مجله زنان مامائی و نازائی ایران
سال شانزدهم شماره 78 (هفته چهارم آذر 1392)

Cervical cancer is the fifth most common cancer between women in Iran. Screening programs with pap smear and colposcopy and confirmation by biopsy could diagnose cervical cancer at early stages and reduce its mortality. The purpose of this study was to compare cytologic، colposcopic and histologic test results of patients referred for colposcopy. This prospective and descriptive cross sectional study was conducted on 328 patients with an abnormal pap smear or suspicious clinical findings and referred to oncology clinic of Fatemieh hospital for colposcopy، during 2009 to 2011 in Hamadan، Iran. Patients underwent colposcopy and examined by a single person. Colposcopic and histologic findings were collected and analyzed using SPSS software version 17، chi-square and paired t-tests. P value less than 0. 05 was considered significant. Colposcopy was done in 152 cases with abnormal cytology and 176 cases with suspicious clinical findings. The most common clinical findings in referred cases for colposcopy were respectively cervical ulceration and postcoital bleeding. In this study، the sensitivity and specificity of colposcopy were 60% and 64. 13%، respectively. Positive and negative predictive values of colposcopy were 26. 6% and 88. 50%، respectively. There was a significant correlation between the results of colposcopy and biopsy (p=0. 046). Also، there was a significant correlation between the results of the pap smear and biopsy (p=0. 038). Performingcolposcopy in abnormal pap smear or other colposcopy indication could be coincident on histology findings with acceptable sensitivity and specificity.

Studies of randomized controlled trials are one of the most important studies in medical sciences. So، the report quality of these studies is very important. This study was conducted to evaluate the quality of clinical trials published by Iranian researches in level 1 journals of obstetrics and gynecology. In this cross sectional study، articles of Randomized Controlled Trials (RCTs) published by Iranian researchers in field of obstetrics and gynecology in English journals indexed in first level valid bases (ISI، Pubmed، Web of Knowledge) during 1999 to 2012 were evaluated by two researchers using CONSORT tool. Data were analyzed using descriptive statistics tests and SPSS software version 16. Results of evaluation of 141 articles showed that totally the main part of failures were in methods and materials part and among 17 items of this part، the most part of weaknesses and shortcomings are in: determining sample size، method used for the order of randomized allocation of participants in study، details of any kind of randomization (for example categorization، block formation) and blinding method. Overall average of scores was equal to 31. 35±5. 67 from minimum and maximum of 19-37. The most common weakness of researchers in reporting the results of studies were in materials and methods part which could be improved by more education on these topics، using specialists of statistics and methodology، and also using standard tools for self evaluation of articles.

Pregnancy and postpartum period are considered as a stressful time in woman’s life. Maternal disease and unexpected perinatal complaint increased the risk of post traumatic stress disorder. This study was done to determine the prevalence of Post Traumatic Stress Disorder (PTSD) after childbirth in pre-eclampsia and its related factors. This descriptive analytical study was conducted on 122 pregnant women with pre-eclampsia in labor wards of governmental hospitals of Mashhad، Iran in 2013. The prevalence of PTSD was determined by perinatal post-traumatic stress questionnaire (PPQ) and confirmed by psychiatrist interview. Related factors of demographic، obstetric and psychosocial support were also noted. Data were analyzed using SPSS software version 16، Spearman correlation coefficient، chi-square، Mann-Whitney u and independent t-test. P value less than 0. 05 was considered significant. 33 cases (26%) of women with pre-eclampsia، suffered from PTSD after childbirth that PTSD was confirmed by psychiatric interview in 20 women (65%). There were significant differences between mode of delivery، depression in week 6 of postpartum، social support in weeks 2 and 6 of postpartum and PTSD (p<0. 05). The prevalence of PTSD after childbirth in pre-eclampsia is high. Cesarean delivery، reduction of postpartum social support and postpartum depression make women with pre-eclampsia susceptible to PTSD.