Iranian Journal of Obstetrics, Gynecology and Infertility
Year:2016 | Volume:19 | Issue:16 |Papers Count:5

Introduction: Using of antiepileptic drugs in pregnancy is not without complications. During recent years, especially in Iran, few studies have been done in this field, therefore, this study was performed with aim to investigate the prevalence of fetal malformations and related factors in the infants born from the mothers taking anti-epileptic drugs.Methods: This descriptive-analytic study was performed on 59 mothers who had delivered in Sanandaj Besat hospital during 2011-2014 and had a history of seizures and antiepileptic drugs (AEDs) usage. Data were collected through evaluation of the records, completing the questionnaire and phone call follow-up. Data were analyzed by Stata software (version 12) and descriptive tests, T-test and Chi-square test. P<0.05 was considered significant.Results: 3 mothers (5.2%) with a history of seizures and usage of AEDs during pregnancy had children with malformation. No abnormalities were observed in women with history of abnormal birth. No significant relationship was observed between mean duration of AED usage (P=0.33), mean age (P=0.49) and fetal malformations in mothers.Conclusion: Prevalence of fetal malformations in pregnant women taking antiepileptic drugs in the Kurdistan is less than similar studies in other countries. However, it is not possible to generalize to Iranian population. Also, the use of certain AEDs during pregnancy is not contraindicated for women with epilepsy. The duration of drug usage, age, history of abortion, history of previous abnormalities and increased gravidity cannot have a role in increasing of fetal malformations.

Introduction: Pregnancy is one of the very sensitive periods of women’s life. Sexual function is associated with some problems among them that its cause may be many wrong beliefs such as change in one's body image, decrease of attractive feel for husband, and afraid of hurting to baby, and abortion. Regarding to different results reported in the studies about deepening or rupture in sexual relations during this period, therefore, this study was performed with aim to evaluate the role of body image and obsessive believes in prediction of sexual function among pregnant women.Methods: This descriptive correlation study was performed on 50 pregnant women who had referred to the clinic of Sharekord Gynecologists for prenatal care follow-up. The study’s tools included body image flexibility questionnaire (BI-AAQ (which indicates the rate of tensity in one’s situation of body image flexibility, obsessive believes questionnaire (OBQ-44 (which indicates a list of attitudes or beliefs that sometimes people do not express, and sexual function scale (MSFS) which evaluates the person's sexual performance in the area of sexual partnerships, sexual expression, sexual feelings, sexual desire, sexual fulfillment, sexual attitudes and awareness evaluates. Data analysis was performed by SPSS software (version 18) and Pearson Correlation and Multiple Regression analysis. P<0.05 was considered significant.Results: There was negative and significant relationship between body image and sexual function and also between obsessive believes and sexual function (P<0.01).Conclusion: According to significant relationship between body image and sexual function, the women can be trained to increase different aspects of health, believes, evaluation in order to enjoy more in physical, mental and social health and their social, family, marital and individual function be increased.

Introduction: Placental Chorioangioma, a rare tumor with a prevalence of about 1% is usually expressed with single nodules and less common with multiple nodules. Chorioangioma is found in the fetus or in placenta parenchyma. More Chorioangioma are small and without clinical significance, but Chorioangioma with size of greater than 5 cm or multiple nodules may be associated with pregnancy complications. In this study, a large placental Chorioangioma which led to anemic baby is reported.Case presentation: A 24-year-old woman G1Ab1 had referred on 01/30/94 due to clear amniotic fluid leak, gestational age was 30 weeks and 2 days based on ultrasound performed at 13 weeks of pregnancy at the time of admission and only this ultrasound noted that there was placental echogenic mass and the rest ultrasound reported normal placental. The caesarean section was performed for the patient due to fetal tachycardia and variable deceleration and beat to beat decrease, and a preterm boy with 3 Apgar score at first minute and 4 Apgar score at 5 minute with 12401 grams weight was born. Uterus was atonic and placenta was great and multi-lobulated. The neonate was very anemic and IUGR and placental pathology reported huge placental Chorioangioma.Conclusion: It is recommended that sufficient attention be paid to placenta characteristics in pregnancy ultrasound and with timely diagnosis of placental pathology perform necessary interventions to reduce adverse pregnancy outcomes.