فهرست مطالب زهرا ملا اسماعیلی

Objective (s): 

The widespread prevalence of corona disease in the world caused a wide range of people to avoid referring to healthcare centers due to the fear of the disease. Therefore, the present study was conducted to investigate the prevalence and factors related to healthcare avoidance among women of reproductive age during the COVID-19 pandemic

This was performed on 250 women of reproductive age in Tehran city in 2022. Available sampling was done among women who had documents in health care centers of Tehran University of Medical Sciences. Inclusion criteria included being married, age 15-45 years, ability to read and write, ability to use virtual media, and exclusion criteria included failure to fully answer the questionnaires. Data collection tools included a demographic information questionnaire and a DASS-21 questionnaire.

The overall prevalence of healthcare avoidance during the COVID pandemic was 17.36%, which contains: the rate of avoiding going to the doctor (27.6%), surgery (14%), Pap smear (14.8%), ultrasound and mammography (18%) and laboratory tests (12.4%). Factors related to healthcare avoidance included lower level of education among women and their spouses, unfavorable health status, history of infertility, history of chronic diseases, higher levels of stress, anxiety, and depression, and being worried about contracting the coronavirus.
Overall 17.36% of Iranian women had avoided visiting health care during the covid pandemic, and the highest rate was related to avoiding visiting physicians. These findings suggest the need for public education, especially people at risk, to timely visit health centers in order to prevent adverse consequences.

Anemia has a very high prevalence across the world. Microcytic anemia is the most common nutritional disorder and a major health problem in infants and children associated with inadequate growth and development. Diagnosing anemia at the birth can be difficult. Due to the fact that conditions such as thalassemia and iron deficiency are causative factors of microcytic anemia are prevalent in Iran, early diagnosing and treating these diseases can prevent excessive costs and further complications. Therefore, recognizing the practical factors with this complication is an effective step in controlling and preventing it. Therefore, the present study was performed to determine the prevalence of microcytic anemia in newborns in Baharloo Hospital in Tehran, Iran.

This cross-sectional study was performed on 210 infants, which were newly born on Baharloo Hospital from march2018 to march2019. 2.5 cc cord blood sample was extracted from each infant, and microcytic anemia were diagnosed according to factors such as Hb, MCV and others parameters.

in this study, we demonstrated that there is a significant association between MCH and microcytic anemia. Our results showed that the rates of newborn infants with anemia disease (Hb<13ml/dl) were 14.3% and the rates of microcytic anemia were 9.5%. There were not any significant differences between motherchr('39')s age, neonatal weight and height, type of parturition, pregnancy age and parental ratio with the incidence of microcytic anemia.

Anemia has a relatively high prevalence in the center of Baharloo Hospital, Tehran, Iran. So screening and further investigation for anemia and related factors are critical. According to the results of our investigation, studies showed that anemia is a multifactorial disease that depends on different factors. The existence of variable results in different studies requires evaluating more parameters that affect the incidence of microcytic anemia, such as iron deficiency, eating habits, level of parental education, and use of iron supplements in pregnancy. Management of this disease requires screening and early diagnosis for more effective treatment and reduction of its potential complications.