مجله زنان مامائی و نازائی ایران
سال هجدهم شماره 152 (هفته دوم تیر 1394)

Determination of the appropriate basis in glucose challenge test is considered as the most important problems discussed in screening for Gestational Diabetes Mellitus. Therefore، this study was conducted with aim to assess the appropriate cut-off point in glucose challenge test in pregnant women. In this study، data of Iranian pregnant women without diabetes referring to Rafsanjan gynecology clinics for assessment of gestational diabetes were collected. GCT was performed for the women in 24 to 28 weeks of pregnancy. Oral Glucose Tolerance Test was performed for women who their test result was ≥135 mg/dl and ≤200 mg/dl. The OGTT results were interpreted by Carpenter and Coustan criteria. Finally، the appropriate cut-off point of GCT was calculated by SPSS software (version 22) and the ROC curve. The results of GCT showed that the maximum and minimum values of GCT were 93 and 199 mg/dl respectively، with mean±SD of 161. 99±15. 83 mg/dl. 235 cases of pregnant women had positive GTT test. According to the ROC curves for all study population، GTT cut-off point was 140 mg/dl with 97% sensitivity، in low-risk group for gestational diabetes was 147 mg/dl with 96% sensitivity and for high risk group was 135 mg/dl with 100% sensitivity and had the most predictive value. Suitable cut-off point in GCT for gestational diabetes is different in low and high risk pregnant women. Depending on the presence or absence of risk factors in mothers، we can reduce or increase the cut-off point of the GCT.

Ovarian cysts are considered as the common and important diseases in women. The amount of Carbohydrates affects blood glucose and insulin levels and insulin affects ovarian function through changes in sexual hormones and insulin-like growth factor (IGF). This study was conducted with aim to determine the relationship between carbohydrates and dietary energy intake with functional ovarian cysts in women at reproductive age. This case-control study was performed on 264 women (132 with Follicular cyst and 132 as control group) referred to Ghaem، Imam Reza، and Omolbanin hospitals، Mashhad in 2014. Data was collected using individual، medical and midwifery questionnaire. The amount of carbohydrate and dietary energy intake was measured by semi-quantitative food frequency questionnaire (FFQ). Data were analyzed by SPSS statistical software (version 16) and Pearson and Spearman correlation coefficient tests and t-test and Chi-square test. In this study، the mean amount of used carbohydrates and calories was higher in women with functional ovarian cysts، but this difference was not statistically significant (P> 0. 05). But، the amount of used carbohydrates and energy intake was higher in women with ovarian cyst. Due to the higher levels of dietary carbohydrates and energy intake in women with functional ovarian cysts، it is essential to train women in reproductive age. Also، it is recommended that the study be performed as prospective.

According to the importance of breastfeeding and lack of nutrition with breast milk for some infants due to different causes، this study was performed with aim to assess the awareness of breastfeeding mothers who their infants were hospitalized in NICU about the condition of milk storage and preservation and the factors affecting their knowledge. This descriptive study was performed in NICU of Pediatric Doctor Sheikh and Ghaem hospitals of Mashhad University of Medical Sciences in 2014. All mothers who their infants were admitted in NICU of above hospitals completed a questionnaire including demographic information and the questions about assessing the awareness about conditions of breast milk storage during a month. The correct answers to less than 50% of questions was considered as poor awareness، between 50 to 75% intermediate and more than 75% was good. Analysis of data was performed using SPSS statistical software (version 20) and Chi-square test. Among 42 participants، 1 (2. 4%) of mothers had high awareness، 18 (42. 9%) moderate and 23 (54. 8%) had low awareness about the conditions of breast milk storage. 2 cases (4. 8%) of the mothers had primary education that all of them had poor awareness. 23 (54. 8%) had high school that among them، 21 (52. 2%) had poor awareness and 20 (47. 8%) moderate awareness. 12 (28. 6%) had diploma that among them، 24 (58. 3%) had poor awareness and 17 (41. 7%) moderate awareness. 5 (11. 9%) of the mothers had a college education، of which 17 (40%) had poor، 14 (40%) moderate and 8 (20%) had good awareness. 24 (57%) of mothers were trained in admission hospital. According to the low level of awareness of most mothers about the conditions of breast milk storage، When the baby for various reasons، surgery or medicine is not able to use breast milk، effective training especially about conditions of breast milk storage by health care personnel is recommended.