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12-INFLUENCE OF BODY MASS INDEX ON THE INCIDENCE OF PRETERM LABOUR

Authors: Khilud Salim Al-Salami --- Zaineb T Alyasin --- Ragad Nasir HussainSAINN
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 Year: 2009 Volume: 15 Issue: 2 Pages: 72-77
Publisher: Basrah University جامعة البصرة

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Abstract

Nutritional status of the women has been considered as an important prognostic indicator ofpregnancy outcome and risk of preterm birth. Few studies have evaluated the patterns of bodymass index in developing regions where malnutrition and poor weight gain as well as maternalobesity have significant influences on the pregnancy outcome. This study aims to show theeffect of pregnancy body mass index on the incidence of preterm labour.This is a prospective descriptive study of 200 women attended Basrah Maternity and ChildHospital who were diagnosed with preterm labour were recruited in the study. Patients wereclassified into categories that were based on their body mass index (BMI) according to thenational institute of health guidelines. Rate of spontaneous preterm birth were determined.Women with body mass index <19 kg/m2 had 34.5% of spontaneous preterm labour, with BMI19-24.9 kg/m2 had 28.5% of spontaneous preterm labour, while those with BMI 25-29.9 kg/m2had 21% of spontaneous preterm labour, women with BMI 30-34.9 kg/m2 had 14% ofspontaneous preterm labour and with BMI >/35kg/m2 had 2%of spontaneous preterm labour.Risk of spontaneous preterm labour tend to progressively decrease with increasing body massindex.Thinner women who have preterm delivery tend to deliver at earlier gestational age than womenwho were obese 42.3% of non obese women deliver before 30 weeks of gestation compared to25% of the obese, 44% of non obese deliver at gestational age 30-40 weeks compared to 28.25of the obese.In conclusion, high body mass index is associated with a lower rate of spontaneous pretermbirth.

Keywords

BODY MASS INDEX --- PRETERM --- LABOUR


Article
COMPARISON BETWEEN ELECTVE LABOUR INDUCTION AND SPONTANEOUS ONSET OF LABOUR IN PROLONGED PREGNANCY 75

Authors: Zaineb T Alyasin --- Khilud Salim Al-Salami --- Halla Abd al abbas
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 Year: 2010 Volume: 16 Issue: 1 Pages: 75-80
Publisher: Basrah University جامعة البصرة

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Article
Specific Dermatoses of Pregnancy among Iraqi Pregnant Women
الأمراض الجلدية الخاصة بالحمل عند النساء العراقيات

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Background: The specific dermatoses of pregnancy are a problem that has not been investigated among Iraqi pregnant women before.Objective: To evaluate the frequency & the clinical characteristics of specific dermatoses of pregnancy among Iraqi pregnant women Patients & Methods: This is a prospective case series multicentric study. Clinical data of 318 patients with specific dermatoses of pregnancy were recorded during 5 years study period (Jan.2003- Jan. 2008) at 2 hospitals & 2 private dermatological clinics in Basra, southern Iraq.Results: Polymorphic eruption of pregnancy (PEP) was diagnosed in 29.5% of patients, 78.4% were primigravidae & multiple pregnancies in 11%. Atopic eruption of pregnancy (AEP) was seen in 19.7%, majority in their first half of pregnancy, atopic diathesis was recorded in 10%.Intrahepatic cholestasis of pregnancy (ICP) in 14.7%, mostly started in late pregnancy & jaundice was not observed. Pemphigoid gestationis (PG) in 2.2%, majority of patients were multiparous with postpartum flare-up. Erythema-multiforme (EM) like eruption with widespread targetoid lesions was noticed in 2.2%. Generalized pustular psoriasis of pregnancy (GPPP) in 4 (1.4%).Conclusion: The specific dermatoses of pregnancy are frequent problems among Iraqi pregnant women.Key words: Specific, Dermatoses, Pregnancy,

اساس البحث: الامراض الجلدية عند النساء الحوامل ليست نادرة ولم تتم دراستها في العراق الأهداف: دراسة نسبة و الخصائص السريرية للأمراض الجلدية الخاصة بالحمل عند النساء العراقيات طريقة العمل: تمت دراسة 318 حالة للأمراض الجلدية الخاصة بالحمل عند النساء العراقيات لمدة 5 سنوات اعتبارا من كانون الثاني 2003 ولغاية كانون الثاني 2008 في شعبة الإمراض الجلدية في اثنين من المستشفيات الرئيسية والعيادات الخاصة في مدينة البصرة جنوب العراق. النتائج: أظهرت الدراسة أن الطفح المتعدد الأشكال هو الأكثر شيوعا(29,5%) , 78,4% من المرضى كانوا حوامل بكر و 11% متعددات الولأده. الطفح الأستشرائي سجل في 19.7% من المرضى , معظمهن كانوا في النصف الأول من الحمل. الركود الصفراوي داخل الكبد الخاص بالحمل في 14,7% , معظم الحالات كانت في أواخر فترة الحمل ولكن لم يلاحظ ظهور اليرقان. داء الفقاع الخاص بالحمل لوحظ في 2,2%, معظم المرضى كانوا متعددي الولادات مع زيادة في حدة المرض بعد الولادة.الصدفية القيحية العمومية المتعلقة بالحمل سجلت عند 4 مرضى (1,4%) الاستنتاج: يمكن اعتبار الأمراض الجلدية الخاصة بالحمل مشكلة صحية هامة عند النساء العراقيات الحوامل

Keywords

Specific --- Dermatoses --- Pregnancy

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