Journal of Pediatric Perspectives

Perinatal Outcomes of Idiopathic Polyhydramnios with Normal Ultrasound: A Systematic Review and Meta-Analysis

Samiyeh Kazemi; Farin Soleimani; Sara Kazemi; Anoshirvan Kazemnezhad; Zahra Kiani; Farzaneh Pazandeh; Nasrin Azimi

Volume 7, Issue 5 , May 2019, , Pages 9349-9362

https://doi.org/10.22038/ijp.2018.36148.3155

Abstract

Background: Incidence of polyhydramnios in various studies has been reported from 0.2 to 3.9%. Approximately, 50-60% of cases are idiopathic with no known etiology. We aimed to investigate ... Read More Background: Incidence of polyhydramnios in various studies has been reported from 0.2 to 3.9%. Approximately, 50-60% of cases are idiopathic with no known etiology. We aimed to investigate perinatal outcomes of idiopathic polyhydramnios with a normal ultrasound. Materials and Methods: In this study, Persian and English databases including Barakatkns, SID, Magiran, Medline, Science Direct, Scopus, Cochran, Embase, and ProQuest were searched for articles published from 1950 to August 2018. The search procedure was conducted with keywords related to "idiopathic polyhydramnios", "perinatal outcomes", "normal ultrasound", and their equivalents in "Mesh" and PICO. In meta-analysis, first we quantified heterogeneity by using I2 statistics and tested using the Cochran’s Q test. Even when a low heterogeneity was detected, a fixed-effects model was applied, and for more than 75% of heterogeneity, random-effects model was used. The Forest Plot chart was drawn up and the relative risk (RR) estimate for each study (ES), the pooled estimate of "RR" by combining all the studies and its 95% CI, and the P-value associated with it, were indicated. Results: In this study, 13 articles involving 325,426 pregnant women were included for the Meta-analysis. The RR and 95% CI of Caesarian Section (C.S), 1.61(1.25-2.07), macrosomia, 1.84(1.40-2.42), preterm delivery, 2.45(1.29-4.64), NICU admission, 2.90(1.77-4.74), Apgar score min 5 <7, 2.79(1.18-6.57), fetal distress, 1.69(1.02-2.80), and large for gestational age (LGA), 2.27(1.38-3.72), were determined. We found a higher RR of perinatal outcomes including NICU admission, Apgar score min 5<7, preterm delivery, and LGA. RR other perinatal outcomes such as macrosomia, fetal distress, and C.S. were lower. Conclusion: Idiopathic Polyhydramnios was significantly associated with adverse perinatal outcomes. Intensive intrapartum monitoring and further attention in the postpartum are warranted.

Predictor Factors of Breastfeeding Attitude in Iranian Breastfeeding Mothers: A Cross-Sectional Study

Vida Ghasemi; Masoumeh Simbar; Erfan Ghasemi; Abbas Ebadi; Zahra Kiani; Fatemeh Mahdizad Keyghobad; Parisa Haghi Navand

Volume 7, Issue 3 , March 2019, , Pages 9103-9113

https://doi.org/10.22038/ijp.2018.35698.3117

Abstract

Background: Breastfeeding is an ideal nutritional method that has many benefits for mothers, infants and the health system.Negative attitude toward breastfeeding is accompanied with ... Read More Background: Breastfeeding is an ideal nutritional method that has many benefits for mothers, infants and the health system.Negative attitude toward breastfeeding is accompanied with unpleasant consequences. We aimed to determine the predictors of breastfeeding attitude in Iranian breastfeeding mothers. Materials and Methods: This descriptive-analytical and cross-sectional study was conducted on 346 mothers in the first 24-48 hours after delivery in selected hospitals of Shahid Beheshti University of Medical Sciences in Tehran, Iran. Convenience and continuous sampling method was used in this study. The Iowa Infant Feeding Attitude Scale (IIFAS), Breastfeeding self-efficacy scale-shortform (BSES-SF(, and researcher made questioner for socio-demographic, obstetric and breastfeeding characteristics were used for data collection. Results: The mean score of attitude was 45.90 ± 4.68 out of 11-55, which indicates a positive attitude toward breastfeeding. The results showed a significant relationship between mother age, breastfeeding self-efficacy score, mother’s employment status, planned pregnancy, selected feeding method for infant, and the breastfeeding duration of the previous child with breastfeeding attitude score (P<0.05). According to multiple linear regression model, maternal age (B=0.110, P=0.015), breastfeeding self-efficacy (B=0.102, P=0.001), maternal employment (B=1.286, P=0.021), and planned pregnancy (B=1.638, P=0.003) were predictors of breastfeeding attitude in mothers. Conclusion: According to the results maternal age, breastfeeding self-efficacy, maternal employment and planned pregnancy were predictors of breastfeeding attitude in mothers. Hence, development of suitable educational programs tailored to the needs of mothers, during pregnancy and the postpartum periodand adequate support of mothers are essential to improve and enhance breastfeeding attitude and self-efficacy in breastfeeding mothers.

The Effect of Peer Education on Health Promotion of Iranian Adolescents: A Systematic Review

Vida Ghasemi; Masoumeh Simbar; Farzaneh Rashidi Fakari; Marzieh saei Ghare Naz; Zahra Kiani

Volume 7, Issue 3 , March 2019, , Pages 9139-9157

https://doi.org/10.22038/ijp.2018.36143.3153

Abstract

Background: Peer education is one of the most effective strategies for changing behavior in adolescents, which provides the unique learning opportunities for promote health behaviors. ... Read More

The Effect of Breastfeeding Duration on Bone Mineral Density (BMD): A Systematic Review and Meta-Analysis

Marzieh Saei Ghare Naz; Vida Ghasemi; Zahra Kiani; Farzaneh Rashidi Fakari; Giti Ozgoli

Volume 7, Issue 1 , January 2019, , Pages 8831-8843

https://doi.org/10.22038/ijp.2018.32898.2905

Abstract

Background: During lactation, metabolic changes in the bone in different areas of the body may affect the amount of bone mineral density.The aim of this study was to determine the relationship ... Read More

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Author = Zahra Kiani

Perinatal Outcomes of Idiopathic Polyhydramnios with Normal Ultrasound: A Systematic Review and Meta-Analysis

Abstract

Predictor Factors of Breastfeeding Attitude in Iranian Breastfeeding Mothers: A Cross-Sectional Study

Abstract

The Effect of Peer Education on Health Promotion of Iranian Adolescents: A Systematic Review

Abstract

The Effect of Breastfeeding Duration on Bone Mineral Density (BMD): A Systematic Review and Meta-Analysis

Abstract