مجله زنان مامائی و نازائی ایران
سال هجدهم شماره 149 (هفته سوم خرداد 1393)

the clinical aspects of septic abortion has been changed due to the use of riskless drug induction methods. This study was performed with aim to evaluation septic abortion in two 70 and 80 decays in Hamadan Fatemieh hospital. This cross - sectional study was performed on 428 patients with septic abortion who were had referred to Hamadan Fatemieh hospital in the 70s and 80s decades in 2013. Data of the patients included age، clinical syndromes، clinical symptoms، complications and the treatment methods. Data analysis was performed using the SPSS statistical software (version 17). Most age group referred in the 70''s was 35-40 years، and in 80s، 30-35 years. The most common clinical signs in both decades were fever along with bleeding or abdominal pain، or both. The most final treatment method in both decades was related to curettage with open cervix. Referring due to septic abortion caused by manipulation and its complications was less in the 80''s than 70''s that may be due to the use of drug induction methods and safety procedures for abortion and the reduction in the overall statistics of induction cannot be judged.

The mother''s infection to HBV viruses can expose the baby to the risk of next infection to chronic hepatitis، on the other hand، the prevalence of hepatitis is related to the health and socio-economic factors of the people in an area. This study was performed with aim to determine the seroprevalence of HbsAg+ and its relation with some effective factors in pregnant women referred to health centers of Agh-Ghala city. In this descriptive، and cross-sectional study، 1057 pregnant women were studied during two years of 2010 until 2012 in terms of prevalence of HbsAg+ in Agh-Ghala city. Data was recorded in the questionnaire with blood samples. Data were analyzed using SPSS statistical software (version 16) and Fisher، Chi-square، and T-Test. P< 0. 05 was considered statistically significant. Among total women، HBsAg was found positive in 17 (1. 6%) pregnant women. Most percentage was related to the Turkmen and Sistani and rural areas. There was significant relationship between ethnicity and tattoos and history of jaundice with hepatitis B (P<0. 05). But، no significant relationship was found between the age، job، place of residence، education، history of surgery and dental surgery، addiction of the subjects and their husbands and blood transfusion (P>0. 05). The prevalence of hepatitis B is somewhat high in Agh-Ghala city and suggests the need for screening and treatment. Therefore، tests must be performed as one of the routine tests for searching hepatitis B virus during the perinatal period.

Trial of labor with aim for vaginal birth after previous cesarean delivery may be preferred by some women. Uterine rupture is the most common recognized complication of trial of labor. This report introduces two cases of uterine rupture in two women during a trial of labor after cesarean delivery. Case report: case 1: A 25 year old women G5P4 was admitted with complains of sudden abdominal pain and vaginal bleeding. Because of not hearing the fetal heart rate and suspicious to uterine rupture، laparotomy was performed for the patient. Rupture of the previous incisions was observed and fetus was exited from the uterus. The baby was born dead and uterine rupture was repaired. Case2: A 19 year old women G3P2 was admitted with complains of labor pain and brief bloody vaginal discharge. Because of fetal bradycardia to 60 bpm and elevated station of the fetus''s head in birth canal، uterine rupture was suspected. Rupture of the previous incisions was observed. A male infant was delivered with first minute Apgar scores 4 and uterine rupture was repaired. Uterine rupture is the outcome associated with a trial of labor which accompanies the increased maternal and neonatal morbidity. These women should be evaluated in equipped centers immediately after starting of labor symptoms in order to minimize adverse maternal and perinatal outcomes if uterine rupture occurred.