30 research outputs found
The Effect of Prenatal Group Education on Knowledge, Attitude and Selection of Delivery Type in Primiparous Women
No full textIntroduction: Lack of knowledge about choosing delivery type in mothers, is one of the reasons for the increase in the number of cesarean section. Therefore, this study was performed to determine the effect of prenatal group education on knowledge, attitude and delivery type selection in primiparous women who referred to Qaemshahr Health Care Center.
Methods: In this quasi-experimental study, 170 primiparous women who had no limitation for having normal delivery were selected. The sampling was multistage and purposeful. Data gathering tool was a questionnaire. Education was started at the 27th week of gestational age and continued to the end of pregnancy in regular intervals. The questionnaires were filled by study samples before and after education as pre-test and post-test). Data was analyzed by SPSS software using descriptive statistics, t-test, Vilcoxon, and Z tests.
Results: A significant difference was observed in women's knowledge and attitude, before and after education. Normal delivery was women's preferable choice before and after education, but, following up their performance, showed that only 57.6% chose normal delivery in practice. In fact, 61.8% of women before and 80.6% of them after education, chose normal delivery.
Conclusion: Prenatal education is effective in reducing the rate of caesarean section. It is recommended to provide more facilities regarding different methods of low-pain deliveries and also educate labor room staffs for normal delivery
Uterine and body temperament in women with and without polycystic ovary syndrome: a case-control study
No full textAbstract Assessing the temperament of various organs can be a significant factor in preventing or managing conditions related to those organs. Therefore, this study aimed to determine the uterine and body temperaments in women with and without PCOS. This case-control study involved 150 participants, with 75 individuals in each group. The participants were selected between May and November 2023 in Babol, Iran. Samples were matched based on demographic characteristics. Both groups completed demographic and uterine and body temperaments questionnaires designed by Saeidi in Tehran. Logistic regression analysis, with a 95% odds ratio (OR) and confidence interval (CI), were used to determine the effect size in the model. A significance level of P < 0.05 was considered. Regarding body temperament, the results indicated that women with and without PCOS had a cold temperament in 11 (57.9%) and 8 (42.7%) individuals, respectively, which was not statistically significant (OR 1.87, 95% CI 0.0.64, 5.47, P = 0.25). Body temperament was also not significantly different in terms of heat and dryness between women with and without PCOS (OR 1.41, 95% CI 0.64, 3.10, P = 0.38). However, in terms of uterine temperament, 39 (61.9%) women with PCOS and 24 (38.1%) without PCOS exhibited a cold temperament, showing a significant statistical difference between the two groups (OR 2.49, 95% CI .69, 5.33, P = 0.018) after adjusting for demographic and midwifery variables. The predominant uterine temperament in women with PCOS was cold, with no significant difference in body temperament between individuals with PCOS and those without. Therefore, it is plausible to consider the use of complementary medicine to balance and aid in treating uterine temperament in these individuals
Randomized controlled trial of the effectiveness of olive and black seed oil combination on pain intensity and episiotomy wound healing in primiparous women: A study protocol.
No full textBackgroundEpisiotomy is associated with side effects, such as pain and wound infection. Additionally, discomfort after episiotomy affects the quality of life of both the mother and the baby. Medicinal herbs are one alternative method for the treatment of episiotomy wounds. This study will investigate the effectiveness of the combination of olive and black seed oil on pain intensity and the healing of episiotomy wounds in primiparous women.MethodsThis randomized clinical trial will be conducted on primiparous women who have had a normal delivery with an episiotomy. There are 3 groups in this study: one group will receive a combination of olive oil and black seed oil, another group will receive olive oil alone, and the use of oils will start 24 hours after delivery. Ten drops will be applied topically 3 times a day for 10 days. The third group (control) will receive only routine care. Data will be collected through a demographic characteristics questionnaire, REEDA (Redness, Edema, Ecchymosis, Discharge, and Approximation) Scale, and Visual Analog Scale. To determine and compare the effects of pharmaceutical interventions on pain intensity and episiotomy wound healing in the groups, an analysis of variance (ANOVA) test with repeated measurements will be used with SPSS version 22.DiscussionThe results of this study will show the effects of a combination of olive and black seed oil, as well as olive oil alone, on pain intensity and episiotomy wound healing in primiparous women. The positive effects observed in this trial with these oils could be valuable for women who have undergone an episiotomy
General health, economic status, and marriage duration as predictors of marital commitment during reproductive age among Iranian married women
No full textBackground: One of the important factors involved in a successful marriage during reproductive
age is marital commitment. The aim of this study was to find which factors predict marital
commitment during reproductive age in Iranian married women.
Methods: This cross-sectional, population-based study was performed on married women. Adams
and Jones' Dimensions of Commitment Inventory (DCI) were used to assess marital commitment.
In addition, their current mental health was assessed using General Health Questionnaire (GHQ).
The socioeconomic status of the participants was calculated based on household income,
employment status, and education level. A total of 160 married women, who were between 15-49
years of age and were from six districts of Babol, were selected using a systematic random
sampling method. Stepwise multiple regressions were used to determine the effect of independent
variables on marital commitment.
Results: The results of multiple regression showed that general health, the duration of marriage,
and the economic status with standard beta coefficients of (-0.324), (-0.259), and (0.173) had the
highest regression effect on marital commitment, respectively. These variables accounted for a
total of 33% of the distribution of marital commitment.
Conclusion: These findings suggest that general health, economic status, and the duration of
marriage are predicable variables for marital commitment. It is necessary to emphasize the benefit
of improving general health and economic status in increasing the degree of marital commitment,
especially among women with longer duration of marriage
Comparing reproductive intentions before and during the COVID-19 pandemic: a cross-sectional study
No full textAbstract Background and Aim Reproductive behaviors and intentions are affected by several factors, including the COVID-19 pandemic crisis. This study was conducted with the aim of comparing the intention to reproduce and its causes in Iran during the period prior to and during the COVID-19 pandemic. Methods This descriptive-comparative study included 425 cisgender women from 6 urban health centers and 10 rural centers in Babol city, Mazandaran province, Iran. Urban and rural health centers were selected using a multi-stage approach with proportional allocation. A questionnaire was used to collect data in relation to individual characteristics and reproductive intentions. Results Most participants aged between 20 and 29 years had a diploma level of education, were housewives and lived in the city. The intention to reproduce decreased from 11.4% before the pandemic to 5.4% during the pandemic (p = 0.006). The most common reason for wanting to have children prior to the pandemic was not having children (54.2%). During the pandemic, a desire to reach the ideal number of children was the most common reason to want to have children (59.1%), though no statistically significant difference was observed between the two periods (p = 0.303). The most common reason for not wanting to have children in both periods was having enough children already (45.2% before and 40.9% during the pandemic). The reasons for not wanting to have children had a statistically significant difference between the two periods (p < 0.001). Reproductive intentions had a statistically significant relationship with the variables of age (p < 0.001), the education level of both participants (p < 0.001) and spouses (p = 0.006), occupation (p = 0.004), and socio-economic status (p < 0.001). Conclusion Despite restrictions and lockdowns, the COVID-19 pandemic had a negative impact on people’s desire to reproduce in this context. Economic problems caused by the sanctions which increased during the COVID-19 crisis may be one of the reasons for a reduction in people’s intentions to become parents. Future research could usefully investigate whether this decrease in the desire to reproduce will lead to significant changes in population level and future birth rates
The relationship of married women's marriage duration with their reproductive practices
No full textBackground: Low fertility rate is currently a serious health problem both in developed and developing countries. Objective: The objective of this study was to assess the women's reproductive practices based on their marriage duration. Methods: This cross-sectional study was completed in urban and in rural healthcare centers in Babol, Iran. A sample of 880 married women aged 15-49 was recruited through the cluster sampling. Data on participants' reproductive practices were collected and analyzed through the one-way analysis of variance and the Chi-squared tests. Results: Women with different marriage durations significantly differed from each other respecting their age at the first pregnancy, the time interval between their marriage and their first pregnancy, the number of their children, the interval between their first and second pregnancies, their contraceptive use before the first pregnancy, a history of abortion, and a history of unwanted pregnancy (P Conclusions: While the rate of fertility and the duration of reproductive life have decreased among women, the rates of unwanted pregnancy, induced abortion, and unreliable contraceptive method use are still high among them. Health-care providers, particularly midwives, are recommended to provide women with educations about the best contraceptive methods, the best marriage-pregnancy interval, and ideal spacing between pregnancies to reduce the rates of unwanted pregnancy and induced abortion
A comparative study of antifungal activity of Lavender brew, Lavender essential Oil, and Clotrimazole: an in vitro study
No full textIntroduction: Vaginal yeast infections (candidiasis) are among the most common gynecologic infections in women. Due to the high prevalence of vaginal candidiasis and its recurrence, followed by such chemical treatment as Clotrimazole, this study was performed with the broad aim of comparing the in vitro effects of Lavender brew, Lavender essential oil, and Clotrimazole on the growth of the standard strains of Candida albicans.
Methods: The fungus cell count was done through Thoma counting chambers and Hemocytometer slide. Having prepared the dilution (6 × 106 of standard Candida albicans, S.C.a-PTCC-2657) in the Sabouraud Agar liquid medium, the essential oil and brew of Lavandula angustifolia and Clotrimazole were added to different dilutions (½ , ¼ , ⅛) (in 4 stages) before the fungus cell count was done. Having obtained the necessary information, the data were analyzed through Statistical Package for the Social Sciences (SPSS), and a general linear model was used for the analysis of the data. The test results were then compared.
Results: The number of fungi cells in Lavender brew (14 × 106) and Lavender essential oil (35× 106) decreased significantly compared with those of Clotrimazole (93 × 106) and fungus control (188 × 106) (p<0.01). Also, the fungus cell count in dilutions of ½ and ¼ of the drugs in the brew, and in dilutions of ⅛ in essential oil were less than those of other proportions. The highest antifungal efficacies of the drugs were observed in higher dilution (p< 0.01), and Clotrimazole had the least antifungal effect.
Conclusion: Lavender brew and Lavender essential oil had more antifungal effect on the standard Candida albicans when compared with Clotrimazole
Effectiveness of Group Psychosexual Training for Marital Adjustment and Sexual Self-Efficacy of Infertile Women: A Randomized Controlled Trial
No full textObjective: Infertility can be associated with unfavorable psychological consequences such as a sense of marital incompatibility and sexual inadequacy. To address these issues, this study aimed to assess the effectiveness of group psycho-sexual training in improving marital adjustment and sexual self-efficacy of infertile women.
Method: A randomized controlled clinical trial (RCT) study was conducted in Babol, Iran, with 72 infertile women, randomly assigned to either the intervention group (n = 36) or the control group (n = 36). The intervention group underwent psychosexual training, while the control group received routine care. The Dyadic Adjustment Scale (DAS) and Sexual Self-Efficacy Scale (SSES) were used to assess their marital adjustment and sexual self-efficacy. Data analysis was performed using various tests, including the independent t-test, Chi-squared test, paired t-test, ANCOVA, and MANCOVA.
Results: Most infertile women had moderate sexual self-efficacy (80%). The intervention group had a significantly better response to group psycho-sexual training compared to the control group. This intervention improved sexual self-efficacy and marital adjustment and its subscales including marital consensus, satisfaction, cohesion (P < 0.0001), and affectional expression (P < 0.001). The mean pre-to-post treatment scores of sexual self- efficacy, marital adjustment, and its subscales increased significantly in the intervention group, while no significant difference was observed in the control group (P < 0.0001).
Conclusion: Based on the findings, it is recommended to provide educational services alongside the infertility treatment process for enhancing the quality of marital adjustment and promoting sexual self-efficacy
Additional file 1 of Health-promoting lifestyle in mothers with vaginal childbirth and cesarean section in the postpartum period
No full textSupplementary Material 1: LIFESTYLE PROFILE I
Additional file 1 of The impact of health coaching on the prevention of gestational diabetes in overweight/obese pregnant women: a quasi-experimental study
No full textSupplementary Material
