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Ramsar-Northern Iran, Autumnal view of the foggy Jungle
(photo by M.H.Azizi MD, November 2011)
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Archives of Iranian Medicine: 2011 and beyond
AIM will be published monthly from 2012 with an increased focus on preventive medicine and public health. In its 14th birthday, this switch from bimonthly publication, will complete the Journal’s 4-year transition from a quarterly journal. This change will not only allow us to present the recent advances in medical sciences in a more timely fashion to our readers, but also shorten the wait time for the authors, and has been made possible with the constant support and enthusiasm of our contributors and reviewers. More...
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| Excerpts from Persian medical literature
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Fauna and Bioecology of Sand Flies in Jask Country, the Endemic Focus of Cutaneous Leishmaniasis in Hormozgan, Iran
The cutaneous leishmaniasis has been regularly spread in Iran. Jask County which has been located in the eastern part of Hormozgan Province had the most cases of patients. The present study aimed to investigate on the fauna and biology of sand flies.
In this descriptive, cross sectional study, during 2007–2008, sand flies were captured using sticky papers and CDC miniature light traps. Flies species were identified using microscopic method. Parity rate was examined by dissection to chequer accessory glands for pigments. The ELISA method was used for detection of anthropophagic index.
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A Monthly Peer-Reviewed Medical Journal Published by the Academy of Medical Sciences of the I.R. Iran; Indexed in PubMed/MEDLINE, ISI Web of Science, EMBASE, SCOPUS, CINHAL, PASCAL, CSA, SID, ISSN: Print 1029-2977, Online 1735-3947.
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Rise in Cesarean Section Rate Over a 30-Year Period in a Public Hospital in Tehran, Iran.
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Download PDF Fulltext
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Authors:
*Mohammad Hossein Badakhsh1, Mahsan Seifoddin2, Nahid Khodakarami3, Roya Gholami4, Sedigheh Moghimi5, |
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Authors’ affiliations: Department of Gynecology and Obstetrics, Firoozgar Hospital, Tehran University of Medical Sciences, Tehran, Iran. Endocrinology Institute, Firoozgar Hospital, Tehran University of Medical Sciences, Tehran, Iran, Research Institute on Reproductive Health and Infertility, Shahid Beheshti Medical University, Tehran, Iran, Nursing School, Shahid Beheshti Medical University, Tehran, Iran, Department of Obstetrics, Hospital of Melli Bank, Tehran, Iran.
•Corresponding author and reprints: Mohammad Hossein Badakhsh MD, Department of Gynecology and Obstetrics, Firoozgar Hospital, Tehran University of Medical Sciences, Firoozgar Hospital, BehAfarin St., Karimkhan St., 15937-48711, Tehran, Iran. Tel: +98-218-214-1600, Fax: +98-218-894-2622, E-mail: M_H_Badakhsh@yahoo.com
Accepted for publication: 7 September 2011
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Keywords:
Cesarean section, infant mortality, maternal mortality, midwifery
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BACKGROUND: Numerous studies show a growing trend in cesarean section rates throughout the world, including Iran. However, existing evidence in our country is scant and previous reports are restricted to short time periods. The aim of the current study is to measure the trend in cesarean sections (CS) rates over the past 30 years in a referral hospital in Tehran.
METHODS: We routinely collected data on the demographic characteristics of all women who gave birth in the hospital during the study period. The mode of delivery and the personnel in charge of delivery has likewise been recorded for each birth during the study period. The data were extracted from medical records and entered into a structured checklist.
RESULTS: The rate of CS out of all deliveries increased from 14.3% in 1979 to 22.7% in 1989, 52.5% in 1999, and 85.3% in 2009 (P < 0.001). The most common reason for CS was a repeated section. The percentage of vaginal deliveries performed by midwives has not changed significantly and the number of both midwives and obstetricians per 1000 births has increased, from 2.8 to 15.4 midwives per 1000 births and from 5.5 to 23.0 obstetricians per 1000 births.
CONCLUSION: Immediate strategies should be adopted to prevent the rising trend and increasing number of unnecessary CS in Iran.
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ISSN:1029-2977
Article type:Original
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