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Published Journal Articles

2024

PRE ECLAMPSIALINKED RISKFACTORS IN MATERNITY TEACHING HOSPITAL OF ZAKHO

2024-06
Journal https://neuropsychopharmacologiahungarica.com/index.php/NPPH/article/view/256 (Issue : 2) (Volume : 22)
Preeclampsia is an illness of long-established consequences which can extends to the post-partum period. It is estimated to complicate 2-8% of pregnancies worldwide. During this study we concentrated on the main risk factors related to the development of preeclampsia in Maternity Hospital of Zakho, in order to evaluate the main elements correlated to increase the risk of the development of preeclampsia and its related complications. The pregnant ladies who were diagnosed with preeclampsia, conducted under a hospital-based case control study, from 1 August 2023 to 1 April 2024 at Zakho Maternity Hospital, Kurdistan region, Iraq. A total of 300 cases collected with 0% of missing data. The study contained two thematic blocks, the first thematic block with its two main domains, included patient demographic data, past medical history and family history related to increase the risk of PE. The second thematic block included patient information of current pregnancy phase. Logistic analysis using SPSS 26th edition performed to estimate and analyze the most evident risk factors related to preeclampsia. Vancouver citation style used to describe the references related to the study. From a total of 300 cases with variable gestational age and 0% missing data, aged between 16 and 45 years old. Preeclampsia is increasing among the mothers aged less than 20 and above 40 years old as correlated to other studies. During the analysis, our study focused on the past medical history of the pregnant females, DM and hypertension show the greatest effect to enhance PE development. The ones with a previous history of preeclampsia as expected to have the probability to develop it again, our results showed the adverse of this thesis. The study highlighted the family history to be a significant risk to develop PE. Sedentary lifestyle and obesity were major risks for the condition. Regular BP monitoring and prenatal care were good parameters for early PE identification, as they decreased the circumstances of bad PET prognosis.
2023

Analysis of Cervical Intraepithelial Neoplasia Prevalence in the Kurdistan Region; Iraq

2023-09
DOI: 10.7759/cureus.45725 (Issue : 45725) (Volume : 15)
Background: Cervical intraepithelial neoplasia (CIN) refers to abnormal changes in the squamous cells of the cervix, with more significant changes known as high-grade squamous intraepithelial lesions (HSIL) in grades II and III. Aim: The aims of the present study were to estimate the prevalence of cervical neoplasia and explore potential risk factors for HSIL among women living in the Kurdistan region. Materials and Methods: The study included 1300 women who underwent Papanicolaou (PAP) smears for the conclusion of cervical infection and who attended several parts and hospitals in the Kurdistan region. As this is a multi-center study for the determination of pap smears and the relationship between cervical cancer and those women, only 120 of those 1300 women suffer from cervical and vaginal problems. The study was done from January 2021 to the end of December 2021. A Pap smear, also known as a Pap test, is a routine screening procedure used to detect abnormal cervical cells that may indicate the presence of cervical cancer or precancerous conditions. The procedure involves collecting a sample of cells from the cervix, which is the lower part of the uterus that extends into the vagina.

Relation of Cervical Cancer with Grading of Cervical Intraepithelial Neoplasia in Women Who Underwent PAP Smear: A Multicenter Study in Kurdistan Region, Iraq

2023-07
Korean Journal of Physiology and pharmacology (Issue : 2) (Volume : 27)
Background: Incidence and mortality rates for cervical cancer have dropped primarily as a result of pap smear-based screening programs. Screening and treatment recommendations for cervical intraepithelial neoplasia (CIN) have changed as more outcome data have become available.
2022

Study the risk factors for aneural tube defectin women in the COVID-19 pandemic in Zakho.kurdistan,Iraq

2022-12
Journal of Researchin Medical and Dental Science (Issue : 11) (Volume : 10)
ABSTRACT Background: Neural tube defects are a common congenital disorder. The complex etiology of Neural tube defects involve both genetic and environmental factors, thus investigating gene-environment interactions is critical to understanding how it occur or how it may be prevented. Published literatures also have indicated that viral illness during early pregnancy and several antiviral drugs are associated with an increased risk for neurodevelopmental congenital anomalies of new-born. Aim of the study: To evaluate the prevalence of Neural tube defects among pregnant women suffered from COVID 19 infection Patients and methods: This study is a case control study had done in Zakho Maternity Hospital. The data collected during the period of 1st Ja. 2020-1st Ja 2022, the total 90 cases that reported in the obstetrics and gynecology department with neural tube defects was enrolled in the study, and compared with control group of 90 pregnancies without Neural tube defects. The information collected through direct interview with the mothers through questionnaire includes the information about the socio-demographic, obstetrical history and history of COVID 19 infection, severity, presence of fever, trimester of infection. The laboratory investigations of hemoglobin and PCR to confirm COVID 19 infection was done. Results: COVID infection during pregnancy was significantly higher among those with Neural tube defects 68 (75.6%), in comparison to 30 (33.3%) of those without NTD. Anemia was significantly higher among those with Neural tube defects 69 (67.7%) in comparison to 15 (16.7%). Fever in 1st trimester was significantly higher among those with NTD 70 (77.8%) in comparison to 28 (31.1%). Alcohol intake was significantly lower among those with NTD 2(2.2%) in comparison to 10(11.1%). Polyhydramnios was significantly higher among those with NTD 72 (80%) in comparison to 11(12.2%). Conclusions: COVID infection during pregnancy was significantly higher among those with neural tube defects and this alarming. Key words: Risk factors, Neural tube defect, COVID, Zakho

Concomitant COVID 19 Infection And NTDS

2022-09
World Famil Medicine Journal (Issue : 9) (Volume : 20)
Introduction: Documented articles have determined that viral illness during early pregnancy and several antiviral drugs are associated with an increased risk for neurodevelopmental congenital anomalies of the newborn. These include NTDs, the most common and severe malformations of spinal cord (spina bifida) or brain (anencephaly, encephalocele, hydrocephalus), which develop within 6 weeks of pregnancy with an incidence of one in 1000 neonates worldwide and they cause lifelong neurological complications. The aim of this study is to describe the clinical characteristics of simultaneous cases of COVID 19 in pregnant women with neural tube defects in their newborns. Patient and methods: This is descriptive study case series including cases of Neural Tube Defects when their mothers were affected with COVID-19 infection that was reported in Zahko Maternity hospital. Those in the labour unit were enrolled in this study and the cases was collected during the period 1st January 2020 and 1st January 2022. The information collected through direct interview with the mothers through questionnaire includes the information about the socio-demographic, obstetrical history and history of COVID 19 infection, severity presence of fever and type of medication received.

A study of HBV infection and its risk factors in pregnant women in Zakho city, Iraq

2022-08
PLoS ONE 17(8): e0273362. https://doi.org/10.1371/journal.pone.0273362 (Issue : 0273362) (Volume : 17)
Background Despite vaccine and antiviral treatment availability, hepatitis B virus (HBV) continues to circulate among pregnant women in Iraq. HBV spread is due to many factors. This study evaluated HBV prevalence among pregnant women and Syrian refugees residing in Zakho city, Iraq, and identified risk factors associated with infection. Materials and methods Demographic data were collected from 2,054 pregnant women via a questionnaire assessing risk factors associated with HBV infection. Blood samples were collected for hepatitis B surface antigen (HBsAg) and were screened using an enzyme-linked immunosorbent assay.

Neural Tube Defects Trend,is COVID 19 Responsible for Increased Rates?

2022-05
Pakistan Journal of Medical &Health sciences (Volume : 7)
many studies reported the association between NTDs and maternal fever, , infection like toxoplasma, rubella and cytomegalovirus, this study aimed to give the trend of the NTDs in Zakho and find if it was related to new epidemic of COVID19. Patient and method: This is study have two lines 1 st studying the trend of the prevalence of NTDs depending on the health directorate statistics from Jan. 2013 to December 2021. The 2 nd is a case series of 18 case of NTDs with COVID19 infection that reported in Zakho Maternity hospital labour unit.

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