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        1 - The relationship between the predominant dietary pattern of pregnant women and the results of thyroid screening of their newborns
        Nasim Hasanzadeh Forouzandeh Dashti shahla Mohamadirizi Hosein Hajianfar
        Introduction: The health of the baby is one of the indicators contributing in development of the countries, and its relationship with the mother's diet has been proved. Scientific researches In terms of the effect of the diet of pregnant women on the health of the newbo More
        Introduction: The health of the baby is one of the indicators contributing in development of the countries, and its relationship with the mother's diet has been proved. Scientific researches In terms of the effect of the diet of pregnant women on the health of the newborn, enhancing of this diet can be aimed at improving the health of the newborn. Newborn thyroid screening at birth is one of the common tests in the country, and it is valuable to examine the factors affecting its results.Methods: This study was a descriptive method of correlation type and 280 mothers were selected as available in the Gharazi hospital. The questionnaires included demographic information and FFQ dietary pattern with 117 items. The information was entered into spss software version 20 for analysis.Results: According to the results of this study, the level of thyroid stimulating hormone (TSH) in 263 babies (94.9%) was less than 4 and healthy babies, and in 14 babies (5.1%) was more than 4 and babies with hypothyroidism. The average TSH in infants was 2.05±1.12. Three healthy, western and traditional food patterns were observed in the mothers of these babies. A healthy diet reduces the risk of increasing TSH levels, and there was a correlation between the western diet and an increase in TSH more than 4, and a correlation between the traditional diet and a decrease in TSH less than 4, but none of the relationships were statistically significant. Evidence of the existence of an inverse and significant relationship between the education level of the mother and her western food pattern and the weight loss of the baby was observed at the error level of 1%.Conclusion: The evidence showed that in a healthy mother's diet, the newborn's TSH level and the newborn's weight are within the normal range. The risk of consuming western and traditional foods should be reminded to mothers by health workers. Manuscript profile
      • Open Access Article

        2 - Experiences of Mothers with a Child with a History of Esophageal Atresia at Preschool Age: a Phenomenological Study
        Forouzandeh Dashti Masoumeh Shahbaz Ghahrouei Heidarali Abedi
        Background: Esophageal Artesia is one of the neonatal malformations that has contradiction with life and is neonatal surgery emergency. This anomaly makes many problems for mothers because they have to look after their operated babies. Due to this illness in digestion s More
        Background: Esophageal Artesia is one of the neonatal malformations that has contradiction with life and is neonatal surgery emergency. This anomaly makes many problems for mothers because they have to look after their operated babies. Due to this illness in digestion system and negative effect on infant nutrition, growth and development, it might result in mother’s and child’s unsuitable quality of life for many years.Methods: The study uses a qualitative approach to phenomenology. Sampling method is based on objective and is done until data saturation. Information from16 unstructured interviews with 10 mothers who have children with a history of Esophageal Artesia surgery has been collected. Colaizzi method is used for data analysis.Results: Interviews were extracted and analyzed. Seven themes and sub concepts were identified which were: 1-knowledge and awareness,2- readiness for acceptance and compatibility with the child's medical condition, 3-support and companionship,4- effective services of health care system, 5-concern and anxiety,6- tough and difficult moments of living with pediatric patients and complications 7- disease problems of Esophageal Artesia in children.Conclusions: The results of this study represent a wide range of problems and needs of mothers with a child with Esophageal Artesia. Child’s parents often have not adequate education, support of the treatment team, and don’t follow up after they leave hospital. Therefore, with forming multipurpose group in hospital and home visiting mother and child as a cure, attention was paid until child’s health condition recovered. Manuscript profile