مجله زنان مامائی و نازائی ایران
سال هفدهم شماره 137 (هفته سوم اسفند 1393)

Postpartum period can influence on the women''s hygiene and lifestyle. Postpartum lifestyle includes physical activity، nutrition and health-related behaviors. Women''s knowledge about puerperium care and health concerns enables them to prevent the complications. This study was performed with aim to assess knowledge and belief regarding postpartum lifestyle and its predictors among nulliparous mothers in Tabriz. This cross-sectional study was conducted on 220 nulliparous mothers admitted in postpartum wards in two medical and training hospitals and one private hospital in Tabriz in 2013. Convenience method was used for sampling. Data was collected using questionnaires of socio- demographic، knowledge and belief related to lifestyle. The data analysis was performed by SPSS software (version 18) and independent t-test، one way ANOVA، univariate and multivariate general linear model. The Mean±SD score of knowledge and belief were 72. 6±16. 9 and 50. 4±12. 5، respectively، of the attainable range score of 0-100. According to general linear model and with adjusting on other variables، having university education and receiving care from both physician and health center had statistically significant positive association with knowledge score، and there was significant positive relationship between education level and belief (P=0. 015). In the present study، the rate of knowledge of lifestyle was good and belief score was at moderate level. Education level and place of receiving prenatal care were the most important variables affecting knowledge and belief about postpartum lifestyle.

Gestational trophoblastic disease includes a group of tumors such as complete and partial hydatidiform mole، choriocarcinoma and placental trophoblastic tumor. Epidemiology of the disease is unknown. This study was performed with aim to determine the incidence of mole in Hamadan province of Iran during 1997 to 2006. This retrospective descriptive study was conducted on the records of 292262 pregnant women referred to medical centers and clinics of labor facilities in Hamadan Province during 1997 to 2006. The data collection tool was a questionnaire. Data were analyzed using SPSS software (version 13). The incidence of hydatidiform mole in Hamadan Province during 1997 to 2006 was 3. 34 per 1000 pregnancy and 3. 7 per 1000 delivery. 533 patients (56. 1%) had complete mole. The highest incidence of molar pregnancy (68. 8%) was seen in the age range group of 21-35 years. The incidence of mole recurrence was 2. 6%. In comparison of gravidity، most cases of molar pregnancy was related to gravidity 1 that its relationship with the incidence of mole was significant (P=0. 002) and also، there was a significant relationship between the history of molar pregnancy with incidence of mole (P=0. 032). In the Hamadan province like as parts of Southeast Asia، there is a high incidence of mole، so the early diagnosis of the disease must be considered.

Happiness is one of the mental health criteria which is defined as the individuals'' judgment from life desirability. Pregnancy is an experience which causes several physical and psychosocial changes، but can be as the manifests of self-actualization feeling and stabilization of feminine identity، and can increase happiness. This study was performed with aim to determine level of happiness and its related factors during pregnancy. This correlation study was performed on 300 pregnant women who had referred to Mashhad health-medical centers for receiving pregnancy care. They completed the questionnaire of demographic and social characteristics، medical-midwifery history، lifestyle، Oxford happiness and demographic characteristics of NEO-FFI. Data were analyzed by SPSS software (version 16) and using Kruskal Wallis، Mann Whitney، Spearman and Pearson correlation coefficient. Frequency of how level of happiness was 11. 3%، moderate level 72. 5% and high level 16. 2%. Happiness was significantly related to job status (P<0. 01)، exercise (P<0. 001)، recreation (P<0. 05)، duration of religious affords (P<0. 001)، neurosis (P<0. 001) and extroversity (P<0. 001). Considering the importance of positive emotions such as happiness in mental health and its relation with various factors، it is recommended to plan for promoting its related factors during pregnancy.