مجله زنان مامائی و نازائی ایران
سال هفدهم شماره 117 (هفته سوم مهر 1393)

Nowadays، high risk pregnancies are one of the difficulties in gynecology that can result in many complications for fetus. In these pregnancies، different tests such as NST، BPP، OCT، Doppler sonography and etc can be used to evaluate fetus health status. Since standard biophysical profile needs more accuracy and skill، this study was performed to evaluate relationship between standard BPP and modified BPP with neonatal outcome، so that if there was significant relationship، we could use modified BPP as a replacement of standard BPP. this analytic-prospective study was performed on 106 high risk pregnant women at their third trimester referred to Emam Reza hospital in 2012، if they had no emergency problem leaded to emergent termination of pregnancy. To evaluate fetus health status، both standard BPP and modified BPP were spontaneously used. These tests were repeated once or twice weekly and if delivery was performed، last BPP score was compared with neonatal outcomes. Data analysis was performed by SPSS software (version 14) and Chi-square، and t-student tests. P In the evaluation of last results of standard BPP، 88 cases (83. 1%) of patients were normal BBP and 18 (16. 9%) were abnormal. In modified BPP، 78 cases (73. 6%) were normal and 28 (26. 4%) were abnormal. There was significant relationship between neonatal outcome and standard BPP (P<0. 05). But، there was no significant relationship between modified BPP and neonatal outcomes (P>0. 05). There was significant relationship between modified BPP and standard BPP (P=0. 003). Regarding to significant relationship between modified BPP score and standard BPP score، so، modified method can replace the hard and time taking standard method، and in the cases of abnormal modified method، we can use standard BPP or other methods of fetus health evaluation.

Pregnancy and childbirth despite being fun can be associated with concern and anxiety. Anxiety during pregnancy cause different and irreparable complications. So far، different approaches have been proposed to reduce anxiety during pregnancy including exercise with birth ball during pregnancy. This study was done to determine the effect of execution of exercise program with the birth ball during pregnancy on anxiety rate in nulliparous women This Randomized Clinical Trial was performed on 60 pregnant women referred to obstetric clinic of Omolbanin hospital (specific for gynecology) in 2014. The subjects were randomly divided into two groups of intervention and control. Mothers in the intervention group conducted exercise program with birth ball from 34 weeks of gestation to term for 4-6 week and control group received routine care. Anxiety Visual Scale was checked in intervention and control groups every week. Data collecting tools were personal information، pregnancy information، the form recording exercise، Anxiety Visual Scale، and borg scale. Data were analyzed by SPSS version 16، and t-test، independent t، paired t-test، and descriptive statistical tests. Before the study، two group were not significantly different in terms of anxiety rate (P=0. 931)، but after execution of exercise program with birth ball، mean anxiety score was 2. 75 ± 0. 47 in intervention group and 5. 21 ± 0. 143 in control group which was statistically significant (P<0. 001). Exercise program with birth ball reduces maternal anxiety in pregnancy.

If delivery stages become long، it leads to delivery harmful outcomes including increased rate of cesarean delivery، neonate''s admission in NICU، postpartum infection، and increased economic impose on people and society. This study was performed to evaluate the relationship between length of delivery stages and mode of delivery in nulliparous women in two groups of physiological and traditional delivery. This clinical blind study was performed on 370 nulliparous mothers at Talesh Shahid Noorani hospital during 2011-2012. People were randomly divided into two groups (185 member) of Physiological and Traditional Delivery. The required information was collected through observations of delivery stages، interviewing with mothers and studying the contents of their files. Data collection tool was a checklist including the characteristics of subjects، partograph form، assessment of first، second، and third stages of delivery. Data analysis was performed by SPSS software (version 13) and Chi-square، and t tests. Two groups were significantly different in terms of length of the first and the second stages of delivery (P<0. 001). Length of the first and the second stages of delivery was longer in physiologic delivery group (421. 23±123. 48) than traditional delivery group (243. 45±131. 28) (P<0. 001). But، length of the third stage did not show a statistically significant difference between two groups (P=0. 72). In traditional delivery group، the rate of vaginal delivery with episiotomy (%44. 9) and cesarean section (%35. 1) was higher than vaginal delivery with episiotomy (%18. 9) and cesarean section (%11. 4) in physiologic delivery group (P<0. 001). Vaginal delivery without episiotomy was higher in traditional delivery group (%69. 7) than physiologic delivery group (%20) that two groups had statistically significant difference (P<0. 001). Unlike Traditional delivery، with increasing the length of delivery، the rate of cesarean delivery decreased and vaginal delivery increased.