Iranian Journal of Obstetrics, Gynecology and Infertility
Year:2014 | Volume:17 | Issue:113|Papers Count:3

Introduction: Preeclampsia is a pregnancy-specific syndrome that has two stages, the first stage occurs before 20 weeks of gestation before the onset of clinical symptoms. The second stage includes the incidence of clinical symptoms. one of the causes of its incidence is vitamin D deficiency. This study was performed with the aim to evaluate the relationship between serum level of vitamin D and preeclampsia in pregnant women.Methods: This case - control study was done on 50 pregnant women with severe preeclampsia and gestational age below 34 weeks and 100 non-preeclampsia pregnant women to delivery department of Besat Hospital in 2011.Data collection tool in this study was a questionnaire that was designed based on the variables. Blood sample was taken from all the research units to measure level of vitamin D. Maternal serum levels of 25-hydroxyvitamin D was measured by radio immunoassay method. in the laboratory. Data analysis was performed using SPSS software (version 18), Chi-square, Fisher exact, Independent t, and Kolmogorov-Smirnov tests.Results: Vitamin D deficiency was observed in 80% of cases and 75% of controls. The mean of 25-hydroxyvitamin D in the case group was 11.0±9.4 (ml / ng) and in control group was 16.3±10.0, which had statistically significant difference (p=0.003).Conclusion: vitamin D level of most pregnant women was lower than normal. According to the findings of this study, D deficiency can be considered as a risk factor for preeclampsia. Although, more cohort studies are needed to confirm this.

Introduction: About one fifth of couples are infertile and 2 million couples are added to this amount annually. The Variety in the rate of adjustment reflects the interpersonal vulnerabilities that affects the capacity of person cope with a life stressful events such as infertility. The goal of psychological interventions is recognition and the person to more cope with this situation. According to the prevalence of infertility in community and its psychological problems. this study was performed with the aim to determine the effects of group counseling on infertility adjustment.Method: this two grouped randomized controlled trial was performed on 92 infertile women referred to infertility clinic of Tabriz Al-Zahra Hospital from 2013-2014. The infertility psychological adjustment scale was used for evaluation of the rate of individual's adjustment with infertility. In counseling group, counseling based on guideline of infertility psychology counseling was offered by researcher. Control group received the routine care of the center. The infertility adjustment questionnaire was given to counseling and control groups again after accomplished counseling intervention. For data analysis, SPSS software (version 16) and statistical tests such as paired t test, in depended t test and chi-square were used. p<0.05 was considered significant.Results: the counseling group had a significant decrease in mean score of infertility adjustment (58.39±10.13) compared to the control group (90.63±13.28) (p<0.001). So in counseling group, adjustment to infertility was increased compared to control group.Conclusion: group counseling affects increasing adjustment in infertile woman undergoing IVF or ICSI. So it can be concluded this treatment can be used as a complementary therapy beside medical treatments in infertility centers and be more effective on adjustment of infertile women.

Introduction: Safe delivery and less Intervention during labor in recent years in evidence-based care have been considered. Since amniotomy is a common intervention in labor, also, everyone’s knowledge directly effects on their function, their performance, therefore, successful performing of duties is possible by increasing of knowledge. This research was with the aim to evaluate amniotomy evidence-based midwifes care at the time of delivery.Methods: This cross-sectional, descriptive study was performed on 95 midwives working in maternities of hospitals related to Mashhad University of Medical Sciences from 2011-2012. First, the evidence-based reliable scientific sources related to labor amniotomy were studied. Then, he Researcher-made questionnaire was completed by midwifes. Data analysis was done by using statistics SPSS software (version 11.5) and statistical descriptive tests.Results: Regarding to the midwifes'' knowledge, the majority of subjects (%83.16) have average information about the role of amniotomy in active labor. About the application of amniotomy in labor, the most of midwifes (84.21%) believed that it is done for discovering of meconium. About amniotomy outcomes in labor, the majority of midwifes stated that the most common complication was cord prolapsed (%83.15) and the rare ones were malpresentation and asynclatism. Studying of midwifes’ performance proved that the main reasons of performing amniotomy by them was discovery of meconium (%86.31) and reducing the duration of labor (%71.58) and the least reason was doubt to abruption placenta (%1.05).Conclusions: Survey of knowledge and performance of midwives in relation to amniotomy as a part of obstetric care indicates the need to promote the quality of maternity care through increasing the knowledge and skills of provider employees.