[Survey the knowledge attitude and practice on papsmear in nurses and midwives]

Despite the easy of detection of cervical cancers in the pre-cancer stage, it is still one of the most common cancers in Iran and the world. The responsibility of womens education about this safe and unexpositive screening test is for nurses and midwives. Survey the knowledge, attitude and practice on Popsmear in nurses and midwifes in Alzahra Maternity Hospital. In this cross-sectional study, 80 Nurses and midwives of Alzahra maternity Hospital were studied. Data collection tool was a questionnaire designed in 5 section to determine their knowledge, attitude and practice. Chi- square, Mann- Whitney - U, Fishers exact test, Kruskal-Wallis and T - student test SPSS ver14 were used for statical analysis. Knowledge of 91.3% of participations was scored as "Good" and it was significantly different between nurses and midwives. 83.8% of them has "positive" attitude toward the test. There was no significant relationship between attitude, age, duration of occupation and marital status of two groups. Nurses and midwives were matched in terms of age; marital status and duration of occupation.42/9% were remarked to have [good] practice. With regard to Knowledge role of nurses and midwives in performing papsmear screening test it is necessary to improvement their education and compare their attitude and practice

[Knowledge of post partum women about oral health]

Hormonal changes during pregnancy predispose women to gingivitis. Developed periodental infections during pregnancy caused problems for uterus and placenta and increased probable of preterm deliveries. To determine postpartum womens knowledge about oral health, and association between oral health and pregnancy outcomes and other related factors which use as dental health services during pregnancy. We carried out our research in the only teaching maternity center for gynecologic and midwifery in Rasht. The research tool was a researcher made questionnaire that made from integration of similar questionnaires which were used in Kuwait, England, and USA. The questionnaires completed by midwifery graduates in face to face interviewing. The studied population was 306 women [24-48 hours after deliveries] six women were extrcted. Data was analyzed by SPSS [version 16] and presented as descriptive statistics; and Pearson correlation coefficient test as appropriate. There was a significant difference between blood pressure and pre-eclamptic situation in women with dental problems group [p=0.048]. The pre-eclamptic conditions in women with dental problems group were 7 cases among 117 women [6%] and in women with no dental problems group were 23 cases 183 women [12.5%].Knowledge about oral health importance and teeth brushing habit were found less than other population; and dental problem more than other population. So suggested to conducting longitudinal studies accompanied with oral examinations before or during pregnancies to determine serious problems including periodentitis

Association of some working factors and menstrual function among nurses

A regular menstrual cycle is the result of regular feedback systems, involving the hypothalamus, anterior pituitary and ovaries. Some factors including age, smoking, weight, exercise, race, psychotic condition, work-time hours, work stress, life satisfaction, menarche age, education, marital status and diet may affect menstrual function. Association of menstrual function with working factors among nurses. This is a cross-section survey among nurses of Poursina, Razi, Heshmat Hospitals. 330 questionnaires were given them. It was include of menstrual function [such as: menstrual cycle length, bleeding days, regularity of menstrual cycle, dysmenorrheal] and some working factors [such as: work hours, shift work, working place]. Questionnaires were collected in two consequentive months, and then the data were analyzed by SPSS 14; ANNOVA and Chi-square test. 307 questionnaires filled, 259 nurses had dysmenorrheal [86.04%], 51 abnormal bleeding days [17%].59abnormal cycle length [19.6%] and 60 irregular cycle [19.9%] in our study work -time hours was associated with dysmenorrhea [p=0.004], working place and shift work with bleeding day [p=0.001], and other factors were not associated. Dysmenorrhea and bleeding days were influenced by some factors such as work hours, work place and shift work

[ case report of abdominal pregnancy]

Abdominal pregnancy is a very rare condition of ectopic pregnancy with a high mortality rate for mother and fetus. It occurs when the gestational sac implanted outside the uterus, ovaries and fallopian tubes. Although this condition is potential life-threatening but often misdiagnoses of other variant ectopic pregnancy. Prompt detection in initial stage of pregnancy is necessary to prevention of dangerous complication. This present casereport was a patient who admitted in the Alzahra hospital during two decades. She was a 23-year old nulliparous woman with a history of primary infertility that underwent ovarian hyper stimulation with clomiphen citrate. She underwent transvaginal ultrasonography because of menstrual retardation, positive serum betaHCG test and spotting. It was diagnosed an incomplete abortion according to clinical symptoms and lack of gestational sac inside the uterus. Transvaginal ultrasonography was performed again for persistency the pregnancy symptoms after 4months. Diagnostic pelvic ultrasonography confirmed a 16-week intra-abdominal pregnancy. The ultrasonographic examination confirmed a 27-week intra-abdominal pregnancy. The woman was admitted immediately. The surgery was performed, without any complications. She recovered well and was discharged soon