مجله زنان مامائی و نازائی ایران
سال هفدهم شماره 122 (هفته چهارم آبان 1393)

Preeclampsia is one of the major causes of maternal mortality and also from the important causes of major fetal، neonatal، and maternal complications. Different studies have mentioned that infections during pregnancy are possible pathophysiology of preeclampsia. This study was performed with the aim to evaluate the association of asymptomatic bacteriuria (ASB (and preeclampsia in pregnant women. This cross-sectional study was performed in 2012 on 320 pregnant women referred to Amiralmomenin and Shafa hospitals of Semnan. 160 pregnant women who presented preeclampsia after 20 weeks of gestational age were selected as case group and 160 healthy pregnant women at the same gestational age as control group. Data were analyzed using SPSS software (version 16)، t-test، and Chi-square test. The prevalence of ASB was 13. 8% (22 cases) in case group and 5. 6% (9 cases) in control group. The association between preeclampsia and asymptomatic bacteriuria was significant in pregnant women (P=0. 027)، so that، the possibility of asymptomatic bacteriuria in women with preeclampsia was 2. 59 times of control group. Asymptomatic bacteriuria is a factor effective on preeclampsia، therefore، screening of asymptomatic bacteriuria on prenatal care are recommended.

Anxiety is one of the most common psychological disorders during pregnancy especially third trimester of pregnancy and many factors influence on the incidence of this disorder. This study was performed with the aim to determine maternal anxiety status at third trimester of pregnancy and its related factors. This longitudinal study was performed in 2012 on 75 pregnant mothers referred to gynecology clinics of Bandar-Abbas Hospitals for routine prenatal care. Data was collected using Spielberger's questionnaire at three times (29-32, 33-36 and 37-42 weeks of pregnancy) and demographic questionnaire was collected. Data were analyzed using SPSS software (version 20), and T-test, ANOVA (analysis of variance) and one-way ANOVA. P< 0.05 was considered significant. The results of the study showed that about half of the mother had moderate and high scores of state and trate anxiety (42.6% and 45.3%, respectively), but there was no significant correlation between mean of maternal state and trate anxiety at three times of measurement (P=0.107, P=0.16). Also, no significant relations were found between maternal age, education level, job status, parity and abortion, baby gender with their state and trate anxiety at third trimester of pregnancy (P>0.05). Maternal anxiety at third trimester of pregnancy is at high level. Therefore, Preparation of the programs related to health assessment during pregnancy care seems to be logical.

Burnout is associated with serious negative health consequences. Midwifes due to stressful work are more likely to experience burnout. This study was performed with the aim to determine the effect of aerobic exercise training in leisure time on burnout of midwives. This randomized clinical trial was performed on 60 midwives working in Health Centers of Mashhad in 2013. The subjects were randomly divided in to two groups of cases and control. Maslach Burnout questionnaire was completed before and after aerobic training. The subjects in intervention group participated in exercise training as group in exercise club for 45 minutes, three times a week, for 8 weeks with intensity of 30 to 60 percent of maximum oxygen consumption. Data were analyzed with SPSS software (version 19) and using Independent t-student, Paired t-test, Mann-Whitney and Chi square test. Mean of emotional exhaustion (14.3±9.8 at the baseline and 7.4±8.1 at the end of the study) and depersonalization (5.4±2.3 at the baseline and 2.0±1.5 at the end of the study) were reduced after 8-weeks of aerobic exercise (P<0.05). Also, mean of personal accomplishment (35.0±9.0 at the baseline and 41.3±7.2 at the end of the study) was increased (P<0.05). Performance of exercise program reduces burnout in midwives. Therefore, preventive measures through performance of exercise programs should be done.