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Showing 7 results for Delivery

Tabandeh A, Kashani E,
Volume 9, Issue 1 (3-2007)

Background&Objective: Abnormal BMI of mother and weight gain play very important role in the outcome of pregnancy. Several researches were done on the correlation between body mass index (BMI) and mother weight gain in pregnancy, and the complications in neonates, like low birth weight and prematurity and mother complications like preeclampsia. This study was performed in order to determine the correlation between body mass index and weight gain during pregnancy, maternal and fetal complications in patient admitted to Deziani hospital in Gorgan, Iran. Materials&Methods: This cross-sectional study was done on 350 pregnant women in Deziani hospital during a year (2002-03). Patients' information's like mother age, pre-pregnancy weight, weight gain during pregnancy and maternal-fetal complications (preeclampsia, PROM, preterm labor and macrosomia) were recorded. After coding, data were analyzed by SPSS and Chi-Square test was used for description. Results: In high BMI women, higher weight gain was seen than normal BMI women. Preterm labor was significantly related with pre-pregnancy BMI (P<0.05) but no relationship was seen between weight gain and preterm labor. PROM and birth weight were significantly related to pre-pregnancy BMI and weight gain during pregnancy (P<0.05). Preeclampsia has significant relationship with weight gain (P<0.05) but not with pre-pregnancy BMI. Conclusion: Abnormal maternal pre-pregnancy BMI and weight gain during pregnancy can complicate the delivery. Low and high BMI and weight gain during pregnancy can contribute with the complications in mothers and neonates.
Tabandeh A, Kashani E,
Volume 9, Issue 2 (7-2007)

Background&Objective: The incidence of cesarean delivery has been increased during these years. Relations are reported between mother's educational level and knowledge about various delivery methods. This study was done to find the distribution of cesarean delivery in female doctors, dentists, nurses, midwives and specialists under 45-years-old had been working in Gorgan city, 2004. Materials&Methods: In this descriptive cross-sectional study, 187 women in medical fields were recruited. A questionnaire was filled for each of them which included demographic data, causes of the cesarean delivery, and causes of personal tendency to it. Data was entered in SPSS-10 and analyzed with X2 . Results: In our study 307 deliveries were occurred, and 49.8% was cesarean delivery. The most common cause of the personal tendency to cesarean delivery was feeling less pain. Cesarean percentage in doctors, midwives and specialist was significantly higher than nurses and dentists (P<0.05). Cesarean frequency was significantly higher in nulipars (P<0.05). Conclusion: These results showed that the frequency of cesarean delivery in health care workers is higher than the general population.
Fatemeh Vahid Roodsari, Seddighe Ayati, Habibollah Esmaelee,
Volume 9, Issue 3 (10-2007)

Background & Objective: Anovulation is one of the most common causes of infertility and the increasing use of induction ovulation agents for treatment of these patients has been increased. This study was done to evaluate of neonatal outcome in pregnancies after ovarian stimulation in comparisons with spontaneous pregnancy.


Materials & Methods: In this descriptive analytic study, 398 pregnant women admitted to teaching Hospitals of Mashhad University of Medical Sciences from Nov 2004-Apr 2005 were assessed for neonatal outcomes. We compared the rate of multiple pregnancy, gestational age, birth weight, agars score of first and fifth minutes, apparent congenital anomalies, neonatal early death and the days of neonatal hospitalization at NICU in two groups of induction ovulation and spontaneous pregnancy. The data were analyzed by c2 and t student test. P<0.05 was considered statistically significant.


Results: From 398 pregnant women, 95 patients were pregnant after ovulation induction and 303 patients had spontaneous pregnancy. There was significant differences between two groups including: Multiple pregnancy, first minutes and fifth-minutes. Apgar scores, head circumference and admission in NICU (P<0.05). There was also effective dependence between induction ovulation and multiple pregnancy on premature delivery. The early neonatal death and apparent congenital anomalies had no significant differences between two groups.


Conclusion: We concluded that neonatal outcome of ouvlatory induced pregnancies is more unfavorable which probably is due to the multiple pregnancy premature delivery and maternal infertility background.

Sadat Z, Saberi F, Taebi M, Abedzadeh M,
Volume 13, Issue 1 (3-2011)

Background and Objective: Controversies results in quality of life associated with the type of delivery have been reported. This study was performed to determine the relationship between Women’s Quality of life and type of delivery.

Materials and Methods: This descriptive analytical study was conducted on 300 women that referring to health center in kashan city during 2007-08. The women were divided in two groups according to the type of delivery whether it was cesarean section or vaginal delivery. Special life quality questionnaire, 2 and 4 months after delivery was completed by women. Scores of aspects in 2 and 4 months after delivery were determined and compared between two groups. Data was analyzed by SPSS-16 software, Chi-Square, independent t- test, pair t test and Mann- U Whitey test.

Results: Findings showed no differences in aspects of quality of life between cesarean section and normal delivery groups except in “Mother's satisfaction toward delivery” that results showed  higher score 2 months (p=0.03) and 4 months (p=0.018) after normal delivery. Scores of this aspect in 2 months after normal delivery and cesarean section was (4.40±1.11, 3.76±1.16) and in 4 months after normal delivery and cesarean section was (4.13±1.40, 3.82±1.22) respectively.

Conclusion: This study showed there was not significant difference in women quality of life between cesarean section and normal delivery 2 and 4 monthes after delivery.

ِ Ameneh Masoudi , Leila Jouybari , Gholeamreza Roshandel, Nasser Behnampour , Reza Khandoozi , Abdolrahim Hazini , Akram Sanagoo ,
Volume 21, Issue 4 (12-2019)

Background and Objective: Cancer can cause many problems in all aspects of the physical, mental, social, economic and family life of the elderly patients. This study was done to determine the supportive care needs of the elderly people with cancer in north of Iran.
Methods: This descriptive- analytical study was carried out on 248 elderly patients with cancer whom referred to governmental and private medical centers in Gorgan, Northern Iran during 2018. Data were collected by a valid and reliable questionnaire "Supportive Care Needs Survey-SCNS" consisted of five domains of physical needs and daily functioning, health system and information, supportive and care, mental, and sexual chracteristics.
Results: There was a significant relationship between physical activity and daily functioning, sexual domain, support and care, health and information system with gender (P<0.05). Female seniors were more in need of assistance in the areas of physical and daily functioning, and male seniors in the areas of sex, support and care, health systems, and information.
Conclusion: This study showed that unmet needs in the elderly with cancer are particularly high in physical and functional areas.

Zahra Akbarianrad, Shahla Yazdani, Mojgan Naeimi-Rad, Razieh Akbarzadeh, Masoomeh Aghasian,
Volume 22, Issue 3 (10-2020)

Background and Objective: Perinatal mortality rate (PMR) is one of the main indicators in evaluation of health community and healthcare systems. This study was performed to determine the perinatal mortality rate in the referral third level of maternal and infant care center affiliated to Babol University of Medical Sciences.
Methods: This descriptive-analytical study was performed on by cross-sectional method and 19234 births (9751 male and 9483 female) from 22 weeks gestation to 29 days after delivery Ayatollah Rouhani Hospital in Babol, northern Iran during 2011-18. Data on the cause of neonatal death, maternal age, type of delivery, malformations, maternal underlying disease, maternal pregnancy-related conditions, and diseases at the time of death in neonate were collected from website of the Ministry of Health. Then each of the indicators was calculated per 1000 live births.
Results: In this study, the PMR was calculated per 1000 live births which was 29.01 (boys 16.17 and girls 12.84). The portion of vaginal delivery was 9.67 and cesarean section was 19.34. Out of 558 perinatal deaths, 59.9% died due to intrauterine death with an index of 17.37 and 40.1% of deaths were due to infant death with an index of 11.63. Most neonatal deaths (74%) occurred within the first 24 hours of birth and in terms of gestational age 86.02% were <37 weeks of gestation with an index of 24.95, and low birth weight were 83.8% with an index of 24.31. Underlying disease was found in 25.6% of mothers and pregnancy-related conditions in 74.4% of cases. Fetal distress in 14.4% with an index of 4.20 was the most common disease associated with infant death or cause of death in preterm infants. Other causes of perinatal death were specific disorders of perinatal origin, birth defects, chromosomal abnormalities, and accidents were 10.09, 4.06, and 0.58 per 1000 live births, respectively.
Conclusion: The most and important factors of prenatal mortality wrer prematurity and low birth weight that major causes include maternal pregnancy-related conditions and maternal underlying disease, Therefore, emphasis on adequate prenatal care, identification and follow-up of mothers with underlying diseases can be effective in reducing perinatal mortality.
Mahsima Banaei Heravan ,
Volume 25, Issue 1 (3-2023)

Background and Objective: Vaginal delivery is a natural physiological process that can be a critical experience for women. One of the factors involved in avoiding vaginal delivery is childbirth self-efficacy. Self-efficacy affects all aspects of behavior and emotional activities, including attachment. This study aimed to determine the relationship between childbirth self-efficacy and maternal attachment to the fetus in nulliparous pregnant women.
Methods: This descriptive-analytical study was conducted on 323 nulliparous pregnant women who attended health centers in Zahedan city from 2020-2021. Data were collected using participants’ demographic questionnaire, Lowe’s childbirth self-efficacy questionnaire, and Cranely’s maternal attachment to the fetus questionnaire.
Results: Maternal attachment style to the fetus showed a significant direct correlation with childbirth self-efficacy. Maternal attachment style to the fetus predicted childbirth self-efficacy (P=0.003, r=0.16), explaining 2.7% of the variance of childbirth self-efficacy.
Conclusion: The results suggest that helping mothers accept their motherly role and improving maternal attachment to the fetus can increase childbirth self-efficacy. Educational programs during pregnancy should include training related to strengthening maternal attachment to the fetus. As women with high childbirth self-efficacy have a greater ability to perform vaginal delivery, it may increase their desire for vaginal delivery.

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مجله دانشگاه علوم پزشکی گرگان Journal of Gorgan University of Medical Sciences
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