ABSTRACT
Introduction: Weight gain during pregnancy is variable and depends on mother's diet status before pregnancy. Based on medical resources, there is an inverse relationship between mother's Body Mass Index[BMI] and prenatal weight gain
Objective: The aim of the study was to investigate mothers' BMI before pregnancy and prenatal weight gain
Materials and Methods: In a cross - sectional study, we analyzed retrospectively prenatal and obstetrical reports of 480 women attended health centers of rural areas in Rasht, who delivered during year 2002. The selection of them was done by cluster and random selection in ten health centers. Maternal characteristics including age, job, education, pre pregnancy weight, height, body mass index, pregnancy weight gain, parity, and main outcome including birth weight were recorded. Student t-test, Chi-square, One-way Anova and correlation were used to analyze data
Results: On the basis of body mass index [BMI], 7.9% 0f women were thin, 45.4% of them had normal BMI and 46.7% were overweight. The mean of BMI was 26.2 +/- 5.2. The mean of pregnancy weight gain was 9.2 +/- 4.1 kg [min=0.5, max=21kg]. An inverse relationship between BMI and pregnancy weight gain was showed [r=-0.26, p =0.01]. Although the mean of pregnancy weight gain in thin women was higher than obese ones but, about most of them didn't gain expected weight during pregnancy. Rate of low birth weight was about 11%
Conclusion: This study shows an inverse relationship between BMI and pregnancy weight gain. Pregnancy weight gain is lower than recommendations and also rate of LBW is higher than expected in these rural regions. Use of appropriate nutritional model for pregnant women, could contribute to increased pregnancy weight gain and improved birth weight
ABSTRACT
Introduction: Intra Uterine Devices [IUD] use is among effective contraceptive available in different forms and spontaneous or deliberate expulsion of IUD is a common complication
Objective: it's to determine expressed associated reasons for expulsion of inserted IUDs among clients referred to Family Planning Specially research center
Materials and Methods: In this retrospective study, all 367 women who referred to the center for removal of IUD for any reason from 1997 to 2001 were selected. The samples' demographic characteristics and relative frequency of their expressed reason for removal of IUD were recorded
Results: Totally 51.2% of clients referred for two reasons: Wish to get pregnant, and hemorrhagic conditions or anemia. The least expressed reasons were prolepses [0.54%] and husband vasectomies [0.81%]
Conclusion: IUDS insertion must be done for women with decisive decision not to have children in long-term period and operative technicians to have sufficient training for insertion of IUDs and thereby to prevent early and spontaneous expulsions