=0.018) at the end of the study compared with baseline values. Decrease in serum levels of total cholesterol, low density lipoprotein cholesterol and malondialdehyde in omega-3 fatty acids group in comparison with placebo group was significant (P=0.002, P=0.003 and P=0.007, respectively). No significant differences were seen in serum total antioxidant capacity levels in two groups (p>0.05). Omega-3 fatty acids had beneficial effects on serum lipid profile and lipid peroxidation in women with polycystic ovary syndrome.

Urinary tract infection and anemia are the important risk factors during pregnancy that can lead to serious complications such as preterm labor, low birth weight, increase in maternal and fetal mortality and hypertension in pregnancy. The aim of this study was evaluating the prevalence of asymptomatic urinary tract infection and anemia in pregnant women in first trimester. This was a cross sectional study was done in 5 health centers of Sanandaj in 2009. The inclusion criteria was pregnant women in first trimester and the exclusion criteria were symptomatic UTI, history of renal stone, abnormality in urinary tract and antibiotic consumption in 14 days ago and multiple pregnancy. Urine culture and hemoglobin were checked. Data were analyzed by T test, chi square test and SPSS software version 11.5. P-value less than 0.05 was considered significant. In this study 1500 pregnant women were evaluated. The mean of age was 28.4±6.1 year and mean of hemoglobin was 12.43±0.89 mg/dl. 107 subjects (7.1%) had hemoglobin less than 11 mg/dl. No significant relationship were seen between anemia and gravidity (p=0.905) and number of parity (p=0.432). 114 subjects (7.6%) had positive urine culture. There was seen a significant relationship between urinary tract infection and anemia (p<0.001). No significant relationship was seen between results of urine culture and parity and gravidity. Also no relationship was seen between anemia and gravidity and parity (p>0.05). There is asignificant relationship between anemia and urinary tract infection in first trimester of pregnancybut not between anemia and gravidity and parity.

Postpartum depression is a mental disorder after childbirth with high prevalence and unpleasant complications. Thus diagnosis and its treatment are considered important. Relaxation techniques training is simple method of treatment used by primary care providers, including midwives. The purpose of this study is the effect of relaxation training on severity of depressive symptoms in the postpartum period. This clinical trial was performed on 54 women in Mashhad community health centers in 2010. In third week after delivery, women with Edinburgh Depression Scale score ≥10 complete Beck Depression Inventory (score 14-28) and final diagnosis of depression was done by psychologist interview. Then the women were divided randomly into two groups of relaxation with guided imagery (n=26) and control (n=28). Relaxation and guided imagery were performed respectively once daily and once weekly during 6 weeks. Beck Depression Inventory was completed again in the ninth week after delivery. Data were analyzed by descriptive statistics and ANOVA test and SPSS software version 14 and p-value less than 0.05 was considered significant. Mean of severity of depressive symptoms after intervention was 7.7±4.6 in relaxation group and 15.3±6.4 in control group that the difference was significant (p<0.000). Also severity of depression symptoms decreased in relaxation group and control group (58.1% and 23.5%, respectively). The relaxation training is an effective method in reduction severity of depressive symptoms in postpartum period.

Menstrual attitude is one of the important factors predicting menstrual symptoms which vary among different cultures and countries. The purpose of this study is to determine the relationship between menstrual symptoms and menstrual attitude in high school girls in Mashhad.

This correlational study was conducted on 407 high-school girls in Mashhad through a two stage sampling method in year 2011. Participants completed questionnaires including demographic and menstrual characteristics, lifestyle and menstrual attitude and menstrual symptoms questionnaires during the three phases of the menstrual cycle (a week before menstrual period, menstrual bleeding period and weeks after menstruation). Data were analyzed using SPSS software version 14 and statistical tests such as Pearson correlation coefficient test, independent T-student, ANOVA and linear regression.

74% of students reported premenstrual symptoms, 94.1% menstrual symptoms and 40.8% postmenstrual symptoms. 24.8% of students agreed that menstruation was a troublous event, 28% a bothersome event; 12.3% a natural event, 27% a predictable event and 14.5% evaluated it as neutral. There was also the Pearson correlation coefficient test showed there was a significant correlation between perimenstrual symptoms and all dimensions of the menstrual attitude.

Perimenstrual symptoms have significant correlation with all dimensions of the menstrual attitude.