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Background & Objective: Neonatal growth indices can be influenced by either wanted, or unwanted pregnancy. This research was done to compare neonatal growth indices (Height, weight, head circumflex) to in such pregnancies in Birjand (South-east of Iran). Materials & Methods: This study case-control study was done on a total of 400 women and their neonates in the Imam Reza and Mehr maternity hospital in Birjand between 2000 to 2002. The number of case (UWP) and control (WP) were 150 and 250 respectively. Data were collected through a valid and reliable questionnaire by face to face interviewing with mothers and the determination of growth indexes of the neonates. The results were analyzed employing X² and student T-test by means of SPSS software. Results: The results revealed that the mean weight of the neonates in the case group (3151±410.4 grams) was meaningfully (P?0.05) less than the mean weight (3243±484 grams) of the neonates in the control group (WP). Besides, the mean weight gaining of mothers during their pregnancy in the cases (9±3.2 kg) was meaningfully (P<0.05) less than control group (9.7±3.4 kg). Conclusion: The results of this study, shows the impact of wanted pregnancy on weight gain and health improvement of mothers and their infants. It is therefore recommend that the health centers, mass and even high schools officials provide enough training to prevent unwanted pregnancies.

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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.

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Background and Objective: Jaundice is a common problem among neonate undiagnosed case finally lead to kern-icterus, with significant increasing rate of subsequent morbidity. This study was done to determine the etiology of of severe indirect hyperbilirubnemia in term neonates. Materials and Methods: This cross sectional descriptive study was performed in Taleghany hospital of Gorgan on neonates admitted due to severe hyperbilirubinemia from Sep 2004-Sep 2005. Severe hyperbilirubinemia was considered as bilirubin≥18 mg/dl in term neonates weighing more than 2500g. Bilirubin (total, direct), blood culture, retic count, coombs test, level of glucose 6 phosphate dehydrogenase enzyme, complete blood cell count, mother's and neonate's blood group, urine culture and C-reactive protein tests were measured. Results: 766 term neonates (>2500g) were hospitalized due to hyperbilirubinemia. Severe hyperbilirubinemia was detected in 12% of cases (54 boys, 38 girls). The etiology of 41 cases were unknown, 25 cases were diagnosed as sepsis, 15 neonates were glucose 6 phosphate dehydrogenase enzyme deficient, 7 cases had UTI, 3 neonates had ABO incompatibility and one neonate was due to breast feeding. Conclusion: This study indicated that the most common etiology of severe hyperbilirubinemia in this region is unknown. Sepsis, glucose 6 phosphate dehydrogenase enzyme deficiency, UTI, ABO incompatibility and breast feeding were among other reasons for severe indirect hyperbilirubinemia.

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Background and Objective: Anesthetic agents effect on pregnancy in operating room personnel is a challenge in anesthesiology. This study was carried out to determined pregnancy complications among hospital operating room personals in Fars province – Iran.

Materials and Methods: In this case-control study, 122 women working in operating rooms of governmental Fars province hospitals during their pregnancies with different jobs considered as case group. 122 women working in internal and pediatric wards considered as control group. The history of pregnancy complications including infertility, abortion, preterm labor, fetal death, neonatal death and low birth weight obtained using questionnaire. Data were analyzed using SPSS-15 software and Chi-Square test.

Results: The incidence of abortion was 19.8% and 16% in case and control group respectively, this difference was not statistically significant. Infertility was significantly higher (8.2% versus 2.5%) in case group than control group (P<0.05). No significant differences in incidence of preterm labor, fetal death, neonatal death and low birth weight were seen between two groups.

Conclusion: This study showed that the incidence of pregnancy complications is similar between women working in operating room and those working in other hospital wards but the prevalence of infertility is higher in operating room personnel than those of other wards.

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Background and Objective: Regarding to probable high frequency of Glucose - 6 - phosphate dehydrogenase (G6PD) deficiency in Iran, screening of all neonates by cord blood is under consideration. This study was conducted to determine the prevalence of G6PD deficiency in newborns and the relation between gender, jaundice, hemolysis, anemia and the G6PD deficiency in neonated born in in Tehran, Iran.

Materials and Methods: In this descriptive study, cord blood of 450 neonates born in Akbarabady hospital in Tehran, Iran during 2008-09 were screened. Demographic information was recorded by questionnaires and the newborns were examined for detection of jaundice till discharge. G6PD level was determined by Fluorescent Spot Test (FST). G6PD deficient neonate were put under close observation for detection of jaundice. Enzyme activity was rechecked by spectrophotometry.

Results: Nine neonates out of 450 were G6PD deficient (8 boys and one girl). Prevalence of G6PD deficiency was 2% (3.3% for boys and 0.5% for girls). Six neonates of nine G6PD deficient neonates (66%) developed pathologic jaundice. Four neonates were managed by phototherapy and two by exchange transfusion.

Conclusion: This study showed that G6PD deficiency is more prevalate among male neonates, therefore, G6PD determination is recommended to prevent the possible neonatal jaundice.

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Background and Objective: Respiratory failure is one of the most important respiratory problems in premature infants. Several studies have shown the efficacy of corticosteroids in gestational age less than 34 weeks. This study was done to determine the effect of prenatal betamethasone injection during 34 to 36 weeks of pregnancy on the prevention of newborn respiratory failure. Methods: This clinical trial study was conducted on 140 women with risk of preterm labor at 34 to 36 weeks of gestational age. Women in interventional group were received betamethasone 12 mg IM (2 doses, 12 hours apart). Women in control group were received the same volume of normal saline. Sex and birth weight, respiratory distress syndrome, requiring hospitalization in neonatal intensive care units and require respiratory support were recorded for each newborn. Results: No significant difference was seen in sex and weight of newborns between two groups. The precent of newborns with respiratory distress syndrome in the intervention and control groups was 12.5% and 22%, respectively. This difference was not significant. No significant difference was seen in the need to respiratory support, hospitalized in the NICU between intervention and control groups. Conclusion: Adminestration of betamethasone in 36-34 weeks of pregnancy has no effect on the prevention of respiratory failure in preterm infants.

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The kangaroo care method in newborn is a way of protecting the baby through skin to skin contact between newborn and their parents. This review study was done by using the keywords including kangaroo mothre care, neonatal, skin to skin contact and preterm. All related articles were published in Pubmed, Sience direct, Google scholar, SID, and Magiran were studied during 2000 to 2016. Finally, 36 articles were reviewed which were similar according to objectives, method of work, sample size, analysis method, and conclusion. Reviewing the selected articles showed that skin to skin contact among newborn and their parents regulated the body temperature of the neonate, increased the newborn's immune system, reduced infection and mortality rate, regulated heart and respiratory rate, increased the growth and weight gain in low birth weight neonates, reduced the stress and crying, increased prolong and stable periods of sleep, and also creates an emotional bond between the parents and the neonates. Kangaroo care method not only helps to care for the early stages of growth of premature neonate, but also increases the general health of the newborn and mother. This care can be used as an inexpensive and highly beneficial method for neonate's growth and health in human.