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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: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
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
Mortality Rate among Low Birth Weight Infants in Al-Battool Teaching Hospital

Author: Dawood Salman Hameed Alazzawi
Journal: Diyala Journal For Pure Science مجلة ديالى للعلوم الصرفة ISSN: 83732222 25189255 Year: 2010 Volume: 6 Issue: 3 Pages: 28-35
Publisher: Diyala University جامعة ديالى

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Abstract

Background: A comparative study about mortality rate among low birth weight infants who delivered in Al-Battool teaching hospital- Diyala governorate and admitted to neonatal nursery throughout the first six months of the year 2003 and 2009 respectively.Patients and methods: This study was done in Al-Battool teaching hospital investigating the records of 366 patients admitted during first six months of 2003 and compared with records of 558 patients admitted during the same period of 2009. Information has been studied extensively for gestational age, birth weight, predisposing factors and mortality.Results: The study reveals1-Mortality rate increased to 30 % during 2009, while it was 12% during 20032-Increase percentage of low birth weight infants (32-36wks) during first 6months 2009 (22.7%) , as compared to first 6months 2003 ( 19.6% ) and (28-32wks) increased to (26.3%) during 2009 as compared to( 25.4%) during 2003 .3-Increase congenital abnormality (ranging from cleft palate to congenital heart diseases) ( 42%) on 2009 as compared to (29%) on 2003.4-Increase number of low birth weight infants to total deliveries at hospital (13.1%) during 2009 as compared to (11.7%) during 2003.Conclusions: High mortality rate, increase percentage of low birth weight infants and increase cases of congenital abnormalities during 2009 , need to be studied extensively and thoroughly regarding the environmental causes and health services availability.


Article
The clinical utility of serum uric acid measurement

Author: Bushra M. Majeed FICOG-DGO بشرى مجيد
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2007 Volume: 49 Issue: 2 Pages: 223-226
Publisher: Baghdad University جامعة بغداد

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Abstract

Summary:Background:To evaluate the accuracy of serum uric acid to predict maternal and fetal complications in women with pre- eclampsia.Design: Prospective study. Setting: Tikrit Teaching Hospital.Subject and Methods: Fifty normotensive and forty-three pre-eclamptic pregnant women at (20-24) weeks of gestation were the study subject, serum concentrations of uric acid were measured and examine the correlations between serum uric acid level with fetal and maternal complications.Result: Serum concentration of uric acid in pre-eclamptic women were significantly higher than in gestational age match normotensive pregnant women, and women with pre-eclampsia and elevated uric acid concentration at increased risk of low birth weight , preterm delivery and cesarean , delivery compared with each condition in absence of hyperuricemia.Conclusion: Hypervricemia consider a good predictor to select group of per-eclamptic women with high risk for fetal and maternal complications.


Article
A Study To Assess The Maternal Factors Leading To Low Birth Weight Babies In Selected Hospitals Of Pune-India
دراسة لتقییم العوامل التابعة للأم المؤدیة إلى انخفاض وزن الموالید في مستشفى مختارة في بیون الھندیة

Authors: Shaila Mathew --- Kafia Hashim Karim;
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2013 Volume: 3 Issue: 2 Pages: 1-13
Publisher: University of Kufa جامعة الكوفة

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Abstract

Background: The birth weight of an infant is the single most important determinate of its chances of thesurvival, health growth and development.Objectives: Assessment of maternal factors leading to low birth weight babies and Associate it with somedemographic variable of the babies.Methods: Non-experimental exploratory survey research was conducted from Jun 20th to Dec 31st 2011 in India.A Non-probability convenient sample consists of 100 postnatal mothers who delivered low birth weight babieswere selected from Pune Hospitals. The tool used for data collection is a structured questionnaire consisted fromtwo sections:1- Maternal factors and2- Demographic variables.Content validity of the tools determined by a panel of experts. Reliability was determined by rationalequivalence test. Both descriptive and inferential statistics were used for data analysis.Results: The results of current study reveals that there were high significant association between medicinestaken during pregnancy with gestational age, a significant association between maternal factors like weight gainduring pregnancy with gestational age, a significant association between maternal factors like iron and folic acidduring pregnancy with gestational age. There is no significant association among other factors.Conclusion: Researcher concluded that maternal factors (Personal, Biological, Nutritional, History of disease,Psychological and Social factors) can affect the weight of the babies.Recommendations: Further studies need to be conducted among antenatal and postnatal women.

الخلاصة:خلفیة الموضوع: یعتبر وزن الرضع عند الولادة من أھم المحددات لفرص البقاء على قید الحیاة والنمو والتطورالاھداف: تقییم العوامل التابعة للأمھات التي تؤدي ولادة الرضع منخفضي الوزن عند الولادة وعلاقتھ مع بعض المتغیرات الدیموغرافیة للأطفالالرضع.المنھجیة: أجریت الدراسة المسحیة غیر التجریبیة للفترة من 20 حزیران الى كانون الاول من عام 2011 في الھند. وكانت عینة الدراسة غیراحتمالیة متالفة من 100 الأمھات اللواتي تم ولادتھن لاطفال منخفضي الوزن الذین ولدوا في مستشفیات بیون. الأداة المستخدمة لجمع البیانات ھواستبیان منظم یتألف من قسمین:1. العوامل التابعة للامھات2. المتغیرات الدیموغرافیةتم التاكد من صحة المحتوى لأدوات التقییم من قبل لجنة من الخبراء. تم تحدید اختبار المصداقیة من خلال اختبار التكافؤ السببي. واستخدمتالإحصاءات الوصفیة والاستنتاجي لتحلیل البیانات.النتائج: یتبین من نتائج الدراسة الحالیة عن وجود علاقة مھمة بین الأدویة التي تم تناولھا بكمیة كبیرة خلال فترة الحمل مع تقدم العمر الحامل، جودعلاقة وثیقة بین العوامل مثل زیادة وزن الأمھات خلال فترة الحمل مع تقدم العمر الحامل، ووجود علاقة وثیقة بین العوامل التابعة للأمھات مثلالحدید وحمض الفولیك خلال فترة الحمل مع عمر الحامل. لا یوجد أي ارتباط مھم مع العوامل ألاخرى.الاستنتاج: أن ھناك عوامل تابعة للأمھات (والبیولوجیة الشخصیة والغذائیة، وتاریخ المرض، والعوامل النفسیة والاجتماعیة) یمكن أن تؤثر علىوزن الاطفال.التوصیات: إجراء دراسات مستقبلیة على النساء قبل الولادة وبعدھا


Article
Study of some risk factors of small for gestational age in term babies

Author: Adiba M. Murad
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2013 Volume: 12 Issue: 2 Pages: 23-28
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: The most common definition of small for gestational age newborns refers to a birth weight below the 10th percentile for gestational age. Intrauterine growth retardation may be caused by maternal, placental, or fetal factors, however no underlying etiology can be identified in at least 40% of those infants. Objectives: To assess some of the risk factors of small for gestational age in full term neonates. Patients and methods: A case control study extended over seven months from 1st June 2012 to end of December 2012, which was performed in the delivery rooms and neonatal special care baby unit in AL-Yarmouk Teaching Hospital in Baghdad. Data was collected by direct interview of the mothers, including different variables of newborns gestational age, weight, sex, presence of congenital anomalies and multiple gestation. Mother's age, residency, parity, employment, smoking, family history of small for gestational age, history of still birth, antepartum hemorrhage, antenatal care visit, presence of urinary tract infection, chronic hypertension or gestational hypertension, diabetes mellitus and anemia were evaluated. In this study, 100 small for gestational age newborns and 100 appropriate for gestational age newborns were evaluated within the first day of life. Results: There was significant relationship between small for gestational age and mother's age ≤16year (p=0.004), employed mothers (p=0.039) and primipara (p=0.002). Deliveries of small for gestational age had a significant relationship with irregular antenatal care visit (p=0.0001), and with family history of small for gestational age (P=0.0001). Newborns of small for gestational age had a significant relationship with maternal history of antepartum hemorrhage (p=0.010), still birth (p=0.017), maternal history of urinary tract infection (P=0.036), maternal history of hypertension (p=0.003) and history of maternal anemia (p<0.001). Conclusions: There was a significant relationship between small for gestational age births and: maternal age, employment, antenatal care visit, parity, family history of small for gestational age, antepartum hemorrhage, still birth, maternal history of hypertension, urinary tract infection and anemia, but no significant relationship with the newborn's sex, residency and diabetes mellitus of mothers.


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

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 Death in Low Birth Weight Infants in Basrah Maternity & Children Hospital at 2008
دراسة حول وفيات الاطفال ناقصي الوزن في ردهات الخدج في مستشفى البصرة للنسائية والاطفال لعام 2008

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Abstract

Background :Low birth weight) less than 2500 grams) that includes preterm birth and small for gestational age, is regarded as important causes of neonatal deaths and contributes to 60% to 80% of all neonatal deaths.Objectives :to assess the frequency of deaths in low birth weight neonates and it’s relation to selected neonatal, labour and maternal characteristics.Patients and Methods :A prospective study was carried out on low birth weight newborns admitted to neonatal care units in Basrah Maternity and Children Hospital for four months( from 1st of February till the end of the May 2008) on 508 newborns with low birth weight out of 1338 neonates admitted during the study period. One hundered-ninty one (191) neonates with low birth weight died, their death was studied in relation to neonatal, labour, delivery and maternal characteristics from data collection by special questionnaire.Results :It was found that (68.95%) of total deaths had low birth weight, male to female ratio was (1.4:1). The death was significantly related to gestational age, weight, growth status (being small for gestational age) and male sex. (P value was<0.001). The most common causes of deaths were respiratory distress syndrome (54.97%) followed by sepsis (19.37%. Other neonatal characteristics like postnatal referral, early death, and hospitalization period of less than seven days, need for resuscitation at time of birth and multiple pregnancies were associated with increased risk of death. (P value <0.001).Hospital delivery, non-complicated delivery and normal vaginal deliveries were associated with decreasing neonatal mortalities.(P value <.001).Young age mothers (less than twenty years), Primgravidae, those who had anemia in pregnancy or had poor antenatal care were more liable to have neonatal death ,while mortality rate was significantly lower among breastfed neonates compared to formula fed babies.Conclusions :The frequency of low birth weight and their deaths were high, the death was related to weight, gestational age, growth status, early neonatal period, complicated labour, caesarean section, young primi mother and maternal anemia. Prevention of prematurity and intrauterine growth retardation causes by good antenatal care, skilled attendance at births, and availability of surfactant therapy can reduce mortality.

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