مجله زنان مامائی و نازائی ایران
سال شانزدهم شماره 43 (هفته اول فروردین 1392)

The ovarian hyperstimulation syndrome is usually iatrogenic and occurs as a complication of ovulation induction. It may be associated with multiple pregnancy، molar pregnancy، hypothyroidism and rarely following hydrops fetalis. We report a case of ovarian hyperstimulation syndrome following hydrops fetalis. Case Report: The patient was a 35 years old woman with history of vaginal delivery with immune hydrops fetalis. She had abdominal pain، nausea، decrease of appetite. She was hospitalized with diagnosis of hyperstimulation syndrome. Clinical and laboratory signs of ovarian hyperstimulation syndrome appeared during hospitalization. The patient was discharged with good condition after two weeks of treatment.

The ovarian hyperstimulation syndrome following hydrops fetalis is a very rare complication. Other causes of abdominal pain and distention should be study.

Considering the increased incidence of obesity and diabetes all over the world and effects of different factors on gestational diabetes، this study was done to assess the prevalence of gestational diabetes and relevant factors in pregnant women who were referred to health centers of Babol، Iran.

This cross-sectional study was conducted on 1004 pregnant women in 24-28 weeks of pregnancy from September 2010 to March 2012. Participants with no history of diabetes underwent a 50 gram oral glucose challenge test at 24-28 weeks of pregnancy and 100 gram 3-hour oral glucose tolerance test was performed on women with positive glucose challenge test. Data were analyzed using SPSS software version 18، Fisher، Chi-square and multiple logistic regression tests. P value less than 0. 05 was considered statistically significant.

From 1004 participants، 191 cases (19%) had positive glucose challenge test that gestational diabetes was diagnosed in 85 cases (44. 5%) with oral glucose tolerance test. Mean age of cases with and without gestational diabetes was 30. 42±5. 52 and 26. 02±5. 2 years respectively. Age ≥ 25 years (p=0. 001)، body mass index ≥ 27 kg/m2 (p=0. 018)، history of familial diabetes (p<0. 01)، stillbirth (p<0. 001)، abortion (p<0. 001)، macrosomia (p<0. 001)، preeclampsia (p<0. 001) and high blood pressure (p<0. 001) was statistically significant in diabetic pregnant women.

Gestational diabetes in the past two decades has increased in Babol (8. 05%) and the most important factor in gestational diabetes was stillbirth، family history of diabetes and history of macrosomia، respectively.

Menopause is one of the most critical periods in women''s life and the symptoms may be experience is the challenges of care health. The aim of this study was to investigate the relationship between the symptoms of menopause and the level of anxiety and depression during the period of approaching menopause.

In this analytical cross sectional study، 100 women aged 45-60 years were selected by cluster sampling method in Gonabad، Iran، 2003. The women were living with their spouses and did not have any serious difficulties at home. They did not have any suspected or confirmed pregnancy، and were not taking oral contraceptives or using any kind of hormone replacement therapy. Cases did not have a surgical history of hysterectomy or oophorectomy; and moreover، they did not have a history of any mental illnesses or chronic physical diseases. The tools used in this study included demographic questionnaire، the Beck depression scale، the Spielberger anxiety scale and the modified Copper man index. In data collecting process، demographic data form، Beck depression scale، Spielberger anxiety scale and Copper man index were completed respectively. Data were analyzed using SPSS software version 16، ANOVA and correlation tests. P value less than 0. 05 was considered statistically significant.

The Pearson correlation test showed that there was no significant difference between severity of symptoms of menopause and depression score (p=0. 125) and anxiety (p=0. 75). Anxiety has a statistical difference in the different levels of “insomnia” (p=0. 043) and the highest mean of anxiety was present in the severe level of insomnia.

There is no relation between the symptoms of menopause and anxiety and depression، but studies conducted in other countries indicated a relationship between the symptoms of menopause، anxiety and depression. The difference may be due to cultural differences and women''s attitudes toward menopause.

Violence against pregnant women is a public health problem. Violence during pregnancy has poor maternal and fetal outcomes like low birth weight and preterm labor. The aim of this study was to investigate the incidence of domestic violence against pregnant women and its relationship with perinatal mortality، low birth weight and preterm labor. This cross sectional study was conducted on 1300 pregnant women aged 18-39 years who were referred to Mahabad and Miandoab hospitals in Iran from 2010 to 2011. Samples were selected by a convenience sampling method and were studied via a self-made questionnaire included violence and neonatal outcome. Data collected by the questionnaire and cases medical records. Data were analyzed using SPSS software version 16، logistic regression، Chi-square tests. P value less than 0. 05 was considered statistically significant. 945 patients of pregnant women (72. 7%) underwent emotional violence (46%)، physical violence (44. 1%) and sexual violence (30. 2%) during their last pregnancy. The association between domestic violence and low birth weight (p=0. 000) and preterm delivery (p=0. 001) was statistically significant. Based on relationship between domestic violence during pregnancy with increased risks of preterm labor and low birth weight deliveries، a routine screening in perinatal clinics is suggested to identify high risk cases and provide necessary health services.