dnshnmh SrmPub Date : 2020-05-01DOI: 10.52547/sjrm.5.3.99
Mona Pourmohammad, Lida Lida Moghaddam- Banaem, M. Molanouri shamsi, Mojghan Karamnia Far
{"title":"The effect of a period of combined exercise training on gestational weight gain in overweight pregnant women","authors":"Mona Pourmohammad, Lida Lida Moghaddam- Banaem, M. Molanouri shamsi, Mojghan Karamnia Far","doi":"10.52547/sjrm.5.3.99","DOIUrl":"https://doi.org/10.52547/sjrm.5.3.99","url":null,"abstract":"Aims: Overweight or obese pregnant women are prone to excessive weight gain during pregnancy, which is closely related to the adverse consequences of pregnancy. This study was performed to investigate the effect of a period of combined exercise training on gestational weight gain in overweight pregnant women. Methods: This study is an experimental intervention (a randomized clinical trial) performed on overweight pregnant women referred to the prenatal clinic of Sarem Women's Hospital in the years 2019-2020. 25 pregnant women meeting inclusion criteria were selected and divided into two groups of exercise intervention (n=13) and control (n=12). Mothers in both groups were evaluated in person for weight, blood pressure and anthropometric characteristics at 16-18, 25-29 and 36-37 gestational weeks. The exercise program was performed from 16-18 to 36-37 gestational weeks. Data analysis was performed with SPSS software v.21. Findings: According to the results obtained based on linear regression analysis and considering of the effect of various factors along with exercise on gestational weight gain (such as age and BMI of the mother) weight gain of mothers in the exercise intervention group was significantly higher than the control group (10.53 ± 3.80 vs. 9.42± 2.93 kg). Conclusion: The higher weight gain of mothers in the exercise intervention group can be due to increase in muscle mass as a result of exercise. Because of the novelty of this study and the limited number of mothers under study, these findings require further studies with more participants in future.","PeriodicalId":33200,"journal":{"name":"dnshnmh Srm","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42373053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
dnshnmh SrmPub Date : 2020-05-01DOI: 10.52547/sjrm.5.3.142
A. Saremi, K. Abadian, Masoumeh Helalian, M. Mahmoodinia, J. amini mahabadi
{"title":"The evaluation of ectopic pregnancy prevalence and its causes from 2006 to 2018 in Sarem hospital","authors":"A. Saremi, K. Abadian, Masoumeh Helalian, M. Mahmoodinia, J. amini mahabadi","doi":"10.52547/sjrm.5.3.142","DOIUrl":"https://doi.org/10.52547/sjrm.5.3.142","url":null,"abstract":"","PeriodicalId":33200,"journal":{"name":"dnshnmh Srm","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48522501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
dnshnmh SrmPub Date : 2020-02-01DOI: 10.52547/sjrm.4.4.208
A. Saremi, A. Fazel, M. Rasekhi, Mohammad Reza Nateghi (MD, MPH)
{"title":"Comparison of the effectiveness of radical surgery with combination therapy (Sarem's Women Hospital protocol) in the management of severe endometriosis, a randomized controlled trial","authors":"A. Saremi, A. Fazel, M. Rasekhi, Mohammad Reza Nateghi (MD, MPH)","doi":"10.52547/sjrm.4.4.208","DOIUrl":"https://doi.org/10.52547/sjrm.4.4.208","url":null,"abstract":"Aim: This study was performed to compare the effectiveness of radical surgery and combination therapy (Sarem's Women Hospital protocol) and their costs in patients with grade IV (Severe) endometriosis. Material and methods: In this randomized clinical trial, 44 patients with grade IV endometriosis were randomly divided into two groups. In the first group (n=19), all endometriosis lesions were completely removed by radical surgery. In the second group (n=25) no therapeutic surgery (except diagnosis) was performed and patients were included in the combination therapy treatment protocol. In this protocol (combination therapy), patients received 12 months of drug treatment with GnRH agonist (Decapeptyl 3.75 mg, IM Inj.) every 28 days. The fine adhesions or very poor remnants of endometriosis lesions removed by second-look laparoscopy. The severity of pelvic pain and dysmenorrhea was analyzed according to the VAS scale, one month and two years later, along with treatment costs in both groups. Results: One month after the end of treatment, pelvic pain and dysmenorrhea were significantly lower in the combination therapy group, and on the other hand, two years after treatment, recurrence of dysmenorrhea and pelvic pain were significantly higher in the radical surgery group than in the combination therapy group. There were no post-treatment complications in the combination therapy group, while some patients in the radical surgery treatment group developed complications. Also in this study, it was shown that the cost of treatment in the radical surgery group was significantly higher than the combination therapy group. Discussion and Conclusion: Combination treatment of endometriosis (Sarem's Women Hospital protocol) is more effective in reducing dysmenorrhea and pelvic pain one month and two years after treatment and with much fewer complications and is superior to radical surgery in terms of treatment costs.","PeriodicalId":33200,"journal":{"name":"dnshnmh Srm","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45073782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
dnshnmh SrmPub Date : 2020-02-01DOI: 10.52547/sjrm.4.4.169
Aatieh Mirfendereskii, K. Abadian
{"title":"Introducing a case of fetal growth disorder with vasa previa","authors":"Aatieh Mirfendereskii, K. Abadian","doi":"10.52547/sjrm.4.4.169","DOIUrl":"https://doi.org/10.52547/sjrm.4.4.169","url":null,"abstract":"Introduction: Vasa previa is a very dangerous variation in which the vessels present inside the amniotic curtains are located on the cervical hole. These vessels may be located between the cervix and the fetus. As a result, the vessels are susceptible to compression, as well as tear or rupture, which results in rapid discharge of the blood fetus, and this state is associated with fetal mortality in 6% unidentified conditions. The present study is a case report of pregnancy with a velamentous variate cord that prevented the subsequent tragic events by early diagnosis and timely cesarean section. Patient Information: A 31-year-old pregnant woman with fetal developmental disorder was examined for Doppler ultrasonography and due to increased umbilical cord vessel resistance, at 37 weeks of pregnancy, became cesarean which was observed during operation velamentous variate cord. Conclusion: IUGR and fetal growth retardation can be associated with placental disorders. Therefore, in cases where we have fetal developmental disorder, closer examination of the placenta can lead to early termination of labor and choice of delivery method to prevent neonatal mortality and morbidity.","PeriodicalId":33200,"journal":{"name":"dnshnmh Srm","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42469923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
dnshnmh SrmPub Date : 2020-02-01DOI: 10.52547/sjrm.4.4.187
F. Behjati, Seyede Fahimeh Mousavi, A. Abdi, Fatemeh Vand Rajab por, Jafar Mehrabi Sisakht, Atefeh Dokhanchi, E. Ghadami, Roghaieh Vahedi, F. Moghadasi, Leila Shajareh pour, Kamran Bahadori, A. Saremi, E. Bagherizadeh
{"title":"Cytogenetic Investigation of Patients with Infertility, Recurrent Abortions, and Unsuccessful Assisted Reproductive Technologies (ARTs) Referred to Sarem Women's Hospital in Tehran\u0000 Between 2006 and 2017","authors":"F. Behjati, Seyede Fahimeh Mousavi, A. Abdi, Fatemeh Vand Rajab por, Jafar Mehrabi Sisakht, Atefeh Dokhanchi, E. Ghadami, Roghaieh Vahedi, F. Moghadasi, Leila Shajareh pour, Kamran Bahadori, A. Saremi, E. Bagherizadeh","doi":"10.52547/sjrm.4.4.187","DOIUrl":"https://doi.org/10.52547/sjrm.4.4.187","url":null,"abstract":"Background and Objective: Infertility is a major health problem affecting 10-15% of couples globally. Genetic factors such as chromosomal abnormalities are one of the major causes of infertility and spontaneous abortions. The aim of this study was to establish the chromosome abnormality and chromosomal variants' rate amongst couples referred for reasons of infertility and subfertility to the Cytogenetics laboratory of Sarem Women’s hospital in Tehran between 2006 and 2017. Material and methods: In this study, a total number of 6514 patients were referred for chromosomal investigation. The mean age of referral female and male patients were 30 and 34 years, respectively. Referral reasons included infertility, recurrent abortions, and unsuccessful Assisted Reproductive Technologies (ARTs). Heparinized peripheral blood was obtained. Cytogenetic investigation was carried out using standard techniques. GTG high resolution banding technique was used and 20-50 metaphase spreads were studied. CBG, NOR banding, and FISH investigation were carried out if necessary. Results: The overall chromosome abnormality rate was 5.28 percent (344 out of 6514). The cytogenetic results for these referral couples are as follows: 66 (19.1%) patients had a numerical chromosome abnormality including sex chromosomes and marker chromosomes. 120 (34.9%) patients had structural chromosome abnormalities. 158 (46%) patients had mosaicism with different cell lines.70 (1.07%) patients had an inversion of chromosome 9. Discussion and Conclusion: Cytogenetic investigation in patients with infertility and subfertility is critical as a first line genetic investigation. The findings of chromosome abnormality are of great value in the better management of the patients.","PeriodicalId":33200,"journal":{"name":"dnshnmh Srm","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49340714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}