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Article
Risk factors of perinatal asphyxia: a study at Al-Diwaniya maternity and children teaching hospital

Author: Hulal Saleh Sahib
Journal: Muthanna Medical Journal مجلة المثنى الطبية ISSN: 2226146x Year: 2015 Volume: 2 Issue: 2 Pages: 50-57
Publisher: Al-Muthanna University جامعة المثنى

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Abstract

Perinatal asphyxia is a common neonatal problem that contribute significantly to neonatal morbidity and mortality. Total number of patient enrolled in our study was one-hundred seventy-one. Data collected from October 01, 2013 to the September 30, 2014. Many variables are included such as GA, BWT, gender, mode of delivery, maternal age, parity and their ANC. In addition, a number of risk factor were encountered; maternal anemia, maternal hypertension, maternal DM, PROM, prolong labor, meconium- stained amniotic fluid, maternal fever, fetal distress, multiple gestation and APH. As a result, there is no gender difference between patient and control. Among patients group, the predominant mode of delivery was induced vaginal delivery (38.02 %), most of the mothers were primipara (61.16%) with irregular ANC seen in 55.37% of them. While among control group, the predominant mode of delivery was elective CS (40%), most of the mothers were multipara (60%) with regular ANC seen in 70% of them. (88.43 % of patients had risk factor versus only 44% of control had history of risk factor). We found that higher rate of induced vaginal delivery, primiparity and irregular ANC was reported among patients with perinatal asphyxia. Risk factors was more reported in patient group than control one. The less the no. of risk factors, the more possibility of good outcome.


Article
Study of growth retardation among patients with thalassemia major: correlation to iron overload

Author: Hulal Saleh Sahib
Journal: Muthanna Medical Journal مجلة المثنى الطبية ISSN: 2226146x Year: 2018 Volume: 5 Issue: 2 Pages: 77-85
Publisher: Al-Muthanna University جامعة المثنى

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Abstract

Thalassemia is an autosomal recessive blood disorder which has a life-long implication in both patients and their families. This study was performed at Al-Diwaniya maternity and children teaching hospital from the 1st of October 2016 to the 1st of January 2017. The total number of patients involved in our study were one-hundred three, all of them were diagnosed with ß – thalassemia major, were subjected to frequent blood transfusion and were on chelating agent. Both patients groups were evaluated with full history (age, gender, time of diagnosis, the rate of transfusion per year, the type and dose of the chelating agent), and were examined for their weight, height and BMI, serum ferritin was also performed for all of them. There was a significant difference in mean age and height of patients on desferal and those on exjade. The rate of transfusion was significantly greater in the group of patients treated with desferal. Serum ferritin was significantly higher in patients treated with desferal than patients treated with exjade. There was a significant correlation between gender of patients and serum ferritin in the group of patients treated with desferal, also there was a significant negative correlation between the dose of the drug and serum ferritin in those treated with exjade.

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