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Article
Serodiagnosis of Rubella in Pregnant Women

Author: Israa Hashim Saadoon
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2016 Volume: 13 Issue: 3 Pages: 628 -634
Publisher: Babylon University جامعة بابل

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Abstract

This study was conducted from 15th December 2012 to 15th May 2013 and included 220 pregnant woman whose age (18-40) years , who attended Azadi General Teaching Hospital, Kirkuk General Hospital and some primary health care centers in Kirkuk Governorate. Blood sample was drawn from each woman to determine specific anti-rubella antibodies (IgM and IgG) by using Enzyme Linked Immuno Sorbent Assay (ELISA). The results revealed that anti-rubella IgG , IgM and both IgG & IgM antibodies at the same time for the 220 pregnant women were 85.90 % , 4.55 % and 1.82% respectively. The study revealed that the highest rate of seropositivity was in the age group 24-29 years, while the lowest rate was in older age group ≥36 years. Also the study revealed that the rate of seropositivity of rubella-IgG was higher (65.6%) among women who lives in urban areas while the highest seropositivity for rubella-IgM and both IgM and IgG at the same time were among women who lives in rural areas with significant relation P> 0.05 . Regarding the relation of rubella antibodies among pregnant women with the number of children, highest rates for rubella-IgM and both IgM and IgG at the same time were recorded among pregnant women with no children than who had one child or more while for rubella IgG the highest rate was among pregnant women with two children with significant relation P> 0.05. The study revealed that the pregnant women in the second trimester had highest rate of seropositivity for anti- rubella IgG, while the highest rates for anti- rubella IgM an both IgM and IgG at the same time was recorded among pregnant women in the first trimester of pregnancy. In relation to the history of abortion and the seropositivity of rubella antibodies were the (61.58 %) of pregnant women had history of abortion with significant relation P> 0.05, however the abortional frequency were had no more deferent recorded among pregnant women with history of one abortion or more with non-significant relation P>0.05.

Keywords

Rubella --- pregnant women --- ELISA


Article
Awareness and Attitude of Pregnant Women towards Labor Analgesia in Babil Province

Authors: Mohammed Sami Hasan --- Zainab Abdulkhaliq Alsaadi --- Mazin Adnan Abbas --- Jaber Mohsin Algoraby
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2016 Volume: 13 Issue: 1 Pages: 95-104
Publisher: Babylon University جامعة بابل

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Abstract

The aim of this study is to assess the awareness and attitude of pregnant women in Babil province toward painless labour and their willingness to get the service. A questionnaire form designed and given to pregnant women in Babil province attending the antenatal clinics in seven primary health care centers, 820 pregnant women responses to the questionnaire form taken for this study.10.98% primiparas and 89.02% are multiparas. Mean age of respondents was 26.6±6.4.most of the multipararespondents report their pain in the previous labor as very severe and sever.Most of the respondents have no any information about painless labour and 5.1% have little information, their source of information was 36.2% from friends and relatives,20.3%, from TV. 62.3% have very high and high fear from next labour pain.Most of women will ask for the service of painless labour if it is available. 59.9% think labor can’t be without pain.most of the respondents don’t knew who will be responsible for relief of their labor pain.Conclusion: This study showed poor general knowledge of pregnant women in Babil province about painless labor . It is recommended that information about painless labor should be given by the antenatal physician, obstetrician or a nurses in a collaborative with anesthesiologists to inform pregnant women about benefits, modalities and limitations of painless labor, Education of the labor room staff about the service and Public education by TV programs. The persistently low request of painless labor by pregnant women could thus be ascribed to a combination of poor pregnant women awareness and inadequate provision of resources so to start with is implementing standard infrastructure for labor room that can help provision of the service and it necessary taken into consideration by the ministry of health .

Keywords

Awareness --- Attitude --- pregnant women --- Labor --- analgesia


Article
Self Management of Pregnant Women Regarding Minor Discomforts in Primary Health Care Centers in Erbil City

Authors: Kareem Fattah Aziz --- Shaymaa Samir Maqsood
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2016 Volume: 13 Issue: 2 Pages: 284 -293
Publisher: Babylon University جامعة بابل

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Abstract

Self-management regarding minor discomforts and practices during prenatal period is beneficial for pregnant women so knowledge and practices of women about self management is necessary for their health protection and the aims of study is to assess knowledge and practices of pregnant women regarding minor discomforts during pregnancy. The current study is a descriptive study conducted for 370 healthy pregnant women at four Primary Health Care Centers (Nazdar bamarni- Nawroz- Brayati- Kurdistan) in Erbil City from October 2014 to November 2015. Data were collected through interview by using questionnaire methods. Questionnaire was designed and divided into four parts; the first part includes socio-demographic characteristics of pregnant women, the second part contains obstetric history, the third part deals with knowledge about minor discomforts and the fourth part comprises ten areas of practical care regarding minor discomforts during pregnancy. The questionnaire contains 53 items using 3 Likert scales. Reliability was determined by 24 experts.The results showed that the majority of the study sample was between 18-25 years old, secondary school graduates, housewives and nuclear families. The evidence from this study showed that self management was poor and pregnant women had fair knowledge. Finding of the study revealed that self management practices of pregnant women regarding minor discomforts were very poor also.There was a significant association between knowledge and age group, level of education and gestational age. While there was no significant association between self-management practices regarding minor discomforts and age group.


Article
Pathological study of intrauterine infection to embryos by Encephalitozoon cuniculi spores in pregnant mice
دراسة مرضية لخمج الاجنة داخل الرحم بابواغ Encephalitozoon cuniculi في الفئران الحوامل

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Abstract

This study aimed to investigate pathology of oral E. cuniculi infection during pregnancy in pregnant mice and embryos. A total of 40 pregnant mice at first day of gestation were divided into two groups, first group were infected orally by E. cuniculi sores of 107 spores/ mice, second group left without any treatment. At 18th days of gestation all pregnant mice were euthanized. Gross pathology finding in pregnant mice of infected group included congestion of liver and lung, the embryos lesions consisted from enlargement of head and abdomen. Histological lesions in pregnant mice of infected group consisted of hepatic non-suppurative granulomatous lesions with E. cuniculi spores aggregation with lymphocytic infiltration, the lungs lesions consisted of infiltration of lymphocytes with E. cuniculi spores, kidney lesions composed from degenerative and necrotic changes in renal tubules, brain lesions consisted from lymphocytic infiltration with increase in number of glial cells, while intestine tissue sections showed hyperplasia of lymphatic tissue with present of parasitic vacuoles at tips of villi, the placenta exhibited E. cuniculi spores with hyperplasia of trophoblast in chorionic villi, while histological lesions in embryos showed lymphocytic infiltration around alveoli with hyperplasia of lymphatic tissue around bronchioles with absent the normal architecture of hepatic cords and vacuolation of hepatocytes with hyperplasia of lymphocytes in white pulp of spleen. This study provides insight into the pathology of E. cuniculi infection in pregnant mice and their embryos, also supports the hypothesis of intrauterine transmission of E. cuniculi infection to embryos during pregnancy period.

هدفت الدراسة الحالية الى التعرف على امراضية التجريع الفموي بابواغ E. cuniculi في اناث الفئران الحوامل واجنتها. استخدم 40 انثى فار حامل في اليوم الأول من الحمل قسمت الى مجموعتين، المجموعة الأولى خمجت فموياً بابواغ E. cuniculi بجرعة 710 بوغ / انثى فار حامل، اما المجموعة الثانية تركت بدون اية معاملة طوال فترة التجربة، وعند اليوم 18 من الحمل تم قتل جميع الاناث في كلا المجموعتين قتلاً رحيماً. أظهرت نتائج الفحص العياني للإناث الحوامل في المجموعة المخمجة وجد احتقان في الكبد والرئة واظهرت الاجنة تضخم الراس والبطن. اما الافات النسجية في الاناث الحوامل المخمجة تالفت من افات ورمية حبيبية غير قيحية في الكبد مع وجود ابواغ E. cuniculi في تجمعات لارتشاحات من الخلايا اللمفية، اما افات الرئة تالفت من ارتشاح للخلايا اللمفية مع ابواغ E. cuniculi، اما افات الكلية فقد تالفت من تغيرات تنكسية وتنخرية في النبيبات الكلوية، اما افات الدماغ فقد تالفت من ارتشاحات لمفية مع ازدياد في اعداد الخلايا الدباقية، اما مقاطع الأمعاء النسيجة فقد أظهرت فرط تنسج في النسيج اللمفي مع وجود الفجوات الطفيلية في قمم الزغابات المعوية، اما مقاطع المشيمة النسجية فقد أظهرت تواجد ابواغ E. cuniculi مع فرط تنسج الارومة الليفية الغاذية في الزغابات المشيمية، اما مقاطع الانسجة للاجنة بعمر 18 يوم من الحمل فقد أظهرت ارتشاحات لمفية حول الحويصلات الهوائية مع فرط تنسج النسيج اللمفي حول القصيبات الهوائية مع فقدان الترتيب السوي للحبال الكبدية فضلاً عن حدوث التفجي في الخلايا الكبدية، كما لوحظ فرط تنسج الخلايا اللمفية في اللب الأبيض للطحال. زودت الدراسة الحالية نظرة عن امراضية الخمج بابواغ E. cuniculi في الاناث الحوامل فضلاً عن اجنتها، كما انها دعمت وأثبتت النظرية المتعلقة بحصول الخمج في داخل الرحم بابواغ E. cuniculi للاجنة وخلال فترة الحمل.


Article
TORCH Screening Test in Pregnant Women of Kirkuk City

Authors: Hiro M. Obaid1 --- Shawbow A. Juma2
Journal: Al-Mustansiriyah Journal of Science مجلة علوم المستنصرية ISSN: 1814635X Year: 2016 Volume: 27 Issue: 5 Pages: 17-25
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

In the course of pregnancy, the developing fetus might have some infections that can be transmit to him transplacentally from his mother. Early identification and treatment of these infections in a neonates is essential. Prenatal caution comprehends a range of tests, involving a TORCH screen test.From the beginning of July till the end of December 2014. 500 blood samples were collected for TORCH screening from pregnant women whom attended virology section in Azadi Teaching Hospital. The TORCH screening was performed using ELISA technique.The result of TORCH screening tests was not differed significantly between year 2013 and 2014, but there was significant differences between the frequency of the microorganisms included in TORCH screening, the highest was for Cytomegalovirus and Rubella with rates of 29.2, 39.1 % and 30.3, 41.8 % for each of the two viruses respectively. Lower frequency was observed for Toxoplasma with rate of 9.5, 8.9 % followed by Herpes simplex virus with a rate of only 1.1, 2.6 %. High rate of mixed infection were between Cytomegalovirus and Rubella. The frequency of chronic infections were significantly higher comparing with acute and subacute cases. The rate of infections was not effected by patients age. Cytomegalovirus, Rubella and Toxoplasma are prevalent among pregnant women in Kirkuk city and probably they are the causative agents of abortion and infertility found among them, therefore it's better for pregnant woman or those planning to become pregnant to be tested for TORCH infections, and vaccinated against Rubella, Cytomegalovirus, Herpes simplex virus and Toxoplasma to grantee her health as well as her baby.


Article
Self-Care Management of Pregnancy Induced Hypertension for Pregnant Women Attending Primary Health Care Centers at Kirkuk City.
تدابير العناية الذاتية لارتفاع ضغط الدم الناجم عن الحمل للنساء الحوامل المراجعات لمراكز الرعاية الصحية الاولية في مدينة كركوك

Authors: Fatin A. Amir AL- Saffar --- Muntaha H. Hussian
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2016 Volume: 6 Issue: 2 Pages: 185-193
Publisher: University of Kufa جامعة الكوفة

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Abstract

Objective (s) : Assessing self-care management of pregnancy induced hypertension for pregnant women attending primary health care centers at Kirkuk city. And to finding out relationship between self-care management of pregnancy induced hypertension and some socio demographic such as( age , educational level , socio economic status , body mass index). Methodology : A descriptive study non-probability (purposive) conducted on 100 pregnant women were selected from five typical primary health care centers The study was conducted ( from 27 Jan to 31 October 2015). The questionnaire consisted of four main parts including :Socio demographic characteristic such as( age , educational level , socio economic status , body mass index) , medical history of pregnant women and the family, reproductive history, self-care management for pregnant women. The analysis of data was performed through the application of descriptive and inferential statistics.Results: The findings of the study indicated that (26%) were in the age group(30-34) years and (46%) were primary school graduates, and (83%) were from low level of socio economic status , was 56% of pregnant women suffer from obesity. The study finding showed that there is no significant association between self-care management for pregnant women with socio demographic characteristics and body mass index (BMI) Conclusions: The study concludes that the level of pregnant women about self-care management toward pregnancy induced hypertension was " Moderate "Recommendations: The study recommended to increased awareness of pregnant women about pregnancy complications especially pregnancy induced hypertension through educational programs. Further studies are recommended to research about increasing awareness to self-care management toward pregnancy induced hypertension and its effect on maternal and fetal health.

الهدف: تقييم تدابير العناية الذاتية لارتفاع ضغط الدم الناجم عن الحمل للنساء الحوامل المراجعات لمراكز الرعاية الصحية الأولية في مدينة كركوك . و لمعرفة العلاقة بين تدابير العناية الذاتية التي يسببها ارتفاع ضغط الدم وبعض المتغيرات الديموغرافية مثل (العمر ومستوى التعليم والحالة الاقتصادية الاجتماعية وكتلة الجسم).المنهجية: دراسة وصفية غير الاحتمالية (غرضية )، اجريت على 100 إمرأة حامل تم اختيارهم من خمسة مراكز للرعاية الصحية الأولية النموذجية في مدينة كركوك. وقد أجريت الدراسة (من 27 كانون الثاني - 31 تشرين الاول 2015) يتكون الاستبيان من أربع محاور رئيسية تشمل: الخصائص الديموغرافية الاجتماعية مثل (العمر ومستوى التعليم والحالة الاقتصادية الاجتماعية وكتلة الجسم ) ، والتاريخ الطبي للنساء الحوامل والأسرة، والتاريخ الإنجابي، تدابير العناية الذاتية للنساء الحوامل . وتم إجراء تحليل البيانات من خلال تطبيق الإحصاء الوصفي والاستدلالي. النتائج : من خلال تحليل البيانات تبين ان (26٪) من النساء ضمن الفئة العمرية (30-34) سنة ،(46٪) خريجي المدارس الابتدائية , (83٪) لديهن حالة اقتصادية اجتماعية واطئة وكانت (56٪) من الحوامل يعانين من السمنة المفرطة .أظهرت نتائج الدراسة أنه لا توجد علاقة ذات دلالة احصائية بين تدابير العناية للنساء الحوامل مع الخصائص الديموغرافية الاجتماعية وكتلة الجسم .الاستنتاج: استنتجت الدراسة الى أن مستوى تدابير الامهات الحوامل حول العناية الذاتية تجاه ارتفاع ضغط الدم كانت " متوسطة " التوصيات: أوصت الدراسة إلى زيادة وعي النساء الحوامل تجاه مضاعفات الحمل وخاصة تلك التي يسببها ارتفاع ضغط الدم اثناء الحمل من خلال البرامج التعليمية , ينصح إجراء المزيد من الدراسات للبحث عن زيادة الوعي تجاه التدابير للعناية الذاتية تجاه ارتفاع ضغط الدم في الحمل وتأثيره على صحة الأم والجنين.


Article
Knowledge, attitude & practice of pregnant women about the role of periconceptional use of folic acid in three primary health care centers in Baghdad / AL-Russafa

Author: *Walaa N. Lateef- MBChB, C.A.B .FM and **Ban A. Al-Hashimi- FICMS/FM (Consultant Family physician)
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2016 Volume: 12 Issue: 1 Pages: 103-108
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Folic acid (vitamin B9) is one of the important vitamins that are necessary for growth and development of the embryo and preventing the occurrence of congenital malformations which are one of the important health problems in the developing countries and the world as it has a direct effect on the affected babies, their families and the community. It affects an estimated 3% of newborns worldwide.Periconceptional supplementation with folic acid (before conception and during the first 12 weeks of pregnancy) was found to decrease many important types of these anomalies. Objectives: The aim of this study is to assess knowledge, attitude and practice of periconceptional use of folic acid in pregnant women who are attending antenatal care unit in three Primary Health Care Centers in Baghdad / AL-Russafa side. Type of the study: Descriptive cross-sectional study Patients and Methods: The study used a convenient sample technique for pregnant women who are attending antenatal care unit in three primary health care centers in Baghdad/ALـRussafa at the period from January to April 2014. The sample size was 200. Non-pregnant women were excluded. Results: a large proportion (86%) of pregnant women who had been interviewed knew about folic acid. 61% of them gained the information about it from doctors and 44.5% know its importance in protection from congenital anomalies. Although there was a good practice regarding folic acid supplementation during the current pregnancy; only 10% of them had used it in the proper time (at least one month before pregnancy to the end of the first trimester). It has been found that the largest rate of its use was in the second month (28%), Still 22% of them realize that it must be taken before pregnancy. Conclusion: From 200 pregnant women interviewed in the current study, the majority knew about folic acid but nearly only half of them states its importance in protection from congenital anomalies. Most of the women usedfolic acid in the current pregnancy on a daily bases and take it as pure folic acid. Although some of the pregnant women were aware about the proper time of taking folic acid, only few took it before pregnancy. Doctors were the main source of information.


Article
Assessment Pregnant Women’s Knowledge Regarding Syphilis at Primary Health care centers in Baghdad City
تقييم معارف الأمهات الحوامل حول مرض السفلس (الزهري ) في مراكز الرعاية الصحية الأولية في مدينة بغداد

Authors: Iqbal majeed Abbas اقبال مجيد --- Alaa Kahtan Mohamed الاء محمد
Journal: nursing national Iraqi specility المجلة العراقية الوطنية للعلوم التمريضية ISSN: 18122388 Year: 2016 Volume: 29 Issue: 1 Pages: 22-34
Publisher: Baghdad University جامعة بغداد

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Abstract

Objectives: To assess pregnant women’s knowledge regarding syphilisand to find out the relationship between women’s knowledge regarding syphilis infection and demographic and reproductive variables. Methodology: A descriptive analytical study of non probable (purposive sample) of 250 pregnant women during their different gestational ages for the period (October 2nd to April 25th 2013) by using questionnaire format consists of demographic variables and items of women's knowledge regarding syphilis who are visiting primary health care centers in Al-Kharkh and Al-Rrusafa in Baghdad city. The coefficient reliability of the questionnaire was determined through test and retest approach and content validity through a panel of experts. Data are analyzed using descriptive and inferential statistics.Results: It was revealed that pregnant women have no enough knowledge about Syphilis infection causes, signs and symptoms, mode of transmission, effect of infection upon fetal health and methods of prevention. Recommendations: The study is recommended that primary health care centers should increase pregnant women’s knowledge and awareness who attained primary health care centers in Baghdad city through educational programs and health booklets to increase their knowledge about these dangerous infection and its effect upon pregnancy outcome and mother’s health. Key Words: Knowledge, Pregnant Women, Syphilis

الهدف : تهدف الدراسة الحالية إلى تقييم معارف الأمهات الحوامل المراجعات لمراكز الرعاية الصحية الأولية في محافظة بغداد حول مرض الزهري (السفلس) وايجاد العلاقة بين معارف الامهات الحوامل والمتغيرات الديموغرافية والانجابية. المنهجية : أجريت دراسة وصفية تحليلية لعينة غير احتمالية (عينة غرضية) مكونة من (250 ) امرأة حامل خلال مراحل حملهن المختلفة للفترة من 2/10/2013 الى 25/4/2013 باستخدام استمارة استبيانيه تكونت من جزئين الاول حول المعلومات الديموغرافية والانجابية والثاني حول تقييم معارف الامهات الحوامل حول مرض السفلس للامهات الحوامل المراجعات مراكز الرعاية الصحية الأولية في الكرخ والرصافة في محا فظة بغداد تم تحديد معامل الثبات للاستبانة من خلال اعادة الاختبار وتم تحديد صدق المحتوى من خلال الخبراء وتم استخدام الاحصاء الوصفي الاستدلالي في تحليل البيانات . النتائج : أظهرت نتائج الدراسة إن معظم النساء الحوامل المراجعات المراكز الرعاية الصحية الأولية في محافظة بغداد ليست لديهم معلومات كافية حول مسبب مرض الزهري أو إعراضه أو علاماته وكيفية طرق انتقاله أو ماهية تأثيره على الجنين أو طرق الوقاية منه . التوصيات: زيادة وعي ومعلومات الامهات الحوامل المراجعات لمراكز الرعاية الصحية الأولية في محافظة بغداد حول مرض السفلس بإعداد برامج تثقيفية وكتيبات صحية تهدف حماية الأجيال القادمة من خطر هذا الخمج .


Article
Effects of the prednisolone and hydrocortisone on the body weight of the pregnant rats and their embryo in the different stages of pregnancy.

Authors: Ahmed Dhahir latif Al-Hussainy --- Taif Kareem Khalaf
Journal: Al-Qadisiyah Medical Journal مجلة القادسية الطبية ISSN: 18170153 Year: 2016 Volume: 12 Issue: 21 Pages: 147-154
Publisher: Al-Qadisiyah University جامعة القادسية

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Abstract

The aim of the study was to investigate the effects of prednisolone and hydrocortisone on the body weight of the pregnant rats and their embryos after treatment with the drugs during pregnancy.Materials and Methods: Thirty six adult female pregnant rats were randomly divided into three groups: Grop-1: control group C. (n = 12) received Distilled water 1 ml /kg b.w./day/intramuscularly for 14 days. Group-2: first treatment T1. (n=12) treated with prednisolone 4mg/kg b.w/day/intramuscularly for 14 days . Group-3: second treatment T2.(n=12) treated with hydrocortisone 40mg/kg b.w/day/ intramuscularly for 14 days.The body weight of the pregnant rats and their embryo detected at the day 15th and 20th of the gestation (developmental stage of rat embryo=E). At the detected period for taking the body weight of the pregnant rats and six animals from each group were sacrificed and taken the body weight of embryo with and without placenta.Results: the results showed that prednisolone decrease the body weight of the pregnant rats and its embryo more than hydrocortisone, and may cause absorption for percentage of embryo.Conclusion: prednisolone and hydrocortisone causes low body weight in the pregnant rats and its embryo when used for 14 days intramuscularly.

تهدف الدراسة الحالية إلى تحديد التأثيرات لكل من البردنسلون والهايدروكورتزون على وزن الجسم للجرذان الحوامل وأجنتها وفي مدد مختلفة من الحمل (فترة 15 وفترة 20) ,من بعد فترة معالجة للأمهات الحوامل بالأدوية أعلاه لمدة 14 يوم. إذ تم تقسيم 36 جرذ أنثى ناضجة إلى ثلاث مجاميع متساوية الأعداد:الأولى مجموعة سيطرة وحقنت ماء مقطر 1 مل/ كغم / يوم / بالعضلة.المجموعة الثانية أعطيت البردنسلون 4 ملغم/كغم / يوم/ بالعضلة.المجموعة الثالثة أعطيت الهايدروكورتزون 40 ملغم/كغم /يوم/ بالعضلة. بعد العلاج وفي اليوم الخامس عشر أخذت أوزان الأمهات الحوامل و تم التضحية بنصف العدد من كل مجموعة من الأمهات وأخذت أوزان أجنتها وفي اليوم عشرون من الحمل أخذت أوزان الأمهات المتبقية من كل مجموعة ومن ثم تمت التضحية بها وأخذت أوزان أجنتها .حيث أظهرت النتائج أن البردنسلون يقلل وزن للجرذان الحوامل وأجنتها وفي المراحل المختلفة من الحمل أكثر من الهايدروكورتزون , ومن الممكن أن يسبب العلاجان أعلاه الامتصاص لنسبة من أجنة الجرذان.


Article
Relationship between Third Trimester Vaginal Bleeding Medical Causes and pregnancy Outcomes of Pregnant Women Attending Bint Al-Huda Hospital in Al-Nasiriya City
العلاقة بين الاسباب الطبيه للنزف المهبلي خلال الفصل الثالث من الحمل ونتاج الحمل للنساء المراجعات مستشفى بنت الهدى في مدينه الناصرية

Authors: Sarah TalibKadhim Al-Rikabi ساره الركابي --- Suhad H.Khairi سهاد خيري
Journal: nursing national Iraqi specility المجلة العراقية الوطنية للعلوم التمريضية ISSN: 18122388 Year: 2016 Volume: 29 Issue: 1 Pages: 74-85
Publisher: Baghdad University جامعة بغداد

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Abstract

Objective: To find out the relationship between vaginal bleeding during third trimester and pregnancy outcomes.Methodology: A purposive sample is "Non-probability" of (100) women who had diagnostic vaginal bleeding during third trimester (27-40wk) of pregnancy, and who visited the Bint Al-Huda Hospital for the period from 15th Feb. to 17th May 2015.Validity and reliability of questionnaire are determined through pilot study. Descriptive and inferential statistical procedures were used to analyze the data, and the data were collected by using interview technique, constructed questionnaire has been designed in three parts: socio demographic, reproductive data and questions related to current vaginal bleeding and medical Causes, and pregnancy Outcomes. Results: Results of the study showed that the highest percentage of the study sample were within the age group (20-24 years). And women with high educational and economic level and more than half of the study sample were housewives, and residents in urban areas. With regard to the information reproductive the highest percentage of the study sample had been pregnant for five times and had given birth five times and more and have at least four living children were pregnancy in weeks period (28-29) a week and (30-31) a week, respectively, and the interval between the last pregnancy and current one year to two years. And that the cause of bleeding from a medical point is the rupture of the uterus and attributed the causes of bleeding from their medical point of view were accidents. The study shows that the impact on the newborn was premature birth of a child and that there is a significance relationship between the medical causes of 3rd trimester vaginal bleeding and pregnancy outcomes.Recommendations: Increases pregnant women awareness about pregnancy complications especially bleeding during pregnancy through mass media, pay more maternal attention and Emphasize the importance of attending the primary health care center for antenatal care to early diagnosis and treatment of some possible complications during pregnancy, reduce the number of pregnancy especially for those with high risk through family planning and Reduce the perinatal morbidity and mortality through good neonatal intensive care facilities.

الهدف: لمعرفة العلاقة بين النزيف مهبلي أثناء الفصل الثالث من الحمل و نتاج الحمل. المنهجيه : اجريت دراسه وصفيه تحليليه لاختيار عينه عمديه لمئة امرأه (100) مشخصه باصابتهم بنزيف مهبلي خلال الأشهر الثلاثة (27-40اسبوع) من الحمل واللواتي يرقدن في مستشفى بنت الهدى في مدينه الناصريه للفترة من 15 شباط - 17 أيار عام 2015. وتم تحديد من خلال الخبراء والثبات من خلال الدراسة الاستطلاعيه واستخدمت الأساليب الإحصائية الوصفية والاستدلاليه لتحليل البيانات وتم جمع العينه باستخدام المقابلة ، وتم تصميم الاستبيان من ثلاثة أجزاء :معلومات ديموغرافية ومعلومات الإنجابية وأسئلة ذات صلة بالنزف المهبلي الحالي و الأسباب الطبية ، و نتاج الحمل . النتائج :أظهرت نتائج الدراسة أن أعلى نسبة من عينة الدراسة كانت ضمن الفئة العمرية (20- 24) سنة. وذوات مستوى تعليمي واقتصادي عالي وان اكثر من نصف عينة الدراسة كن ربات البيوت. ومقيمات فيمناطق حضرية. وفيما يتعلق بالمعلومات الانجابيه فان اعلى نسبه من عينه الدراسه كن حوامل لخمس مرات وولدن خمس مرات فاكثر ولديهن على الاقل اربعه اطفال احياء وكانت فترة الحمل بالاسابيع (28-29) أسبوع و(30-31) أسبوع ،على التوالي و الفترةالفاصلة بين الحمل الماضي والحالي سنة واحدة إلى سنتين.وان سبب النزف من الناحيه الطبية هو تمزيق الرحم وعزوا اسباب النزف من وجهة نظرهن للحوادث. وتبين الدراسه ان أثر النزف على الوليد ولادة طفل خديج وان هنالك علاقه ذات دلاله احصائيه موجبه بين اسباب النزيف المهبلي خلال الثلث الاخير من الحمل وناتج الحمل. التوصيات: زيادة الوعي عند النساء الحوامل حول مضاعفات الحمل وخاصة النزف أثناء الحمل عن طريق وسائل الإعلام، والاهتمام أكثر بالأمهات والتركيز على الحضور الى المركز الرعاية الصحية الأولية للحصول على الرعاية ما قبل الولاده إلى التشخيص المبكر وعلاج بعض المضاعفات المحتملة أثناء الحمل, وتقليل عدد مرات الحمل خصوصا مع المخاطر العالية للمراة من خلال تنظيم الأسرة و يمكن خفض معدلات المرضى والوفيات ماحول الولادة عن طريق توفير مراكز الرعايه لحديثي الولادة وتوفير كافه المستلزمات فيها.

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