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Risk Factors of Preterm Birth

العوامل المؤهبة للخداج

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 Publication date 2020
  fields Medicine
and research's language is العربية
 Created by Shamra Editor




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The study was done in gyneco-obstetrics department of Tishreen University Hospital at Latakia during 1/1/2018 – 31/12/2018. The number of preterm birth was 160, while the total births was 1520. The percentage of preterm birth was 10,52%. The strongest association was between PTB and PROM, the percentage was 40%. There was important correlation to urinary tract infection, the percentage was 35%. There was important correlation to multiple pregnancy, the percentage was 10,63%. There was correlation to hypertension, with percentage of 14,37%. Precedents of PTB increased the incidence of PTB, the percentage was 26,25%. Smoking has an important role in PTB, the percentage was 31,25%.


Artificial intelligence review:
Research summary
تتناول هذه الدراسة التي أجراها الدكتور باسل محمد في قسم التوليد وأمراض النساء في مشفى تشرين الجامعي باللاذقية خلال عام 2018، عوامل الخطر المرتبطة بالولادة المبكرة. من بين 1520 ولادة، كانت 160 منها ولادات مبكرة، مما يشكل نسبة 10.52%. وجدت الدراسة أن أقوى ارتباط كان بين الولادة المبكرة وانبثاق الأغشية الباكر (PROM) بنسبة 40%. كما وجدت ارتباطات هامة بين الولادة المبكرة والتهابات المسالك البولية (35%)، الحمل المتعدد (10.63%)، ارتفاع ضغط الدم (14.37%)، وجود سوابق ولادة مبكرة (26.25%)، والتدخين (31.25%). تهدف الدراسة إلى تحديد نسبة الولادات المبكرة في القسم وتحديد أهم العوامل المؤهبة لها. من بين التوصيات التي خلصت إليها الدراسة هي المراقبة المشددة للحوامل عاليات الخطورة وإجراء دراسات حول أسباب وكيفية الوقاية من انبثاق الأغشية الباكر.
Critical review
دراسة نقدية: تعتبر هذه الدراسة خطوة هامة في فهم العوامل المؤهبة للولادة المبكرة في البيئة المحلية لمشفى تشرين الجامعي. ومع ذلك، يمكن توجيه بعض الانتقادات البناءة لتحسين جودة البحث. أولاً، كان من الأفضل تضمين عينة أكبر من النساء الحوامل لزيادة قوة النتائج وتعميمها. ثانياً، لم تتناول الدراسة بشكل كافٍ العوامل النفسية والاجتماعية التي قد تؤثر على الولادة المبكرة، مثل التوتر النفسي والدعم الاجتماعي. ثالثاً، كان من الممكن أن تكون الدراسة أكثر شمولية إذا تضمنت تحليلاً متعدد المتغيرات لتحديد التأثير النسبي لكل عامل خطر. وأخيراً، كان من المفيد تضمين توصيات أكثر تفصيلاً حول كيفية الوقاية من العوامل المؤهبة المحددة، مثل التدخين والتهابات المسالك البولية.
Questions related to the research
  1. ما هي نسبة الولادات المبكرة في الدراسة؟

    نسبة الولادات المبكرة في الدراسة كانت 10.52%.

  2. ما هو العامل الأكثر ارتباطاً بالولادة المبكرة وفقاً للدراسة؟

    العامل الأكثر ارتباطاً بالولادة المبكرة كان انبثاق الأغشية الباكر (PROM) بنسبة 40%.

  3. ما هي التوصيات التي خلصت إليها الدراسة؟

    التوصيات تشمل المراقبة المشددة للحوامل عاليات الخطورة وإجراء دراسات حول أسباب وكيفية الوقاية من انبثاق الأغشية الباكر.

  4. هل تناولت الدراسة العوامل النفسية والاجتماعية كأحد عوامل الخطر للولادة المبكرة؟

    لا، الدراسة لم تتناول بشكل كافٍ العوامل النفسية والاجتماعية كأحد عوامل الخطر للولادة المبكرة.


References used
Alvarado G F and Ahumada _ Barrios M E . Risk factors for premature birth in hospital . Revista latino – Americana de enfermagem, 2016. 24
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The study is carried on 65 pregnant patients attending the outpatient clinics and inpatient department of Obstetrics and Gynecology of Al Assad University Hospital from February- 2013 until February- 2014. They were divided to three groups. The fir st is preterm labor with intact membranes (25 patients). The second is PROM (20 patients). The third one is control group (20 patients). All of them were submitted to ultrasonography to find cervical changes (cervical canal length and diameter of internal os in order to predict preterm delivery. Cervical canal length has a sensitivity of 91.43%, a specificity of 100%, a positive predictive value of 100%, a negative predictive value of 76.92%, and a relative risk (95% CI) of 4.33 (1.61-11.69) among patients with short cervical canal length and those with normal cervix. Diameter of internal os as a predictor of preterm delivery has a sensitivity of 60%, a specificity of 60%, a positive predictive value of 84%, a negative predictive value of 30%, and a relative risk (95% CI) of 1.2 (0.86–1.68).
العوامل المؤهبة لنوب حبس النفس عند الأطفال يهدف هذا البحث لدراسة تاثير الظروف العائلية والاجتماعية على حدوث وتكرار نوب حبس النفس عند الأطفال
Low birth weight and premature infant need complementary treatment intervention to promote optimal clinical outcome and to decrease the immediate adversities and developmental deficits associated with prematurity and intensive care unit environment. The purpose of this study was to investigate the effect of complementary treatment program on the clinical outcome for preterm and low birth weight infant. The study was conducted at the pediatric intensive care units of AL-Assad hospital and maternal &child hospital (lattakia). The sample was divided into two groups of 20 infants experimental croup and 10 infant control croup with gestational age less than 36 weeks at birth, birth weight less than 2500g and more than 1500 g, and no congenital anomalies. The clinical outcome was significantly improved in clinical outcome, while no change in the control group. The experimental group had significantly weight gain, higher scores for awake state and motor activity than the control group. Significantly greater fidgeting or crying, and increased motor activity. The results of this study advice to apply complementary treatment therapy because its affect in improve clinical outcome. Nursing staff can use complementary treatment to promote the infant's capability to respond positively to his environment and to provide developmental support for healthy premature infants
The study included 1,800 patients who were admitted in the following departments (surgery, internal and gynecology department) at AL- ASSAD University Hospital in Lattakia in 2011-2012 from the age of 40 years and above. The study, which was based on a built-in statistical form of risk factors for breast cancer, showed that the percentage of the infected was 9,8%. All risk factors including ageing ,obesity, lack or absence of birth, late age at first childbirth, early puberty, late menopause, hormonal treatment, injuring a first degree relative, staying in cities and the size of bras increase the risk of breast cancer and the impact is worth respectively: 0,115-0,387-0,178-0,157-0,143-0,217-0,15-0,030-0,092-0,244-0,212.
Cancer alone kills 7.6 million people every year. According to World Health Organization (WHO) estimates, cancer deaths in the Eastern Mediterranean Region will increase from 9.4% in 2015 to 12.3% in 2030 of all deaths. These estimates are based on t he impact of population growth and aging, as well as increased exposure to factors that increase the incidence of cancer, such as smoking, unhealthy diet, physical inactivity, alcoholism and environmental pollution, which will lead to a higher burden of cancer. Therefore, the current descriptive study was conducted to assess some of the risk factors associated with cancer. This study was applied to a sample of 100 cancer patients available in the Oncology Department at Tishreen University Hospital in Lattakia city. A questionnaire developed by the researcher was used for this purpose. The results showed that there are many risk factors that can be prevented, the most important of which are smoking, eating secreted meals, preserving food in plastic containers, and the presence of communication towers next to places of residence or work. The study recommended the necessity of conducting health education sessions about cancer and predisposing risk factors, activating the role of institutions and organizations in preventing risk factors, and conducting other research at the republic level.

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