بررسی ارتباط میان آلودگی آب (آرسنیک) و ایجاد زایمان زودرس

نوع مقاله : Original Article(s)

نویسندگان

1 دانشیار، گروه زنان و زایمان، دانشکده‌ی پزشکی، مرکز آموزشی درمانی الزهرا (س)، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

2 استادیار، گروه زنان و زایمان، دانشکده‌ی پزشکی، مرکز آموزشی درمانی شهید بهشتی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

3 گروه زنان و زایمان، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

10.48305/jims.v42.i796.1137

چکیده

مقاله پژوهشی




مقدمه: اعتقاد بر این است که علت بسیاری از پیامدهای نامطلوب بارداری مانند زایمان زودرس، آلودگی محیطی است. یکی از مهم‌ترین آلاینده‌ها، آرسنیک موجود در آب است. هدف از این مطالعه، بررسی رابطه بین مسمومیت با آرسنیک و ایجاد زایمان زودرس بوده است.
روش‌ها: این مطالعه مقطعی بر روی بیماران مبتلا به زایمان زودرس در مقایسه با گروه شاهد با زایمان ترم انجام شد. از همه‌ی بیماران برای ارزیابی سطح آرسنیک نمونه‌ی ادرار گرفته شد.
یافته‌ها: میانگین سنی در گروه مادران بدون زایمان زودرس 4/63 ± 24/45 سال و در گروه مادران زایمان زودرس 18/94 ± 25/3 سال بوده است (0/231 = P). میانگین سطح آرسنیک در گروه مادران بدون زایمان زودرس 20/44 ± 8/24 و در گروه مادران با زایمان زودرس 7/05 ± 22/75 بود (0/368 = P). در گروه مادران با زایمان زودرس late، سطح آرسنیک با میانگین 24/15 ± 4/63 به طور معنی‌داری بالاتر بوده است (0/045 = P) در حالی که این نتیجه در موارد مادران با زایمان زودرس early با میانگین سطح آرسنیک 6/12 ± 21/05 وجود نداشت (0/78 = P).
نتیجه‌گیری: بین میزان آرسنیک ادرار و وقوع زایمان زودرس رابطه‌ی معنی‌داری یافت نشد. اگرچه داده‌های ما رابطه‌ای را با زایمان زودرس late و سطح آرسنیک نشان داد. آزمایشات جامع‌تری برای بررسی داده‌های مطالعاتی ما توصیه می‌شود.

تازه های تحقیق

مینو موحدی: Google Scholar 

 

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Investigating the Relationship between Water Pollution (Arsenic) and Preterm Birth

نویسندگان [English]

  • Minoo Mohvahedi 1
  • Maryam Dehghan 2
  • Mina Golvarinejad 3
1 Associate Professor, Department of Obstetrics & Gynecology, School of Medicine, Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
2 Assistant Professor, Department of Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
3 Department of Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]

 
Background: Many adverse pregnancy outcomes, such as preterm birth, are believed to be caused by environmental pollution. One of the most significant polluters is arsenic in the water. In this study, we aimed to evaluate the relationship between arsenic and the development of preterm birth.
Methods: This cross-sectional study was conducted on patients with preterm birth compared with a normal control group. All patients underwent urine samples to assess arsenic levels.
Findings: The mean age in the group of mothers without preterm birth was 24.45 ± 4.63, and the mean age in the group of mothers with preterm birth was 25.18 ± 3.94 (P = 0.231). The mean arsenic level in mothers without preterm birth was 20.44 ± 8.24, and the mean arsenic level in the group of mothers with preterm birth was 22.75 ± 7.05 (P = 0.368). In late preterm birth, the mean Arsenic level was higher with slight significance, with a mean of 24.15 ± 4.63 (P = 0.045). This observation didn’t exist in early preterm birth with the mean Arsenic level of 21.05 ± 6.12 (P = 0.78).
Conclusion: We couldn’t find any significant relationship between urine arsenic levels and the occurrence of preterm birth. However, our data showed a relationship between late preterm birth and Arsenic levels. More comprehensive trials are recommended.

کلیدواژه‌ها [English]

  • Chemical water pollutants
  • Arsenic
  • Preterm birth

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مجله دانشکده پزشکی اصفهان
دوره 42، شماره 796
هفته 4، بهمن
بهمن و اسفند 1403
صفحه 1137-1142

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  • تاریخ دریافت: 13 آبان 1403
  • تاریخ پذیرش: 11 دی 1403

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