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Publisher: Mashhad University of Medical Sciences   (Total: 15 journals)   [Sort by number of followers]

Showing 1 - 15 of 15 Journals sorted alphabetically
Archives of Bone and Joint Surgery     Open Access   (Followers: 7, SJR: 0.628, CiteScore: 1)
Avicenna J. of Phytomedicine     Open Access   (SJR: 0.535, CiteScore: 3)
Intl. J. of Pediatrics     Open Access   (Followers: 4)
Iranian J. of Basic Medical Sciences     Open Access   (SJR: 0.538, CiteScore: 2)
Iranian J. of Medical Physics     Open Access   (SJR: 0.239, CiteScore: 0)
Iranian J. of Neonatology     Open Access   (Followers: 4, SJR: 0.151, CiteScore: 0)
Iranian J. of Otorhinolaryngology     Open Access   (SJR: 0.269, CiteScore: 1)
J. of Cardio-Thoracic Medicine     Open Access   (Followers: 2)
J. of Evidence-based Care     Open Access   (Followers: 7, SJR: 0.152, CiteScore: 1)
J. of Fasting and Health     Open Access   (Followers: 1)
J. of Fundamentals of Mental Health     Open Access  
J. of Midwifery and Reproductive Health     Open Access   (Followers: 15)
J. of Paramedical Sciences & Rehabilitation     Open Access  
Nanomedicine J.     Open Access  
Reviews in Clinical Medicine     Open Access   (Followers: 2)
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Journal of Midwifery and Reproductive Health
Number of Followers: 15  

  This is an Open Access Journal Open Access journal
ISSN (Online) 2345-4792
Published by Mashhad University of Medical Sciences Homepage  [15 journals]
  • The Effect of training Emotional Support to Fathers on Acute Stress
           Disorder in Mothers of ...

    • Abstract: Background & aim: Prematurity and the admission of preterm infants in neonatal intensive care units (NICUs) may pose emotional and practical challenges for parents and can cause acute stress disorder (ASD) in their mothers in case of mismanagement. Emotional support training to fathers may prevent mothers from these symptoms. Therefore, we aimed to investigate the effect of training emotional support to fathers on ASD symptoms in the mothers of preterm newborns admitted to NICUs. Methods: This clinical trial was conducted on 61 parents, 31 of whom were assigned into the intervention group, with preterm infants admitted in NICUs of Omolbanin Women's Hospital, Imam Reza Hospital, and Ghaem Hospital in Mashhad, Iran, 2016. The parents in intervention group were trained the skills of emotional support in one 120-minute session. Then, they received the educational content in the form of a brochure. The participants in control group received routine care. Prior to the intervention and four weeks after the birth, the mothers in both groups completed the Stanford Acute Stress Reaction Questionnaire (SASRQ) and the emotional support scale (ESS). Data analysis was performed using independent and paired t-tests, as well as Mann-Whitney U, Chi-squared, and Fisher’s exact test and two-way analysis of variance in SPSS software, version 16.  Results: The mean scores of SASRQ obtained by the intervention and control groups were 20.7±11.0 and 54.6±24.3, respectively in post-intervention phase. The results of the independent t-test showed a significant difference between the groups in terms of SASRQ scores (P<0.001). Conclusion: Given the positive effect of training emotional support to fathers on ASD symptoms in mothers of preterm newborns admitted to NICUs, it is recommended to plan and implement such training courses for fathers during and after birth.
      PubDate: Tue, 19 Jun 2018 19:30:00 +010
       
  • Healthcare workers’ knowledge and strategies utilised for the
           prevention and management of ...

    • Abstract: Background & aim: Sepsis is a major cause of neonatal mortality in the developing countries. The prevention and management of this infection require informed workforce and availability of necessary resources and equipment. Regarding this, the present study was conducted to investigate healthcare workers’ neonatal sepsis knowledge; prevention and management strategies in use for the control of the infection as well as barriers to prevention and management of this infection.Methods: This descriptive cross-sectional study was conducted among 300 healthcare workers selected through purposive sampling technique. To collect data a self-structured questionnaire, containing 42 items in three sections including socio-demographic data, knowledge regarding the causes, prevention, and management of neonatal sepsis and also barriers to the prevention of neonatal sepsis was used. Data analysis was performed using descriptive statistics and Chi-square test. P-value less than 0.05 was considered statistically significant.Results: The results show that the majority of respondents (79.4%) had a good level of knowledge regarding the causes, prevention, and management of neonatal sepsis. However, 20.3% and 0.3% of them had fair and poor levels of knowledge in this regard, respectively. The healthcare workers’ knowledge level was significantly associated with their profession (X2=10.30, df=4, p=0.036) and health institutions (X2=32.45, df=6, p=0.001). The most frequently utilised prevention strategies among the respondents were equipment sterilization, regular changing of bed sheets, and safe delivery practices. The most frequently adopted management strategies mainly included use of antibiotics and effective breastfeeding. Additionally, the barriers to the prevention and management of neonatal sepsis were identified as poor staffing, parents’ inability to pay for services, and lack of the necessary equipment and resources.Conclusion: As the findings indicated, it is essential to provide the healthcare workers with in-service education on neonatal sepsis. In addition, it is required to improve the availability of equipment and other resources for the prevention and management of neonatal sepsis.
      PubDate: Sun, 17 Jun 2018 19:30:00 +010
       
  • The Relationship between Sexual Satisfaction and Genital Self-image in
           Infertile Women

    • Abstract: Background & aim: In most cases, infertility can have a profound impact on sexual relationship. In such a condition, individuals often have unpleasant feelings towards their bodies, lose their self-confidence, feel depressed and frustrated, and experience decreased sexual desire. Therefore, we sought to investigate the relationship between sexual satisfaction and genital self-image among infertile women. Methods: This cross-sectional study was conducted on 102 infertile women visiting Milad Infertility Center in Mashhad, Iran, during 2016. To select the participants, the convenience sampling method was used. The inclusion criteria were being Iranian and Muslim, having basic literacy, being aged 18-40 years, living with the spouse, not becoming pregnant after about one-year of regular and unprotected sexual intercourse, having a primary diagnosis of infertility as confirmed by a gynecologist, and being formally married. Moreover, the data collection instruments included a demographic form, the Female Genital Self-image Scale, and Golombok-Rust Inventory of Sexual Satisfaction. To analyze the data, Mann-Whitney U test, Chi-square test, Pearson product-moment correlation, and linear regression analysis were run in SPSS, version 16. Results: The mean scores of genital self-image and sexual satisfaction in infertile women were 47.40±9.71 and 61.03±9.81, respectively, indicating a significant correlation between genital self-image and sexual satisfaction in infertile women (r=-0.500, P
      PubDate: Mon, 11 Jun 2018 19:30:00 +010
       
  • Prevalence of Sexual Dysfunction among Reproductive-age Women in Iran: A
           Systematic Review and ...

    • Abstract: Background & aim: Sexual dysfunction is one of the most common problems in women which negatively affect their quality of life, self-esteem, and interpersonal relationships. The prevalence of this problem varies in different studies. Regarding this, this review was conducted to provide a clear picture of the prevalence of sexual dysfunction among reproductive-age women in Iran using a systematic review and meta-analysis. Methods: The relevant articles published up to April 9, 2017 were searched both in the international including Google Scholar, PubMed, Scopus and national electronic databases such as SID, IranMedex, Magiran, and Irandoc. The searching process was accomplished using a set of standard keywords. The data were analyzed using RevMan software, version 5.3. Results: Thedatabase search resulted in the retrieval of 1,024 articles, 9 cases of which were selected for systematic review. Out of the selected studies, seven articles were eligible to be included in the meta-analysis. According to the results of the reviewed studies, the pooled prevalence rate of sexual dysfunction among the reproductive-age women was estimated as 52% (95% CI: 39-66%). Furthermore, the pooled prevalence of sexual dysfunction in the domains of sexual desire, sexual arousal, lubrication, sexual pain, and orgasm was estimated as 39% (95% CI: 35-42%), 34% (95% CI: 21-46%), 32% (95% CI: 21-43%), 38% (95% CI: 24-51%), and 30% (95% CI: 22-38%), respectively. Conclusion: The results of the retrieved studies demonstrated that sexual dysfunction is a common health problem among the Iranian women of reproductive age. However, more high-quality research is needed in this area. 
      PubDate: Mon, 11 Jun 2018 19:30:00 +010
       
  • Effect of Chewing Gum on Post Cesarean Ileus in the North East of Iran: A
           Randomized Clinical Trial

    • Abstract: Background & aim: Cesarean section (CS) accounts for 35% of all surgical operations in Iran. Post cesarean ileus is a complication of CS. There are various pharmaceutical and non-pharmaceutical ways for the treatment of this condition. Given the fact that the non-pharmaceutical approaches are better tolerated and often inexpensive, the present study was conducted to evaluate the effect of chewing gum on post cesarean ileus.Methods: This clinical trial was conducted on 93 patients undergoing CS (i.e., elective or urgent CS) at Sabzevar Mobini Hospital, Savzevar, Iran, between July 2013 and September 2014. The study population was selected using convenience sampling technique and assigned into two groups of chewing gum (n=35) and control (n=58) groups. The subjects in the chewing gum group were encouraged to chew gum at defined intervals. Both groups were evaluated for pain, bowel sounds, first defecations, gas passage, and feeling bowel movements. Data analysis was performed in SPSS software, version 21.Results: There was no significant difference between the two groups in terms of the auscultation of first bowel sound, first record of gas passing, and first defecation. The logistic regression models showed that chewing gum was significantly associated with reduced post-operative pain while controlling for surgery duration as a confounding factor (OR: 0.79, 95% CI for OR=0.63, 0.99). However, chewing gum showed no significant relationship with bowel sounds, first defecations, gas passage, and feeling bowel movements.Conclusion: As the findings indicated, the use of chewing gum after CS was ineffective in the reduction of ileus. However, this practice was only capable of mitigating post-operative pain, and therefore can be used as an adjuvant technique for the management of post-operative pain.
      PubDate: Sat, 09 Jun 2018 19:30:00 +010
       
  • A Systematic Overview of Reviews on the Efficacy of Complementary and
           Alternative Medicine in ...

    • Abstract: Background & aim: This systematic overview of reviews on complementary and alternative medicine (CAM) was performed to summarize the clinical efficacy of this approach in the treatment of erectile dysfunction (ED) and assess methodological quality of the included reviews.Methods: A comprehensive search was performed to find the systematic reviews and meta-analyses on CAM interventions (e.g., acupuncture, saffron, yohimbine, and ginseng) for ED treatment, published until October 2017. To this end, we searched the international databases, including PubMed, Scopus, and Cochrane, as well as Iranian databases, such as SID, IranMedex, and Magiran. The assessment of the methodological quality of the included systematic reviews was accomplished using the AMSTAR scale.Results: The searching process led to the inclusion of five systematic reviews examining CAM therapies, including acupuncture, saffron, Yohimbine, and ginseng. The methodological quality of the retrieved reviews was at a favorable level. Positive results were found for the administration of yohimbine, saffron, and ginseng as treatment agents for ED. However, there was insufficient evidence regarding the effect of acupuncture on this health problem. Major methodological defects included the use of a grey literature search, likelihood of publication bias, and conflicts of interests.Conclusion: As the findings indicated, CAM appeared to be an effective treatment for ED. However, it is essential to conduct further studies on the safety and value of CAM for the management of this condition.
      PubDate: Fri, 01 Jun 2018 19:30:00 +010
       
  • TThe Relationship between Sexual Assertiveness and Positive Feelings
           towards Spouse in Married Women

    • Abstract: Background & aim: Stability and survival of marital life depends on the love and positive feelings towards spouse in married couples. Sexual assertiveness is considered as a person's ability to have intercourse to meet his/her sexual needs and promote sexual relationships with the spouse. The more couples are aware of each other's sexual needs and can satisfy those needs, the more desirably their emotional bond are developed. This study was conducted to determine the relationship between sexual assertiveness and positive feelings towards spouse in married women.Methods: This correlational study was conducted in 2016 on 60 women visiting Imam Reza Medical Center in Mashhad, Iran. The subjects who were selected through convenience sampling were married and involved in a heterosexual marriage for a minimum of one year. Data was collected using Halbert Index of Sexual Assertiveness and Positive Feelings Questionnaire. To analyze the data, Pearson correlation coefficient, multivariate regression, Mann-Whitney U test, and Chi-squared test were run in SPSS, version 16.Results: Higher sexual assertiveness scores were associated with more positive feelings towards spouse. The multivariate regression analysis reflected a significant positive correlation between sexual assertiveness and positive feeling toward spouse (r=0.5, P<0.01).Conclusion: Sexual assertiveness and positive feelings towards spouse are significantly associated, and they affect couples’ emotional and sexual relationship. Considering mutual agreement and sexual rights among couple, providing sexual care and consultancy services are recommended for married women to improve their sexual assertiveness and positive feelings towards their husband.
      PubDate: Fri, 18 May 2018 19:30:00 +010
       
  • The Effect of Pregnancy-related Religious Training on Religious Attitudes
           among Pregnant Women

    • Abstract: Background & aim: Many researchers believe that religious doctrines have persistent effects on the mental and physical health and other aspects of human life. This study aimed to investigate the effect of pregnancy-related religious training on religious attitudes among pregnant women.Methods: This interventional study was conducted on 84 pregnant women with low and medium levels of religious attitudes in 2013. The study population was randomly divided into two groups of intervention (n=42) and control (n=42). The intervention group received religious education within the gestational weeks of 20-28 in six sessions. The control group received routine hospital trainings. The two groups filled out the religious attitude questionnaires before, immediately after, and two months following the intervention. The data were analyzed with SPSS, version 16, using t-test.Results: The results of the independence t-test revealed no significant difference between the two groups regarding the level of religious attitudes before the intervention (P=0.936). However, there was a significant difference between the two groups in this regard immediately after the intervention (P=0.001) and two months post-intervention (P=0.001). The level of religious attitudes increased from weak and moderate to a high rate following the intervention.Conclusion: Given the positive impact of religious education on religious beliefs and attitudes, it is recommended to use this potential in prenatal care planning.
      PubDate: Fri, 18 May 2018 19:30:00 +010
       
  • Comparing the Effect of Workshop and Podcast Training on Knowledge and
           Performance of Midwifery ...

    • Abstract: Background & aim: The increased prevalence of infertility and using assisted reproductive technologies including donation procedures has currently become a public concern. The familiarity of midwives with legal and religious aspects of these procedures is a salient issue in their care giving practice. However, this issue has been less considered in the curriculum planning for midwifery students. Thus, this study investigated the effect of workshop and podcast training on midwifery students’ knowledge and performance in terms of legal and religious aspects of egg donation.Methods: This quasi-experimental study was conducted among 60 undergraduate midwifery students of Islamic Azad University of Mashhad and postgraduate midwifery students at Mashhad School of Nursing and Midwifery, Mashhad, Iran. The university students in the workshop group were trained through lectures accompanied by PowerPoint files for a total of 6-8 hours, while the podcast group received three separate 25-minute audio files and discussed them in a Telegram-based group. The objective structured clinical examination was also administered before and two weeks after the training course at four stations. To analyze the data, Chi-squared test, paired t-test, and independent t-test were run in SPSS, version 16.Results: The mean knowledge scores were significantly different between two groups (P=0.004); however, no significant differences were observed between them in terms of educational performance (P=0.63).Conclusion: Podcast-based training using Telegram was more effective in promoting the students’ knowledge regarding legal and religious issues associated with egg donation compared to workshop training; nevertheless, educational performance increased in the same level using both methods.
      PubDate: Fri, 18 May 2018 19:30:00 +010
       
  • Knowledge and Practice of Umbilical Cord Clamping among Maternity Care
           Providers

    • Abstract: Background & aim: Based on the current scientific evidence, delayed cord clamping (DCC) elevates early hemoglobin concentrations and iron stores in the neonate. However, the persistent practice of early cord clamping (ECC) is still a routine care. The aim of the present study was to investigate the umbilical cord clamping practices of maternity care providers in Oman.Methods: This cross-sectional study was conducted on 175 maternity care providers who were registered members of the Oman Society of Obstetricians and Gynecologists and participated voluntarily in the study. The data were collected using a modified version of an online survey in form of a questionnaire developed by Stoll and Hutton (2012). The data were analyzed using descriptive statistics.Results: According to the results, 61% and 31% of the participants were obstetricians and midwifes, respectively, with more than 10 years of experience. The findings indicated that the timing of cord clamping varied among the participants. 87.4-89.6% of the care providers considered ECC timing to be within 1 min of birth, and 70-72.6% of them clamped umbilical cord within 1 min for both normal term and preterm newborns. The most frequently listed benefits of DCC were the physiologic transitioning of the newborn, enhancement of neonatal iron stores, reduced risk of neonatal anemia, and decreased need for transfusions. 45.7% of the participants considered polycythemia and jaundice as the highest associated risks of DCC. Only 11% of the participants reported that they use hospital policy as a reference guide on decision making regarding the timing of cord clamping.Conclusion: Although the majority of the maternity care providers are aware of the new guidelines regarding the timing of cord clamping, they still follow ECC practice. The high prevalence of ECC highlighted the demand for the implementation of a nation- and hospital-wide policy.
      PubDate: Fri, 18 May 2018 19:30:00 +010
       
  • The impact of Date Palm Pollen Capsule on Vaginal Iubrication and
           Dyspareunia In Menopausal Woman

    • Abstract: Background & aim: Estrogen and androgen deficiency in menopause leads to poor vulvovaginal blood flow, vaginal dryness, and dyspareunia which can reduce the quality of life among the women. In this regard, this study investigated the impact of date palm pollen capsules on vaginal lubrication and dyspareunia in postmenopausal women.Methods: The present triple-blinded, placebo-controlled clinical trial was conducted on 60 ‌menopausal women aged 40-65 years, who referred to the health centers affiliated to the Mashhad University of Medical Sciences, Mashhad, Iran, in 2015. The subjects were randomly assigned to two groups of intervention and placebo (n=30), receiving date palm pollen and placebo capsules (350 mg, daily), respectively, for 35 days. The data were collected at two stages (at the baseline and after treatment) using the Female Sexual Function Index, a part of which evaluated vaginal lubrication and dyspareunia. Data analysis was performed in SPSS (version 16) using the independent t-test, Mann-Whitney U test, and ANCOVA.Results: There was a significant difference between the two groups after the intervention in terms of vaginal lubrication (P<0.001) and dyspareunia (P=0.048). The results of the ANCOVA revealed a significant difference between the intervention and placebo groups regarding the two investigated domains of sexual function by controlling the effect of the confounding factors.Conclusion: As the findings indicated, the administration of date palm pollen could improve vaginal lubrication and reduce dyspareunia in the postmenopausal women.
      PubDate: Fri, 18 May 2018 19:30:00 +010
       
  • Young Women and Men's Attitude towards Childbearing

    • Abstract: Background & aim: Attitude is taken into account as the most important determinant of behavior. However, the present knowledge considering opinions of the youths on the verge of marriage is not sufficient. Therefore, this study aimed to investigate the attitudes towards childbearing in women and men on the verge of marriage attending health centers in Mashhad, Iran.Methods: This cross-sectional study was conducted in 2016 on 170 women and 100 men referring to the premarital counseling centers. The participants were selected through convenience sampling method. The data were collected using the Childbearing Attitudes Scale and analyzed by descriptive statistics and independent t-test by the SPSS.Results: The mean scores of attitudes to childbearing in women and men were 164.03±21.62 and 158.86±24.91, respectively, with no significant difference (P=0.11).  The mean desired number of children was 2.23±1.01 in women and 2.14±0.9 in men. There were significant differences between the attitudes of women and men in terms of the impacts of childbirth on women’s body shape (P=0.01), childbearing as one of the purposes of human creation (P=0.04), and the relationship between the number of children and their upbringing quality (P=0.002). A significant relationship was found between the attitudes and ideal number of children (P=0.001).Conclusion: Attitudes towards childbearing among young adults on the verge of marriage were not so favorable. Consequently, it is essential to implement comprehensive training programs in order to enhance the positive views both in women and men towards childbearing.
      PubDate: Fri, 18 May 2018 19:30:00 +010
       
  • The Practices, Perceptions, and Beliefs of Traditional Birth Attendants
           Regarding Early ...

    • Abstract: Background & aim: Early breastfeeding initiation (EBFI) defined as giving breast milk within the first hours following birth, which is recommended as a simple strategy for the enhancement of neonatal health and survival. This descriptive qualitative study was conducted to explore the practices, perceptions and beliefs of renowned traditional birth attendants (TBA) regarding EBFI in Chipinge rural community, Zimbabwe. Methods: The study population was selected through purposive sampling technique. One-on-one interview was conducted for the purpose of unearthing sensitive issues regarding EBFI. The data were collected using an unstructured in-depth interview to explore the practices, perceptions, and beliefs regarding EBFI. Data analysis was carried out using thematic analysis. To this end, the data were presented in thematic categories using the deductive approach and coded into subthemes, which were then merged into themes. The trustworthiness of the study was enhanced through credibility, dependability, confirmability and transferability. Results: The emerged themes included EBFI preparation, EBFI and significance of colostrum, and determinants of EBFI. The findings revealed that EBFI was not only related to physical and emotional interactions, but also associated with a totality of the person, involving sociocultural ties. The EBFI is viewed as a predictor of maternal sociocultural integrity and the legitimacy of the newborn. In the context under study, failure to breastfeed or to initiate breastfeeding early is thought to be a result of the mother’s past immorality. Breastfeeding in Chipinge community goes beyond the mother-baby interaction. Conclusion: It encompasses the whole person,  that is the physical, social, cultural and spiritual ties. Under this condition, the mother should testify and undergo a ritual cleansing to rectify the problem.
      PubDate: Sat, 31 Mar 2018 19:30:00 +010
       
  • The Effect of Supportive Counseling on the Symptoms of Acute Stress
           Disorder Following ...

    • Abstract: Background & aim: Adverse childbirth experiences can lead to the emergence of mental disorders, such as acute stress disorder (ASD), in mothers in the postpartum period. Birth trauma can occur following aggressive procedures such as emergency cesarean section. This study aimed to determine the effect of supportive counseling intervention on the symptoms of ASD in women after emergency cesarean delivery. Methods: This randomized clinical trial was conducted on 126 women with traumatic emergency cesarean section at Payambar-E Azam and Afzalipoor hospitals in Kerman, Iran. The participants were selected based on DSM-IV criteria. The subjects were randomly divided into the intervention and control groups. The intervention group received individual and face-to-face supportive counseling. The data collection tool was the Acute Stress Disorder Questionnaire, which was completed one and three weeks post-intervention. The data were analyzed using descriptive and inferential statistics by SPSS, version 13. Results: The two groups were comparable in terms of demographic characteristics, pregnancy complications, and midwifery history. Also, there was no significant difference between two groups regarding the depression and anxiety mean scores at the pre-intervention stage. The results revealed a statistically significant difference between the control and intervention groups in terms of all acute stress disorder symptoms after one and three weeks of the intervention (P<0.05). Conclusion: As the findings indicated, the provision of supportive counseling for the mothers with a traumatic emergency cesarean section had a significant impact on the reduction of ASD symptoms.
      PubDate: Sat, 31 Mar 2018 19:30:00 +010
       
  • The Relationship between Prenatal Coping Strategies and Irrational Beliefs
           in Pregnant Woman

    • Abstract: Background & aim: Physiological changes during pregnancy cause high levels of stress in the mother. Thus, the need for maternal psychological adjustment using coping strategies is important. Coping strategies can be influenced by individual beliefs and attitudes. Therefore, this study was performed to determine the relationship between irrational beliefs and prenatal coping strategies. Methods: This descriptive correlational study was conducted on 702 low-risk pregnant women at 35-39 weeks of gestation (gravidity: 3≥) who referred to the health centers of Mashhad, Iran, during 2015. Multi-stage random sampling was used to select the participants (stratified, cluster proportional to size). Data collection tools included Demographic and Midwifery questionnaire, Irrational Beliefs Test, and Revised Prenatal Coping Inventory. Reliability of the scales was determined with inter-class correlation coefficient. Data were analyzed using descriptive statistics, Spearman correlation, regression, and general linear models by SPSS, version 16. Results: Total score of irrational beliefs had a significant direct correlation with avoidance coping strategies (r=0.24, P<0.001), but it had no significant correlation with planning-preparation and spiritual-positive coping strategies (P>0.05). Also, types of irrational beliefs were significantly related to the dimensions of perinatal coping strategies (P<0.001). Conclusion: Considering that types of irrational beliefs can affect stress coping behaviors, it is necessary to include the evaluation of these two issues in prenatal screening.
      PubDate: Sat, 31 Mar 2018 19:30:00 +010
       
  • Predictors of Quality of Life in Pregnant Women Visiting Health Centers of
           Tabriz, Iran

    • Abstract: Background & aim: To have successful pregnancy, it is necessary to focus on the mother’s quality of life during pregnancy. This study was conducted to determine the predictors of quality of life among Iranian pregnant women.  Methods: This cross-sectional study was conducted on 565 pregnant women visiting health centers of Tabriz, Iran, 2015. The participants were selected using the cluster sampling method. Data were collected using socio-demographic and obstetrics characteristics questionnaire, Edinburgh Postnatal Depression Scale, and a specific questionnaire for quality of life in pregnancy. Data were analyzed by SPSS, version 16. General linear model was used to estimate the effects of the independent variables (depressive symptoms and socio-demographic and obstetrics characteristics) on the dependent variable (quality of life). Results: The mean of the total score of quality of life was 2.9±0.3 from the achievable score range of 0-4. There was a significant negative correlation between depressive symptoms and quality of life (r=-0.53, P<0.001). Depressive symptoms, gestational age, and the place of receiving prenatal care were the predictors of quality of life during pregnancy. Women who had low scores of depressive symptoms, were at the second trimester, and received prenatal care from health centers had higher score of quality of life. Conclusion: The most important components affecting pregnant women’s quality of life are mother’s depressive symptoms, gestational age, and place of receiving prenatal care. Interventions such as screening and early treatment of depression must be implemented to improve the quality of life.
      PubDate: Sat, 31 Mar 2018 19:30:00 +010
       
  • What does Klinefelter syndrome mean for men with azoospermia in Japan'

    • Abstract: Background & aim: The aim of this study was to explore the men’s perceptions of being diagnosed with Klinefelter syndrome. Methods: This qualitative study was conducted on five azoospermic men diagnosed with Klinefelter syndrome referring to two special infertility treatment clinics for males in Japan. The paqrticipants were selected through purposive sampling technique.The data were collected by semi-structured interviews within April 2013 to March 2015 and analyzed using a thematic analysis approach. Results: The analysis of the data resulted in the emergence of four themes, including ‘I cannot understand my diagnosis’, ‘the cause of my azoospermia was identified’, ‘I do not have any other healthcare problems besides Klinefelter syndrome’, and ‘Klinefelter syndrome means that I am more likely to have viable sperm’. Through these themes, we found that azoospermic men considered their diagnosis of the chromosomal disorder as good news; and as a reason for their infertility which might not affect their lives. Furthermore, they believed that having Klinefelter syndrome means that they are more likely to have their own child. Conclusion: The men diagnosed with Klinefelter syndrome had various feelings about their diagnosis. They were hopeful about the outcome of undergoing micro dissection testicular sperm extraction (Micro-TESE). These findings are useful for healthcare workers and could raise their awareness; as they understand that those men with Klinefelter diagnosis have higher expectations regarding micro-TESE.
      PubDate: Sat, 31 Mar 2018 19:30:00 +010
       
  • The effect of empathy skills training on the Empathetic behaviours of
           Midwifery students

    • Abstract: Background & aim: Empathy is an important component of establishing effective communication and achieving optimal clinical results. Establishing empathic communication with pregnant women improves satisfaction, mutual trust, participation in treatment, control over delivery process, and maternal health. Therefore, this study aimed to investigate the effect of empathy training on empathic skills of midwifery students of Mashhad University of Medical Sciences, Mashhad, Iran. Methods: This quasi-experimental study was conducted on 73 midwifery students and 438 pregnant women in 2015. The students in the intervention group participated in the empathy training program including training on self-awareness and empathy skills, which was held in two 4-hour sessions for two consecutive days. Then each student was assessed by six pregnant women in terms of empathy behaviors. Data was collected using Jefferson Scale of Patient’s Perceptions of Physician Empathy. Data analysis was performed applying Chi-square, Mann-Whitney U, Wilcoxon, and paired and independent t-tests in SPSS software, version 16. Results: The pre-intervention empathy scores were 88.8±8.9 and 90.0±10.3 in the intervention and control groups. Therefore, there was no significant difference between the groups (P=0.591).The post-intervention empathy scores were 99.4±4.3 and 95.8±7.3 in the intervention and control groups, respectively. Despite the higher score of empathy in the intervention group, no significant difference was observed between the groups (P=0.063). However, the intragroup comparison demonstrated a significant increase in the post-intervention empathy score of the intervention group (99.4±4.3) in comparison to the pre-intervention score (88.8±8.9) (P<0.001). Conclusion: Empathy training could increase the empathy score in midwifery students just in the intervention group. It is recommended to replicate the study in a larger sample.
      PubDate: Sat, 31 Mar 2018 19:30:00 +010
       
  • Factors affecting Discontinuation of the Once-a-month Injectable
           Contraceptive (Cyclofem) in ...

    • Abstract: Background & aim: The developing countries have the contraceptive prevalence rate of 43%. Contraceptive discontinuation accounts for a large number of unintended pregnancies in these countries. The present study aimed to investigate the factors associated with Cyclofem discontinuation. Methods: This historical cohort study was conducted on 198 females, selected through cluster and Poisson sampling techniques. The first dose of Cyclofem was administered one month prior to the research. The data were collected using a questionnaire filled out through interviewing. Results: During the study period, only 3.94% of the health centers clients selected Cyclofem as a contraceptive method. The mean duration of Cyclofem use was 7.1±8.01 months. The likelihood of contraceptive continuation declined with increased consumption duration. Menstrual complications caused by this contraceptive method included irregular menstruation (35.4%) and neurological problems (14.6%). Furthermore, there were some personal reasons (8.1%) accounting for the discontinuation of this method. The frequency of Cyclofem use decreased with increased rate of menstrual irregularities (P=0.045) and spotting (P=0.020). Based on the participants’ reports, the most frequent complications were the medical ones. However, there was no significant difference between the females who continued Cyclofem use and those who discontinued (P=0.08). The majority of the participants reported no particular non-medical problems. The results revealed that the participants who used Cyclofem for a longer time stopped using this birth control method less commonly than those used it for a shorter time (P<0.001). Conclusion: As the findings indicated, the most common reason for the discontinuation of Cyclofem was its associated side effects, especially menstrual irrigularities. Therefore, the healthcare providers should emphasize on the adverse effects of Cyclofem prior to recommending this contraceptive method.
      PubDate: Sat, 31 Mar 2018 19:30:00 +010
       
  • Effect of Training Based on Choice Theory on Health-Promoting Lifestyle
           Behaviors among ...

    • Abstract: Background & aim: Menopause is considered as a stage of life that is often encountered by all women with symptoms as hot flashes, sweating, palpitations, sleep disorders, and urinary tract problems. The improvement of health-promoting lifestyle behaviors is one of the effective measures to moderate these symptoms by facilitating the women to enhance their lifestyle behaviors through making proper choices. The aim of this study was to measure the effect of training based on choice theory on health-promoting lifestyle behaviors in menopausal women. Methods: This two-group pretest-posttest design was conducted on 40 menopausal women within the age range of 45-55 years, referring to healthcare centers in Mashhad, Iran, in 2016. The subjects were randomly assigned into intervention and control groups using simple random sampling method. The data collection instruments included a demographic questionnaire, a menopause knowledge/attitude questionnaire, as well as Health-Promoting Lifestyle Profile II (HPLPII), which consisted of six dimensions of nutrition, physical activity, responsibility for health, stress management, interpersonal relationships, and spiritual growth. The intervention group received training in seven 90-minute sessions based on choice theory. The data were analyzed in SPSS software using descriptive statistics, Mann-Whitney U test, independent t-test, paired sample t-test, and Friedman test. Results: According to the results, after the intervention, the mean scores of total health-promoting lifestyle behaviors (P<0.03) and responsibility for health (P=0.005) showed a significant increase in the intervention group, compared to those in the control group. Conclusion: As the findings of this study indicated, the midwives could play an effective role in the moderation of menopausal side effects using choice theory. In this regard, the needs of the menopausal women in terms of boosting their awareness and practicing health-promoting lifestyle behaviors should be identified to deal with menopausal problems.
      PubDate: Sat, 31 Mar 2018 19:30:00 +010
       
  • The Relationship of Spiritual Intelligence and Religious activities with
           happiness of midwives ...

    • Abstract: Background & aim: Happiness is one of the most important human needs that play an influential role in the health of the individuals and society. In the recent years, the role of spirituality and religion as important aspects of life has been considered in the health-related issues. The physical and mental health of the midwives plays a significant role in the quality of patient care. In this regard the current study was designed to investigate the relationship of spiritual intelligence and religious activities with happiness among midwivesworking in hospitals and health centers.Methods: This descriptive cross-sectional study was conducted on 232 midwives working in the maternity hospitals and health centers affiliated to the Mashhad University of Medical Sciences, Mashhad, Iran, in 2015. The study sample was selected through cluster random sampling technique. The data were collected by the demographic and occupational characteristics questionnaire, life style questionnaire, Spiritual Intelligence Scale, and Oxford Happiness Questionnaire. Data analysis was performed using the descriptive statistics, Spearman’s rank correlation coefficient, Mann-Whitney U test, Kruskal-Wallis test, and multiple regression using SPSS, version 16.Results: According to the results, spiritual intelligence was directly correlated with happiness (r=0.63, P<0.0001) and religious activities (r=0.36, P<0.0001). In addition, there was a significant relationship between religious activities and happiness (r=0.29, P<0.0001).Conclusion: The findings revealed that happiness had a significant relationship with spiritual intelligence and religious activities. Therefore, we could improve happiness among the midwives by holding training and retraining courses with the purpose of involving in religious activities and promoting spiritual intelligence.
      PubDate: Sat, 31 Mar 2018 19:30:00 +010
       
  • Factors Affecting Unplanned Pregnancy in Semnan Province, Iran

    • Abstract: Background & aim: Despite the success of family planning programs in Iran in the recent decades, considerable proportions of pregnancies are still unintended and can be a cause of poor mental and physical health of the mother and child. The aim of this study was to investigate some important factors affecting uplanned pregnancies among married women in Semnan province, one of the developed provinces of Iran with below replacement fertility level. Methods: The data for this study were drawn from a cross-sectional survey conducted in Semnan province in 2014. A total of 363 married women within the age range of 15-49 years who were pregnant or had the history of at least one delivery were considered. The study sample was selected using multi-stage stratified sampling method. The data were collected using a self-structured questionnaire with 90 items and Cronbach's alpha coefficient of 0.88. Data analysis was performed in SPSS (version 20) using Crammer’s V coefficients and Chi-square tests. Logistic regression analysis was also applied to model the risk of unintended pregnancies based on selected covariates. Results: According to the results, around 18.2% of the pregnancies were unplanned, 7.7% and 10.5% of which were mistimed and unwanted, respectively. Based on the logistic regression analysis, birth cohort, number of children ever born, and contraceptive methods had significant effects on the risk of unintended pregnancies. Furthermore, about 48% of the women experiencing unintended pregnancy were using a traditional contraceptive method before or at the time of the conception.   Conclusion: As the findings indicated, the women who used contraceptive method, as well as those with higher number of children and younger birth cohorts had higher risk of unplanned pregnancies. It should be noted that the majority of unplanned pregnancies among the women in younger birth cohort were mistimed pregnancies. So it is recommended to continue offering family planning and health services to these women in order to prevent unplanned pregnancy, unsafe abortion, and many chronic diseases.
      PubDate: Sat, 31 Mar 2018 19:30:00 +010
       
  • Factors Influencing Anxiety in Infertile Women Undergoing IVF/ICSI
           Treatment

    • Abstract: Background & aim: Infertility can lead to a diminished sense of well-being and is associated with a high frequency of psychosomatic and somatic disorders. Generally, infertile women are more affected by infertility than men. This study aimed to determine factors influencing anxiety among infertile women undergoing in-vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI). Methods: This cross-sectional study was conducted on 224 infertile women who were candidate for IVF/ICSI referred to Milad IVF Center, Mashhad, Iran, from September 2015 to July 2016. Prior to the treatment, the participants completed the demographic characteristics questionnaire and Beck Anxiety Inventory (BAI) to assess the level of anxiety. Additionally, a self-structured questionnaire containing the infertility-associated data including the duration and cause of infertility as well as history and the duration of treatment, was completed by the respondents. The subjects were selected through purposive sampling technique. Data analysis was performed using Mann-Whitney U, Kruskal-Wallis, Fisher exact test, regression tests, as well as Spearman’s correlation coefficient in SPSS software, version 16.   Results: The results obtained from BAI showed that 38.4% of the subjects had moderate anxiety. There was a significant relationship between the level of anxiety and age (P=0.001), the cause of infertility (P=0.007), and the duration of treatment (P=0.001). Conclusion: As the level of anxiety was higher in infertile women with younger age, female factor infertility and longer duration of treatment, it is recommended to consider this population more vulnerable and to provide them supportive counseling to be able to overcome their anxiety.
      PubDate: Sat, 31 Mar 2018 19:30:00 +010
       
  • Birth asphyxia and associated factors among newborns delivered in Jimma
           zone public hospitals, ...

    • Abstract: Background & aim: Birth asphyxia is a serious clinical problem and a leading cause of neonatal mortality and morbidity worldwide. The majority of neonatal deaths arise in low- and middle-income countries. We sought to address birth asphyxia and its associated factors among newborns delivered in Jimma zone public hospitals, Southwest Ethiopia. Methods: A cross-sectional study was conducted on 368 live newborns born at Jimma zone public hospitals, who were enrolled in the study using the systematic random sampling method. Data were collected using a structured questionnaire, an observation checklist, and chart review, which were designed to measure the birth asphyxia and its associated factors. Overall, The data were analyzed using simple and multivariable logistic regression. Results: The prevalence of birth asphyxia was 32.9% in the first and 12.5% in the fifth minute. Accordingly, birth asphyxia was significantly associated with medical complications (AOR: 3.92, 95%CI: 1.62, 9.46), obstetric complications (AOR: 3.76, 95%CI: 1.71, 8.26), prolonged second stage of labor (> 3 h; AOR: 3.72, 95%CI: 1.46, 12.18), low birth weight (AOR: 4.21, 95%CI: 1.5, 12.2), meconium-stained amniotic fluid (AOR: 8.29, 95%CI: 3.6, 18.9), tight nuchal cord (AOR: 7.4, 95%CI: 1.6, 34.1), not attending antenatal care (AOR: 6.4, 95%CI: 2, 20.2), incomplete antenatal care visit (AOR: 4.6, 95%CI: 2.0, 10.5), non-cephalic presentation (AOR: 6.98, 95%CI: 2.66, 18.28), and caesarian section delivery (AOR: 2.3, 95%CI: 1.0, 5.1). Conclusion: Most factors associated with birth asphyxia are manageable by means of good pre-natal care and improving antenatal, intrapartum, and neonatal care services within our limited resources.
      PubDate: Sat, 31 Mar 2018 19:30:00 +010
       
  • The Relationship between virtual social networks usage and gender role
           attitude in university ...

    • Abstract: Background & aim: Gender role attitude is one of the key factors affecting the stability of family foundation, which is under the influence of mass media. New media and the process of globalization are effective in promoting gender equality, and an example of modern media is virtual social networks. This study aimed to determine the relationship between virtual social media and gender role attitude in the students of Mashhad University of Medical Sciences and Ferdowsi University, Mashhad, Iran.Methods: This cross-sectional study was conducted on 909 students of Mashhad University of Medical Sciences and Ferdowsi University, Mashhad, Iran, in 2015. Data were collected using three questionnaires enquiring the demographic data, type of social media they used, and gender role attitude. The questionnaires were sent to the students via email, or they were filled out through face-to-face presentation. Data analysis was performed using Spearman correlation coefficient and Kolmogorov-Smirnov tests in SPSS software, version 23.Results: Given the results, there was no significant relationship between the type of social media and gender role attitude (P=0.24). Furthermore, no significant relationship was observed between the type of social media and the dimensions of gender role attitude including gender equality and gender stereotypes (P=0.35 and P=0.24, respectively).Conclusion: There was no significant relationship between the type of social media and gender role attitude and its dimensions. Accordingly, it seems that the content used by these networks had no impact on the gender role attitudes of the users. Further studies are recommended to investigate the other possible factors affecting gender role attitudes.
      PubDate: Sat, 17 Mar 2018 20:30:00 +010
       
 
 
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