فهرست مطالب misa naghdipour mirsadeghi

 Early discharge from the hospital against medical advice poses a significant threat to the health of patients, particularly neonates, who are a vulnerable population.

 This study aimed to determine the frequency of neonatal discharge with personal consent and identify the most influential factors.

 This retrospective cross-sectional study was conducted at Alzahra Hospital in Rasht from 2020 to 2021. Using a census method, information on all infants discharged against medical advice was extracted from the hospital's clinical records available in the information system. Data on the reason for neonatal hospitalization and discharge against medical advice, neonatal age, weight, maternal education, and insurance status were recorded.

 Among 2327 neonates, 581 (24.96%) were discharged from the hospital against medical advice. The primary cause of early discharge was related to family problems (64.4%), followed by dissatisfaction with the hospital and treatment process (15.3%), prolonged hospitalization (11%), and financial problems (9.3%). A significant association was found between neonatal age, weight, type of delivery, maternal education, insurance status, and the reason for hospitalization with the reason for discharge against medical advice (all P < 0.001).

 The rate of discharge against medical advice in this study was notably higher compared to other studies, possibly due to the timing of the study coinciding with the peak of COVID-19 and the different reasons for hospitalization, such as icterus versus sepsis. Family problems were identified as the main cause of discharge against medical advice, while financial problems were the least common. Therefore, practical and preventive solutions should be provided to families whenever possible.

Not-prescribed use (NPU) of herbal products and supplements during pregnancy is a potent risk for both mother and fetus and a big challenge for anesthesiologists. However, little is known about this topic in Guilan Province, Iran. 

This study aimed to determine how pregnant women take supplements and herbal medications. 

This analytical cross-sectional study was conducted in 2022. Eligible pregnant women enrolled in the survey, and a checklist containing items about maternal demographic data and the maternal pattern of herbs and supplements used during pregnancy was filled out through a face-to-face interview. Multivariate logistic regression, the Chi-square, and the Mann-Whitney U statistical tests were used to analyze the data.

The data from 682 women were analyzed. A total of 488 women (71.6%) were less or equal to 30 years old; 498(73%) lived in urban areas; 508(74.5%) were homemakers; 444(65.1%) had under-diploma or diploma education, 292(42.8%) were gravid one or 251(36.8%) gravid two. In addition, 25.1% reported using at least one herbal remedy during pregnancy, and 90% took supplements; 0.7% had NPU of supplements and 93.6% took herbal products. About 10% did not take any supplements. Iron (23.3%) and folic acid (23.1%) were the most frequently taken supplements, and thyme (20.2%) and mint (17.5%) were the most commonly taken herbs. Using logistic regression, we found that urbanization (OR=1.91, 95% C, 1.6%, 3.14%, P=0.01), employment (OR=2.21, 95% CI; 1.46%, 3.33%, P=0.0001), and higher gravidity (OR=2.03, 95% CI; 1.22%, 3.36%, P=0.006) increases the probability of consuming supplements and herbal products during pregnancy.

The lack of physicians’ supervision of the herbal therapy process among pregnant women in an academic center was worrying. However, most women received the supplements based on healthcare professionals’ advice. A few women did not take essential supplements.

 Because childbirth is a natural process, pain is therefore part of the process. The amount of labor pain is probably directly related to the pregnant woman's mood, familiarity, awareness and self-confidence. Therefore, it is illogical to accept the complications of surgery and anesthesia and harm to the baby in order to escape the pain. Therefore, the aim of current study was investigating the relationship between the perception of labor pain and the number of deliveries.

 This study is descriptive-analytical correlational study. Two questionnaires were used for gathering information: one on personality traits and the other on labor pain. One hundred participants were chosen according to their demographic information, from a pool of pregnant women at maternal ward of the Persian Gulf Hospital in Bandar Abbas City, Iran. The data was analyzed by means of descriptive_ analytical measures such as Pearson Factor.

 The mean age of women was 27.15±4.6. Collected data showed that 31% of women were gravida 1, 33% gravida 2, 15% gravida 3, 10% gravida 4, 5% gravida 5, 4% gravida 6, and 2% were gravida 7. a significant relationship was found between pain in the first delivery and pain in the second, third, fifth and sixth deliveries, so that the pain in the first delivery was more than the pain in the second, third, fifth and sixth deliveries.

According to the results of this study the severity of labor pain in primiparous and multiparous women was not statistically significant and the intensity of reported pain level was high in all mothers.

Considering the side effects of common drugs used to treat polycystic ovary syndrome (PCOS), researchers have turned their attention to natural compounds, including medicinal plants. Foeniculum vulgare has estrogenic properties and has been traditionally used to treat gynecological disorders. Bunium persicum has medical aspects that have not yet been evaluated, so the aim of this study was to evaluate the effects of combination therapy with these extracts on clinical symptoms of women with PCOS.

In this double‑blind clinical trial study, 70 women with PCOS referred to infertility clinics, were selected and randomly divided into two groups. The intervention group received B. persicum capsule 60 mg plus F. vulgare capsule 25 mg) twice daily for 4 months and the control groups received routine intervention. Before and after the intervention, levels of luteinizing hormone (LH), follicle‑stimulating hormone, progesterone, prolactin, testosterone and dehydroepiandrosterone sulfate (DHEAS) levels, hirsutism score, and menstrual pattern were recorded and endometrial thickness and follicle count were determined by ultrasound. Data were analyzed by the SPSS21 software.

Treatment with B. persicum and F. vulgare extracts significantly decreased LH and DHEAS levels, hirsutism score, and significantly increased menstrual duration compared to the control group. Before the intervention, 5.7% of the intervention and control groups had the normal menstrual pattern, while after the intervention 31.4% of the intervention group and 25.7% of the control group had the normal pattern.

Regarding the effect of these extracts combination and because they have no side‑effects, which is a great advantage over chemical drugs, using of these plants recommend.

Intensification of immune system sensitivity after pregnancy with cytokine storm caused by Covid 19 can lead to coagulation disorders and increase the amount of bleeding after delivery. Since bleeding following cesarean section is more likely to occur in women with Covid-19 than in women without the disease, the present study was performed aimed to investigate the amount of bleeding during caesarean section in women with covid-19.

This descriptive-analytical study was performed on 396 clinical files of women after cesarean section (35 women with Covid 19 and 361 women without Covid 19) in Al-Zahra and Imam Reza hospitals of Tabriz. Demographic information, history of midwifery and bleeding volume, platelets, prothrombin time, and relative thromboblastin time were extracted for each individual. Data were analyzed by SPSS statistical software (version 21) and student's t-test, chi-square and multivariate regression. P< 0.05 was considered statistically significant.

The rate of bleeding in patients with Covid 19 (1259.59 ± 127.69 ml) was significantly higher than patients without Covid 19 (351.74 ± 11.94 ml) (p=0.005). The rate of bleeding during cesarean section for patients with Covid 19 based on the severity of the disease indicated that the higher the severity of the disease, the higher the bleeding during cesarean section (P=0.001). Finally, it was found that severe Covid 19 increases the bleeding of cesarean section by 12.95 times (95% CI: 8.35-15.95).

Infection to high intensity Covid 19 can increase the risk of bleeding during cesarean section; therefore, measures and planning such as blood preparation and access to appropriate veins for blood transfusion management should be considered.

Although giving birth is quite a natural process in a woman's life; it is very painful. Different people, however, experience this pain on different levels. In fact, one's perception of labor pain is determined by physiological, cultural, social, mental, and psychological factors. The present study aims to investigate the relationship between personality traits and one's perception of labor pain.

 This study is a descriptive-analytical correlational study. Two questionnaires were used for Gathering information: one on personality traits and the other on labor pain. One hundred participants were chosen according to their demographic information from a pool of pregnant women at the Persian Gulf Hospital maternity ward in Bandar Abbas City. The data was analyzed using descriptive and analytical measures such as the Pearson Factor.

 Meaningful positive relationship between labor pain and Neuroticism (P=0.000, r=0.448), Openness (P=0.000, r=0.517) and Agreeableness (P=0.003, r=0.296). While Consciousness (P=0.047, r=-0.199) is found to have a meaningful negative relationship, extraversion shows no correlation with labor pain.

Good Childbirth Counseling and proper training, based explicitly on a mother's personality traits, could significantly help provide an enjoyable childbirth experience and reduce the unnecessary demand for C-section operations.

Persistent pain after hysterectomy is unknown in the Iranian population and various factors, including ethnicity, are involved in its occurrence, the effect of which has not been studied in different parts of Iran; therefore, this study was performed with aim to evaluate the prevalence and predictors of persistent pain after hysterectomy.

This prospective cohort study was performed during April 2019 to March 2020 in the hospitals affiliated to Tabriz University of Medical Sciences. A total of 219 patients who were candidates for hysterectomy completed demographic tools, acute pain visual scale, persistent pain rating scale (NRS) and Beck depression. Finally, the prevalence of persistent pain after surgery was assessed using NRS and its predictors using logistic regression test. P<0.05 was considered statistically significant.

Prevalence of persistent pain after surgery was observed in 35 patients (15.98%).Based on the results of logistic regression, the variable of acute pain in the first hour as 2.11 times (1.85-2.32) and open surgery as 3.24 times (3.88-4.49) increases the risk of persistent postoperative pain.

Hysterectomy laparotomy and acute postoperative pain are independent risk factors for persistent pain after hysterectomy. Identifying high-risk patients before surgery, including patients with pain sensitivity, may provide a unique opportunity to reduce persistent postoperative pain.

For various reasons, such as the lack of focus on studies on the relationship between periodontitis and preeclampsia, as well as the small number of people who develop preeclampsia after periodontitis, scattered research has been conducted in different parts of the world. They are not collected regularly so that researchers can have the results together; therefore, this study was performed with aim to investigate the relationship between periodontitis and preeclampsia to assess the role of periodontitis as an independent factor in preeclampsia.

This systematic review study was performed in 2020 with searching for keywords of preeclampsia, periodontitis, periodontal, pregnancy complications, pregnancy outcomes, relationship and treatment (Based on Mesh) in databases of PubMed, Scopus, Google Scholar, SID, IranDoc, Web of Sciences, Science Direct, OVID and Springer without time limit among the published articles in Persian and English and their information was recorded in a checklist designed for this research. 

Out of 759 articles found, only 9 (6 cohort articles and 3 clinical trial articles) were included in the study. Five cohort articles confirmed that periodontitis could lead to preeclampsia, and three clinical trial articles found no association between treatment of periodontitis and reduction of preeclampsia.

Periodontitis can be effective in preventing diseases during pregnancy; the role of this variable in preeclampsia has not been determined precisely, but the results of studies suggest that periodontitis may lead to preeclampsia; the results of this study should be used with caution.

Human choices and decisions are highly affected by some psychological and personality traits. These psychological characteristics may also be related to the choice of delivery type. Therefore, the present study aimed to investigate the relationship between personality dimensions and choice of delivery type (cesarean section or normal) in pregnant women referred to Abolfazl hospital in Minab county, Iran, in 2018.

This is a cross-sectional descriptive study. The statistical population consisted of all pregnant women referred to Abolfazl medical center in 2008 in Minab, 118 of whom were selected by convenience sampling. The NEO Five-Factor Inventory (NEO-FFI) was used to collect the data.

There was a significant difference in the choice of delivery type (normal and cesarean section) in pregnant women with extraversion and conscientiousness personality traits (P value <0.05). The mean extraversion and conscientiousness scores were higher in patients who tended to have a vaginal delivery than in those who had chosen cesarean section.

The results of the present study show that personality traits can determine the type of delivery by creating specific moods; therefore, considering the high level of complications of cesarean section (CS) and high CS rate in Iran, we can change people’s attitudes and play a role in reducing the number of CSs through long-term training.