Print ISSN: 0027-1446

Online ISSN: 2309-6217

Main Subjects : Gynecology

Knowledge, Attitude and Perception of Married Women Toward Family Planning in Shekhan City

Jinan Nori Hasan

Annals of the College of Medicine, Mosul, 2022, Volume 44, Issue 1, Pages 70-75
DOI: 10.33899/mmed.2021.131885.1119

The current study represents a cross sectional study and included 350 married women with ages range between 15 to 45 years from Shekhan city to study their information, attitude and practice concerning contraceptive methods and family planning (FP). The current work revealed presence of high percentage of parity of participant married women (5 and more) which record 107(30.6%), and nearly 63 (18%) of participants were pregnant at study time. Majority of participants think that FP is useful and 162(46.3%) of the enrolled females employed one of FP methods at study time. The most common cause of non-using FP methods is one or both parents want more children. The most common methods used are male condom, IUCDs and contraceptive pills .
The level of awareness was not optimal in regards to FP and contraceptive methods. Modified educational and counselling interferences among child bearing age females messages concerning FP were focused on males mainly so more short courses and seminars in various populations are recommended .

The Effect of Maternal Obesity on The Placental Histology

Harith Al-Ali; luma Al-Allaf

Annals of the College of Medicine, Mosul, 2020, Volume 42, Issue 2, Pages 148-156
DOI: 10.33899/mmed.2020.127435.1038

Background: Obesity become one of the most universal medical problem that affect women at reproductive periods. . It has complicated drawbacks in mother and child appeared immediately or after long time.
Aims: so the aim of this study to evaluate the placental histological changes of obese mothers in comparison to women with normal body mass index.
Methods: This work is prospective case- control study which were examined placentas that were obtained from 40 singleton pregnant women who delivered at Al-Khanssa Maternity Teaching Hospital, Mosul, Northern of Iraq starting from December 2019 to February 2020. The women were classified into two groups: Group 1 which includes 20 women with BMI ranged between 18-24.9 kg/m2, and Group 2 which includes 20 women with BMI ≥ 30. Two placental biopsies were obtained from maternal side and fetal side of each case and submitted for histological examination via light examination.
Results: The histopathological examination of placental sections obtained from obese mothers showed several placental changes compared to those of control group. The most frequent feature among these sections is the presence of syncytial knotting in 13(65%) out of 20 placentas.In addition, features of hypovascular villi, villous fibrinoid necrosis are noticed in 10 (50%) of these sections, while thickening of trophoblastic basement membrane was occur in 9 (45%) of these sections. On the other hand, the histopathological examination of placental sections obtained from obese mothers revealed presence of perivillous fibrin deposition which was appeared in 10 (50%) of these sections .Features of stromal fibrosis were noticed in (40%) of sections. Other placental changes are seen in placental sections obtained from obese mothers including presence of nucleated red blood cells (NRBC) in fetal capillaries, chorangiosis, villous edema, paucity of vasculosyncytial membrane VSM, inflammation, apoptosis and decidual fibrinoid necrosis.
Conclusion: this work revealed a marked increase in the frequencies of different placental changes in obese mothers in comparison with controls. Further studies are recommended to clarify the exact mechanisms that stand behind these histological changes.