جستجوی مقالات مرتبط با کلیدواژه « علل مادری » در نشریات گروه « پزشکی »

Prenatal mortality rate is regarded as an important index of health in a community. In order to maintain and promote health of infants, as a vulnerable group, factors affecting prenatal mortality need to be identified and appropriate strategies should be designed. Therefore, the present study aimed to investigate the causes of prenatal mortality on the basis of babies’ record in hospitals of Yazd province. This descriptive study was conducted using the available data in the files. The study population entailed children who were born dead in 2012 in 15 medical centers in Yazd or who were born alive after 22 weeks of pregnancy, but died within 29 days after the birth. Causes of death were extracted from the files according to the related doctor’s opinion. A total of 390 perinatal deaths were registered in Yazd hospital. The perinatal mortality rate was reported 14 out of 1000 alive births. The most common causes of perinatal mortality belonged to respiratory distress syndrome (42.05 %), late delivery (22.7 %), as well as abruption (4.6%) in regard with fetus- recorded, mother-recorded, and placenta-recorded causes respectively. Emphasizing prenatal care, detecting and tracking high risk pregnancies as well as developing neonatal intensive care units might be taken into account as the most important factors in prevention of prenatal death.

Each year, more than 150 millions women become pregnant in the developed countries and most of the pregnancies result in the birth of one living newborn from a healthy mother. But, for some of the women, labor has not been easy and gladly and it follows with the feeling of fear, pain, suffering and even death. Hard labor or dystocia of labor is one of the main reasons of the death of mothers which is preventable or curable by correct and on-time control. Prevalence of dystocia has been reported in different points and has been from %4 to %15. Up to the present time, a comprehensive research has not been obtained from prevalence of labor distocia in Iran therefore, the aim of this study was to determine the prevalence of hard labor and the related factors in women referring to the public maternity hospitals of Qom in 2005-2006. The present research is a descriptive analytic study on 4325 women ready for labor referring to the public hospitals of Qom within 5.5 month. The instrument for collecting data was a questionnaire completed with observation, interview and examination. Finally, data were analyzed using SPSS. The findings showed that the prevalence of long and hard labor was 7.5±0.78. In this regard, non-proportion of the head of fetus with pelvic of mother, disorder of womb forces, having epidural anesthesia, receiving narcotic sedative more than one hour to labor, mental fatigue of mother and not cooperating the woman and polyhydraminos were most related to hard labor, respectively. The most related fetal factors were macrosomia, malposition and the existence of umbilical cord around the neck of newborn, respectively. The results showed that hard labor had a statistically significant relationship with the age of mother, level of education, occupation, weight gain during pregnancy, kind of center for receiving prenatal services, record of hard labor and the record of abortion, and existence of diabetes (P<0.000). The results showed that the prevalence of hard labor is moderate as compared with some of the regions of the world. Anyway, by considering that up to now, a comprehensive epidemiologic study has not been reported in Iran about the labor dystocia, and with regard to its dangerous effects on mother and fetus, further study is recommended.