Publications by authors named "Sara Masihi"
Background: The global spread of the new coronavirus has increased the necessity of innovations to increase the quality of health care. This study was intended to examine the impact of tele-medicine on health anxiety and pregnancy-related anxiety in pregnant women during the COVID-19 epidemic in Iran.
Materials And Methods: This quasi-experimental study was performed between March and May 2020.
Outcome of fetuses with soft markers: results of 3016 cases in Ahvaz city.
Med J Islam Repub Iran
January 2021
Article Synopsis
- This study analyzed 3016 women seeking perinatal care, focusing on fetuses with soft markers that could link to chromosomal and congenital abnormalities, including conditions like thickened nuchal fold and mild pyelectasis.
- Out of the fetuses with soft markers, 285 cases (9.4%) were identified, yet most showed normal outcomes at birth—with specific instances of abortion and congenital issues notably low.
- The majority (70.3%) of cases were male, and while some cases resulted in structural abnormalities, overall, no significant aneuploidy was detected through tests like amniocentesis, indicating a healthier trend among fetuses with soft markers.
Background: Gestational diabetes is the most common medical complication in pregnancy, and it has many side effects for the mother and the fetus. The aim of this study was to evaluate the effect of oat bran consumption on gestational diabetes.
Methods: This study is a randomized clinical trial that was performed on 112 women with gestational diabetes treated with diet.
Introduction: Placenta accreta is the most common cause of bleeding leading to peripartum hysterectomy, and therefore, due to the importance of accreta in the mortality and morbidity of pregnant women, the correct diagnosis of the patient's final outcome is important. Therefore, this study aimed to evaluate the sensitivity, specificity, and accuracy of sonography diagnosis in the evaluation of placenta accreta by examining the two-dimensional (2D) and color Doppler sonography findings.
Materials And Methods: Sonography was done for detection of accreta from pregnant women who were suspicious of placenta accreta in the third trimester of pregnancy.
Background And Objective: Knowing the factors affecting fetal distress is of particular importance in improving prognosis in newborns. The study aimed to determine the relationship between fetal middle cerebral artery pulsatility indexes and umbilical artery Doppler ratio with fetal distress at 38-40 weeks of gestation.
Materials And Methods: In this prospective cohort, 181 consecutive pregnant women with 38-40 weeks of gestational age were selected by a non-random convenience sampling method from January 2016 to January 2017.
Article Synopsis
- Pregnancy-associated plasma protein-A (PAPP-A) levels lower than 0.4 multiples of the median (MoMs) in the first trimester are linked to an increased risk of neonatal abnormalities, particularly small for gestational age (SGA).
- A study involving 8,460 pregnant women found that those with low PAPP-A levels had higher mean age, lower gestational age, and lower birth weight, compared to those with higher levels.
- The research determined that a PAPP-A level of 0.25 MoMs was the best cutoff for predicting SGA, with a sensitivity of 84.7% and specificity of 68.6%.
Background: Ectopic pregnancy (EP) is one of the most dangerous complications of pregnancy and without prompt diagnosis and treatment, it could become a major cause of maternal morbidity and mortality.
Objectives: In this randomized controlled study, we compared single and double dose of methotrexate (MTX) therapy in the treatment of ectopic pregnancy.
Patients And Methods: This study was performed on 76 patients who were admitted to Obstetrics Ward with primary diagnosis of ectopic pregnancy based on their medical history, physical examination, beta subunit (β-HCG) level, and transvaginal ultrasonography.
Article Synopsis
- The study explored how increased impedance in uterine arteries, measured by Doppler, can predict adverse pregnancy outcomes like pre-eclampsia and small for gestational age (SGA) in pregnant women.
- Out of 379 women studied, those with a mean pulsatility index (PI) greater than 1.45 showed a high correlation, with 88.2% developing pre-eclampsia and 23.5% delivering SGA babies.
- The findings suggest that Doppler evaluation during 16-22 weeks of pregnancy could effectively help identify patients at risk for these complications, showing promising predictive values for both conditions.
Background: Fetal nasal bone assessment is a non-invasive procedure that helps provide even greater assurance to patients undergoing their first trimester risk assessment for aneuploidies. Absence or presence of this factor is different in some races.
Objective: The study was aimed to evaluate nasal bone in the first trimester of pregnancy in the indigenous population of Khuzestan Province, and to monitor its value in the diagnosis of chromosomal abnormalities.
Background: Central nervous system malformations are the second most common congenital malformations after congenital heart diseases. These malformations are associated with many instances of morbidity and mortality which underline the importance of prevention and their early diagnosis.
Objective: The objective of this study is the diagnosis of neural tube defect (NTDs) in the first trimester and its comparison to second trimester diagnoses in order to reduce the complications associated with late pregnancy terminations and its costs.
Evaluation of nuchal translucency measurement in first trimester pregnancy.
Int J Fertil Steril
April 2011
Article Synopsis
- A significant portion of pregnancies in women with infertility histories shows a risk of fetal abnormalities, which can be evaluated using nuchal translucency (NT) measurements.
- An analytic cross-sectional study involved 446 pregnant women at 11-14 weeks gestation, evaluating NT and calculating risks with specific software.
- Findings revealed an increased risk of 4.04% for chromosomal abnormalities, with a notable number of cases occurring in women under age 35, highlighting the critical need for risk awareness in these pregnancies.