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Prevalence and risk factors associated with preterm births in Neyshabur hospitals, Eastern Iran
Mehrdad Rohaninasab, Masumeh Hesari, Zahra Mollazadeh Narestan , Akram Gazerani,
Volume 21, Issue 3 (10-2024)
Abstract
Background: The increasing prevalence of preterm birth in many societies has raised concerns. This study was conducted to determine the prevalence and risk factors associated with preterm birth in hospitals in Neyshabur, Eastern Iran.
Methods: This cross-sectional study was conducted on 273 neonates born before 37 weeks of gestational age between 2017 and 2019 in the educational hospitals of Neyshabur. The infants were included in the research through convenience sampling. The research tool consisted of items addressing issues related to both mothers and newborns. Data analysis was performed using SPSS version 22, employing descriptive and analytical statistics, including chi-square and Fisher's exact tests.
Results: The rate of preterm birth in Neyshabur over the three-year period was 2.85%. Bicornuate uterus (1.83%) and cervical insufficiency (1.46%) were the most observed uterine factors, while umbilical cord prolapse (1.83%) and placental adhesion (1.46%) were the most prevalent placental factors. Moreover, breech presentation (10.98%) was the most common co-occurring fetal factor in preterm birth. A significant difference was found between the length of pregnancy and the type of delivery (vaginal or cesarean section) (P=0.003).
Conclusion: Due to the high prevalence of preterm birth in Neyshabur, it is recommended that mothers undergo periodic evaluations before and during pregnancy to identify and manage any accompanying problems or underlying conditions promptly.
 

Exploration of the needs and potential spiritual capacities of mothers of premature infants hospitalized in the neonatal intensive care unit: A Qualitative Study
Naghme Razaghi, Zahra Kariznoei , Narges Yaghoobi Beglar, Nasir Zaidi ,
Volume 21, Issue 4 (12-2024)
Abstract
Background: The birth of a premature baby and the long treatment process lead to conflict and inconsistency between the hope, values, and beliefs of mothers and the occurrence of spiritual distress. This study aims to explore the needs and potential spiritual capacities of mothers of premature babies admitted to the NICU.
Methods: This qualitative content analysis study included 15 mothers of premature infants hospitalized in four neonatal intensive care units in Mashhad, Iran, in 2021. The participants were selected using purposeful sampling and engaged in deep, semi-structured interviews with the FICA (faith, importance, community, address) questionnaire. The study included mothers of premature babies born between 28 and 32 weeks who were hospitalized for at least three days, did not have mental disorders, and were identified as Iranian or Muslim. The data were analyzed using the content analysis method developed by Granheim and Lundman.
Results: The data analysis revealed four main themes. The first theme referred to "potential spiritual capacities," with subthemes including belief in a divine source, belief in religious rituals, and empathetic support. The other three themes refer to spiritual needs, including “challenges of faith,” encompassing subthemes of doubts in beliefs and guilt, “need for compassionate care,” which includes subthemes related to the necessity of a deep connection between the nurse and the mother, the need for dignity in care, and finally, ‘need for value and positive expectations,’ featuring subthemes addressing the challenges of meaning of life and the need for hope, highlights the spiritual needs of mothers.
Conclusion: Many parents of premature babies share similar spiritual needs. This research provides a new perspective for understanding the spiritual needs of premature baby mothers. Nurses should assess these needs and design appropriate interventions according to their potential spiritual capacities.
 

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