ABSTRACT
Introduction: the biophysical profile is one of the best methods of assessment of fetal well-being and prediction of adverse prenatal outcomes. Non stress test is a part of biophysical profile which had a high rate of false positive and decreased the score of biophysical profile that resulted to increase cesarean rate due to early intervention for termination of pregnancy
Objective: prenatal outcomes in high risk pregnancies with abnormal biophysical profile score without Non stress test
Materials and Methods: this c ross-sectional descriptive study was performed on 1000 women with high risk pregnancy who was admitted in Alzahra hospital for delivery. Information about variables were found according the contents of their files such as maternal age, gestational age, parity, cesarean rate, 1 and 5 minutes Apgar score <7, fetal heart abnormalities rate, meconium passage, low birth weight, fetal and neonatal death, and preterm labour. The score of biophysical profile 6-8 was considered normal and score <6 were considered abnormal. Data were analyzed by SPSS 11.5 and chi-square and Fisher Exact Test. P<0.05 was considered significant
Results: 1000 pregnant women with high risk pregnancy were evaluated in this study. 24.9% of them had biophysical profile score less than 6 which had considered abnormal. The comparison of the two groups showed that the rate of cesarean section, 1 and 5 min Apgar score < 7, fetal heart abnormalities rate, preterm delivery, and neonatal mortality rate were higher than in abnormal group [P<0.001]. But there weren't statistical significant differences between low birth weight, meconium passage, and fetal death in two groups
Conclusion: the biophysical profile without non stress test can be predicted poor prenatal outcomes in high risk pregnancies
ABSTRACT
Abstract Introduction: Preeclampsia is the most common complication of pregnancies and one of the three major causes of maternal mortality. So diagnosis of disease and minimizing the complications on mother and newborn is very important
Objective: Determine the association between the ratio of random urine protein to creatinine and 24-hour urine protein in women with suspected preeclapmsia who referred to Alzahra hospital
Materials and Methods: Sixty women with suspected preeclampsia at>20 weeks of gestation were studied prospectively. The ratio of protein to creatinine and 24-hour urine protein was obtained. Data were analyzed by t-test, Pearson correlation and ROC curve
Results: Thirty five percent of the studied population had significant proteinuria. There was a significant moderate correlation between the ratio of protein to creatinine and 24-hour total protein [r=0.511, p-value< 0.0001]. The area under the curve was 82% [%95 CI, 0.72-0.93]. The data suggest that a cut-off equal or more than 0.22 has the most sensitivity, specifity, and predictive value
Conclusion: According to the results, the ratio of random protein to creatinine was not moderately correlated with the standard test of 24-hour urine protein and can not be performed as the alternative method for diagnosis of preeclampsia
ABSTRACT
Introduction: The objective of prenatal care is to reduce the rates of maternal and neonatal mortality and morbidity by early diagnosis, treatment and prevention. Satisfaction of the clients is a valuable means for performance assessment of the planners and executive authorities of health and treatment systems can lead to planning for promotion of the ways for providing the care services
Objective: Determine the satisfaction rate of prenatal care in two public hospitals in Rasht
Materials and Methods: In this descriptive cross- sectional study 600 pregnant women who were referred to two public hospitals of Rasht [Alzahra and Rasool -Akram] were selected with simple-randomized sampling. The data collection instrument consisted of two-part questionnaire including demographic variable and criteria of satisfaction. Score were measured according to likert scale. Data were analyzed SPSS 10 software and chi-square t- tests. P<0.05 was determined as statistical significance
Results: The mean age of women was 25.7 +/- 5.4. The majority of them were primipara, low literate, housewife, city-dweller and covered by the insurance. In general, the satisfaction rate among the majority of them was moderate [%62.7]; %37 were satisfied and only %0.3 dissatisfied. Satisfaction dimensions were as follows: %49.3 satisfied with the communication method of the care providers, %55.5 with the professional skills, %30.8 with the facilities for easy access to the drug and information, %24 with the welfare facilities, %9.2 with the available equipments, %40.3 with the organization, and %40.5 with the environmental accommodations. Also, in viewpoint of the costs, %23.1 was satisfied and the rest were either satisfied at a moderate level or dissatisfied. In a comparison between these two hospitals, a statistically significant relation was found among the communication manner of the service providers, easy access to the facilities, welfare facilities, devices and costs [p<0.05]
Conclusion: According to the results, the satisfaction rate among the majority of the clients with the prenatal services was moderate. By comparison between two hospitals, it appears that the Rasoole Akram hospital is in relatively better condition in meeting the satisfaction of the clients compared to Alzahra hospital. With regrinding to the existing weaknesses, could be designed appropriate planning for improving the satisfaction rate in prenatal services
ABSTRACT
Introduction: Age of mother at pregnancy can be one of the main risk factors for hazardous outcome of pregnancy
Objective: The aim of this study was to determine the association between the maternal age and the outcome of pregnancy
Materials and Methods: this is descriptive cross-sectional analytic study that pregnancy outcome in women presenting to Alzahra hospital for delivery was assessed variable studied included enduced hypertension and diabetes in placental complication placenta abruption, placental previa preterm labor and premature rupture of membranes [PROM] was divided into 3 groups based on age /=35. Pregnant women in two groups: 17-34 and >/=35 were matched according to parity. Data collection analysis was carried out with chi-square test by SPSS.9 software
Results: In this survey, 6045 pregnant women with gestational age over 20 weeks were studied. Frequency of delivered women according to age group showed that 52 cases [%0.8] were /=35.Data showed that there were significant differences between the three age groups and the risk of pregnancy-induced hypertension, gestational diabetes, placental abruption, placental previa, PROM, mal presentation, preterm labor and cesarean section [P<0/05]. In contrast, there wasn't a statistically significant difference between advanced maternal age and the frequency of PROM P>0/05
Conclusion: It appears that pregnancy in age >/=35 comparing with teenage pregnancy has special risk factors. Awareness of the risks and complications has an important role planning for appropriate prenatal services