Showing 5 results for Rahimi Sharbaf
Rahimi Sharbaf F, Davari Tanha F, Niromansh Sh, Salehi N, Valadan M, Niromand N, Ghafarnejad M,
Volume 66, Issue 3 (2 2008)
Abstract
Background: The aim of this study was to statistically evaluate the hypothesis that the presence of meconium-stained amniotic fluid is associated with postpartum maternal infection.
Methods: This prospective cohort study included 573 term pregnant women in labor, with no other medical problems, that underwent cesarean section for pregnancy termination. Women with prolonged active-phase labor, prolonged rupture of membranes, complicated cesarean section and pre-operative infections were excluded from this study.
The subjects were divided into two groups: 280 women with meconium-stained amniotic fluid (M group), and 293 women with clear amniotic fluid (C group). A comparison was done regarding postpartum fever, endometritis and wound infection between the two groups. Student's t-test and chi square test were used for data analysis, along with linear regression, with p<0.05 indicating significance.
Results: Among the 573 women, a total of 82 women (14%) had fever after cesarean 42 women from the M group, and 40 women from the C group (p= 0.3). Among the 82 women who had fever, 33 women had continuous fever, 6.5% in group M and 2.7% in group C (p<0.05, RR: 1.98, 95% CI 1.3-3.1). Among the 573 women, 4% developed endometritis 5% in group M and 2% in group C (p<0.05, RR: 2.3, 95%, CI 1.3-3.4). Similarly, among the 573 women, a total of 5 women (1%) developed wound infection, 1.7% in group M and 0.68% in group C (p=0.7).
Conclusion: Meconium-stained amniotic fluid is associated with increased postpartum infection independent of other risk factors for infection.
Rahimi Sharbaf F, Mirzaei F, Kaveh M,
Volume 66, Issue 6 (5 2008)
Abstract
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Background: The
prevalence of Rh alloimmunization has decreased following the use of anti-D
immunoglobulin. With serial amniocentesis, Doppler sonography of the middle
cerebral artery and treatment of anemia with intrauterine blood transfusion, perinatal
mortality has declined. However, Rh alloimmunization in twin pregnancies poses
a diagnostic and therapeutic challenge.
Case report: We are reporting,
for the first time in Iran, the successful treatment of severe Rh
alloimmunization in a dichorionic- diamnionic twin pregnancy leading to the
live births of both neonates. Before treatment, the fetal hemoglobin levels
were 3.1g/dL and 3.9g/dL, with ascites in both fetuses. The fetuses were
treated with several IUTs.
Results: After treatment, the neonates were
delivered, weighing 2200 and 2300g, with good Apgar scores, at a gestational
age of 34 weeks.
Conclusion: 10%
of population in Iran is Rh-negative, although Prophylaxis for Rh
alloimmunization is universal, as other part of the world it cannot irrigated.
For the best management of these cases, we need a well-equipped referral
center.
Rahimi Sharbaf F, Mosavy Fakhr Z, Davari Tanha F,
Volume 66, Issue 9 (5 2008)
Abstract
Background: Maternal zinc deficiency during pregnancy has been related to adverse
pregnancy outcomes. Most studies in which pregnant women have been supplemented
with zinc to examine its effects on the outcome of the pregnancy have been carried out
in industrialized countries and the results have been inconclusive. It has been shown
that women with gestational diabetes (GDM) have lower serum zinc levels than healthy
pregnant women, and higher rates of macrosomia. Zinc is required for normal glucose
metabolism, and strengthens the insulin-induced transportation of glucose into cells by
its effect on the insulin signaling pathway. The purpose of this study was to assess the
serum zinc levels of GDM patients and evaluate the effect of zinc supplementation.
Methods: In the first stage of this prospective controlled study, we enrolled 70 women
who were 24-28 weeks pregnant at the Prenatal Care Center of Mirza Kochak Khan
Hospital, Tehran, Iran. The serum zinc level of each subject was determined. In the
second stage, among these 70 subjects, the diabetics receiving insulin were divided into
two groups, only one of which received a zinc supplement and the other group was the
control group. Birth weight of neonates and insulin dosages were recorded.
Results: The mean serum zinc level in the GDM group was lower than that of the
control group (94.83 vs. 103.49mg/dl, respectively) and the mean birth weight of
neonates from the GDM women who received the zinc supplement was lower than that
of the control group (3849g vs. 4136g). The rate of macrosomia was lower in the zinc
supplemented group (20% vs. 53%). The mean of increase of insulin after receiving the
zinc supplement was lower (8.4u vs. 13.53).
Conclusion: Maternal insulin resistance is associated with the accumulation of
maternal fat tissue during early stages of pregnancy and greater fetoplacental nutrient
availability in later stages, when 70% of fetal growth occurs, resulting in macrosomia.
In our study, zinc supplementation is associated with a reduction in the rate of fetal
macrosomia among pregnant women with GDM.
Rahimi Sharbaf F, Mirzaie F, Izadi Mood N,
Volume 67, Issue 3 (5 2009)
Abstract
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Background: Acardiac twin is a
rare complication affecting monozygotic twins and is related to the twin
reversed atrial perfusion sequence (TRAP). The TRAP sequence involves a pump twin perfusing a recipient twin
through vascular anastomosis. Here, we report two cases with different
presentations of acardiac twin.
Case report: The first acardiac
twin was composed of a healthy fetus and a fetus with proximal of trunk, pelvic
and lower limbs without head, neck and arms (acardia acephalus- classic form).
The pregnancy was followed with ultrasonography and pregnancy terminated at 29 weeks, because there
was abnormal doppler of ductus venosus and non-reassuring NST in pump twin. The second
acardiac twin first time was diagnosed at a rotine ultrasonography at 26 weeks gestation as a
healthy fetus and an acardia fetus with a hypoplastic lower limb and intestine
like organ (amorphic mass). The pregnancy following, normal infant was born with
a sac with some loops of the intestine at term. Each two cases were diagnosed
at 26 week and each was
delivered healthy pump twin.
Conclusion: Acardiac twin has different presentation and here
we presented two end of acardia twin presentation with different management and
outcome.
Mahboobeh Shirazi, Elham Feizabad, Nesa Rajabpoor Nikoo , Fatemeh Rahimi Sharbaf, Maedeh Rahmanzadeh,
Volume 78, Issue 11 (February 2021)
Abstract
Background: For every pregnant woman, it is possible to have a child with chromosomal abnormalities. Although this possibility is not very high, by performing screening tests and considering the mother's background factors, we can largely realize the real extent of this possibility.
Many comorbidities (like high blood pressure, diabetes, and obesity) and high-risk exposures (like alcohol consumption) seem to have an important role in the development of chromosomal abnormalities. This study aimed to determine the predictive factors of a positive first-trimester screening test in the pregnant women.
Methods: This case-control study was done on pregnant women, who were referred to Yas Hospital for their first-trimester screening tests between April 2018 and February 2020. Of those who had positive screening test results, only ones with abnormal biochemical tests, were included in the study regardless of nuchal translucency (NT) examination results and were considered as cases, and the women with normal screening test results were considered as controls.
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Results: Totally 960 pregnant women (760 controls and 200 cases) participated in the study. The mean age of the subjects was 31.07±0.17 years old with a minimum age of 17 and a maximum age of 45. The averge age of case group women was 33.57±0.40 years and this was 30.41±0.18 years in control group.
This study indicated that maternal age (P<0.001) and the number of pregnancies in the case group are significantly (P<0.001) higher than the control group. Also, having a history of miscarriage (P<0.001), having a history of infertility (P<0.001), and having hypothyroidism (P=0.030) are significantly more common in the case group. The frequency of intrauterine growth failure (P=0.003) and neonatal hospitalization (P<0.001) were also significantly higher in the case group.
Conclusion: Despite recent advances in the prenatal field, the accuracy of screening tests may still vary depending on maternal age and other existing characteristics. Hence, it seems considering the mother's background characteristics are important just the same as the screening test results.
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