Background:Some pregnant women discontinue iron supplements consumption due to Gastrointestinal (GI) complications, whereas pregnancy induces the same complications physiologically.Objectives:The aim of the present study was to assess GI complications of ferrous sulfate in pregnant women.Patients and Methods:This randomized, double-blind, placebo-controlled clinical trial was performed on 176 pregnant women referred to prenatal care clinic of Maryam Hospital from April 2011 to February 2012. Pregnant women with Hb ≥ 13.2 gr/dL at 13th - 18th weeks of gestation were selected based on the inclusion criteria and were randomly assigned to the ferrous sulfate and placebo groups. The ferrous sulfate group (n = 90) received a 50-mg ferrous sulfate tablet daily from the 20th week to the end of pregnancy and the placebo group (n = 89) received one placebo tablet in the same way. All participants were visited twice at 24th - 28th and 32nd - 36th weeks to assess the GI complications as well as Hb level to determine the Hb changes in two groups. Chi-square test, t-test and Kolmogorov-Smirnov test were used to analyze the data. P value of < 0.05 and confidence level of 95% were considered as statistically significant.Results:None of the GI complications were significantly different between the ferrous sulfate and placebo groups at 24th - 28th and 32nd - 36th weeks. Hemoglobin drop lower than 10.5 gr/dL at 24th - 28th weeks or lower than 11 g/dL at 32nd - 36th weeks was not observed in any cases.Conclusions:It can be concluded that GI complications in pregnant women using ferrous sulfate are mostly caused by physiologic changes of pregnancy rather than ferrous sulfate; therefore, it is not reasonable to stop using ferrous sulfate due to GI complications.
Background: Pandemic H1N1 influenza A 2009 (H1N1/09) virus has been identified as a leading cause of febrile respiratory diseases worldwide, and pregnant women constitute a high risk group. Objectives: To determine the clinical characteristics and outcomes of pregnant women with H1N1 influenza A hospitalized in university hospitals of Qom city in Iran. Patients and Methods: This descriptive retrospective study was conducted using existed data related to October and November 2009. All pregnant women with influenza manifestations were admitted to the hospitals to undergo nasopharyngeal culture. H1N1 virus was confirmed in 11 cases. Data including demographic characteristics, clinical manifestations, laboratory test results, and pregnancy complications was extracted from medical records, and analyzed by descriptive statistics. Results: The mean age of the women was 28.1 ± 4.7 years with a mean gestational age of 28.7 ± 10.9 weeks. The most common clinical manifestations included coughing (100%), fever (87.5%), and dyspnea (75%). The most common abnormal test was anemia (88%). Pregnancy complications included preterm delivery (36.3%), low birth weight (18%), oligohydramnios (9%), gestational diabetes (9%), and fetal distress (9%). Also one (12.5%) wound dehiscence happened. Conclusions: vaccination seems to be necessary to prevent this potentially fatal infectious disease. Furthermore, timely prescription of antiviral medications is recommended to decrease the risk of severe complications.
BACKGROUND: Previous studies have shown that psycho-spiritual state of mothers may have significant effects on their breastfeeding. The most common cause of nonexclusive breastfeeding is inadequate breastfeeding; therefore, this study examined the relationship between spiritual health and perceived stress with breastfeeding adequacy in mothers with infants aged 1–6 months. MATERIALS AND METHODS: This cross-sectional, descriptive, correlational study was performed on 186 mothers with infants aged 1–6 months, who referred to the health centers in Dorud city of Lorestan province, Iran, in 2021, which were selected based on cluster sampling. Data were collected through four questionnaires including demographic–fertility, spiritual health, perceived stress, and breastfeeding adequacy. Data was analyzed by Statistical Package for the Social Sciences (SPSS) software version 22 using descriptive and analytical statistics. RESULTS: The mean ± standard deviation (SD) values of spiritual health, perceived stress, and breastfeeding adequacy were 99.59 ± 12.96, 23.8 ± 72.19, and 55.67 ± 7.67, respectively. There was a significant positive relationship between spiritual health and breastfeeding adequacy (P < 0.001, r = 0.268). In addition, there was a significant negative relationship between perceived stress and breastfeeding adequacy (P = 0.002, r = −0.231). CONCLUSION: Breastfeeding adequacy has a significant positive relationship with spiritual health and a significant negative relationship with perceived stress. Since infants are one of the most vulnerable groups and breastfeeding is the best way to support their health and reduce infant mortality rates, breastfeeding adequacy can be improved by reducing stress and promoting spiritual health.
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