مجله زنان مامائی و نازائی ایران
سال شانزدهم شماره 51 (هفته اول خرداد 1392)

Anemia causes about 10-15% of maternal deaths worldwide. Helicobacter pylori (H. pylori) infection is one of the causes of Iron deficiency anemia (IDA) in pregnant women. The aim of this study was to evaluate the relationship between H. pylori infection and serum ferritin levels (a marker of IDA) in Pregnant Women. This case-control study was conducted on 154 pregnant women in third trimester of pregnancy in Ahvaz، Iran، 2009. Participants were divided into two groups: positive and negative serology for H. pylori. Laboratory tests for hemoglobin، serum ferritin and H. pylori infection using ELISA method for the detection of IgG and antibody titration were done. Data were analyzed using SPSS software version 19. P value less than 0. 05 was considered significant. Hemoglobin concentration and serum ferritin levels during third trimester of pregnancy in positive serology group was significantly lower than negative serology group (p<0. 001). Age of infected group was also significantly higher than uninfected group (p<0. 001). Number of parity (p>0. 05)، nausea and vomiting (p=0. 74) and constipation during pregnancy (p=0. 72) did not have significant difference in two groups. There was a significant association between low serum ferritin and prevalence of H. pylori positive serology (IgG)، and H. pylori may be a factor contributing to IDA in pregnant women.

Renal artery stenosis caused by atherosclerosis is a progressive disease which may present by renal failure، acute pulmonary edema، unstable ischemic syndromes and refractory hypertension. The aim of this study was to evaluate the prevalence of renal artery stenosis and its relationship with cardiovascular risk factors in female patients undergoing coronary angiography for finding the necessity of concurrency of renal and coronary angiography. This analytical descriptive study was carried out on 375 women in Emam Reza hospital، Mashhad، Iran، 2009-2011. Inclusion criteria were: history of being under hypertension treatment and increased intra-arterial blood pressure more than 140/90 MmHg without tachycardia and serum creatinine over than 1. 5 mg/dl. Patients concurrently underwent nonselective renal angiography and coronary angiography. Demographic data، risk factors of atherosclerosis، laboratory and angiographic findings were collected in a questionnaire and analyzed using SPSS software version 11. 5، chi-square، independent t-test and logistic regression tests. P value less than 0. 05 was considered significant. Prevalence of significant atherosclerotic renal artery stenosis was 20. 5% in women. Among multiple atherosclerotic risk factors، hypertension and age over 65 years had significant relationship with renal artery stenosis (p<0. 001) but diabetes mellitus، hyperlipidemia and smoking had not significant relationship with renal artery stenosis. A significant relationship was found between the number of involved coronary artery stenosis and renal artery stenosis (p<0. 001). Concurrency of nonselective renal angiography and coronary angiography without non invasive test for assessment of renal artery stenosis is recommended in female patients with age over 65 years، being under hypertension treatment، increased intra arterial blood pressure more than 140/90 MmHg and more than 50% coronary artery stenosis.

Amenorrhea and oligomenorrhea are including menstrual disorders that are more common in athlete and professional athletes. Primary dysmenorrhea is shown in more than 90% of adult women. Premenstrual Syndrome has ability to interfere with the normal aspects of life. Since exercise and sport are effective factors on these disorders. So the aim of this study was to compare the frequency of menstrual disorders (amenorrhea، oligomenorrhea، dysmenorrhea and premenstrual syndrome) between athletes and non-athletes female students. This Ex-post facto study was conducted on 360 female university student aged 18-28 years who educated in medical and non medical fields of Tabriz universities، Tabriz، Iran، 2010. Sampling was selectively and purposefully. Samples completed demographic sports and Dickerson questionnaires and Visual Analogue scale. Data were analyzed using SPSS software version 16، descriptive and inferential (chi-square) statistics tests. P value less than 0. 05 was considered significant. Both athletes and non-athletes groups had no significant differences in terms of frequency of amenorrhea (10. 55% VS. 8. 88%) (p=0. 59)، oligomenorrhea (18. 33% VS. 15. 55%) (p=0. 26) and premenstrual syndrome (55. 88% in athletes and 66. 11% in non athletes) (p=0. 15). Also we couldn''t find any significant difference in dysmenorrhea between athletes (39. 44%) and non athletes (43. 88%) (p=0. 39). Physical education can improve premenstrual syndrome and dysmenorrhea. Also it is necessary to be more concerned about nutrition that is one of the most important factors in amenorrhea and oligomenorrhea.