مجله زنان مامائی و نازائی ایران
سال شانزدهم شماره 63 (هفته اول شهریور 1392)

Decrease in breast milk intake during the first days of birth can lead to weight loss، hypernatremia and severe hyperbilirubinemia. Few studies have investigated the relationship between jaundice and hypernatremia. So، this study was done to assess the relationship between hypernatremia and its effective factors on breast-fed term infants with jaundice of unknown etiology. This prospective and cross sectional study was conducted on 273 neonates with jaundice of unknown etiology who were admitted to Qaem hospital of Mashhad، Iran، from February 2009 to January 2011. Neonates were enrolled in control group (serum sodium less than 150 mmol/L، n=226) and case group (serum sodium less than 150 mmol/L، n=47). Maternal and neonatal characteristics and risk factors in two groups were compared. Data were analyzed using SPSS software version 16، Pearson correlation test، independent t-test، ANOVA and Mann-Whitney. P value less than 0. 05 was considered significant. Number of feeding، sucking difficulties، number of urination، first time of breastfeeding، let down reflex، mastitis، hardening of the breast before breastfeeding، softening of the breast after breastfeeding and feeding position were significant in two groups (p<0. 05). Correlation between severity of hypernatremia and severity of weight loss was significant (p<0. 001) Mastitis، insufficient let down reflex، inappropriate feeding position، delay in first feeding، less feeding frequency، less urinary frequency and severity of neonatal weight loss are the important risk factors of hypernatremia in neonates.

Lack of awareness of lifestyle and care of patients after surgery and lack of access this information increase the risk of patient complaints. This study was done to identify information needs related to health and willingness to access this information among women who had undergone surgery. This descriptive study was conducted on 150 women who had undergone surgery in obstetrics and gynecology department in hospitals of Semnan، Iran، 2012-2013. Data collection tool was a researcher made questionnaire. Data were analyzed using SPSS software version 16، descriptive statistics and chi-square tests. 74 women (49. 3%) reported knowledge about the beneficial and harmful activities after surgery as the first priority of their information needs. In the field of better care، 111 women (74%) reported knowledge about drug side effects as the first priority of their information needs. In the context of how to access the information، 100 women (66. 65%) tended to access the information via manual. Most of patients needed various information for better care for themselves and most of them preferred to access this information before surgery from their doctors via manual.

Ectopic pregnancy is a phenomenon that occurs in 1% of total pregnancies and molar pregnancies are also reported in 1-2 out of 1000 pregnancies. It is too rare that these two events happen simultaneously. In this case report، we introduce a case of molar ectopic pregnancy in fallopian tube. Case report: The patient was a 32 years old nulliparous woman who had primary infertility for five years. She has been under infertility treatment with the diagnosis of polycystic ovarian syndrome. She has not received any medication in few months ago. After a retard of 15 days in her menstrual cycle، she referred to the clinic with a test of βHCG=1400 and complained of hypogastric pain and spotting. Ultra sonography of the uterus and the appendices was normal. The patient had been under supervision with the possibility of ectopic pregnancy and 10 days later، she underwent laparotomy and salpingectomy. The result of pathology was partial mole in tube. βHCG has reached normal after 35 days and has remained normal during one year follow up.