جستجوی مقالات مرتبط با کلیدواژه « third trimester » در نشریات گروه « پزشکی »

Various factors, such as pregnancy, can lead to irregular sleep patterns. Sleep disturbances are common during pregnancy, leading to adverse maternal and neonatal outcomes. Accordingly, this study aims to examine the effectiveness of art therapy based on painting on the sleep quality of pregnant women in the third trimester.

This was a quasi-experimental study followed by a pre-test, post-test design and a control group. The statistical population included pregnant women in their third trimester of pregnancy who were referred to 22 Bahman Health Center of Kerman City, Iran, in 2019. According to the inclusion criteria, 34 individuals were selected via the convenience sampling method and randomly assigned into the experimental (n=17) and the control group (n=17). To collect the data, we used the Pittsburgh sleep quality index. Then, twelve 90-min sessions of art therapy based on painting were carried out on the experimental group. After completing these sessions, we conducted a post-test. Data analysis was performed by multivariate analysis of covariance and the Bonferroni post hoc test in the SPSS software, version 26.

Art therapy based on the painting had significant effects on sleep quality and its components (P<0.001), while no significant differences were found in the control group (P>0.05).

Art therapy based on painting can effectively improve pregnant women’s sleep quality. Accordingly, applying this method is recommended to improve the status of these individuals.

Pregnancy is considered as the most precious gift for any woman. She should have a safe pregnancy and delivery. Unfortunately, many women are deprived from this right due to poor knowledge or awareness. Birth preparedness and complication readiness (BPACR) have proven to be effective strategy to reduce maternal mortality and morbidity. This study was done with an objective to assess the knowledge and practices of BPACR among third trimester women attending antenatal clinic.

The present study was a cross sectional study conducted in antenatal clinic of Howrah District Hospital West between 15th December 2020 to 20th January 2021. Study participants were 200 Primigravida mothers who were in third trimester of pregnancy attending the antenatal clinic. Semi- structured questionnaire was used to collect demographic data and obstetrical history; structured knowledge questionnaire and checklist was used to asses’ knowledge and practice on BPACR. Chi-square test or Fischer’s exact test was used as test of significance for qualitative data. Correlations were performed with Pearson Correlation coefficient. coGuide software was used for statistical analysis.

Out of 200 pregnant women, 169(84.5%) have done higher secondary education and 176(88%) were home makers. Majority (62.5%) were residing in urban area. Among participants, 138 (69%) primigravida mothers had inadequate levels of knowledge about BPACR and 140(70%) had inadequate practice.

In this study, the BPACR knowledge and practice of the participants were inadequate. Ideal BPACR given through education can help in healthy practice during antenatal and postnatal period.

 The cavum septum pellucidum is an important marker for identifying and evaluating the fetal neural axis. Evaluation of the characteristics of the Cavum septum pellucidum is recognized as an important (fetal) factor for fetal ultrasound in the second and third trimesters of pregnancy.

 This study aimed to evaluate the size range of cavum septum pellucidum in the second and third trimesters of pregnancy in women referred to Ali Ibn-e Abitaleb Hospital Clinic of Zahedan.

 This was a descriptive-analytical study performed at Ali Ebne Abitaleb Hospital of Zahedan in 2018. Ultrasound examinations were performed on all pregnant women in the second trimester (18 to 20 weeks) and third (36 to 38 weeks). Information such as maternal age, size of septum pellucidum, and gestational age were included in the checklist. Ultimately, the data were entered into SPSS software for statistical analysis.

 In this study, a total of 500 fetuses were evaluated. The mean age of the mothers under study was 26.36 years old. The mean cavum septum pellucidum size in the second trimester was 3.71 ± 0.81 and 6.11 ± 1.09 mm in the third trimester. The mean size of cavum septum pellucidum in the second trimester of pregnancy was significantly lower than in the third trimester (P < 0.001).

 The mean size of cavum septum pellucidum in the present study was 4.91 mm, similar to the size of other studies.

A non‑stress test (NST) is an essential diagnostic test performed during pregnancy to assess fetal well‑being. It is a recording of fetal movements besides fetal heart rate, indicating fetal biophysiological well‑being. As maternal physiology is altered in various positions, apt positioning during the NST is essential for accurate results while ensuring maternal comfort. This study aims to evaluate the effect of different maternal positions, left lateral and semi‑fowler’s, on NST reactivity, maternal blood pressure, heart rate, and comfort in pregnant women while performing the NST.

This crossover study evaluated 50 healthy pregnant women between 32 and 40 weeks of gestation with no obstetric complications for the effect of maternal positions on maternofetal physiological parameters and comfort. The NST was performed for 20 min in each position with a washout period of 10 min. The maternofetal physiological parameters were recorded by a calibrated sphygmomanometer and the electrocardiograph interpretations. The maternal comfort was assessed using a maternal comfort rating scale (MCRS) for each position after the NST. Relevant descriptive and inferential statistics are applied to compute the results.

Statistically, there was a significant difference in the mean maternal blood pressure and heart rate between the left lateral and semi‑fowler’s positions at 0 and 20 min (P = 0.001), whereas within the groups, in the same position at 0 and 20 min, no significant difference was found. There was no significant difference in NST reactivity (P = 0.79) in different positions. There was no significant difference between the MCR scores of women in either of the positions (Z = −1.64, df = 49, P = 0.100).

Semi‑fowler’s position demonstrated favorable maternal blood pressure and heart rate during the NST in the third trimester of pregnancy, though it was clinically not significant. There was no significant difference in the comfort of women in both positions. Hence, either of the positions can be implemented in practice as an alternative position while performing the NST, based on the women’s preference.

Monitoring the adherence of pregnant women to taking iron supplements indicates controlling the appropriateness of taking a certain number of supplements. This increases the odds of effective iron absorption; a process that occurs by consuming at least 30 iron pills a month to prevent gestational anemia. This study aimed to determine the effects of monitoring pregnant women’s compliance in taking up iron supplements through an Android application in Jambi City, Indonesia. 

This was a quasi-experimental single group study with a pre-test-post-test design. The study subjects included 50 pregnant women in their third trimester referring to 3 maternity Hospitals in Jambi City, Indonesia, in 2020. Initial data were obtained through Hemoglobin (Hb) measurements before being given a monitoring application and subsequent Hb level checks after giving the application. The obtained data were analyzed by t-test and Mann-Whitney U test in SPSS v. 16. A significance level of 5% was considered.

The results obtained in the initial examination indicated that the minimum Hb level was equal to 7.3 g/dL and the maximum level was measured as 11.2 g/dL. After the intervention, the Hb level increased to a minimum of 7.6 g/dL and a maximum of 12.2 g/dL. The Mann-Whitney U test data suggested a significant difference in the degree of compliance of pregnant women with iron supplementation (P=0.010).

Monitoring through the Android application increased pregnant women’s compliance with taking iron supplements and presented a linear impact on increasing their Hb level.

Many factors such as stress and psychological tension affect the mental and physical health of pregnant women in the third trimester during the coronavirus pandemic. These factors can cause severe complications such as sleep disorders and low back pain. Therefore, this study focused on investigating sleep disorders in women by diagnosing low back pain in pregnant women with coronavirus and the affecting factors.

This descriptive-analytical study was performed during the four months ending July 5, 2020 with the participation of 40 pregnant women (with coronavirus disease detected in the last trimester of pregnancy) with a diagnosis of low back pain in Tabriz (Iran) using a random sampling technique. Demographic data, anxiety and depression, Petersburg’s sleep quality, factors affecting sleep quality, and the severity of back pain (visual analog scale) were electronically collected and analyzed using SPSS 20 by ANOVA and multivariate regression.

All participants were at a weak level. The majority of participants had a score of “serious sleep problem”, and nausea and vomiting (P=0.041), low back pain (P=0.003), frequent urination (P=0.011), leg cramps (P=0.031), and constipation (P=0.018) caused severe sleep disturbance in pregnant women during coronavirus pandemic.

In general, having coronavirus disease causes severe pain in pregnant women, leading to severe back pain in pregnancy, eventually worsening sleep disorders.

This study was conducted to evaluate the importance of different sonographic findings in the detection of the morbidly adherent placenta (MAP) among pregnant women and then to assess the correlation between delivery complications and ultrasonographic findings.

This analytical and prospective study was conducted on 150 pregnant women with a previous history of a cesarean section from 2015 to 2017. The sonographic findings included the location of the placenta, retroplacental aliasing, bulging toward the bladder, lacuna, and the lack of sonolucent area behind the placenta. Finally, these patients were followed until delivery and their complications were assessed as well.

Of 150 previous cesarean sectioned patients, 101 (67.3%) cases had not sonographic findings of MAP. No morbidity was found in those with no sonographic findings of MAP. Fifty-nine pregnant mothers had the sonographic criteria of MAP prior to delivery, of whom 39 (80%) patients had MAP during the cesarean section. In 39 patients with confirmed MAP, 27 cases underwent a hysterectomy and 12 received special procedures for uterus reservation. In addition, 8 cases had bladder rupture, 25 cases experienced ICU hospitalization, and 33 cases needed a blood transfusion. Of these 39 confirmed MAP, 31 (79.48%) and 8 patients (20.51%) had previa and an anterior placenta without previa, respectively. Finally, no mortality was reported in the current study.

In general, the most important sonographic factors on predicting MAP were the location of placenta, the aliasing and bulging while lacuna and the lack of sonolucent area had less value. The results demonstrated 93%, 100%, 90%, 79.59%, and 100% accuracy, sensitivity, specificity, as well as positive and negative predictive values for the prediction of MAP by ultrasonography, respectively

Major maternal depression is well known as a morbid and common disorder with a prevalence of 12% in the third trimester of pregnancy. Psychotropic medications might not be quite safe in these cases. In addition, pharmacological resistance and any life-threatening conditions can appear with the acute need for an instant therapeutic response. In these cases, electroconvulsive therapy (ECT) might be the only effective option. However, both clinicians and patients often feel hesitant to utilize ECT throughout pregnancy due to the lack of reliable literature.

The challenging case of a 26-year-old pregnant woman at the 37 weeks of gestation was presented with major depression, who achieved full symptomatic remission after ECT. The critical status of this case was well managed by ECT treatment. Through the follow-ups, it was found that she is under medical therapy and has a normal life now. She is taking care of her baby and her symptoms are controlled as well.

Overall, ECT could be a safe and effective treatment at late pregnancy. Obviously, a multidisciplinary team approach is crucial for achieving the desired goals.

A quick look at the existing literature indicates that sleep disturbances during pregnancy could be a risk factor for adverse outcomes. The aim of the study was to assess the prevalence of maternal sleep quality in late pregnancy and the association between preterm births and sleep quality.  

A prospective study was conducted on 300 eligible singleton pregnant women attending the prenatal care clinics, affiliated with Babol University of Medical Sciences. The data were collected through convenience sampling. The self-report Pittsburgh Sleep Quality Index (PSQI) questionnaire was used to measure the pattern and the quality of sleep in pregnant women.

The prevalence of self-reported poor sleep quality was found to be 77% among the pregnant women in Babol, Iran.  The chi-square test did not show any statistically significant difference in characteristics between pregnant women with good and poor sleep qualities.  Also, the adjusted odds ratio for preterm labor revealed no significant relationships between sleep quality and preterm birth.

The findings demonstrated that there was a high prevalence of poor quality sleep among pregnant women in the third trimester of pregnancy. However, poor sleep quality was not associated with preterm labor, making this problem one of the major problems experienced by pregnant women.