مجله زنان مامائی و نازائی ایران
سال شانزدهم شماره 130 (هفته چهارم دی 1393)

Molar pregnancy along with a live fetus is not rare، and survival rate of the live fetus with mole is variable and dependent on mole fraction effects. The effects of molar pregnancy for mother include preeclampsia، bleeding، thyroid disorders، and persistent gestational trophoblastic disease. This study was performed with the aim to investigate the maternal and fetal effects of Molar pregnancy along with a live fetus in order to facilitate deciding about termination of pregnancy in spite of the presence of a live fetus or continue it accepting all future potential effects. to access the articles، all the articles published on this topic between 1980 and 2012 were extracted using a systematic search in Embase، Google scholar، science direct، Iranmedex، PubMed، SID، Magiran، medlib، irandoc and Medline databases، and after evaluation، finally، data of 29 articles was analyzed using the statistical software CMA2. The results of the statistical analysis indicated that the rate of the birth of the live fetus (event rate: 0. 204) is greater than the persistent gestational trophoblastic disease (event rate: 0. 186). The event rate of bleeding was 0. 258 and event rate of preeclampsia was 0. 211. In this study، the birth rate of the live fetus was greater than the persistent gestational trophoblastic disease. Bleeding was the most complication and then، preeclampsia had the highest prevalence.

Human spends approximately one third of their live in sleeping، but still the function of this behavior is not well understood. This study was performed with the aim to evaluate the double role of sleep and hormonal process of two axis of hypothalamus-pituitary-adrenal and gonadal in patients with polycystic ovary syndrome (PCO). this case-control study was performed on 77 patients with PCO in Vali-e-Asr Reproductive Health Research Center of Imam Khomeini Hospital at 2012. In this study، serum levels of stress neurohormones، beta-endorphin، progesterone and sleep were evaluated in 77 patients with polycystic ovarian syndrome and 97 healthy women. Sleep patterns were evaluated in two groups by the questionnaire of Pittsburgh Sleep Quality Index PSQI. Analysis of data was performed using statistical software SPSS (version 18) and chi-square، Kolmogorov-Smirnov test، Mann-Whitney، Pearson، Spearman and regression analysis. Serum levels of stress hormones of adrenaline and noradrenaline in the PCO group who sleep earlier (3. 88 ± 2. 54) was significantly lower than those in the same group who sleep later (6. 43 ± 4. 71 (P=0. 041). Level of beta-endorphin (P=0. 001)، and melatonin in the PCO group was lower than the control group. Regression analysis showed that in patients group، only cortisol levels showed a significant relationship with sleep quality scores (P=0. 023). the neurohormonal levels of Adrenaline، Noradrenaline، Melatonin and Betaendorphine are significantly reduced in the patients who sleep late at night and wake up late in the morning.

Paying attention to women`s health educational needs should be considered as primarily importance due to woman''s sensitive role in the community. One of the damaged women in the society is sex worker women that they must comfort in priority educational program about preventive high risk sexual behavior because of the high rate of unprotected high risk sexual behavior. This study was performed with the aim to determine the perceived educational needs of damaged women in relation with high risk sexual behavior. This descriptive study was performed on 40 sex worker women living in Mashhad Vakilabad prison at 2013. Data collection tool was a questionnaire which measured the educational needs in the area of high risk sexual behavior with 5-points Likert scale. Data was analyzed using SPSS software version 16، Kolmogorov-Smirnov test، spearman correlation and ANOVA. In this study، generally، the rate of educational need was more than moderate (score 3). The first educational priority was sexually transmitted diseases symptom and there was no significant relation between educational needs and socio-demographic characteristics. The sex worker women feel need for education in the area of high risk sexual relationship. Therefore، it is necessary to design and implement the educational programs by specialized persons based on known needs of these women to promote their sexual heath.