ABSTRACT
Comparing cord blood levels of total Creatine kinase (CK) and Creatine kinase MB isoenzyme (CK-MB) in newborns delivered by vaginal delivery and cesarean section. Study Design: Descriptive prospective study. Place and Duration of Study: All neonates delivered from September to October 2012 at the obstetric ward of Mousavi hospital. (Zanjan, Iran). Methodology: Total cord blood CK (CK) and MB isoenzyme (CK-MB) was measured immediately after delivery. Rout of delivery and APGAR (Appearance, Pulse, Grimace, Activity, and Respiration) Score were also assessed and all data were analyzed by using SPSS 16.0 software. Results: One hundred and seventy six newborns were recruited (57.4% male and 42.6% female). We found significant association between serum CK-MB level and rout of delivery. There was no significant association between serum levels of total Ck and CK-MB and APGAR score (p˃0.05). Discussion and conclusions: This study showed that newborns who were vaginally delivered had elevated CK-MB levels.
ABSTRACT
Bacterial vaginosis is one of the most common causes of reproductive tract infection [RTI], it's prevalence is influenced by many factors. The aim of this study is to determine the prevalence of bacterial vaginosis and impact of sexual and genital hygienie practices and socio-demographic characteristics in non pregnant women of Zanjan province in Iran. 500 non-pregnant, married women were randomly selected for this study. Following g gynecological examination and vaginal sample collection by physicians, bacterial vaginosis was confirmed by Nugent criteria, tricomoniasis by direct microscopy and candidiasis by direct microscopic observation and evaluation of presenting clinical signs of vulvovaginitis. The prevalence of RTI was 27.6%. Out of which 16.2% was devoted to bacterial vaginosis [BV], 6.6% to trichomoniasis and 4.8% to Vulvovaginal candidiasis [VVS]. In contrast to coital hygiene, there was a significant correlation between menstrual and individual vaginal hygiene and BV [P<0.01 and P<0.001] respectively. There was a significant correlation between BV and education [P<0.025], number of pregnancy [P<0.05] and method of contraception [P<0.005]. No significant correlation was observed between age, age of marriage and abortion. The data obtained suggests that the prevalence rate of BV is relatively high and could be affected by hygiene behaviors and certain socio-demographic characteristics, which indicate the need for comprehensive, scheduled programs of healthcare educations, aimed at reducing BV prevalence