Alireza Nematollahi; Shadi Zamansaraei; Farima Safari; Parvin Bahrami
Abstract
Background: Ebstein’s anomaly (EA) is a congenital heart defect that causes cyanosis and arrhythmia. The treating physician has difficulty when it comes to pregnant women since patients frequently reach reproductive age. How to manage these patients during pregnancy or approach patients who are ...
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Background: Ebstein’s anomaly (EA) is a congenital heart defect that causes cyanosis and arrhythmia. The treating physician has difficulty when it comes to pregnant women since patients frequently reach reproductive age. How to manage these patients during pregnancy or approach patients who are planning to become pregnant is an important issue. The aim of this study was to evaluate previous and current literature reviews, as well as case studies, to better understand how to treat Ebstein’s abnormality in pregnancy. Methods: This study is a literature review with case report. Here, we review the literature on this subject to discuss how to manage Ebstein’s anomaly in pregnancy. We analyzed the literature from different perspectives. We also focused on three of Ebstein’s anomaly-affected women’s pregnancies. Results: Three women had four pregnancies, all of which were delivered vaginally or through cesarean section. There were no preterm births. 2.540.88 kg was the average birth weight. There were no cardiac abnormalities in any of the three infants. One patient had Ebstein’s abnormality and congenitally corrected transposition of the great arteries (ccTGA). Conclusion: In Ebstein’s abnormality, pregnancy is often well tolerated. However, the maternal risks of pregnancy correlated with the severity of anatomical malformations and the presence of cyanosis or simultaneous other cardiac anomalies.
Zahra Maleki; Haleh Ghaem; Mozhgan Seif; Sedigheh Foruhari
Abstract
Introduction: Therapeutic Abortion (TA) has been defined as termination of pregnancy before the 20th week of gestation in order to save the mother’s life and prevent birth defects.The present study aimed to investigate the incidence of TA and its related maternal-fetal risk factors.
Methods: This ...
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Introduction: Therapeutic Abortion (TA) has been defined as termination of pregnancy before the 20th week of gestation in order to save the mother’s life and prevent birth defects.The present study aimed to investigate the incidence of TA and its related maternal-fetal risk factors.
Methods: This historical cohort study reviewed 11000 birth records. Among these reviewed records, 83 cases of TA were identified. Then, for each case, three controls of live infants born in the same hospital on the same day were selected and matched for gestational age. We used a researcher-made questionnaire for data collection.
Results: The cumulative incidence of TA was computed 7.54 per 1000 live births. The results of multiple Cox regression model revealed that four risk factors including male gender; parental consanguinity; maternal diseases including gestational hypertension, gestational diabetes mellitus, hypothyroidism, infertility, the use of In Vitro Fertilization (IVF) and urinary tract infection; and maternal medication consumption increased the risk of TA (all hazard ratios > 1: p<0.05).
Conclusion: For the first time, we assessed the incidence of TA through this population-based cohort study in Iran. Importantly, parental consanguinity was one of the predictors of TA revealed in this study. Identification of the causes of TA would prevent the birth of infants with congenital anomalies.
Shiva Faghih; ehsan hejazi
Volume 2, Issue 1 , January 2014, , Pages 26-29
Abstract
Background: Given the importance of birth weight and the effects of anthropometric indices and socioeconomic status on it, this study was conducted to assess birth weight and its related factors among infants born in the hospitals of Ahwaz Jondishapour University. Methods: This cross-sectional study ...
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Background: Given the importance of birth weight and the effects of anthropometric indices and socioeconomic status on it, this study was conducted to assess birth weight and its related factors among infants born in the hospitals of Ahwaz Jondishapour University. Methods: This cross-sectional study was carried out on 269 newly born babies and their mothers in hospitals of Ahwaz Jondishapour University during 2009. Neonate anthropometric measures were obtained from hospital reports. The mothers were asked about their weight before pregnancy, their weight gain and demographic and socioeconomic data. SPSS software version16 was used to analyze the data. Relationships among infants and mothers’ anthropometric indices were assessed using bivariate correlation. Results: 86.8% of the infants were normal as to weight, 8.7% were underweight, and 4.5% overweight. Mothers’ weight gain during pregnancy and BMI before pregnancy were 12.18±5.18(kg) and 24.75±4.78(kg/m2), respectively. There was a significant correlation between infant’s birth weight and mother’s weight, height and weight gain during pregnancy. Discussion: Results of this study showed that mothers’ weight before pregnancy and their pregnancy weight gain have a key role in infant birth weight, so controlling the mother’s weight gain according to recommendation has a great effect on infant’s health.