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Article
Essential Hypertension in a 17 Years Old Girl: APossible Correlate withLow Birth Weight and Growth Parameters

Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2006 Volume: 3 Issue: 1 Pages: 75-77
Publisher: Baghdad University جامعة بغداد

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Abstract

We enclose a case of essential hypertension in a 17
years old girl presented for the first time with
hypertensive encephalopathy. Various hematological,
biochemicals, hormonal and imaging studies failed to
explore underlying etiology. A possible correlate of
low birth weight and growth parameters with early
onset of essential hypertension was postulated.
Keywords: Hypertension, birth weight, growth

Keywords

hypertention --- birth weight --- growth


Article
Low Birth Weight in Baghdad, Iraq

Authors: Abdul Hussein M Al-Hadi --- Shukria SJ Al-ageeli --- Jawad KA Al-Diwan
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2006 Volume: 48 Issue: 4 Pages: 363-365
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Many reports demonstrated an increase in low birth weight in the past three decades. This work was carried out to study the prevalence of low birth weight and its determinants among neonates delivered in Baghdad, Iraq.
Materials: A total of 400 singleton newborns delivered at two hospitals in Baghdad city during 15th June to 15th Nov. 2003 were included in the study.
Results: Half of the neonates were born with low birth weight. Out of the low birth weight neonates, there were 83% preterm neonates. Prevalence of low birth weight neonates was significantly associated with maternal age, age at marriage, parity, and anaemia.
Conclusion: This study indicates that the most appropriate approach for prevention low birth weight and prematurity in newborns is through improvement of nutritional status and health services.


Article
Mortality Rate Among Low Birth Weight Infants in Al- Battool Teaching Hospital , Diyala Province, Iraq

Author: Dawood Salman Hameed Alazzawi
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2011 Volume: 10 Issue: 4 Pages: 499-503
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:An analytic cross-sectional study through which a review for the records of all patients admitted toneonatal nursery in Al-Battool teaching hospital,Diyala province, Iraq during the first six months of2003 and 2009 were performed.OBJECTIVE:To demnstrate the deterioration of the condition of low birth weight infants.PATIENTS AND METHODS:This study about mortality rate among low birth weight infants who delivered in Al-Battool teachinghospital Diyala governorate including the records of 366 patients admitted during first six months of2003 and compared with records of 558 patients admitted during the same period of 2009. Informationhas been studied extensively for gestational age, birth weight, predisposing factors and mortality.RESULTS:Mortality rate is increased to 30% during 2009, while it was 12% during 2003.Increase percentage of low birth weight infants (28-36wks) during first 6months 2009 (49%), ascompared to first 6 months 2003 (45%).Increase in congenital abnormalities rate (ranging from cleft palate to congenital heart diseases) (42%)on 2009 as compared to (29%) on 2003.Increase number of low birth weight infants to total deliveries at hospital (13.1%) during 2009 ascompared to (11.7%) during 2003.CONCLUSION:High mortality rate, increase percentage of low birth weight infants and increase cases of congenitalabnormalities during 2009, to be studied extensively and thoroughly regarding the environmentalcauses and health services availability.


Article
Mortality Rate Among Low Birth Weight Infants in Al- Battool Teaching Hospital , Diyala Province, Iraq

Author: Dawood Salman Hameed Alazzawi
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2010 Volume: 9 Issue: 4 Pages: 499-503
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:An analytic cross-sectional study through which a review for the records of all patients admitted toneonatal nursery in Al-Battool teaching hospital,Diyala province, Iraq during the first six months of2003 and 2009 were performed.OBJECTIVE:To demnstrate the deterioration of the condition of low birth weight infants.PATIENTS AND METHODS:This study about mortality rate among low birth weight infants who delivered in Al-Battool teachinghospital Diyala governorate including the records of 366 patients admitted during first six months of2003 and compared with records of 558 patients admitted during the same period of 2009. Informationhas been studied extensively for gestational age, birth weight, predisposing factors and mortality.RESULTS:Mortality rate is increased to 30% during 2009, while it was 12% during 2003.Increase percentage of low birth weight infants (28-36wks) during first 6months 2009 (49%), ascompared to first 6 months 2003 (45%).Increase in congenital abnormalities rate (ranging from cleft palate to congenital heart diseases) (42%)on 2009 as compared to (29%) on 2003.Increase number of low birth weight infants to total deliveries at hospital (13.1%) during 2009 ascompared to (11.7%) during 2003.CONCLUSION:High mortality rate, increase percentage of low birth weight infants and increase cases of congenitalabnormalities during 2009, to be studied extensively and thoroughly regarding the environmentalcauses and health services availability.


Article
Impact of Maternal Age, Parity, and Birth Weight Distribution on Primary Cesarean
بيان تاثير كل من عمر الحامل, عدد الولادات ووزن الوليد عند الولادة على معدل الولادات القيصرية الاولية

Author: Hadeel KH. Naeef هديل خليل نايف
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2012 Volume: 25 Issue: 2 Pages: 97-102
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: The effect of maternal characteristics including age, parity, and birth weight on cesarean delivery rates were shown to be important factors which determine the pregnancy and neonatal outcome. Objective: To examine the effect of maternal age, birth weight on cesarean delivery rates in primiparous and multiparous women. Study design: A cross-sectional study.Patients and Methods: The sample was collected from Al-Yermouk teaching hospital in Baghdad from January 2009 through January 2010. The study population included 500 pregnant women were randomly selected (primiparous and multiparous women) who delivered by cesarean section, maternal age range from 15 to ≥40 years old. Women who had prior cesarean delivery, breech or other mal-presentation, placenta previa, prolapsed cord, fetal anomalies and maternal medical diseases like hypertension, preeclampsia, diabetes mellitus were excluded, The risk for primary cesarean delivery stratified by parity, maternal age and birth weight.Results: Primary cesarean section rates in primiparous women of teenage are 23.2% and older age group is 28.4%, especially in those who delivered infants of ≥4000 gm is 14.4%. For multigravida the rate of cesarean delivery increases for women 40 years and older (28.4%) mainly those with infant birth weight of ≥4000gm which is 12%. Both results are statistically highly significant (P-value 0.0005). Conclusion: The overall primary cesarean delivery rates are high among adolescent and older primiparous women, while in multiparous women higher rates in older ones. These findings suggest the importance of using maternal age, birth weight, and parity when comparing primary cesarean delivery rates across population and over time.Keyword: maternal age, cesarean delivery, parity, birth weight.

خلاصة البحثهدف الدراسة : أعدت هذه الدراسة بين مجموعتين من النساء الحوامل لتحليل تأثير عمر الحامل ووزن الوليد على معدل العمليات القيصرية الأولية لكل من الخروس والولود .تصميم الدراسة : دراسة مقطعية.مكان الدراسة : أجريت هذه الدراسة في قسم النسائية والتوليد في مستشفى اليرموك التعليمي خلال الفترة من شهر كانون الثاني 2009 إلى شهر كانون الثاني 2010.طريقة العمل : تم أختيار 500 أمراة حامل أختياراً عشوائياً منها 250 خروس و250 ولود وكانت فترة الحمل لديهن 36 أسبوع إلى 42 أسبوع وكانت أعمار الحوامل مابين 15 سنة إلى ≥ 40 سنة, وتم أجراء الولادة القيصيرية لهن, وتم تقسيم الحوامل إلى مجموعتين :المجموعة الأولى 250 حامل خروس .والمجموعة الثانية 250 حامل ولود .وتم استثناء من كانت لديهن ولادة قيصيرية سابقة , الطفل المقعدي أو أي مضاعفات الحمل مثل تقدم المشيمة, تقدم الحبل السري قبل الولادة, تشوهات الاجنة, الأمراض المقترنة بالحمل كارتفاع الضغط والسكري .وتم حساب معدلات الولادات القيصيرية اعتماداً على عمر الحامل ووزن الوليد لكل مجموعة .النتائج: معدل العمليات القيصرية للخروس اللواتي في عمر المراهقة لديهن أعلى نسبة وتبلغ % 23.2 وذوي الأعمار المتقدمة وتبلغ % 36 وخاصة اللواتي ولدن أطفال اوزانهن ≥ 4000 غم وتبلغ % 4. 14 .أما الولود فنسبة العمليات القيصرية بلغت اعلاها للواتي تتراوح اعمارهن ≥ 40 سنة وبلغت 28.4 % وخاصة اللواتي ولدن أطفالاً أوزانهم ≥ 4000 غم وبلغت 12 % . ومن هذه الدراسة نستنتج بأن العوامل الأنفة الذكر من عمر الحامل ووزن الوليد لمجموعتي الخروس والولود لها تأثير فعال على معدل العمليات القيصرية الأولية.


Article
Cross sectional area of umbilical cord as a predictor for neonatal birth weight

Author: Henan Dh. Skheel Al-Jebory
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2016 Volume: 15 Issue: 2 Pages: 46-51
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: In an effort to ameliorate the adverse outcomes associated with traumatic delivery, maternity care professionals continue to search for methods of predicting fetal weight accurately. Aim: This study was designed to clarify the relation between cross sectional area of umbilical cord measured by ultrasound and actual birth weight and compare it with that of hadlock's formula. Patients and method This ; prospective cohort study included 113 pregnant women with uncomplicated, singleton pregnancy and gestational age of 37-42 weeks, admitted with early labor or prepared for elective cesarean section. All were examined by ultra sound, during which fetal anthropometric parameters (BPD, FL, and AC) and cross sectional area of umbilical cord were measured. The estimated fetal weight calculated by Hadlock's formula and by cross sectional area of umbilical cord was correlated with actual birth weight. Results: There was a significant moderate correlation between umbilical cross sectional area with, maternal BMI and neonatal gender, gestational age, but there was no correlation with maternal age, height and parity p.( <0,001) . The umbilical cord cross sectional area and Wharton’s jelly area were found to be moderately correlated with neonatal actual birth-weight, and no significant correlation with umbilical vessels area P (<0.001) The correlation strength of the umbilical cord cross sectional with the estimated birth weight was higher than that by Hadlock’s formula with the value of Coefficient of determinant (R2= 0.3828) for umbilical cord area versus (R20.194 ) for Hadlock's. Conclusion: The cross sectional area of umbilical cord was more accurate in predicting birth weight than fetal anthropometric parameters Bi parietal diameter, femur length and abdominal circumference, (BPD, FL,AC)by Hadlock's formula.


Article
Second and Third Trimester Placental Thickness: Correlation with Placental and Birth Weights

Author: Lilyan W. Sersam*, Zena Z. Abdul-Razzak **, Shamam Y. Mohammed ***
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2016 Volume: 15 Issue: 2 Pages: 185-193
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:The placenta is a materno-fetal organ; it is closely related to the fetus and the mother, it acts like a mirror, reflecting the statuses of both the mother and the fetus. Placental evaluation by ultrasound has been used to characterize placental morphologic changes as the placenta matures. Using different parameters such as placental thickness, weight, and volume have exhibited significant and positive relationship with gestation and birth weight.OBJECTIVE: To investigate the relationship between placental thickness during the second and third trimesters and placental and birth weight. METHODS: This Prospective Longitudinal study involved pregnant women who presented at Al-Yarmouk Teaching Hospital antenatal clinic. All recruited women were assessed at their 1st trimester visit for baseline demographic and obstetrical data. At the second and third trimesters, maternal weight, weight gain, body mass index, body mass index gain, placental thickness measured by ultrasound, and thickness change were recorded. Statistical analysis was performed to establish the degree of relationship between placental thickness and placental and birth weights. RESULTS: Of 150 recruited participants, 100 women were able to complete the study. The mean maternal age was 32.1±4.2 years. Ultrasonographic measures of placental thickness in the second and third trimesters and thickness changes between them were 2.44±0.57, 3.58±0.59 and 1.14±0.38 cm respectively. Values of mean birth and placental weights were 3433± 350.99, and 457.95±46.82 grams respectively. A significant positive correlation was found between placental thickness and birth weight in the second and third trimesters (r=0.0237, p=0.018, r=0.399, p<0.001) respectively.CONCLUSION: According to the present study, birth weight has a positive correlation with both second and third trimester placental thickness; however, placental thickness change could not predict low or high birth weights.


Article
Impact of Maternal Risk Factors on Birth Weight of Newborn in Two Maternity Hospitals in Baghdad City

Author: Shukria Shadhan Jeid
Journal: nursing national Iraqi specility المجلة العراقية الوطنية للعلوم التمريضية ISSN: 18122388 Year: 2006 Volume: 19 Issue: 2 Pages: 1-10
Publisher: Baghdad University جامعة بغداد

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Abstract Objectives: A cross sectional analytic study was carried out to identify the maternal risk factors which contribute to occurrence of low birth weight, and to determine the statistical significant differences between low birth weight and maternal risk factors. Methodology: A purposive sample of (400) woman was selected from AL-Elwyia Maternity Teaching Hospital and Fatima Al-Zaharia Maternity and Pediatric Teaching Hospital. Data was collected through the interview of mothers. Questionnaire format was designed and consisted seven parts, demographic variables, and reproductive variables , Reproductive health variables, complications during the current pregnancy, the mother newborn variables nutritional status for the mother , antenatal care services, and the psychosocial status for pregnant women. Validity and reliability of the questionnaire were determined by conducting a pilot study. Descriptive and inferential statistical procedures were used to analyze the data. Results: The results of the study revealed that the most of them their age was ranged between (20-34) years, and the highest percentage of them were graduated of primary school and less, most of them were housewives with low socioeconomic status. The result indicated that there were five important variables contributed to the incidence of low birth weight and these variables were gestational age nutrition status, previous low birth weight, and psychosocial status for pregnant women during pregnancy and the age of mothers. Recommendations: it is recommended to emphasize on prenatal care as early as possible and improve health services rendered to mothers during pregnancy that the nurse must take the role in reducing the incidence of LBW. Key words: Low birth weight, Normal birth weight and Newborn variables, (Gestational age, weight & Mode of delivery)

الخلاصة الهدف: تم إجراء دراسة تحليلية مقطعية لغرض التعرف على عوامل الخطورة المتعلقة بالأم التي تسهم في انخفاض أوزان المواليد حديثي الولادة وإيجاد الفروقات المعنوية ذات الدلالة الإحصائية بين عوامل الخطورة وانخفاض أوزان المواليد. المنهجية: اختيرت عينة غرضيه متكونة من (400) امرأة في مستشفى العلوية التعليمي للولادة ومستشفى فاطمة الزهراء التعليمي للنسائية والأطفال. جمعت المعلومات بطريقة المقابلة مع الأمهات. صممت الاستمارة الاستبيانية والتي تكونت من سبعة أجزاء تشمل المتغيرات الديموغرافية، المتغيرات الإنجابية ،متغيرات عن الصحة الإنجابية ، مضاعفات الحمل الحالي، المتغيرات المتعلقة بالوليد حديث الولادة، الحالة التغذوية للأم ، خدمات الرعاية أثناء فترة الحمل، الحالة النفسية والاجتماعية للحامل. تم تحديد الصدق والثبات من خلال الدراسة الاستطلاعية،وتم استخدام الإحصاء الوصفي والاستنتاجي لتحليل البيانات النتائج: تشير نتائج الدراسة أن معظم الأمهات هن من الفئة العمرية (20-34) سنة وأن أعلى نسبة منهن خريجات الدراسة الابتدائية فأقل. ومعظمهن ربات بيوت وذات مستوى معاشي واطئ كما تشير النتائج إلى وجود خمس متغيرات مهمة تساهم في حدوث انخفاض أوزان المواليد وتشمل عمر الحمل، الحالة التغذوية، الولادات الناقصة الوزن السابقة، الحالة النفسية والاجتماعية للحامل خلال فترة الحمل وعمر الأم. التوصيات: أوصت الدراسة التأكيد على العناية المبكرة خلال مدة الحمل، تحسين نوعية الخدمات المقدمة للأمهات خلال تلك المدة على أن تأخذ الممرضة دورها في تقليل نسبة حدوث انخفاض في أوزان المواليد


Article
Neonatal Infection in the Neonatal Unit at Baghdad Teaching Hospital, Iraq

Author: Batool A. Al-Shawii
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2006 Volume: 5 Issue: 3 Pages: 295-297
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:In Iraq, the true magnitude of the neonatal infection among newborns receiving care is not known as health system was badly eroded in the last two decades. This work was carried out to find factors associated with neonatal infection among newborns receiving care in intensive unit.METHODS:The records of a total of 723 neonates admitted to the neonatal intensive unit at Baghdad teaching hospital during the period Nov. 2003 to Oct. 2004 were reviewed. Information regarded birth weight, gestational age, medical history of the mothers, bacterial infections and management procedures were collected.RESULTS:Out of the total neonates, 9.3% had bacterial infection. Low birth weight, prematurity and prolonged rupture of membrane were factors significantly associated with bacterial infection (p = 0.001, 0.002 and 0.03, respectively). Oxygen therapy, invasive procedures, and the nasogastric tube (p = 0.01) were significantly associated with infection. S. aureus, enterbacter and E. coli were the commonest pathogens.CONCLUSION:The study provides useful information for future surveillance in association with preventive program as there were several factors associated with neonatal infection which could be prevented.


Article
Some Anthropometric Measurements of Normal Full Term Neoborns at Birth

Author: Kholod Dhaher Habib Alshemeri
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2008 Volume: 7 Issue: 1 Pages: 6-11
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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ABSTRACT:BACKGROUND:All health personnel working in child health care should be familiar with normal patterns of growth, sothat they can recognize any deviations from the normal range and try to deal with the underlyingdisorders which could be nutritional, socio economic or infectious diseases.OBJECTIVES:I undertook this study to find some anthropometric measurements like length, weight andoccipitofrontal circumference of normal healthy Iraqi neonates at birth which can be used in future todraw an Iraqi growth chart.METHODS:The Study carried out from 1st of May 2005 to30th of April 2006 at Fatema AL-Zahra TeachingHospital. The study was performed on 1001 live born neonates with gestational age (37-42 week) wereall born in Fatema AL-Zahra teaching hospital in Baghdad. Babies of mothers with risk factors(gestational hypertension, gestational diabetes mellitus, cigarette smoking and multiple gestation,number of party more than 5,mother age less than 17 years, or more than 35 years, mother bodyweight less than 45kilogram(kg) or more than 90 kg, mother height less than 150 centimeter(cm)),premature, and malformed babies were all excluded. The study was performed by measuring thelength, weight and (&) occipitofrontal circumference (OFC ) of these babies.RESULTS:The Results showed that the mean length at birth(male & female) was 50.888 (+/- 1.1004) cm ,(male ;female was51 cm(+/- 1.055) ; 50.72 cm (+/_0.953)). The mean OFC(male & female) was 34.678(+/-1.189) cm ( male ;female ,34.719(+/- 1.1305) cm ; 34.621(+/-1.074)cm ) .The mean birth weight (male& female) was 3.291 (+/-0.346)kg (male ; female was 3.30(+/-0.356) kg ; 3.28(+/-0.336)kg ).CONCLUSION:The study concluded that the mean length at birth(male & female) was 50.888 (+/- 1.1004) , The meanOFC(male & female) was 34.678(+/-1.189) cm . .The mean birth weight (male & female) was3.291(+/-0.346) kg.

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