[ comparison of phases of normal vaginal delivery in painless labor in Najmie hospital]

There are a few articles about effects of anaesthesia methods in different labor phases so the aim of this study is to compare effects of different anesthetic methods [Epidural, spinal, general] on duration of different labor phases in pregnant women. In a descriptive cross-sectional study on 80 pregnant women that refered to Najimeh's labor block in summer of 2007 duration of active phase and second stage of labor were compared based on anesthesia method. Mean time from anesthesia until full cervix dilatation [Active phase] in pregnant women with epidural, spinal, and general method of anaesthesia were 124.83 +/- 96.42, 118.25 +/- 83.10 and 102.51 +/- 76.02 [minutes] respectively. The difference between 3 methods was not statistically significant [P = 0.55]. Also mean time of Cervix dilatation till full delivery [stage 2] with epidural, spinal, and general anesthesia was 71.33 +/- 39.21, 61.72 +/- 43.23 and 57.19 +/- 20.1 [minutes] respectively, but the difference was not statistically significant, [P = 0.60]. Labor phases in 3 methods of epidural, spinal, and general anesthesia does not differ statistically. So in addition to improving quantity and quality of painless Labor for decreasing cesarean rate, cesarean rate, improvement of regional anesthesia techniques is a must

[Tehran university of medical sciences: participation in twenty five percent of pediatric science production in Iran]

Scientific articles are indicators of research interests and efforts in every country. The aim of our study was to compare the scientific output between universities of medical sciences in Iran on pediatrics in the Pubmed database. In a descriptive study, we searched in Pubmed in order to assess the Iranian pediatrics publications with these words: "[Pediatric [*MeSH] OR Neonate [MeSH] OR Newborn[MeSH] OR Infant [MeSH] OR Child [MeSH] OR Children [MeSH] OR Adolescent[MeSH] OR Adolescence [MeSH]]" AND [Iran [*AD] OR Iranian [AD] OR Persian [AD]]. The identified articles were published May 1957 to December 2007 and we selected all articles from universities of medical sciences in Iran. We extracted year of publication, affiliation of authors and impact factor from hard copy of articles. From 819 papers published, 565 were authored by members of universities of medical sciences. Tehran University of Medical Sciences with 142 articles [17.3% of all, 25.1% from publications of universities of medical sciences] held the first place, Shiraz University of Medical Sciences with 116 [14.2% of all, 20.5% from publications of universities of medical sciences] the second place and Shaheed Beheshti University of Medical Sciences with 88 [10.7% of all, 15.5% from publications of universities of medical sciences] the third place. Regarding Impact Factors [IF] Tehran, Shaheed Beheshti and Shiraz Universities of Medical Sciences with 153, 93 and 81 were in the first, second and third place, respectively. Tehran University of Medical Sciences had twenty five percent of pediatric science production in Iran. This university had published higher number of papers on pediatrics among of medical sciences in Iran

[Frequency of multiple pregnancy and its complications in three educational hospitals, Tehran]

Multiple pregnancies are high-risk pregnancies since they are associated with increased perinatal and maternal problems. The aim of our study was to determine the frequency of multiple pregnancies and their maternal and perinatal complications. In a cross-sectional study we assessed 94 multiple pregnancies and 199 neonates in three educational hospitals [Baqiyatollah, Najmie and Mahdie] in Tehran in the first half of 2006. The information was collected from hospital registries of mothers and their neonates. Of 4584 deliveries, 84 [1.8%] were twins, 9 [0.19%] were triplets and 1 [0.02%] was quadruplets. 59 [62.7%] mothers had preterm labor and 14 [14.8%] had pre-eclampsia. We found discordant birth weigh>/=20% in 24 [25.4%] and Twin-to-Twin Transfusion in 3 [3.1%] mothers. 174 [87.4%] neonates were admitted in neonatal intensive care unit or pediatric department. The frequency of mortality and respiratory distress in neonates was 27 [13.5%] and 107 [53.7%], respectively. 39 [19.5%] of neonates had Apgar scores<7 and seizure was not observed in neonates. 65 [32.6%] neonates were normal weight [>2500 gram], 104 [52.4%] low birth weight, 21 [10.5%] very low birth weight and 9 [4.5%] extremely low birth weight. Hypocalcaemia, hypoglycemia and anemia was detected in 45 [22.6%], 24 [12%] and 48 [24.1%] neonates respectively. Regard to increasing the prevalence of multiple pregnancies, better use of infertility modalities, early diagnosis of the multiple pregnancies, prevention of preterm birth, close fetal surveillance, atraumatic labor and delivery can improve maternal and perinatal outcome