فهرست مطالب راحله فرامرزی

Intra-ventricular hemorrhage (IVH) is acute cerebral complications of premature infants which may lead to the long-term problems.

According to the role of vitamin D in the stability of the blood vessels, the present study was carried out in order to compare the vitamin D level in the premature infants with or without IVH.

This cross-sectional study was carried out on 180 premature infants in the Ghaem Hospital, Mashhad, Iran 97 infants without IVH (53.9%) and 83 with IVH (46.1%) through convenience sampling technique in 2015- 2017. Serum vitamin D level of funiculus in the two groups was compared. A researcher made questionnaire was used which includes infants’ personal and laboratory information; and their mother's information.

Seventy nine percent of infants suffered from vitamin D deficiency in which 33.9% had a severe deficiency (less than 10 ng/ml), 30% moderate deficiency (10.1-20 ng/ml), 15% slight deficiency (20.1-30 ng/ml) and 21.1% had normal vitamin D (>30.1 ng/ml). Vitamin D mean±SD of infants in the control group, 23.71±12.98 ng/ml and case group 15.92±10.27 ng/ml (p

Vitamin D deficiency in the premature infants is very common. Also, the serum vitamin D level in infants with IVH was less than infants without IVH. Therefore, the recommendation of vitamin D may be effective in the prevention of neonatal IVH.

Background and Around three million fetuses lose their life before birth each year. Recognizing the risk factors of these deaths could help in controlling and preventing at least a number of them. This study was conducted to determine the risk factors for uterine deaths. This cross-sectional study was conducted in 225 cases of fetus uterine deaths aged >20 week that occurred in Mashhad Ghaem Hospital during 2011-2014. Data was collected using a researcher-made questionnaire in three parts (maternal, fetal and placenta characteristics). We investigated the epidemiologic information, diagnostic and therapeutic measures, and the process of disease before death including fetal, maternal, membrane and placental characteristics. Then influencing factors and causes of deaths were examined in a specialized committee. The main risk factors for fetal death included idiopathic (86 cases, 38.2%), fetal (83, 36.9%), placental and umbilical cord (29, 12%), and maternal (27, 12%). The most prevalent maternal disease during pregnancy was hypertension (21.3%). Unclassified abnormalities (15 cases, 7.4%) and neural tube defects (14, 6.9%) were found more in dead fetuses. Placenta was reported unusual in 84 cases (37.3%). Controlling and appropriate treatment of maternal diseases in pregnancy, early detection and proper treatment of congenital anomalies, placenta and membranes problems could be of great benefit in reducing the rate of fetal death. Also, consulting and training programs for mothers who are more at risk during pregnancy, applying therapeutic interventions and proper management of delivery can be helpful.