[Study of relation between physical activity and preterm birth]

Preterm birth is the main cause of neonatal mortality and morbidity and the importance of knowing its causes is clear. Since the effect of physical activity on preterm birth is unknown and its prevention is the priority in health care, we decided to do this study with the aim of determining the relation between physical activity and preterm birth. In this case-control study, 300 pregnant women delivering in Izadi Hospital in Qom, Iran in the second half of 2008, selected through simple sampling. The data were collected using standard pregnancy physical activity questionnaire that categorizes the physical activity into 4 groups: work activities, home activities, transport activities and fun/exercise activities. The physical activity severity was calculated as MET [Metabolic Equivalence Test]. Finally, the data were analyzed using descriptive and analytic [x[2] and t test] statistics. A p<0.05 was considered as significant. The findings didn't show any significant relation between physical activity and preterm birth. In addition, in view of activity type, fun/exercise and work activities [respectively] and in view of activity severity, sedentary and moderate activities [respectively] were associated with higher, but insignificant rate of preterm birth. Among demographic factors, only gravidity of women was significantly associated with preterm birth. Although, in this study the significant relation between physical activity and preterm delivery wasn't observed, the same research with further sample is recommended

[ case report of rare tracheal mucormycosis in a diabetic patient]

Mucormycosis is a systemic killer fungal disease in diabetes resulting in immune deficiency and malignancies that can lead to death if left untreated. Its treatment includes eliminating background diseases, performing surgery, and using anti- fungal drugs such as Amphotripcin B. The aim of this study was to report a Tracheal Mucormycosis which was treated with surgery and anti- fungal drug. The patient was a diabetic woman that had referred to the hospital complaining of dyspnea, nausea and vomiting. She had been suffering from fever, dyspnea, and vomiting for two weeks. She went to a public care center and was treated with Ceftriacxon, Dexamethasone and Diphenhydramin. Despite this treatment, her problem worsened, so she referred to the hospital again. On admission, she was suffering from fever, respiratory distress, tachycardia and tachypenea. Epiglottis was edematous and Erythematous. Diabetic ketoacidosis was diagnosed based on her laboratory tests. Because of worsening of the respiratory distress, tracheostomy was performed. Diagnostic Bronchoscopy and biopsy were on done on the patient on the second day of her admission and Mucormycosis was reported by the pathologist

[Quality of life among pregnant women]

However, pregnancy is a common event among reproductive-age women, it is often stressful. Physical and emotional changes can alter the ability of women to carry out their usual roles. The aim of this study was to assess quality of life in pregnant women and its related factors. In this cross-sectional study, 600 pregnant women referred to the prenatal clinics of Kashan University of Medical Sciences were selected randomly. Then they were asked to complete the Short Form 36 Health Survey [SF-36] to assess the quality of life. The results were analyzed using t-test, chi [2], and ANOVA in SPSS. Results showed that the mean of quality of life in pregnant women was 61.18 13.21 [27.96-92.62]. A higher score represented a better health status. Statistically significant differences were found in all of the quality of life dimensions in pregnant women except for social functioning [P<0.005]. Quality of life was correlated with age [P=0.002], gestational age [P=0.017], gravidity [P<0.001], number of deliveries [P<0.001], income [P<0.001], husband's support [P=0.017] and life satisfaction [P=0.011]. Results of this study showed that the quality of life in pregnant women was low. Thus, it is important for primary care providers to be aware of the changes in health status of pregnant woman to help them to promote their quality of lives

Epidural painless delivery: a phenomenology research

Regarding the recent increase in elective cesarean and satisfaction of women and physician, the Iranian government has tried to solve this problem by epidural painless delivery [E.P.D]. Because of opposite views of people and society about epidural, this Study was done to find the real experiences of people. Its aim was description of mother's experiences of epidural painless delivery. This is a qualitative, phenomenological study. We selected 12 pregnant women that under wont epidural painless delivery in Shabihkhani Hospital. We used sampling method of based on object and continued until reaching fullness of information. We used depth interview for collection of information. Data analysis was done via collaizzi seven-stage method. findings of these interviews were classified in 195 codes and 9 themes and 3 main concepts, consisting of choice of painless delivery, nature of painless delivery, the role of human resources and managing system. Mothers' good experience of epidural painless delivery leads to choosing this kind for the next delivery, suggesting it to others and results in decreasing elective cesarean rate