@article { author = {Kordi, Masoumeh and Aghaei Meybodi, Fatemeh and Tara, Fatemeh and Nemati, Mohsen and Taghi Shakeri, Mohammad}, title = {The Effect of Late Pregnancy Consumption of Date Fruit on Cervical Ripening in Nulliparous Women}, journal = {Journal of Midwifery and Reproductive Health}, volume = {2}, number = {3}, pages = {150-156}, year = {2014}, publisher = {Mashhad University of Medical Sciences}, issn = {2345-4792}, eissn = {2345-4792}, doi = {10.22038/jmrh.2014.2772}, abstract = {Background and Aim: Cervical ripening before the onset of labor is an important factor for the prediction of delivery mode, and is directly associated with vaginal delivery. The search for a safe, inexpensive, and easy method of cervical ripening is of great significance. Few studies have focused on the effect of date fruit on uterine contractions and cervical ripening. Therefore, the purpose of this study was to determine the effect of late pregnancy consumption of date fruit on cervical ripening in nulliparous women. Methods: This randomized clinical trial was performed on 210 women with a singleton pregnancy, cephalic presentation, and gestational age of 37-38 weeks. The study was conducted at Omolbanin Hospital, Mashhad, Iran in 2013. The subjects were randomly assigned into two groups of 105 women (experimental and control groups). Since the 37th week of gestation, the experimental group consumed date fruit (70 to 75 gr per day) until the onset of labor pain, and the control group received routine care. Data were collected using demographic questionnaires, fetal movement record form, and the checklist related to daily consumption of date fruit. Data analysis was performed using SPSS version 14, and Chi-square, t student, and Mann-Whitney test. P-value less than 0.05 was considered statistically significant. Results: The mean Bishop score at admission was higher in the experimental group (7.67 ± 2.28), compared to the control group (5.12 ± 2.77) (P <0.001). Mean cervical dilatation at admission was 4.05 ± 1.63 cm in the experimental group and 2.97 ± 4.63 cm in the control group (p <0/05). Also the success rate of labor induction was higher in the experimental group compared to the control group (P= 0.006). Conclusion: Mean cervical dilatation was higher in women consuming date fruit, compared to the non-consuming group. Since date fruit is full of energy and nutrients, it is recommended for pregnant women to help with cervical ripening, particularly in the last weeks of gestation.}, keywords = {Bishop Score,Cervical Ripening,Date fruit,Nulliparous women}, url = {https://jmrh.mums.ac.ir/article_2772.html}, eprint = {https://jmrh.mums.ac.ir/article_2772_b142d1addcd29393341f33980192b552.pdf} } @article { author = {Hadizadeh Talasaz, Zahra and Nourani Saadoldin, Shahla and Taghi Shakeri, Mohammad}, title = {The Relationship Between Job Satisfaction and Job Performance Among Midwives Working in Healthcare Centers of Mashhad, Iran}, journal = {Journal of Midwifery and Reproductive Health}, volume = {2}, number = {3}, pages = {157-164}, year = {2014}, publisher = {Mashhad University of Medical Sciences}, issn = {2345-4792}, eissn = {2345-4792}, doi = {10.22038/jmrh.2014.2623}, abstract = {Background and Aim: Job satisfaction represents individuals' positive or negative attitude towards their occupation. Job satisfaction is of high significance in health care field and could affects the quality of patients' health care and satisfaction. Every organization should pay considerable attention to job satisfaction and performance and continually monitor these indices. Therefore, we aimed to determine the relationship between job satisfaction and job performance of midwives, employed in health care centers of Mashhad, Iran. Methods: This descriptive correlational study was performed on 90 midwives, working in healthcare centers of Mashhad, Iran, in 2014 who were selected through multistage sampling from five healthcare centers. Data collection tools included a questionnaire to record demographic, personal and occupational data, Minnesota Job Satisfaction Questionnaire (MSQ) as well as a self-structured observational checklist to measure the quality of educational, care, and communicative job performance of midwives. SPSS version 19 was used to analyze data through descriptive statistics, and also Spearman and Kruskal-Wallis tests. Results: The mean age of the participants was 39.63±6.92 years. Spearman correlation test showed a direct correlation between job satisfaction and the total score of job performance (p <0.001, r=0.490). A direct relationship was also found between job satisfaction and the quality of educational performance (p <0.001, r=0.415), care performance (p <0.001, r=0.335), and communicative performance (p <0.001, r=0.510). Conclusion: There was a positive correlation between job satisfaction and job performance of midwives. Therefore, it is recommended that health care administrators provide organizational supports for midwives to improve their professional performance.}, keywords = {Healthcare quality assessment,Job performance,Job satisfaction,Midwife}, url = {https://jmrh.mums.ac.ir/article_2623.html}, eprint = {https://jmrh.mums.ac.ir/article_2623_5b013e6db7524ac4b7453af7f029b9c7.pdf} } @article { author = {Yousefi, Zohreh and Homaee Shandiz, Fatemeh and Talebian, Marzieh and Esmaily, Habibollah and Hasanzadeh, Malihe}, title = {Surgeons’ Errors in the Management of Patients with Cervical Cancer}, journal = {Journal of Midwifery and Reproductive Health}, volume = {2}, number = {3}, pages = {165-169}, year = {2014}, publisher = {Mashhad University of Medical Sciences}, issn = {2345-4792}, eissn = {2345-4792}, doi = {10.22038/jmrh.2014.2849}, abstract = {Background and Aim: Generally, in patients with cervical cancer, careful preliminary evaluation is necessary for avoiding improper surgical procedures and making effective clinical decisions for treatment. The aim of this study was to determine surgeons’ errors, which necessitate a combination of surgery and radiotherapy for cervical cancer patients.    Methods: In this retrospective study, medical records of all cervical cancer patients, undergoing hysterectomy at tumor clinics of Ghaem and Omid hospitals, were collected from 1988 to 2008. In total, the medical records of 93 subjects with postoperative radiotherapy were examined. All records were assessed in terms of surgeons’ errors, patients’ follow-up after radiotherapy, rate of disease recurrence, and mortality rate. In addition, survival factors were recorded and assessed, and cumulative 3- and 5-year disease-free survival (DFS) rates as well as overall survival (OS) rate were determined by Kaplan–Meier test. Results: The overall rate of surgeons’ errors was 41%. The most common surgical error was improper surgical care due to surgeon’s lack of knowledge about the cervical cancer treatment. The 3-year DFS rates were 86% and 64% in cases without surgeon’s error and those affected by surgeon's error, respectively. In addition, the 5-year DFS rate was 53% in the non-affected group and 47% in cases affected by surgeon's error (P=0.05).      Conclusion: Pre-treatment evaluation as well as proper treatment is necessary for the prevention of adverse effects, caused by inappropriate surgical interventions. It is suggested that more time and attention be allocated to the improvement of surgical outcomes.}, keywords = {Cervical Cancer,Improper surgery,Subtotal hysterectomy,Supracervical hysterectomy,Surgical error}, url = {https://jmrh.mums.ac.ir/article_2849.html}, eprint = {https://jmrh.mums.ac.ir/article_2849_06dee356c9904cacad5def953022516a.pdf} } @article { author = {Khadivzadeh, Talat and Latifnejad Roudsari, Robab and Bahrami, Masoud}, title = {The Influence of Gender Role and Women's Empowerment on Couples' Fertility Experiences in Urban Society of Mashhad, Iran}, journal = {Journal of Midwifery and Reproductive Health}, volume = {2}, number = {3}, pages = {170-179}, year = {2014}, publisher = {Mashhad University of Medical Sciences}, issn = {2345-4792}, eissn = {2345-4792}, doi = {10.22038/jmrh.2014.2606}, abstract = {Background and Aim: Iran has experienced a great variation in women's status in recent years. There is a little knowledge on how and why advancing gender equality and equity and the empowerment of women play a role in recent fertility reduction in the country. This study was conducted to gain insight into the role of gender beliefs and women's empowerment in the couples 'experiences of fertility in Mashhad, Iran in 2011-2012. Methods: In this exploratory qualitative study in-depth interviews were conducted with 54 purposefully selected eligible male and female participants and some key informants who lived in urban society of Mashhad. Data was collected until saturation was happened and analyzed adopting conventional content analysis approach through giving analytical codes and identification of categories using MAXqda software. Study rigor verified via prolonged engagement, thick description and validation of anlysis through member check. Results:Findings from data analysis demonstrated three major categories about the influence of women’s empowerment and gender role on fertility experiences including: 1) The couple’s understanding of gender roles 2) Women’s empowerment and changing gender roles 3) Couple’s interactions in complementary or parallel roles and 4) Fulfillment of fertility goals based on role division. Some aspects of couples' interaction including equal roles in fertility decisions, choosing and using best fit family planning method and participative child care influenced couples' fertility behavior. Women’s empowerment together with balanced gender role in the family resulted in success in attaining couple’s fertility desire. Conclusion: Managing fertility behaviors needs to understand the roles of spouses in their mutual interaction in fertility decision making and related behaviors. Imbalanced gender role in family acts as an obstacle to reach the fertility goals and leads to lower than desired fertility. Reproductive health policy makers and family planning counselors could apply the findings of this study in order to publicize proper fertility behaviors through making the couples aware of the risks of gender role imbalance. }, keywords = {Content Analysis,Empowerment,Fertility,Gender equality,Gender Role,Qualitative study}, url = {https://jmrh.mums.ac.ir/article_2606.html}, eprint = {https://jmrh.mums.ac.ir/article_2606_a01a250056ee391ba9fc74f479ebf694.pdf} } @article { author = {Baghdari, Nasrin and Bahrami Morghaki, Ashraf and Norozi, Abdolreza and Sadeghi Sahebzad, Elahe and Mazloum, Seyed Reza and Mohajeri, Amireza}, title = {The Effect of Mother’s Training via Newsletter and Group Discussion on The Energy Intake of Preschool Children}, journal = {Journal of Midwifery and Reproductive Health}, volume = {2}, number = {3}, pages = {180-187}, year = {2014}, publisher = {Mashhad University of Medical Sciences}, issn = {2345-4792}, eissn = {2345-4792}, doi = {10.22038/jmrh.2014.2850}, abstract = {Background and Aim: Mothers’ training about suitable nutritional models plays an important role in the development of children’s nutritional habits. These habits may continue into adulthood and promote the individual’s lifestyle. In the present study, we aimed to compare the effects of mother’s training via newsletter and discussion group on energy intake of preschool children. Methods: This experimental study was performed on 192 mothers of preschool children. The convenience method of sampling was employed, and the subjects were randomly assigned to three groups: group discussion, newsletter, and control group. In the newsletter group, the subjects received newsletters over 4 weeks. In the discussion group, subjects were trained about the same educational content, as the newsletter group, in 1-hour classes for a total of 4 weeks; the control group received no intervention. Data collection was carried out before, immediately, and one month after the interventions, using questionnaires to measure maternal knowledge and children's dietary intake. Data were analyzed using SPSS version 16 with ANOVA, Kruskal-Wallis, and Friedman tests. Results: Energy intake was similar before intervention in three groups. Immediately after intervention, no significant difference was observed between newsletter (5.7±2.10) and discussion group (0.8±2.10); however, it was significantly higher, compared to the control group (P=0.015). After one month follow-up, no significant difference was observed between newsletter (5.7±2.10) and discussion group; but  the energy intake in both groups was significantly higher than the control group (p=0.003). Conclusion: The study results showed that training via newsletters and group discussion has the same effect on children’s energy intake. Therefore, it is recommended to use newsletter as an effective and simple alternative educational method}, keywords = {Energy intake,Group discussion,Newsletter,preschool children}, url = {https://jmrh.mums.ac.ir/article_2850.html}, eprint = {https://jmrh.mums.ac.ir/article_2850_8a384721ae47865650484b46bac5a5c3.pdf} } @article { author = {Kordi, Masoumeh and Mohamadirizi, Soheila and Shakeri, Mohamad Taghi and Modares Gharavi, Morteza and Salehi Fadardi, Javad}, title = {The Relationship between Occupational Stress and Work Ability among Midwives in Mashhad, Iran}, journal = {Journal of Midwifery and Reproductive Health}, volume = {2}, number = {3}, pages = {188-194}, year = {2014}, publisher = {Mashhad University of Medical Sciences}, issn = {2345-4792}, eissn = {2345-4792}, doi = {10.22038/jmrh.2014.2792}, abstract = {Background and Aim: Occupational stress is one of the key factors in reducing staff productivity in organizations with physical and psychological impacts on employees. Nursing and midwifery are among the most stressful professions. Therefore, this study aimed to determine the relationship between occupational stress and work ability of midwives in Mashhad, Iran in 2011. Methods: This cross-sectional study was carried on 123 midwives employed in the public hospitals and health centres in Mashhad, Iran using two-stage sampling method. Demographic and work-related data were obtained through a self-structured questionnaire. Occupational stress and work ability were measured using Occupational Stress Assessment Questionnaire (OSAQ) and Work Ability Index Questionnaire (WAIQ). The statistical analysis was performed using student’s t-test, One Way ANOVA, correlation coefficient, and linear regression model through SPSS statistical software (version 11.5). Results: The results showed that the mean score of occupational stress and work ability was 149 ± 0.01 and 38.81±0.05, respectively. There was a negative correlation between job-related stress and work ability. Midwives with higher occupational stress experienced poorer work ability (P=0.021, r=-0.061).   Conclusion: Sever work stress is associated with reduced work ability. So it is recommended to eliminate or decrease occupational stress and increase work ability among Iranian midwives using preventive measures, although identification of sources of occupational stress seems necessary in order to adopt appropriate stress management strategies.}, keywords = {Midwife,Occupational stress,Work ability}, url = {https://jmrh.mums.ac.ir/article_2792.html}, eprint = {https://jmrh.mums.ac.ir/article_2792_ccc21cb9ae6ea4e5a39a221002c8ddcf.pdf} } @article { author = {Kamrani Rad, Zohreh and Attarian, Fahimeh and Hossein, Ebrahimi pour}, title = {Health-promoting lifestyle among Mashhad School of Health Students, Mashhad, Iran, 2014}, journal = {Journal of Midwifery and Reproductive Health}, volume = {2}, number = {3}, pages = {195-204}, year = {2014}, publisher = {Mashhad University of Medical Sciences}, issn = {2345-4792}, eissn = {2345-4792}, doi = {10.22038/jmrh.2014.2918}, abstract = {Background and Aim: Health-promoting lifestyle (HPL) is one of the main criteria which determine health and underlying factors preventing the health-threatening factors. HPL includes six dimensions of spiritual growth, health responsibility, nutrition, stress management, interpersonal relations, and physical activity. Considering the importance of students’ health, both at individual and social levels, the present study was carried out to evaluate HPL among students (mainly females) of School of Health, affiliated to Mashhad University of Medical Sciences in 2014. Methods: In this cross-sectional descriptive study, 107 students of Mashhad School of Health using stratified random sampling were included. In order to collect data, Walker questionnaire, with a 4-point Likert scale, was utilized which included two sections of demographic questions, and questions related to the six dimensions of HPL. The collected data were analyzed by descriptive statistics and independent T-test, using SPSS version 11.5. The significance level was considered less than 0.05. Results: Lifestyle of 9.3%, 84.1%, and 6.5% of the students was poor, moderate and good, respectively. The mean scores of HPL dimensions were as follows: spiritual growth: 30.27±5.4, health responsibility: 32.15±6.5, nutrition: 15.65±4.06, stress management: 12.76±2.9, interpersonal relations: 21.34±4.35, and physical activity: 13.69±5.1. A significant relationship was seen between gender and physical activity (p <0.05). Conclusion: The majority of students had a moderate score of HPL. Since the lowest scores were related to physical activity and stress management, more facilities and training programs are required to improve these issues. It is recommended to provide high-quality healthcare services for students and raise their awareness about the benefits of physical activity via mass media.}, keywords = {Health-promotion,lifestyle,Nutrition,Physical Activity,Students}, url = {https://jmrh.mums.ac.ir/article_2918.html}, eprint = {https://jmrh.mums.ac.ir/article_2918_625eeabb7fc764335818eb7423048663.pdf} } @article { author = {Homaee Shandiz, Fatemeh and ShahidSales, Soodabeh and Dehghan, Parvaneh}, title = {Long Term Follow Up of Recurrent Uterine Cervical Cancer: A Case Report}, journal = {Journal of Midwifery and Reproductive Health}, volume = {2}, number = {3}, pages = {204-206}, year = {2014}, publisher = {Mashhad University of Medical Sciences}, issn = {2345-4792}, eissn = {2345-4792}, doi = {10.22038/jmrh.2014.2706}, abstract = {Background and aim: Carcinoma of the uterine cervix is a significant cause of mortality because of malignancy in women. Radiotherapy is a major treatment modality for invasive cervical cancer with good treatment outcome in early-stage patients. However, substantial treatment failures still occur in the advanced-stage patients.Case report: In this case report a long term follow up of a 58 years old woman with stage II cervical squamous cell carcinoma (SCC), who was considered inoperable due to her general condition, cardiac poor function and ischemic heart disease (IHD) has been reported. After full dose external radiotherapy the patient became disease free till 6 years and after local recurrence, she was treated successfully with total abdominal hysterectomy (TAH) and bilateral salpingo-oophorectomy (BSO) as well as adjuvant chemotherapy with favorable results during a long term follow up of 14 years. Conclusion: It is concluded that long term favorable outcome may be achieved by intensive radiotherapy of uterine cervix SCC and probable recurrence could be managed successfully by surgical excision.}, keywords = {Cervical Cancer,Radiotherapy,Recurrence}, url = {https://jmrh.mums.ac.ir/article_2706.html}, eprint = {https://jmrh.mums.ac.ir/article_2706_187634c3a5eeb956c62fcc0d568facd1.pdf} }