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Article
Presentation and Management Outcome of Eclampsia at AlElwiya Teaching Hospital

Authors: Samar Sarsam, Thikra madlol --- Yousif Abdul Raheem, Inteasar Twaigery
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2013 Volume: 12 Issue: 2 Pages: 277-281
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT: BACKGROUND: Eclampsia is a life-threatening complication of pregnancy for both the baby and the mother. Research isunderway to understand this complex condition and to improve the treatments that are currently used tocontrol it as it is a preventable complication of pre-eclampsia.OBJECTIVE: The study reviews the cases of eclampsia managed at Elwiya teaching Hospital with respect toincidence, management, maternal and perinatal outcome. METHODS: This prospective observational study was carried out in the department of Obstetrics and Gynaecologyat Elwiya Teaching Hospital – Baghdad-Iraq. Fifty two cases of eclamptic fits were dealt with from the1st of January till the 31st of December 2008. Pregnant patients with other convulsive disorders andmore than 7 days postpartum were excluded from the study. All the patients included were evaluated bydetailed history (taken from the attendants). Management was according to basic protocol foreclampsia; stabilization of patients, anticonvulsive therapy Magnesium sulfate, phenytoin and/ordiazepam and early delivery. A team of specialists and trained nurses were needed in the intensive careunit to deal with eclamptic mothers.RESULTS: During the year 2008, total number of deliveries from the 1INTRODUCTION: Eclampsia is one of the fatal complications of preeclampsiawhich is a multisystem disorder; itpresents a challenge to obstetricians and otherphysicians. Eclampsia is defined as seizure activityunrelated to other cerebral conditions in a pregnantwoman with pre-eclampsia. The condition wasknown to the ancient Greeks, who named it eclampsia. It has been prevalent since the time ofHippocrates; it remains an important cause ofmaternal mortality throughout the world,accounting for about 50000 deaths worldwide.Department of Obstetrics and Gynecology atElwiya Teaching Hospital – Baghdad . (1)st of January till the 31An eclamptic seizure occurs in 0.5% of mildly preeclampticpregnancies and 2% of severe preeclamptics.(2) st of December was12154, of these patients 52 presented with eclamptic fit with incidence rate of 4.28 per 1000 deliveries.The distribution of cases regarding the seasons was more in winter. 35 patients (67.31%) had poorantenatal care, 17 (32.69%) had good antenatal care. Four patients had history of eclampsia in theirprevious pregnancies. All the patients gave history of imminent eclampsia; two of them had blindnessalso; albumin in urine was negative in two cases only. Serious maternal complications occurred in28(53.84%) cases. Eight of the neonates died due to severe RDS.CONCLUSION: Eclampsia is still present and common in our locality; we need better antenatal care to predict pregnantladies liable to develop eclamptic fit in order to decrease the incidence of eclampsia complicatingpregnanc


Article
Fetal and Maternal Outcomes in Oligohydramnios Pregnancy (37–40 Weeks of Gestation) at Labor

Author: Hividar Abdulqahar Majeed, Maida Yousif Shamdeen
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2019 Volume: 16 Issue: 3 Pages: 248-251
Publisher: Babylon University جامعة بابل

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Abstract

Background: The role of amniotic fluid is to provide a protective environment for fetus growth. The low volume of amnioticfluid (oligohydramnios) has been reported to associate with perinatal and neonatal outcomes. Objectives: The aim of this study was to explorethe effect of oligohydramnios on fetal outcomes at intrapartum and early neonate, including fetal distress. Materials and Methods: In the presentinvestigation, the pregnant women who attended the labor ward of Duhok Maternity Hospital were consecutively screened for eligibility criteria.The patients presented with oligohydramnios from 37 to 40 weeks of gestation to labor room were included in this study and were followedup for neonatal outcomes. The diagnosis of oligohydramnios was established as an amniotic fluid index of 5 cm or less by the ultrasoundexamination. Results: The mean age of the women with oligohydramnios was 26.10 ± 5.20 years ranged between 16 and 40. The mean ageof the gestational age was 38.54 ± 1.13 weeks ranging from 37 to 40. The previous history of a dead newborn was so low (mean: 0.02 ± 0.14).Half of the patients delivered their pregnancies by cesarean section (C/S) (50.5%), and most of them had a good Apgar score value (98.8%).The study showed that women who had a past medical history or delivered by C/S, their newborns were more likely to admit to neonatalintensive care unit (NICU), 36.8% versus 12.1% (P = 0.017) and 78.9% versus 21.1% (P = 0.010), respectively. Conclusions: The presentstudy recommends that pregnant patients diagnosed with oligohydramnios are at a higher risk of C/S and NICU admission.


Article
Relationship between Fetal Gender, Pregnancy and Neonatal outcome among Pregnant Women attending labour ward at Al- Batool Teaching Hospital for Maternity and Children in Diyala Governorate Iraq

Author: Sawsan Talib Salman
Journal: Diyala Journal of Medicine مجلة ديالى الطبية ISSN: 97642219 Year: 2014 Volume: 7 Issue: 1 Pages: 41-49
Publisher: Diyala University جامعة ديالى

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Background: In many societies, adverse outcomes in pregnancy and labour have often be ascribed to male fetal gender, so, In recent years, many investigators try to find any relationship between fetal gender and pregnancy outcome.Objective: To evaluate the role of fetal gender on pregnancy and neonatal outcome.Subjects and methods: A cross sectional study was done at a labour ward in Al-Batool Teaching hospital for maternity and children in Diyala Governorate, Iraq during the period from 1st of August till 31st of October 2013. One hundred one pregnant women were eligible for enrollment in the study according to inclusion criteria. The effect of fetal gender on both maternal and fetal parameters were all recorded.Results: A total of 101 neonate were born, of whom 53 were males and 48 were females, there was no significant differences noticed between male and female regarding to the maternal age and parity. Also the result showed that preterm and post term pregnancies more frequently in male bearing pregnancies than in female bearing pregnancies (4.95%, 0.99% respectively), despite these findings were significant statistically, while fetal gender has no positive correlation to the weeks of gestation. Pregnant women with a male fetus had a higher rate of cesarean section (8.91%) than with female fetuses (4.95%) which is statistically significant but there is no positive correlation between fetal gender and cesarean section, the results of this study find that there is no correlation between neonate gender and birth weight. By studying the correlation between neonate gender and other neonatal parameters like Apgar score <7 at 5 mint, admission to NICU, clear liquor, and Meconium liquor it was proved that there is no correlation between fetal gender and these parameters except there is a positive correlation between male gender and Apgar score <7 at 1 mint.Conclusions: There is a positive correlation between male gender and Apgar score <7 at 1 minute but no correlation found between fetal gender and other maternal or neonatal parameters.


Article
OUTCOME AND COMPLICATIONS OF ACUTE INTERMITTENT PERITONEAL DIALYSIS IN AL-KINDI TEACHING HOSPITAL

Author: Ali J Al-Saedi علي جاسم هاشم الساعدي
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2013 Volume: 11 Issue: 3 Pages: 205-210
Publisher: Al-Nahrain University جامعة النهرين

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Background:Acute peritoneal dialysis is commonly practiced in IRAQ. Objective:To evaluate and improve the management of peritoneal dialysis in Al-Kindi Teaching Hospital.Methods:Six hundred and sixty nine patients underwent peritoneal dialysis during the period from January 2011 to June 2012. The mean age of patients was 54±13.9 years. Among the patients, there were 168 cases of acute renal failure, and 501 cases of chronic renal failure requiring acute dialysis.Results:Acute peritoneal dialysis performed on patients admitted in dialysis unit of Al-Kindi Teaching Hospital was safe, a simple procedure, easily tolerated by the patient and requiring less expertise than hemodialysis and had complication rates nearly comparable to other established centers.Complications occurred in 349 patients (52%). The most common complication was bleed¬ing in the peritoneal cavity (30%) while dialysis solution leak was the second most common complication (25%). Dialysis episodes complicated by peritonitis was (2.5%). Death rate was 15%.Conclusion:Acute peritoneal dialysis was performed safely and effectively in Al-Kindi Teaching Hospital. Improvements are possible through closer supervision of new doctors and tighter nursing precaution.Key Words:Acute peritoneal dialysis, outcome.


Article
Homocysteine Changes in Preeclampsia
التغيرات في تركيز مادة الهوموسستائين في الدم في حالة مقدمة الارتعاج

Authors: Maha Al-Bayati مها البياتي --- Ali Taki Al-baldawi علي تقي
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2007 Volume: 20 Issue: 3 Pages: 426-431
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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AbstractObjective: To determine whether homocysteine, a relatively new risk factor for possible endothelial cell dysfunction and premature vascular disease, is elevated in pregnant women with preeclampsia.Methods: A case-control study design conducted at Al-kadimiya teaching hospital for the period from September 2000 through April 2001. The study sample consisted of 100 pregnant women in labour subdivided into three groups (40 pregnant women with severe preeclampsia, 30 pregnant women with mild preeclampsia and 30 normotensive pregnant women as a control). Plasma homocysteine concentration measurement and observation of the maternal and fetal outcome was done for all groups.Results: The incidence of hyperhomocysteinemia was significantly higher among patients with severe preeclampsia (80%) compared to those with mild preeclampsia (67%) and the normotensive group (7%) and the incidence of adverse maternal and neonatal outcome is significantly higher among patients with severe preeclampsia compared to the others.Conclusion: Plasma total homocysteine concentration is elevated in pregnant women with preeclampsia during labour being significantly higher in cases with severe preeclampsia so hyperhomocysteinemia is considered a risk factor for adverse maternal and neonatal outcome.

هدف الدراسة : بيان ومعرفة هل ان تركيز مادة الهوموسستائين في الدم والذي يعتبر نسبيا كعامل خطر جديد لاحتمال الاختلال الوظيفي في الخلايا البطانية والإصابة المبكرة بأمراض الأوعية الدموية يزداد لدى الحوامل في حالة مقدمة الارتعاج. أجريت هذه الدراسة في مستشفى الكاظمية التعليمي/ قسم النسائية والتوليد على مائة سيدة في حالة ولادة وقد قسمت السيدات الى ثلاثة مجاميع :1- المجموعة ا: تتالف من 40 سيدة تعاني من مقدمة الارتعاج الشديدة .2- المجموعة ب: تتالف من 30 سيدة تعاني من مقدمة الارتعاج البسيطة. 3- المجموعة ج: تتالف من 30 سيدة حامل تتمتع بصحة جيدة (كمجموعة ضبط ).شملت الدراسة قياس تركيز مادة الهوموسستائين في الدم ومتابعة صحة الأم والطفل بعد الولادة لكل المجاميع.تمخض تحليل النتائج إحصائيا عن مايلي : 1- وجدت علاقة وثيقة بين تركيز مادة الهومو سستائين في الدم وشدة مقدمة الارتعاج حيث ان تركيزه أعلى لدى السيدات الحوامل في المجموعة ا (80%) عنه في المجموعة ب (67%) و المجموعة ج (7%). 2- الزيادة في تركيز مادة الهوموسستائين في الدم مصحوبة بارتفاع نسبة المضاعفات لدى الام والطفل .الاستنتاج:تركيز مادة الهوموسستائين في الدم أعلى لدى السيدات الحوامل المصابات بمقدمة الارتعاج الشديد أثناء الولادة عنه لدى المصابات بمقدمة الارتعاج البسيط ومجموعة الضبط وزيادة تركيز مادة الهوموسستائين في الدم قد تسبب ارتفاع في نسبة المضاعفات لدى الأم والطفل.


Article
The Effect of Valvular Heart Diseases on Maternal and Fetal Outcome of Pregnancy

Authors: Nada Salih Ameen --- Nawfal Fawzi Anwer
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2009 Volume: 8 Issue: 3 Pages: 238-241
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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ABSTRACT:BACKGROUND:Profound hemodynamic alterations occur during pregnancy, labour and in the postpartum period. These changes can adversely affect both maternal and fetal outcome, if a women encounter a valvular heart disease during her pregnancy.OBJECTIVE:We try to evaluate the effect of valvular heart disease on maternal and fetal outcome of pregnancy.METHODS:This is a cross section descriptive study, carried out in Baghdad teaching hospital, throughout the period from September 2007 to October 2008. Seventy eight pregnant women with valvular heart diseases, in labour, were enrolled in this study. Their medical and obstetrical records were reviewed on admission. We looked for maternal outcome after delivery (method of delivery, heart failure, arrhythmia, need for medication and period of hospitalization), additional to fetal outcome (prematurity, viability and birth weight).RESULTS:Mitral valve disease is predominate valvular heart disease in pregnancy, most of them of mild severity. All maternal and fetal outcome parameters adversely increase among pregnant women with valvular heart diseases.CONCLUSION:Valvular heart diseases carried a higher risk for both mother and fetus. The risk related directly to severity of valvular heart diseases.


Article
Effectiveness and safety of the oxytocin antagonist( atosiban) versus beta-adrenergic agonists (salbutamol) in the treatment of preterm labor.

Authors: Yasamin H. Sharif Al-Shibany ياسمين حمزة شريف --- Saba M. Swadi Al- Thuwainy صبا مطشر الثويني
Journal: Al-Qadisiyah Medical Journal مجلة القادسية الطبية ISSN: 18170153 Year: 2015 Volume: 11 Issue: 20 Pages: 176-183
Publisher: Al-Qadisiyah University جامعة القادسية

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Background and Objectives: preterm labor complicates 5-10% of pregnancies and is a leading cause of neonatal morbidity and mortality worldwide and 70-80% of perinatal deaths occur in preterm infants. The aim of this study is to compare the effectiveness, safety and adverse effects of the oxytocin antagonist medication(atosiban) with those of beta-adrenergic agonist (salbutamol) in the treatment of patients with preterm labor.Patients and Methods: one hundred pregnant women with preterm labor were enrolled in this study from the period of( January 2014 – January 2015) at Al-Diwaniya Maternity and Pediatrics Teaching Hospital-Iraq with a gestational age of 24-34 weeks, they were randomly assigned to receive tocolytics either salbutamol (n=50) or atosiban (n=50).Salbutamol was given by(intravenous infusion 10-50 microgram)for up to 48 hour. Atosiban was given by (intravenous bolus dose of 6.75 mg then 300microgram/minute for 3 hour and 100microgram/minute for up to 48hour). Retreatment with the study drugs or alternative tocolytic agents was allowed. Main outcome measures included were tocolytic effectiveness, which was assessed in terms of number of women undelivered after 48hour and 7 days. Tocolytic safety was assessed in terms of maternal and fetal side effects and neonatal morbidity.Results: there were no significant differences between the salbutamol and the atosiban group in prolongation of pregnancy for 48 hour (44% versus67746%;p=0841)and 7 days(20% versus 32%;p=0.171) ,respectively. Maternal adverse events , including tachycardia occurred more frequently in the salbutamol group(22% versus 8%;p=0.050).Neonatal outcomes and complications were comparable between the two study groups(42% versus 32%;p=0.30).Conclusions: the oxytocin antagonist (atosiban) was as effective as beta-agonist(salbutamol) in delaying threatened preterm birth , and found to be better tolerated by both the mother and fetus than salbutamol , with a comparable neonatal safety profil.This study supports the clinical use of atosiban as a first line tocolytic in the treatment of preterm labor

التأثيرات و الاعراض الجانبية لاستتداا عاتاا الاسيستيبا و عتي عاضتد ضلاتاس لووينيتيستيي الب ترعنتا ضنتتابوت الدةيتة قالنااانتة ضتا عاتاا النتالبييساضي وعتي عاضتد ضالتي لننتتابوت البيتتا ت الدةيتة الب تر ةلعوج حالات اليلاسة النبكرة.الطر اة: أجر ت الاااسة ضنت لى اليلاسة و الأطلا التعةين الا يانية العراق , لةلترة ضتي هت ر يتاني -الثان / 4102 و لغا ة ه ر ياني الثان / 4102 ( عةى 011 اضرأة حاضد قعنر 52 01 ستنة( و اسلةتي التى نت -الطتياا ضتا اعتراض لةتيلاسة النبكترة و يانتت تترة الانتد ضتي 52 42 أستبي ( ضتا وجتيس انابالتات لةترح -سنتغرق 51 ثانية قنعا ≤ أاقعة انابالات لو 01 س ياة و يا اسنا عنق الرح ضي 0الى 5 س (و 1التى 5س (لةنياات عا نة اليلاسة وسرعة نبض الجنيي طبيعية , س ساني النر لاات الى ضجنيعتيي: النجنيعة الأولتىو عاسعا 21 ضر لاتة عيلجتت قعاتاا النتالبييساضي عتي طر تق ضاةتي الااتي اليا تا و النجنيعتة الثانيتة 21ضر لاة عيلجت قعاااالاسيسيبا اليا ا ضا ضرا بة هاة الانابالات و الاعراض الجانبية لكد عااا عةى الا والجنيي لغرض سألير اليلاسة النبكرة و ساةيد النلااعلات النر ر ة و الي يات لاى النياليا الداج حا ث اليلاسة.النتتتا: : لتت كتتي عنتتاف التتتو تت ستتألير حتتالات التتيلاسة النبكتترة لنتتاة 21 ستتاعة 22 % ضااقتتد 20 %( و 7أ تا 41 % ضااقتتد 54 %( قتيي النجنيعتتة الأولتى و الثانيتتة عةتى التتتيال و لكتي الاعتتراض الجانبيتة ضثتتد سنتتاانبلاات ةب الا يانت ايثر عنا النجنيعة الأولى الت عيلجت قعاتاا النتالبييساضي 44 % ضااقتد 1%(.لت سكتيعناف التو ات النتا: الإحصا:ية لةنلااعلات النر ر ة لاى النياليا الداج حا ث اليلاسة قيي النجنيعتيي.الاستتنتاج: استتداا عاتاا الاسيستيبا لتا نتتا: ضاااقتة لاستتداا عاتاا النتالبييساضي ت ستألير حتاو التيلاسةالنبكرة و لكي لا أعنية سر ر ة ا لاد ضي النالبييساضي قنب ةة الاعراض الجانبية لاى الا و الجنيي و ننصتقاستتدااضا يتأو لت عوجت لاتالات التيلاسة النبكترة لتاةيتد النلاتاعلات و ننتب الي يتات لتاى الدتاج حتا ثاليلاسة.


Article
Disease Patterns and outcomes of Neonatal Admissions at Raparin Pediatric Teaching Hospital in Erbil City
انماط المرض ومخرجاته لحديثي الولادة الراقدين في مستشفى رابرين التعليمي للأطفال في مدينة اربيل

Author: Norhan Z. Shaker نورهان شاكر
Journal: nursing national Iraqi specility المجلة العراقية الوطنية للعلوم التمريضية ISSN: 18122388 Year: 2015 Volume: 28 Issue: 2 Pages: 39-46
Publisher: Baghdad University جامعة بغداد

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Objectives: This study aims to determine the disease’s patterns and outcomes of admission among neonates hospitalized at the neonatal care unit in Erbil City, and using the findings as a baseline for neonate’s morbidity and mortality assessment in the future. Methodology: A retrospective study carried out at neonatal care unit of Raparin pediatric teaching hospital. An instrument for data collection developed by researcher included (age, gender, cause of admission, diagnosis and outcome upon discharge and causes of death). Content validity of the instrument was determined through the use of panel experts and reliability of the instrument was determined through a pilot study. The data were obtained by review the medical records of all newborns admitted to neonatal care unit during 2013. Data were analyzed through the application of descriptive and inferential statistical approaches by using Statistical Package for Social Science (SPSS) version 19.Results: During 1st January to 31st December of 2013 the total number of neonates admitted to Raparin pediatric teaching hospital was 3880. Highest percentages (58%) of neonates were male and majorities (76.26%) were admitted during the first week of life. Jaundice was the main cause 54.1% of neonates admission .The neonate deaths rate was 5.4% of the sample, and the first cause of death was for prematurity 35.6%, then infections 25.5%, congenital anomalies18.8% and Respiratory dysfunction 10.1%. Majority 87.9% of neonates were discharged with unspecified discharge outcome. And the study found high significant association between neonate’s diseases and neonate’s age.Recommendations: The study recommended improving statistical recording skills for health care team and conducting further studies regarding neonatal care at neonatal care unit of Raparin pediatric teaching hospital.

الهدـف: تهدف الدراسة إلى تحديد انماط المرض ونتائج الرقود بين الحديثي الولادة المرقدين في وحدة العناية بالاطفال حديثي الولادة في اربيل . واستخدام النتائج كاساس لتققييم نسبة المراضة والوفيات لحديثي الولادة.المنهجية: دراسة استرجاعية اجريت في وحدة العناية بالاطفال الحديثي الولادة في مستشفى رابرين التعليمي للأطفال في أربيل. تم بناء اداة لجمع البيانات من قبل الباحث تضمن ( العمر,الجنس,سبب الترقيد في المستشفى,التشخيص,النتيجة النهائية للعلاج وسبب الوفاة ) , تم تحديد صلاحية محتوى الإستبانة من خلال فريق الخبراء وتم تحديد الاتساق الداخلي للأداة من خلال الدراسة التجريبية . وقد تم جمع البيانات من خلال مراجعة السجلات الطبية لجميع الرضع الراقدين في وحدة العناية بالاطفال حديثي الولادة خلال 2013. وقد تم تحليل البيانات من خلال تطبيق النهج الإحصائي الوصفي والاستدلالي باستخدام الحزمة الإحصائية للعلوم الاجتماعية (SPSS) النسخة 19. النتائج: خلال الفترة من 1 شباط لغاية 31 كانون الاول لعام 2013 بلغت مجموع عدد الحديثي الولادة المرقدين في مستشفى رابرين التعليمي للأطفال 3880 حديث الولادة . اعلى نسبة منهم 58% ذكور ,معظم حديثي الولادة ادخلواللمستشفى خلال الاسبوع الاول من العمر . واليرقان هو السبب الرئيسي 54.1 % لرقودهم في المستشفى ,وكانت نسبة وفيات الحديثي الولادة 5.4% من العينة وكان الابتسارالسبب الرئيسي 35.6 % للوفاة تلتها الالتهابات 25.5% , التشوهات الولادية 18.8% والاضطرابات التنفسية 10.1% كما ان معظم 87.9 % حديثي الولادة اخرجوا من المستشفى من غير ان يبين حالتهم الصحية عند الاخراج. كشفت الدراسة عن وجود علاقة معنوية عالية بين امراض حديثي الولادة واعمارهم. التوصيات: اوصت الدراسة بتحسين مهارات التسجيل الاحصائي للفريق لصحي, واجراء المزيد من البحوث حول العناية بحديثي الولادة في وحدة العناية بحديثي الولادة لمستشفى رابرين التعليمي للأطفال في أربيل.


Article
Impact of maternal risk factors on the outcome of pregnancy in Baghdad city
تأثير عوامل الخطورة للام على ناتج الحمل

Author: Fatin A. Al-saffar فاتن عبد الأمير الصفار
Journal: Baghdad Science Journal مجلة بغداد للعلوم ISSN: 20788665 24117986 Year: 2010 Volume: 7 Issue: عدد خاص بمؤتمر العلمي النسوي 1 Pages: 813-820
Publisher: Baghdad University جامعة بغداد

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Abstract

To find out the impact of maternal risk factors on the outcome of pregnancy in Baghdad city. A descriptive purposive study was carried out on 100 postpartum women who had delivered for 1 hr. to 24 hrs. ago . the study sample was selected from three hospitals in Baghdad city ( Baghdad teaching hospital ,Fatima Al-Zahra'a maternity and pediatric teaching hospital and Al-Yarmook teaching hospital),during the period from 25 Jan. to 25 Feb. 2006. The data were collected through the use of questionnaire format reviewing pregnants' records and personal interview and were analyzed by using descriptive and inferential statistical approaches. The finding revealed that maternal pregnancy complications had weak effects on pregnancy outcome , while maternal employment & spouse's consanguinity were predictors for poor pregnancy outcome . The study recommended the necessity of establishing health education programs for pregnant to be self monitoring & early detection of complications that associate the pregnancy . In addition promote the system of follow up care during antenatal ,perinatal,& postnatal.

ايجاد تأثير عوامل الخطورة عند الأم الحامل على ناتج الحمل في مدينة بغداد. دراسة وصفية غرضية أجريت على 100 امرأة قد وضعن حملهن ما قبل 1ساعة الى24ساعة مضت. تم اختيار عينة الدراسة من ثلاث مستشفيات في مدينة بغداد ) مستشفى بغداد التعليمي ,مستشفى فاطمة الزهراء للولادة والأطفال التعليمي ,ومستشفى اليرموك التعليمي( خلال الفترة من 25 كانون الثاني الى 25 شباط 2006. تم جمع البيانات باستخدام الاستمارة الاستبيانية والمقابلة الشخصية وتحليل البيانات باستخدام الاحصاء الوصفي والاستنتاجي. أظهرت النتائج أن مضاعفات الحمل لها تأثير ضعيف على ناتج الحمل بينما يتنبأ عمل الأم ودرجة القرابة مع الزوج بناتج حمل ضعيف. أوصت الدراسة بضرورة بناء برامج صحية تثقيفية للحوامل وتوعيتهن بالكشف المبكر لعوامل الخطورة والمضاعفات التي ترافق الحمل .اضافة الى تطوير نظام المتابعة والرعاية الصحية لهن خلال الحمل ,الولادة ,وما بعد الولادة.


Article
Microbiological Profile of Neonatal Septicemia

Author: Sinan Abdulrazzaq Ibrahim
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2012 Volume: 11 Issue: 1 Pages: 13-18
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND :Neonatal septicemia is a major cause of morbidity and mortality in developing countries.OBJECTIVE:The study is to determine the prevalence , the pattern of organisms and the mortality of neonatalsepticemia in a neonatal care unit.PATIENTS AND METHODS:All the cases of neonatal septicemia diagnosed and treated in the neonatal care unit at al-kadimiyateaching hospital for the period january-june 2010 were included in this study. The collected datawere : Gender, Birth weight, Gestational age, Onset of sepsis, Place of delivery and Outcome ofdisease.RESULTS:Out of 589 newborns admitted, 73(12.4%) were confirmed cases of neonatal septicemia. Themortality from neonatal sepsis was 16.4%.Low birth weight and prematurity were independentfactors associated with death (P value=0.004 and 0.020 respectively).There were 24 cases (32.9%)of early onset sepsis and 49 cases (67.1%) cases of late onset sepsis. The most common pathogenswere gram- negative bacilli causing early-onset sepsis (54%) and late onset sepsis (59%). Only 6cases out of the total 73 cases of neonatal septicemia were caused by staphylococus aureus (8.2%) .Over 50% of gram-negative bacilli are antibiotic resistant.CONCLUSION:The high rate of gram-negative septicemia and the antibiotic resistance to both ampicillin andgentamycin indicate that the infection was most probably nosocomial in origin.

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