Background and Objective: Prolonged pregnancy influences different aspects of maternal and neonatal health. Although it is generally accepted that drug intervention is necessary before labor in prolonged pregnancy, there is still debate about the termination time of the pregnancy. Regarding the high prevalence of prolonged pregnancy we studied the neonatal health in the  hospitalized women with prolonged pregnancy in kashan, in 2002-2003.
Materials and Methods: This descriptive study was carried out on 450 women at gestational age over 40 weeks (based on their LMP or sonography before 30 weeks) admitted for termination of pregnancy by induction. The cases had no obstetrical problems. Neonatal health including type of delivery and dystocia, fetal distress, meconium, apgar in 5 minutes, NICU (neonatal intensive care unit) stay and weight were recorded and the cases were categorized into 4 groups based on gestational age: 40 weeks to 40weeks and 3days, 40weeks and 4days to 41weeks, 41weeks and 1days to 41weeks and 3days and 41weeks and 4days and more. The results were analyzed by descriptive statistics chi-square, Kruskal-Wallis, and Mann-Whitney.
Results: The results showed that studied women terminated their pregnancy as follows: 131 individuals (29/1%) terminated their pregnancy during 40 to 40weeks and 3 days, 150(33.3%) during 41 weeks and 1 day to 41 weeks and 3 days, and only 39 women (8/7%) terminated their pregnancy after 41weeks and 3days, 12 (2/7%) of whom were over 42 weeks. There was no significant difference between women in fetal stress, meconium, apgar in 5 minutes, NICU stay, neonatal weight, type of delivery and dystocia. However, the studied groups differed singnificantly in terms of cesarean cause based on pregnancy. Statistical tests showed that the studied groups in terms of mother's age (P=0.4), the history of prolonged pregnancy (p=0.08), number of parities (p=0.7), dilatation (p=0.2), cervix effacement based on pregnancy age had no significant difference.
Conclusion: Based on the study results, termination of pregnancy prior to 41.5 weeks of gestational age due  to fear of neonatal outcome is not necessary. Pre- term intervention  can cause enhancement of cesarean. Thus, pregnancy termination could be delayed in pregnant women who are under control and have no compilcations.

Background and Objective: Maternal mental state is closely related to the fetus. Therefore, the current study aimed to assess the relationship between depression and anxiety of pregnant women with neonatal anthropometric indicators (birth weight, height and head circumference).

Materials and Methods: In this cross-sectional study with correlational approach, 146 pregnant women in their third trimester of pregnancy were selected with cluster sampling. Data were collected using DASS-42 questionnaire and were analyzed with SPSS-16 using statistical analysis of Pearson correlation and ANOVA.

Results: The mean age of participants was 28.4± 6.12 years. Their level of depression and anxiety was 50.7% and 70.5% (mild to severe), respectively. Mean and SD of weight were3000±482.04 gr. Height and head circumference at birth  in neonates were 49.58 ±1.84 cm and   34.19± 1.56cm, respectively. Findings showed that depression and anxiety of pregnant women had a significant negative relationship with birth weight and height (p<0.01). It means that with an increase in depression and anxiety, there was a decrease in weight and height at birth. No significant relationship was found between maternal depression and anxiety with head circumference at birth (p>0.05).

Conclusion: It is recommended that first and second level preventive measurements be undertaken as related to maternal psychological symptoms (depression and anxiety) in order to prevent their intrauterine development and subsequent disorders.

This case study includes three pregnant women with COVID-19 diagnosed during pregnancy or delivery between March 28 and May 13, 2020. All cases were confirmed by a positive pharyngeal reverse transcription polymerase chain reaction (RT-PCR) test and one case by computed tomography scan (CT Scan) in addition to the (RT-PCR). Clinical and laboratory information was extracted from hospital records during pregnancy and delivery. The adverse effects during pregnancy and after the birth of the newborn, the possibility of vertical transmission from positive pregnant mothers to the neonates were investigated. Of the three women with COVID-19 infection, one patient was diagnosed two weeks before delivery and two were diagnosed during delivery and hospitalization. No adverse effects including preeclampsia, gestational hypertension, rupture of the amniotic sac during pregnancy and premature delivery were observed but one of the patients suffered from intrauterine fetal death (IUFD). in this study,  adverse pregnancy outcome was not observed in  pregnant women with Covid-19  infection  based on hospital observations. No vertical transmission was observed following vaginal delivery or cesarean section and during pregnancy. As the effect of the virus on different people in society varies according to their individual characteristics, our conclusion in this study on pregnant women is also affected by these individual differences, which requires further studies in this field with more samples.