کنگره بین المللی انجمن متخصصین زنان و زایمان ایران
1403-02-11
کنگره بین المللی انجمن متخصصین زنان و زایمان ایران از تاریخ ۲۲ لغایت ۲۵خردادماه ۱۴۰۳ در محل مرکز همایش‌های برج میلاد تهران برگزار می‌شود. اجرای
کنگره بین المللی انجمن متخصصین زنان و زایمان ایران از تاریخ ۲۲ لغایت ۲۵خردادماه ۱۴۰۳ در محل مرکز همایش‌های برج میلاد تهران برگزار می‌شود. اجرای
Abstract
Background Early pregnancy nutritional status can be associated with adverse birth outcomes such as small-for-gestational age (SGA) and low birth weight (LBW). BMI (Body Mass Index) and MUAC (Mid-upper arm circumference) are
easy to use assessments and are indicative of the pre-pregnancy nutritional status if obtained in the frst trimester. This
study primarily assesses the association of maternal nutritional status using BMI and MUAC with SGA in a communitybased cohort of Pakistani women. It also aims to determine the predictive ability of MUAC and BMI in predicting SGA.
Secondarily, we assessed the association between maternal nutrition and large for gestational age (LGA) and LBW.
Methods This study is a secondary analysis of an ongoing pregnancy cohort “Pregnancy Risk Infant Surveillance
and Measurement Alliance (PRISMA)“in Ibrahim Hyderi and Rehri Goth, Karachi. PRISMA participants who were
enrolled between January 2021 to August 2022 were included given they had a gestational age<14weeks confrmed
via ultrasound, MUAC and BMI measurements were available and birth weight was captured within 72hours. Multivariable logistic regression was used to determine an association between maternal nutritional status and SGA. The
PRISMA study was approved by the Aga Khan University Ethics Review Committee (2021–5920-15,518).
Results Of 926 women included in the analysis, 26.6% (n=247) had a low MUAC (<23 cm) while 18.4% (n=171) were
underweight (BMI<18.5 kg/m2). Nearly one third of low MUAC and underweight women delivered SGA infants (34.4
and 35.1% respectively). Underweight women and women with low MUAC had a statistically signifcant association
with SGA (Underweight: OR 1.49, 95% CI 1.1,2.4; Low MUAC-OR 1.64, 95% CI 1.2,2.3) as well as LBW (Underweight:
OR-1.63, 95% CI 1.1,2.4; Low MUAC-OR-1.63, 95% CI 1.2,2.3). ROC curves showed that MUAC and BMI had modest
predictability for SGA (AUC<0.7).
Conclusion Maternal nutritional status as indicated by BMI and MUAC are strongly associated with adverse pregnancy outcomes including SGA, LGA and LBW. Although MUAC and BMI are widely used to determine maternal
nutritional status, they have poor predictive ability for newborn size. Further research is needed to identify other
tools or a combination of tools to better predict adverse birth outcomes in resource-limited settings and plan
interventions.
Abstract
Background Although pregnancy-associated heart failure with preserved ejection fraction (HFpEF) is increasing
and contributing to maternal morbidity, little is known about its impact on pregnancy. We examined the risk factors
for and adverse pregnancy outcomes of HFpEF in pregnant women.
Methods We conducted a cross-sectional analysis of pregnancy-related hospitalizations from 2009 to 2020 using
the perinatal database of seven multicenters. Cases of HFpEF were identifed using the International Classifcation
of Diseases and echocardiography fndings. The patients were categorized into the HFpEF and control groups. Risk
factors were evaluated using multivariate logistic regression analysis to generate odds ratios (OR) and 95% confdence
intervals (CI). Furthermore, adjusted associations between HFpEF and adverse pregnancy outcomes were determined.
Risk scores for the stratifcation of women at a high risk of HFpEF were calculated using a statistical scoring model.
Results Of the 34,392 women identifed, 258 (0.76%) were included in the HFpEF group. In multivariate analysis,
HFpEF was signifcantly associated with old maternal age (OR, 1.04; 95% CI 1.02–1.07), multiple pregnancy (OR, 2.22;
95% CI 1.53–3.23), rheumatic disease (OR, 2.56; 95% CI 1.54–4.26), pregnancy induce hypertension (OR 6.02; 95%
CI 3.61–10.05), preeclampsia (OR 24.66; 95% CI 18.61–32.66), eclampsia or superimposed preeclampsia (OR 32.74;
95% CI 21.60–49.64) and transfusion in previous pregnancy (OR 3.89; 95% CI 1.89–8.01). A scoring model to predict
HFpEF with those factors achieved an area under the curve of 0.78 at cutof value of 3. Women with HFpEF also had
increased odds ratios of intensive care unit admission during the perinatal period (odds ratio, 5.98; 95% confdence
interval, 4.36–8.21) and of postpartum hemorrhage (odds ratio, 5.98; 95% confdence interval, 2.02–3.64).
Conclusions Pregnancy-associated HFpEF is associated with adverse pregnancy outcomes. A scoring model may
contribute to screening HFpEF using echocardiography and preparing adverse pregnancy outcomes.
انجمن اختلالات کف لگن زنان ایران و انجمن زنان استان اردبیل: سمینار سه روزه رویکرد به اختلالات کف لگن در بیماری های زنان ۲۶تا ۲۸اردیبهشت
چهارشنبه مورخ 1403/02/05 جلسه حضوری هیات مدیره محترم انجمن زنان و زایمان درخصوص برگزاری کنفرانس و سمینارهای یک روزه و واکسیناسیون بر علیه ویروس hpv
انجمن متخصصین زنان و زایمان ایران انجمنی است صنفی، علمی، غیرسیاسی و غیر انتفاعی که در جهت ارتقا سطح علمی متخصصین زنان و زایمان و نازایی کشور فعالیت میکند. این انجمن از سال ۱۳۸۱ به طور رسمی به ثبت رسیده است و تا کنون پنج دوره انتخابات برگزار نموده است.
