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DURATION AND SOME DETERMINANTS OF INTERBIRTH INTERVALS IN A SAMPLE OF WOMEN FROM BAGHDAD/ IRAQ

Author: Atheer J Al-Saffar اثير جواد الصفار
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2012 Volume: 10 Issue: 1 Pages: 12-21
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

BackgroundUnderstanding the practice of birth spacing and factors which influence women’s interbirth interval (IBI) is critical for countries like Iraq with high fertility levels.ObjectivesThis study aimed at measuring the duration of the interval between births and determining some of the factors favored optimal spacing intervals of Iraqi women.MethodsA cross-sectional study was conducted among ever married and having at least 2 live births 472 women during March 2008 in Al-Kadhimyia Teaching hospital. Data were obtained by interview questionnaire, included birth intervals, demographics, and fertility variables. Actual birth interval was measured and data were analyzed using a logistic regression model.ResultsThe mean birth interval was 31.16 ± 21.56 ranged 9–228 months, and 65.6% of interbirth intervals were of less than 36 months. The multivariate regression revealed that older woman, a woman’s husband higher education and having male children were the significant predictors of longer interbirth interval.ConclusionsRelatively short interbirth interval found in the present study may help national health program conveying the message of optimum birth interval, with expanding education and employment opportunities for women can act as a motive for child spacing.Key wordsPregnancy spacing interval, contributing factors, Iraqi women.


Article
HUMAN CYTOMEGALOVIRUS INFECTION AMONG NEONATES WITH SYMPTOMATIC CONGENITAL INFECTIONS AND BIRTH DEFECTS

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Abstract

Background:Human cytomegalovirus (HCMV) is the major viral etiology of congenital infection and birth defects, during current maternal infection the fetal transmission is high (30-40%) and the symptomatic neonates have diseases involving the neurologic, hematopoietic, respiratory and other organ systems, causing high mortality and long-term sequelae.Objective:To measure the frequency of congenital and perinatal HCMV infection among symptomatic neonates and its possible burden of disease among them.Methods:A total of one hundred ninety-eight symptomatic neonates with clinical manifestations of overt congenital infection enrolled in this study from September 2014 to March 2015. Serum samples were obtained from each subject targeted in this study. HCMV infection was defined as HCMV-IgM antibody positive by Electrochemiluminescence Immunoassay (ECLIA) techniques. Results:The prevalence of HCMV infection among symptomatic neonates with congenital infection was 25 (12.6%). The average age of HCMV detection was 9.96 (SD 6.73) days with a median of 7 days, a minimum of 3 days and a maximum of 28 days. Jaundice was the most predominant clinical finding 14 (56%), followed in order of frequency by hepatomegaly 9 (36%) and pneumonitis 7 (28%).Conclusion:The high prevalence of neonatal HCMV infection among neonates with symptomatic congenital infections could indicate a high rate of maternal HCMV primary or current infection among our population.Keywords: HCMV, congenital infection, neonates, clinical finding.

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