ORIGINAL_ARTICLE
The Development and Initial Validation of the Perinatal Mental Health Awareness Scale in Student Midwives
Background: Perinatal mental health problems have been demonstrated to impact upon maternal, and fetal/child outcomes. Despite the global evidence and a policy-driven responsibility for identification of these problems, research demonstrates that student midwives/midwives lack knowledge and confidence to assess, identify, and manage them. A similar context is evident for learning disabilities, despite the holistic care philosophy of midwifery. A brief assessment tool to identify knowledge and confidence defecits and strengths within a holistic care framework could support curriculum development. This study sought to develop a Perinatal Mental Health Awareness scale and evaluate its psychometric properties in student midwives. Methods: We employed a cross-sectional and exploratory instrument development and evaluation design to determine the measurement veracity of the new scale. Results: The scale demonstrated good psychometric properties, revealing three subscales mapping onto (i) mental health symptoms, (ii) physical/medical issues and (iii) learning disability. Results indicated a clear differentiation in scores across the subscales, indicating comparative deficits in mental health domains. Conclusion: Our findings facilitate confidence in the psychometric robustness of the measure. The scale enables student midwives to assess and compare different domains of midwifery practice, in line with a holistic model of midwifery care. A focus on physical health in midwifery education appears to disadvantage knowledge and confidence for managing mental health problems in a midwifery context. This valuable finding highlights the potential need for curriculum rebalancing. The measure offers the opportunity to assess and develop curriculum/training provision and monitor the effectiveness of subsequent curricular developments.
https://jmrh.mums.ac.ir/article_9251_751c90ee5cf8b8ed824bfda7dbc1878d.pdf
2017-10-01
1021
1031
10.22038/jmrh.2017.9251
Assessment
Curriculum
Holistic
Learning disability
Perinatal mental health
Psychometric
Colin
Martin
colin.martin@bucks.ac.uk
1
Professor of Mental Health, Faculty of Society and Health, Buckinghamshire New University, Uxbridge, UK
AUTHOR
Julie
Jomeen
j.jomeen@hull.ac.uk
2
Professor and Dean, Faculty of Health Sciences, University of Hull, Hull, UK
AUTHOR
Patricia
Jarrett
p.m.jarrett@mdx.ac.uk
3
Research Fellow, Department of Adult, Child and Midwifery, School of Health and Education, University of Middlesex, Middlesex, UK
AUTHOR
Darvill T, Skirton H, Farrand P. Psychological factors that impact on women’s experiences of first-time motherhood: a qualitative study of the transition. Midwifery. 2010; 26(3):357-366.
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50
ORIGINAL_ARTICLE
Associated Factors with Puerperal Sepsis among Reproductive Age Women in Nandi County, Kenya
Background & aim: Studies have shown that puerperal sepsis is a major cause of maternal morbidity and the second cause of maternal mortality in the developing world. This study aimed to determine the incidence and management of puerperal sepsis among the women of reproductive age (i.e., 15-49 years) attending to two hospitals in Nandi County, Kenya. Methods: This descriptive, cross-sectional study was conducted on 215 women who were diagnosed with puerperal sepsis and referred to two hospitals in Nandi County. Four health care providers in charge of these patients were also included in the study. The sampling was performed using the purposive sampling technique. The data were collected using a structured interview administered by the researcher. Data analysis was performed through SPSS version 20 using the Chi-square test and logistic regression. Results: According to the results of the study, there was a statistically significant relationship between antenatal care attendance and labor duration (OR=0.35, 95% CI: 0.15-0.80). The mothers who had a short labor were 0.35 times more likely to have attended health care facilities to receive antenatal care as compared to those with a long labor. In addition, the food availability showed a significant relationship with duration of labor (OR=5, 95% CI: 1.8-14.28). The mothers with adequate food were five times more likely to experience a short labor compared to those with food shortage. The results also revealed that there was a lack of knowledge on the etiology of infection in the area under investigation. Moreover, the health care facilities were short of the adequate prerequisites to perform puerperal sepsis awareness both in the clinics and community. Conclusion: The findings of the present study underscored the necessity of supplying funds by the Ministry of Health to raise the individuals’ awareness on puerperal sepsis and provide them with hygiene education in the investigated area. The integration of hygiene education and puerperal sepsis awareness into antenatal care services should be performed as a strategy to prevent and control the infection.
https://jmrh.mums.ac.ir/article_9348_8746bb0097fbe415a051891820f60ff0.pdf
2017-10-01
1032
1040
10.22038/jmrh.2017.9348
Morbidity
Puerperal
Sepsis
Maritim Violet
Chepchirchir
violetmaritim@yahoo.com
1
PhD Student, Department of Environmental and Population Health, School of Public Health, Kenyatta University, Kenya
LEAD_AUTHOR
Jackim
Nyamari
jackimzw@gmail.com
2
Associate Professor, School of Public Health, Department of Environmental and Population Health, Kenyatta University, Kenya
AUTHOR
Margaret
Keraka
mnyanjokah@gmail.com
3
Professor, Department of Environmental and Population, School of Public Health, , Kenyatta University, Kenya
AUTHOR
World Health Organization, International Confederation of Midwives. Education material for teachers of midwifery. Midwifery education module. 2nd ed. Geneva: World Health Organization; 2008.
1
Momoh MA, Ezugworie OJ, Ezeigwe HO. Causes and management of puerperal sepsis: the health personnel view point. Advances in Biological Research. 2010; 4(3):154-158.
2
Shamshad SS, Rauf B. Puerperal sepsis-still a major threat for parturient. Journal of Ayub Medical College Abbottabad. 2010; 22(3):18-20.
3
Desai M, Phillips-Howard PA, Odhiambo FO, Katana A, Ouma P, Hamel MJ, et al. An analysis of pregnancy-related mortality in the KEMRI/CDC health and demographic surveillance system in western Kenya. PLoS One. 2013; 8(7):e68733.
4
Khaskeli MN, Baloch S, Sheeba A. Risk factors and complications of puerperal sepsis at a tertiary health care center. Pakistan Journal of Medical Sciences. 2013; 29(4):972-976.
5
Hussein J, Walker L. Puerperal sepsis in low and middle income settings: present, past and future. Globalization and Health. 2011; 7(4):131-147.
6
Awareness of puerperal sepsis among pregnant women attending antenatal clinical at Kenyatta National Hospital, Nairobi County, Kenya. Nairobi, Kenya: University of Nairobi; 2015.
7
Madhudas C, Khurshid F, Sirichand P. Maternal morbidity and mortality associated with puerperal sepsis. Journal of Liaquat University of Medical and Health Sciences. 2011; 10(03):121.
8
Tuladhar H, Khanal R, Kayastha S, Shrestha P, Giri A. Complications of home delivery: our experience at Nepal Medical College Teaching Hospital. Nepal Medical College Journal. 2009; 11(3):164-169.
9
Chisembele M. The global incidence of puerperal sepsis. Geneva: Geneva Foundation for Medical Education and Research Postgraduate Training Course in Reproductive Health; 2004.
10
Downe S, Gyte GM, Dahlen HG, Singata M. Routine vaginal examinations for assessing progress of labor to improve outcomes for women and babies at term. The Cochrane Database of Systematic Reviews. 2013; 7:1.
11
Seale AC, Mwaniki M, Newton CR, Berkley JA. Maternal and early onset neonatal bacterial sepsis: burden and strategies for prevention in sub-Saharan Africa. The Lancet Infectious Diseases. 2009; 9(7):428-438.
12
Utoo BT, Musa J, Karshima JA, Ifenne DI. Maternal morbidity after childbirth in a health care facility in south-South Nigeria. Tropical Journal of Obstetrics and Gynaecology. 2012; 29(1):34-39.
13
Rinku M. Effectiveness of structured teaching program on prevention of puerperal infection among primi postnatal mothers in selected hospital at Mangalore. [PhD Thesis]. Bloomington, USA: Indiana University Bloomington; 2013.
14
Ziraba AK, Madise N, Mills S, Kyobutungi C, Ezeh A. Maternal mortality in the informal settlement of Nairobi city: what do we know? Reproductive Health. 2009; 6(6):1.
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van Dillen J, Zwart J, Schutte J, van Roosmalen J. Maternal sepsis: epidemiology, etiology and outcome. Current Opinion in Infectious Diseases. 2010; 23(3):249-254.
16
ORIGINAL_ARTICLE
Determinants of Contraceptive Usage among Married Women in Shiraz, Iran
Background & aim: Contraceptive usage is a central part of the quality of care in the provision of family services. Currently, this issue has gained much importance since the Iranian policy makers are changing their policies about family planning and contraceptives accessibility. Regarding this, the aim of this study was to determine the rate of contraceptive usage and the factors affecting contraceptive use among the married women of reproductive age in Shiraz County, Iran. Methods: This cross-sectional study was conducted on 626 married women of reproductive age (i.e., 15-49 years) living in Shiraz County (including Shiraz city and the rural areas) using the quantitative survey method. Sampling was performed using multi-stage cluster and purposive sampling techniques. The sample size was determined based on the Krejcie and Morgan’s formula. The data were collected through a questionnaire filled out by some interviewers. Data analysis was performed both descriptively (i.e., frequency and percentage) and analytically (i.e., Chi-square and logistic regression tests) using the SPSS version 20. Results: According to the results of this study, the main predictors of contraceptive usage were couple agreement on contraception method, the number of actual births, women’s authority, knowledge and positive attitude about contraceptives, and the number of desired children. Conclusion: Regarding the new population policies, the Iranian policy makers should be aware of the different aspects of family planning programs, particularly those targeting the contraceptive usage.
https://jmrh.mums.ac.ir/article_8771_f398ffac78d18357d1cddcb742c0b0be.pdf
2017-10-01
1041
1052
10.22038/jmrh.2017.8771
Contraceptive usage
Iran
Modern contraceptives
New population policies
Shiraz county
Traditional contraceptives
Khadijeh
Asadisarvestani
asadi.kh1982@gmail.com
1
PhD Student of Demography, Department of Sociology and Social Planning, University of Science Malaysia, Malaysia, , Shiraz University, Shiraz, Iran
LEAD_AUTHOR
Suet
Khoo
2
Assistant Professor, Department of Developmental Planning and Management, University of Science, Malaysia
AUTHOR
Noor
Malek
3
Associate Professor, Department of Developmental Planning and Management, University of Science, Malaysia
AUTHOR
Suziana
Yasin
4
Assistant Professor, Department of Developmental Planning and Management, University of Science, Malaysia
AUTHOR
Aliyar
Ahmadi
5
Assistance Professor, Department of Sociology and Social Planning, Shiraz University, Shiraz, Iran
AUTHOR
Furedi A. Unplanned pregnancy: your choices: a practical guide to accidental pregnancy. Oxford: Oxford University Press; 1996.
1
Ghodsi Z, Hojjatoleslami S. Knowledge of students about patient rights and its relationship with some factors in Iran. Procedia-Social and Behavioral Sciences. 2012; 31:345-348.
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Cleland J, Conde-Agudelo A, Peterson H, Ross J, Tsui A. Contraception and health. The Lancet. 2012; 380(9837):149-156.
3
Almualm A, Khamis Y. Knowledge, attitude and practice of husbands towards modern family planning in Mukalla, Yemen. [Doctoral Dissertation]. Malaysia: University Sains Malaysia; 2007.
4
Cohen SA. Family planning and safe motherhood: dollars and sense. Guttmacher Policy Review. 2010; 13(2):12-16.
5
Alkema L, Kantorova V, Menozzi C, Biddlecom A. National, regional, and global rates and trends in contraceptive prevalence and unmet need for family planning between 1990 and 2015: a systematic and comprehensive analysis. The Lancet. 2013; 381(9878):1642-1652.
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Randall E. Family planning programmes review. London: Population Matters; 2012.
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Roudi-Fahimi F. Iran's family planning program: responding to a nation's needs. Washington, DC: Population Reference Bureau; 2002.
8
Motlaq ME, Eslami M, Yazdanpanah M, Nakhaee N. Contraceptive use and unmet need for family planning in Iran. International Journal of Gynecology & Obstetrics. 2013; 121(2):157-161.
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Gujarati DN. Data disc to accompany basic econometrics. New York: Tata McGraw-Hill; 2003.
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Medina I. Predicting transition to postsecondary programs of GED® earners in a college setting. [Doctoral Dissertation]. Florida, USA: Nova Southeastern University; 2014.
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Goldberg HI, Toros A. The use of traditional methods of contraception among Turkish couples. Studies in Family Planning. 1994; 1:122-128.
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Myntti C, Ballan A, Dewachi O, El-Kak F, Deeb ME. Challenging the stereotypes: men, withdrawal, and reproductive health in Lebanon. Contraception. 2002; 65(2):165-170.
16
Mehryar A, Aghajanian A, Delavar B, Eini-Zinab H, Kazemipour S. Continuing use of a traditional method (withdrawal) in a high contraceptive prevalence country, Iran: Correlates and consequences. The XXV General Population Conference of the International Union for the Scientific Study of Population, Tours, France; 2006.
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Kowal D. Coitus interrupts (withdrawal). Contraceptive technology. 18th ed. New York: Ardent Media Inc; 2004. P. 311-315.
18
Bommaraju A. Determinants of contraceptive choice: factors affecting contraceptive nonuse among urban women utilizing title X services. [Doctoral Dissertation]. Ohio, USA: University of Cincinnati; 2013.
19
Rahnama P, Hidarnia A, Shokravi FA, Kazemnejad A, Ghazanfari Z, Montazeri A. Withdrawal users' experiences of and attitudes to contraceptive methods: a study from Eastern district of Tehran, Iran. BMC Public Health. 2010; 10(1):779.
20
Azari S, Shahnazi M, Farshbafkhalili A, Abbasnezhad O. Reasons for choosing the traditional method (withdrawal) as contraception among women in Tabriz/Iran. International Journal of Women’s Health and Reproduction Sciences. 2014; 2(5):297-300.
21
World Health Organization. World population prospects: the 2008 revision. New York: Department for Economic and Social Affairs; 2009.
22
Erfani A, Yuksel‐Kaptanoglu I. The use of withdrawal among birth limiters in Iran and Turkey. Studies in Family Planning. 2012; 43(1):21-32.
23
Ehsanpour S, Mohammadifard M, Shahidi S, Nekouyi NS. A comparative study on attitude of contraceptive methods users towards common contraceptive methods. Iranian Journal of Nursing and Midwifery Research. 2011; 15(Suppl 1):363.
24
Easterlin RA. An economic framework for fertility analysis. Studies in Family Planning. 1975; 6(3):54-63.
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Barooti E, Sadeghi N, Karimi-Zarchi M, Soltani HR. Rate of use of contraceptive methods and risk factors in Tehran, the capital of Iran, in 2010 compared to other cities and regions. Clinical and Experimental Obstetrics & Gynecology. 2011; 38(4):408-411.
26
Chintsanya J. Trends and Correlates of contraceptive use among married women in Malawi. Maryland, USA: Evidence from 2000-2010 Malawi Demographic and Health Surveys; 2013.
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Hijazi HH. Factors affecting contraceptive use among women of reproductive age in northern Jordan. New York: A Framework for Health Policy Action; 2012.
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Rahman H, Khalda E, Kar S, Kharka L, Bhutia GP. Knowledge of, attitudes toward, and barriers to the practice of emergency contraception among women in Sikkim, India. International Journal of Gynecology & Obstetrics. 2013; 122(2):99-103.
31
Shahamfar J, Kishore J, Shokhvash B, Motlaq ME, Eslami M, Yazdanpanah M, et al. Effects of educational intervention on male participation in family planning in Iran. Health and Population: Perspectives and Issues. 2015; 30(4):292-299.
32
ORIGINAL_ARTICLE
Marital Satisfaction in Menopausal Women with and without Sexual Dysfunction
Background & aim: The incidence of sexual dysfunction increases during the menopause period. Some menopause women are worried about the reduction of their marital satisfaction due to sexual dysfunction. Regarding this, the present study aimed to compare the marital satisfaction among the menopause women with and without sexual dysfunction. Methods: This cross-sectional study was conducted on 80 menopause women, using the convenience sampling method. Based on the Female Sexual Function Index, the women with a score of less than 23 were considered as suffering from sexual dysfunction (n=40). Additionally, those who scored 23 or more did not have any sexual dysfunction (n=40). Then, we compared the marital satisfaction of the two groups using the ENRICH marital satisfaction questionnaire. The data were analyzed by the independent t-test and Mann-Whitney U test in the SPSS version 18. The P-value less than 0.05 was considered statistically significant. Results: There were no significant differences between the two groups in terms of such variables as the participants' and their husbands' age, height, weight, body mass index, number of children, and the age of menopause (P>0.05). In addition, the two groups showed no statistically significant difference regarding the total score of marital satisfaction (t=-1.19, P=0.526). Conclusion: As the findings of this study indicated, the marital satisfaction of the menopause women was probably not influenced by sexual dysfunction. It seems that it is unreasonable for the menopause women to worry about the marital conflicts and disruption of family relationship due to sexual dysfunction.
https://jmrh.mums.ac.ir/article_8898_8287af20753b1a39f725cc0eba9e13e0.pdf
2017-10-01
1053
1058
10.22038/jmrh.2017.8898
ENRICH marital satisfaction
Questionnaire
FSFI
Marital satisfaction
Menopause women
Sexual function
Esmat
Jafarbegloo
jafarbegloo_2004@yahoo.com
1
MSc in Midwifery, Department Midwifery, Faculty of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran
LEAD_AUTHOR
Sareh
Bakouei
bakouei@yahoo.com
2
MSc in Midwifery, Department Midwifery, Faculty of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran
AUTHOR
Tahmineh
Dadkhahtehrani
3
MSc in Midwifery, nursing and midwifery care research center, Isfahan University of Medical Sciences, Isfahan, Iran
AUTHOR
Burkman RT. Berek & Novak's gynecology. 15th ed. Philadelphia: Lippincott Williams & Wilkins; 2012. P. 1233-1246.
1
Berman JR. Physiology of female sexual function and dysfunction. International Journal of Impotence Research. 2005; 17:S44–S51.
2
Graziottin A. Menopause and sexuality: key issues in premature menopause and beyond. Annals of the New York Academy of Sciences. 2010; 1205(1):254–261.
3
Eden KJ, Wylie KR. Quality of sexual life and menopause. Women's Health. 2009; 5(4):385–396.
4
Nappi RE, Nijland EA. Women’s perception of sexuality around the menopause: outcomes of a European telephone survey. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2008; 137(1):10–16.
5
Lo SS, Kok WM. Sexuality of Chinese women around menopause. Maturitas. 2012; 74(2):190-195.
6
Safarinejad MR. Female sexual dysfunction in a population-based study in Iran: prevalence and associated risk factors. International Journal of Impotence Research. 2006; 18(4):382–395.
7
Gracia CR, Freeman EW, Sammel MD, Lin H, Mogul M. Hormones and sexuality during transition to menopause. Obstetrics and Gynecology. 2007; 109(4):831–840.
8
Jamshidi Manesh M, Jouybary L, Peyrovi H, Sanagoo A. The ups and downs of sex life in menopausal stage: a qualitative study. Qom University of Medical Sciences Journal. 2009; 3(2):41-46.
9
Bancroft J, Loftus J, Long JS. Distress about sex: a national survey of women in heterosexual relationships. Archives of Sexual Behavior. 2003; 32(3):193–208.
10
Jassim GA, Al-Shboul Q. Attitudes of Bahraini women towards the menopause: implications for health care policy. Maturitas. 2008; 59(4):358–372.
11
Pourakbaran E, Yazdi SA. A study of sexual functioning and marital satisfaction in women with and without history of labor. Journal of Fundamentals of Mental Health. 2015; 17(4): 202-208.
12
Rosen R, Brown C, Heiman J, Leiblum C, Meston R, Shabsigh D, et al. The female sexual function index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. Journal of Sex & Marital Therapy. 2000; 26(2):191–208.
13
Mohammadi KH, Heidari M, Faghihzadeh S. The female sexual function index (FSFI): validation of the Iranian version. Payesh Journal. 2007; 7(2):269-278 (Persian).
14
Soleymanian A. Evaluation of illogical thinking on marital dissatisfaction. [Master Dissertation]. Psychology and Educational Sciences Faculty. Tehran, Iran: Teacher Training University; 2002 (Persian).
15
Van Laningham J, Johnson DR, Amato PR. Marital happiness, marital duration, and the U-shaped curve: evidence from a five-wave panel study. Social Forces. 2001; 79(4):1313-1341.
16
Abbasi MA, Dehghani MO, Mzaheri MA. Trend analysis of changes in marital satisfaction and related dimensions across family life Cycle. Journal of Family Research. 2010; 6(1):5-22 (Persian).
17
Lodge AC, Umberson D. All shook up: sexuality of mid- to later life married couples. Journal of Marriage and Family. 2012; 74(3):428-443.
18
Khazaeia M, Rostamib R, Zaryabi A. The relationship between sexual dysfunctions and marital satisfaction in Iranian married students. Procedia-Social and Behavioral Sciences. 2011; 30:783–785.
19
Shahsiah M, Bahrami F, Etemadi O, Mohebi S. Effect of sex education on improving couples marital satisfaction in Isfahan. Health System Research. 2010; 6(4):690-697 (Persian).
20
Rahmani A, Khoei EM, Gholi LA. Sexual satisfaction and its relation to marital happiness in Iranians. Iranian Journal of Public Health. 2009; 38(4):77-82.
21
Litzinger S, Gordon KC. Exploring relationships among communication, sexual satisfaction, and marital satisfaction. Journal of Sex & Marital Therapy. 2005; 31(5):409-424.
22
Zainah AZ, Nasir R, Hashim RS, Yusof NM. Effects of demographic variables on marital satisfaction. Asian Social Science. 2012; 8(9):46-49.
23
Hayes RD, Dennerstein L, Bennett CM, Koochaki PE, Leiblum SR, Graziottin A. Relationship between hypoactive sexual desire disorder and aging. Fertility and Sterility. 2007; 87(1):107-112.
24
Lindau ST, Schumm Ph, Laumann EO, Levinson W, O'muircheartaigh CA, Waite LJ. A study of sexuality and health among older adults in the United States. New England Journal of Medicine. 2007; 357(8):762-774.
25
Anolue FC, Dike E, Adogu P, Ebirim C. Women's experience of menopause in rural communities in Orlu, Eastern Nigeria. International Journal of Gynecology and Obstetrics. 2012; 118(1):31–33.
26
ORIGINAL_ARTICLE
The Effect of an Educational Program based on Health Literacy Strategies on Physical Activity in Postpartum Women
Background & aim: Health literacy is the degree to which individuals can obtain, process, and understand the required basic health information and services to enhance and sustain good health status. Mothers with higher health literacy may have more physical activity than others in the postpartum period. This study sought to assess the effect of an educational program based on health literacy strategies on promoting physical activity in postpartum women. Methods: This quasi-experimental study conducted on 80 postpartum women who referred to healthcare centers of Mashhad, Iran, 2016, and randomly selected by multistage cluster sampling method. The subjects were placed in two groups of control and intervention (n=40 for each group). The intervention group received three 80-min theoretical and practical training sessions based on the health literacy strategies, while the control group received the routine care. Data was collected using Short Test of Functional Health Literacy in Adults (S-TOFHLA), Rapid Estimate of Adult Literacy in Medicine (REALM), and International Physical Activity Questionnaire (IPAQ) before and eight weeks after training. Data analysis was performed using the chi-square, independent and paired t-tests with SPSS software version 16. Results: There was no significant difference between the levels of health literacy and physical activity among the groups before intervention; however, eight weeks after the educational intervention, the levels of both health literacy and physical activity significantly increased among the intervention group (p <0.001). Conclusion: According to the results of the present study, the education based on the health literacy strategies has an impact on the postpartum physical activity in comparison to the control group with routine training.
https://jmrh.mums.ac.ir/article_9252_f4835b0abcfe18d9101e592cce22a122.pdf
2017-10-01
1059
1065
10.22038/jmrh.2017.9252
Education
Health Literacy
Physical Activity
Postpartum
Monireh
Abdollahi
abdollahim3@mums.ac.ir
1
a) MSc Student of Health Education, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran b) Department of Health Education & Health Promotion, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Nooshin
Peyman
peymann@mums.ac.ir
2
a) Associate professor, Social Determinants of Health research center, Mashhad University of Medical Sciences, Mashhad, Iran b) Department of Health Education & Health Promotion, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
LEAD_AUTHOR
Mirmohammadali M, Ashrafinia F, Rajabi H, Amelvalizadeh M, Sadeghniiat Haghighi K, Kazemnejad A. Effect of exercise on quality of sleep in post-partum women. Hayat. 2012; 18(1):20-29 (Persian).
1
Mohajer T. Principle of patient education. 1st ed. Tehran. Salemi Publication; 2001.
2
Kallings L. Physical activity on prescription: studies on physical activity level, adherence and cardiovascular risk factors. [PhD Thesis]. Stockholm: Department of Neurobiology, Care Sciences and Society; 2008.
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Roozbahani N, Ghofranipour F, Eftekhar Ardebili H, Hajizadeh E. The relationship between self-efficacy and stage of change and physical activity behavior in postpartum women. Arak Medical University Journal. 2013; 15(9):61-71 (Persian).
4
Peyman N, Abdollahi M. The relationship between health literacy and self-efficacy physical activity in postpartum women. Journal of Health Literacy. 2016; 1(1):5-12 (Persian).
5
Reisi M, Mostafavi F, Javadzade H, Mahaki B, Tavassoli E, Sharifirad G. Communicative and critical health literacy and self-care behaviors in patients with type 2 diabetes. Iranian Journal of Diabetes and Metabolism. 2015; 14(3):199-208 (Persian).
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DeWalt DA, Callahan LF, Hawk VH, Broucksou K, Hink A, Rudd R, et al. Health literacy universal precautions toolkit. New York: Agency for Healthcare Research and Quality. US Department of Health and Human Services; 2010.
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Naderi M, Rajati F, Yusefi H, Tajmiri M, Mohebi S. Health literacy among adults of Isfahan, Iran. Journal of Health System Research. 2013; 9(5):473-483.
9
Chew LD, Bradley KA, Boyko EJ. Brief questions to identify patients with inadequate health literacy. Health. 2004; 11:12.
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Taggart J, Williams A, Dennis S, Newal A, Shortus T, Zwar N, et al. A systematic review of interventions in primary care to improve health literacy for chronic disease behavioral risk factors. BMC Family Practice. 2012; 13(1):49.
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Kandula NR, Nsiah-Kumi PA, Makoul G, Sager J, Zei CP, Glass S, et al. The relationship between health literacy and knowledge improvement after a multimedia type 2 diabetes education program. Patient Education and Counseling. 2009; 75(3):321-327.
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James DC, Harville C, Efunbumi O, Martin MY. Health literacy issues surrounding weight management among African American women: a mixed methods study. Journal of Human Nutrition and Dietetics. 2015; 28(S2):41-49.
14
Currie JL, Develin EH. Stroll your way to well-being: a survey of the perceived benefits, barriers, community support and stigma associated with pram walking groups designed for new mothers, Sydney, Australia. Health Care for Women International. 2002; 23(8):882-893.
15
Akbari Z, Tol A, Shojaeizadeh D, Aazam K. Assessing of physical activity self-efficacy and knowledge about benefits and safety during pregnancy among women. Razi Journal of Medical Sciences. 2016; 22(139):77-87 (Persian).
16
Peyman N, Mahdizadeh MS, Taghipour A, Esmaily H. Effect of social-cognitive theory based education on physical activity promotion among women with type 2 diabetes in Mashhad, 2012. [Master Thesis]. Mashhad, Iran: Mashhad University of Medical Sciences; 2012 (Persian).
17
Peyman N, Nasehnezhad M, Esmaily H. The Effect of the education based on social-cognitive theory on level of mother’s health literacy and performance of their adolescences in protection of sunlight in city of Sabzevar 2014. Mashhad, Iran: Mashhad University of Medical Sciences; 2015 (Persian).
18
Faruqi N, Joshi C, Dennis S, Lioyd J, Taggart J, Spooner C, et al. What health literacy interventions are effective in the primary healthcare settings in weight loss management-a systematic review. Journal of Obesity Research & Clinical Practice. 2013; 7(2):e99.
19
Riecken KH. Reading into physical activity: exploring relationships between health literacy and physical activity in the community. [PhD Thesis]. Canada: University of Victoria; 2012.
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Kobayashi LC, Wardle J, Wolf MS, von Wagner C. Health literacy and moderate to vigorous physical activity during aging 2004–2013. American Journal of Preventive Medicine. 2016; 51(4):463-472.
21
Dennis S, Williams A, Taggart J, Newall A, Denney-Wilson E, Zwar N, et al. Which providers can bridge the health literacy gap in lifestyle risk factor modification education: a systematic review and narrative synthesis. BMC Family Practice. 2012; 13(1):44.
22
Wolf MS, Gazmararian JA, Baker DW. Health literacy and health risk behaviors among older adults. American Journal of Preventive Medicine. 2007; 32(1):19–24.
23
von Wagner C, Knight K, Steptoe A, Wardle J. Functional health literacy and health-promoting behavior in a national sample of British adults. Journal of Epidemiologic & Community Health. 2007; 61(12):1086–1090.
24
ORIGINAL_ARTICLE
Health Education in Gestational Diabetes Mellitus and Quality of Life
Background & aim: Incidence rate of gestational diabetes mellitus (GDM) has been estimated to be 18.5%. GDM is associated with various challenges in terms of care and public health. The present study aimed to investigate the effects of health education and behavioral interventions on the quality of life in the patients diagnosed with gestational diabetes mellitus (GDM). Methods: This randomized controlled trial was conducted on 149 eligible participants, who were randomly assigned to the intervention and control group with the allocation ratio of 1:1. Participants were divided into four groups, including nutrition therapy with and without education and insulin therapy with and without education. Follow-up of the patients was performed during 12 weeks (January 2014-April 2015). The educational intervention consisted of various aspects, including diet, exercise, glycemic control, postpartum diabetes control and recommendations for delivery. Primary and secondary outcomes were the effects of the educational intervention on the metabolic control and quality of life, respectively. All the women completed the Iranian version of the Diabetes Quality of Life Brief Clinical Inventory (IDQL-BCI) prior to and after the educational intervention. Data analysis was performed using variance, covariance and Chi-square in SPSS version 15, at the significance level of 0.05. Results: No significant difference was observed between the four groups in terms of the quality of life score in the DQOL-BCL before the educational program. However, this score increased in all study groups, especially in the insulin therapy group (mean difference=16.43). Conclusion: According to the results, health education program could be effective in enhancing health-related quality of life in the women with GDM.
https://jmrh.mums.ac.ir/article_9256_c3ca0bdeaaede99d34150dd819272c26.pdf
2017-10-01
1066
1074
10.22038/jmrh.2017.9256
Education
Gestational Diabetes Mellitus
Quality of life
Mani
Mirfeizi
manimirfeizi@yahoo.com
1
Associate Professor, Department of Midwifery, College of Nursing and Midwifery, karaj Branch, Islamic Azad University, Karaj , Iran
LEAD_AUTHOR
Zahra
Mehdizadeh Tourzani
zahramehdizadeh_t@yahoo.com
2
Lecturer, Department of Midwifery, School of Nursing and Midwifery, Alborz University of Medical Sciences, Karaj, Iran
AUTHOR
Mohammad
Asghari Jafarabadi
m_asghari862@yahoo.com
3
a) Assistant Professor, Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran b) Department of Statistics and Epidemiology, School of Health, Tabriz University of Medical Sciences, Tabriz, Iran
AUTHOR
Soheila
Moghimi Hanjani
somoghimi@yahoo.com
4
Lecturer Department of Midwifery, College of Nursing and Midwifery, Karaj Branch, Islamic Azad University, Karaj , Iran
AUTHOR
Mandana
Hasanzad
mandahasanzad@yahoo.com
5
Associate Professor, Tehran Medical Science Branch, Islamic Azad University, Tehran, Iran
AUTHOR
Carolan M. Women's experiences of gestational diabetes self-management: A qualitative study. Midwifery. 2013;29(6):637-45.
1
Carolan M. Diabetes nurse educators' experiences of providing care for women, with gestational diabetes mellitus, from disadvantaged backgrounds. Journal of clinical nursing. 2014;23(9-10):1374-84.
2
Kestilä KK, Ekblad UU, Rönnemaa T. Continuous glucose monitoring versus self-monitoring of blood glucose in the treatment of gestational diabetes mellitus. Diabetes Research and Clinical Practice. 2007;77(2):174-9.
3
Mirfeizi Mf, M, Mirheidari M, Azarian A. Prevalence and risk factor of gestational diabetes mellitus in Karaj -Iran. Iranian Journal of Diabetes and Metabolism. 2013;4(9):382-76.
4
BIDI F, HASSANPOUR K, RANJBARZADEH A, Kheradmand A. Effectiveness of Educational Program on Knowledge, Attitude, Self Care and Life Style in patients with type II diabetes. Quarterly. 2013;19(4):330-44.
5
Mirfeizi M, Shoghi M, Gholami M. Examining diagnostic value of the fasting plasma glucose in screening gestational diabetes. Journal of Diabetes & Metabolic Disorders. 2011;10(1):12-.
6
Crowther CA, Hiller JE, Moss JR, McPhee AJ, Jeffries WS, Robinson JS. Effect of treatment of gestational diabetes mellitus on pregnancy outcomes. The New England journal of medicine. 2005;352(24):2477-86.
7
Lapolla A, Di Cianni G, Di Benedetto A, Franzetti I, Napoli A, Sciacca L, et al. Quality of Life, Wishes, and Needs in Women with Gestational Diabetes: Italian DAWN Pregnancy Study. International journal of endocrinology. 2012;2012:784726.
8
Marchetti D, Carrozzino D, Fraticelli F, Fulcheri M, Vitacolonna E. Quality of Life in Women with Gestational Diabetes Mellitus: A Systematic Review. Journal of diabetes research. 2017;2017.
9
Mautner E, Greimel E, Trutnovsky G, Daghofer F, Egger JW, Lang U. Quality of life outcomes in pregnancy and postpartum complicated by hypertensive disorders, gestational diabetes, and preterm birth. J Psychosom Obstet Gynaecol. 2009;30(4):231-7.
10
Peyrot M, Rubin RR, Lauritzen T, Skovlund SE, Snoek FJ, Matthews DR, et al. Patient and provider perceptions of care for diabetes: results of the cross-national DAWN Study. Diabetologia. 2006;49(2):279-88.
11
Bastani F, Zarrabi R. Correlations of Self-Efficacy among Women with Gestational Diabetes Journal of Hayat. 2011;16(3):56-65.
12
O’Dea A, Tierney M, McGuire BE, Newell J, Glynn LG, Gibson I, et al. Can the Onset of Type 2 Diabetes Be Delayed by a Group-Based Lifestyle Intervention in Women with Prediabetes following Gestational Diabetes Mellitus (GDM)? Findings from a Randomized Control Mixed Methods Trial. Journal of diabetes research. 2015;2015.
13
Haas L, Maryniuk M, Beck J, Cox CE, Duker P, Edwards L, et al. National standards for diabetes self-management education and support. The Diabetes educator. 2012;38(5):619-29.
14
Petkova V, Dimitrov M, Geourgiev S. Pilot project for education of gestational diabetes mellitus (GDM) patients–Can it be beneficial? African Journal of Pharmacy and Pharmacology. 2011;5(10):1282-6.
15
Keohane NS, Lacey LA. Preparing the woman with gestational diabetes for self-care. Use of a structured teaching plan by nursing staff. Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG. 1991;20(3):189-93.
16
Asghari-Jafarabadi M, Sadeghi-Bazargani H. Randomization: techniques and software-aided implementation in medical studies. Journal of Clinical Research & Governance. 2015;4(2).
17
Mirfeizi M, Jafarabadi MA, Toorzani ZM, Mohammadi SM, Azad MD, Mohammadi AV, et al. Feasibility, reliability and validity of the Iranian version of the Diabetes Quality of Life Brief Clinical Inventory (IDQOL-BCI). Diabetes Res Clin Pract. 2012;96(2):237-47.
18
Halkoaho A, Kavilo M, Pietila AM, Huopio H, Sintonen H, Heinonen S. Does gestational diabetes affect women's health-related quality of life after delivery? European journal of obstetrics, gynecology, and reproductive biology. 2010;148(1):40-3.
19
Langer N, Langer O. Emotional adjustment to diagnosis and intensified treatment of gestational diabetes. Obstetrics and gynecology. 1994;84(3):329-34.
20
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21
Dalfra MG, Nicolucci A, Bisson T, Bonsembiante B, Lapolla A. Quality of life in pregnancy and post-partum: a study in diabetic patients. Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation. 2012;21(2):291-8.
22
Feig DS, Chen E, Naylor CD. Self-perceived health status of women three to five years after the diagnosis of gestational diabetes: a survey of cases and matched controls. American journal of obstetrics and gynecology. 1998;178(2):386-93.
23
Danyliv A, Gillespie P, O'Neill C, Noctor E, O'Dea A, Tierney M, et al. Health related quality of life two to five years after gestational diabetes mellitus: cross-sectional comparative study in the ATLANTIC DIP cohort. BMC pregnancy and childbirth. 2015;15:274.
24
Norris SL, Nichols PJ, Caspersen CJ, Glasgow RE, Engelgau MM, Jack L, et al. Increasing diabetes self-management education in community settings: a systematic review. American journal of preventive medicine. 2002;22(4):39-66.
25
Vijayakumar K, Varghese R. Quality of life among diabetic subjects: Indian perspectives. Handbook of Disease Burdens and Quality of Life Measures. 2010:2071-93.
26
Cauch-Dudek K, Victor JC, Sigmond M, Shah BR. Disparities in attendance at diabetes self-management education programs after diagnosis in Ontario, Canada: a cohort study. BMC public health. 2013;13:85.
27
Shih S, Davis-Lameloise N, Janus ED, Wildey C, Versace VL, Hagger V, et al. Mothers After Gestational Diabetes in Australia Diabetes Prevention Program (MAGDA-DPP) post-natal intervention: study protocol for a randomized controlled trial. Trials. 2013;14(1):339.
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Armstrong CL, Brown LP, York R, Robbins D, Swank A. From diagnosis to home management: nutritional considerations for women with gestational diabetes. The Diabetes educator. 1991;17(6):455-9.
29
Devsam BU, Bogossian FE, Peacock AS. An interpretive review of women's experiences of gestational diabetes mellitus: proposing a framework to enhance midwifery assessment. Women and birth : journal of the Australian College of Midwives. 2013;26(2):e69-76.
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Trutnovsky G, Panzitt T, Magnet E, Stern C, Lang U, Dorfer M. Gestational diabetes: women's concerns, mood state, quality of life and treatment satisfaction. The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstet. 2012;25(11):2464-6.
31
ORIGINAL_ARTICLE
The Relationship of Social Participation with Sexual Function and Satisfaction among Women of Reproductive Age
Background & aim: Sexual satisfaction is one of the most important aspects of sexual function, and it plays an essential role in marital satisfaction. This study was conducted to evaluate the relationship of social participation with female sexual function and satisfaction at reproductive age. Methods: In this comparative descriptive study, the data was obtained from a total of 284 married Iranian women who were divided into two groups of women with and without sexual dysfunction (n=142 in each group). The participants were selected via multi-cluster sampling method from public health centers in Mashhad, Iran, in 2015. The data collection tools included a socio-demographic form, Female Sexual Function Index (FSFI), and Keyes Social Health (Participation) Questionnaire. To analyze the data, descriptive statistics, Chi-square test, Mann-Whitney U test, Spearman's rank correlation coefficient, and multiple regression were used in SPSS, version 20. Results: The mean age in two groups were 32.5±7.9 (with sexual dysfunction) and 31.1±7.2 (without sexual dysfunction) years, respectively. There was significant differences between the two groups in terms of social participation, sexual function (p <0.001), and FSFI sub-scale scores including sexual desire (p <0.01), arousal (p <0.001), lubrication (p <0.001), orgasm (p <0.001), and satisfaction (p <0.001). However, there were no significant differences in social participation and subscale of pain (P>0.05) between the two groups. Conclusion: Higher scores in social participation were associated with more favorable female sexual function.
https://jmrh.mums.ac.ir/article_9339_8009e1189a8f0bfdd50a1f2cda53a3fd.pdf
2017-10-01
1075
1081
10.22038/jmrh.2017.9339
Female
Sexual function
Sexual satisfaction
Social
Social participation
Zahra
Kamyabinia
1
MSc in Midwifery, Department of Midwifery, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Sedighe
Azhari
azharis@mums.ac.ir
2
Lecturer, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
LEAD_AUTHOR
Seyyed Reza
Mazloom
3
a) Lecturer, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran b) Evidence-Based Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Negar
Asghari Pour
asgharipourn@mums.ac.ir
4
Assistant Professor of Psychiatry, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Pascoal PM, Narciso ID, Pereira NM. What is sexual satisfaction? Thematic analysis of lay people's definitions. Journal of Sex Research. 2014; 51(1):22–30.
1
Shahhosseini Z, Gardeshi ZH, Pourasghar M, Salehi F. A review of affecting factors on sexual satisfaction in women. Materia Socio-Medica. 2014; 26(6):378 (Persian).
2
Mirtaki M. Exploring the relationship between orgasm experience and marital satisfaction in the women referring to health-care centers. [Master Thesis]. Tehran: Tehran Uiversity of Medical Sciences, Iran; 2004.
3
Mohammad Alizadeh Charandabi S, Mirghafourvand M, Asghari Jafarabadi M, Tavananezhad N, Karkhaneh M. Modeling of socio-demographic predictors of sexual function in women of reproductive age. Journal of Mazandaran University of Medical Sciences. 2014; 23(110):237–242 (Persian).
4
Foroutan SK, Jadid MM. The prevalence of sexual dysfunction among divorce requested. Daneshvar Medicine. 2009; 16(78):37-42 (Persian).
5
Kaplan HI, Sadocks BJ. Synopsis of psychiatry: behavioral sciences/clinical psychiatry. Philadelphia: Williams & Wilkins Co; 2003.
6
Miller HB, Hunt JS. Female sexual dysfunction.review of the disorder and evidence for available treatment alternatives. Journal of Pharmacy Practice. 2003; 16(3):200-208.
7
Mazinani R, Akbari Mehr M, Kaskian A, Kashanian M. Evaluation of prevalence of sexual dysfunctions and its related factors in women. Razi Journal of Medical Sciences. 2013; 19(105):59-66 (Persian).
8
Ramezani N, Dolatian M, Shams J, Alavi H. The relationship between self-esteem and sexual dysfunction and satisfaction in women. Arak Medical University Journal. 2012; 14(6):57-65 (Persian).
9
Jahanfar SH, Molaeenezhad M. Textbook of sexual disorders. Tehran: Salemi & Bizhe Publication; 2002.
10
del Mar Sánchez-Fuentes M, Sánchez-Fuentes M, Santos-Iglesias P, Carlos Sierra J. A systematic review of sexual satisfaction. International Journal of Clinical and Health Psychology. 2014; 14(1):67-75.
11
Mahmodi GH, Hassanzadeh R, Heidari G. The effect of sex education on family health on Mazandran medical university students. The Horizon of Medical Sciences. 2007; 13(2):64-70 (Persian).
12
Pasha H, Haj Ahmadi M. Evaluation of sexual behaviorsin pregnant women and some related factors. Biomonthly Journal of Hormozgan University of Medical Sciences. 2007; 10(4):343-348.
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World Health Organization. Social determinants of health. Geneva: World Health Organization; 2005.
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Keyes CL. Social well-being. Social Psychology Quarterly. 1998; 61(2):121-140.
16
Alizadeh S, Mohseni M, Khanjani N, Momenabadi V. Correlation between social participation of women and their quality of life in Kerman. Journal of Health Promotion Management. 2014; 3(2):34-42 (Persian).
17
Naeinian MR, Shaeiri MR, Hosseini FS. General health and quality of life inpatients with swxual dysfunction. Urology Journal. 2011; 8(2):127-131 (Persian).
18
Sander AM, Maestas KL, Nick TG, Pappadis MR, Hammond FM, Hanks RA, et al. Predictors of sexual functioning and satisfaction 1 year following traumatic brain injury: a TBI model systems multicenter study. The Journal of Head Trauma Rehabilitation. 2013; 28(3):186–194.
19
Agamohammadian S, Talaie A, Bathaiee M. Comparison of sexual satisfaction in women, employed and unemployed. Third Congress of Family and Sexual Health, Tehran, Iran; 2007. P. 63-64 (Persian).
20
Askari P, Pasha GH. Compare marital commitment, sexual satisfaction of working women and housewives. Thought & Behavior in Clinical Psychology. 2011; 6(21):52-60 (Persian).
21
Keyes CL, Shmotkin D, Ryff CD. Optimizing well-being: the empirical encounter of two traditions. Journal of Personality and Social Psychology. 2002; 82(6):1007.
22
Mohammady K, Heidari M, Faghih Zadeh S. Validity of the Persian version of Female Sexual Function Index-FSFI scale as the Female Sexual Function Index. Payesh Journal. 2008; 7(2):269-278 (Persian).
23
Fathi M, Ajamnejad R, Khakrangin M. Factors contributing to social health among teachers of Maraghe city. Social Welfare Quarterly. 2013; 12(47):225-243 (Persian).
24
Nikoobakht M, Fraidouni N, Yaghoubidoust M, Burri A, Pakpour AH. Sexual function and associated factors in Iranian patients with chronic low back pain. Spinal Cord. 2014; 52(4):307-312 (Persian).
25
Abdul Azeez EP. Employed women and marital satisfaction: a study among female nurses. International Journal of Management and Social Sciences Research. 2013; 2(11):17-26.
26
Salmani Z, Tadayon M, Alavifazel K. Prevalence and etiology of orgasm disorders in women. Journal of Kermanshah University of Medical Sciences. 2010; 14(1):82-90.
27
Goshtasbi A,Vahdaninia MA, Rahimi FA, Mohammadi A. Reproductive correlates of female sexual dysfunctions in Kohgilouyeh-Boyerahmad province: a population-based study. Payesh Journal. 2008; 7(1):67-73 (Persian).
28
Nameni F, Yousefzadeh S, Golmakani N, Najaf Najafi M, Ebrahimi M, Modares Gharavi M. Evaluating the effect of religious-based sex education on sexual function of married women. Evidence Based Care. 2014; 4(2):53-62 (Persian).
29
ORIGINAL_ARTICLE
The Relationship between Happiness and Fear of Childbirth in Nulliparous Women
Background & aim: Happiness is a mental or emotional state of well-being. Happy individuals tend to interpret and process feeling in a positive way. Accordingly, the response to the pain may alter due to the effects of subjective elements on the pain perception. This study aimed to evaluate the relationship between the level of contentment and fear of childbirth (FOC) in nulliparous women referring to the healthcare centers of Mashhad, Iran. Methods: This cross-sectional study was conducted on 370 nulliparous women who were selected through multistage sampling method from urban healthcare centers in Mashhad, Iran, 2014. Data collected using demographic and obstetric questionnaire, Oxford Happiness Questionnaire, and Childbirth Attitude Questionnaire (CAQ) (an instrument for measuring the FOC). Data analyzed using Kolmogorov-Smirnov, one-way analysis of variance (ANOVA), independent samples t-test, regression, Kruskal-Wallis, Chi-square, Tukey honest significant difference (HSD), Mann-Whitney U, and Spearman and Pearson correlation coefficient tests with SPSS software version 11.5. Results: The mean levels of happiness and FOC were 123.97±18.82 and 45.80±7.57, respectively. There was a significant correlation between happiness and FOC (p <0.001, r=-0.285), i.e. happier women experienced less FOC. Also Vaginal delivery was the preferred choice of the happier women (P=0.033, t=2.152). Conclusion: Considering the relationship between happiness and FOC, the necessary measures should be taken to improve happiness in pregnant women in order to increase their tendency toward normal vaginal childbirth.
https://jmrh.mums.ac.ir/article_8324_af14709f5861b6c4087043c17f5a8e81.pdf
2017-10-01
1082
1089
10.22038/jmrh.2017.8324
Delivery
fear
Happiness
Nulliparous
Farnaz Sadat
Seyed Ahmadi Nejad
1
Lecturer, Department of Midwifery, Faculty of Nursing and Midwifery, Branch of Kerman, Islamic Azad University, Kerman, Iran
AUTHOR
Fahimeh
Seyed Ahmadi Nejad
seyedahmadi941@gmail.com
2
MSc in Midwifery, Imam Ali Hospital, Zarand, Iran
AUTHOR
Nahid
Golmakani
golmakanin@yahoo.com
3
a) Assistant Professor, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran b) Evidence-Based Care Research Centre, Mashhad University of Medical Sciences, Mashhad, Iran
LEAD_AUTHOR
Mahin
Khajeh Poor
m.khajepour25@gmail.com
4
Lecturer, Department of Midwifery, Faculty of Nursing and Midwifery, Bam University of Medical Sciences, Bam, Iran
AUTHOR
Fatemeh
Azizi Mayvan
azizif@mums.ac.ir
5
Research Assistant, Department of Medicine, Neyshabur University of Medical Sciences, Neyshabur, Iran
AUTHOR
Jafari A, Liyaghatdar M, Abedi M. Happiness and its degree of effective factors in students of the Isfahan Medical Sciences University. Teb va Tazkie. 2004; 54:15-23 (Persian).
1
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2
Jannati Y, Khaki N. Psychiatry in Midwifery. Tehran: Jameenegar Publisher; 2005. P. 144-145.
3
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8
Storksen HT, Eberhard-Gran MA, Garthus-Niegel SU, Eskild A. Fear of childbirth; the relation to anxiety and depression. Acta Obstetricia et Gynecologica Scandinavica. 2012; 91(2):237-242.
9
Ryding E, Wijma B, Wijma K, Rtdhstorm H. Fear of childbirth during pregnancy may increase the risk of emergency caesarean section. Acta Obstetricia et Gynecologica Scandinavica. 1998; 77(5):542–547.
10
Shariat M, Majlesi F, Azari S, Mahmoudi M. Cesarean section in maternity hospitals in Tehran, Iran. Payesh. 2002; 3(1):5-10 (Persian).
11
Spice K, Jones SL, Hadjistavropoulos HD, Kowalyk K, Stewart SH. Prenatal fear of childbirth and anxiety sensitivity. Journal of Psychosomatic Obstetrics & Gynecology. 2009; 30(3):168-174.
12
Poikkeus P, Saisto T, Unkila-Kallio L, Punamaki RL, Repokari L, Vilska S, et al. Fear of childbirth and pregnancy-related anxiety in women conceiving with assisted reproduction. Obstetrics & Gynecology. 2006; 108(1):70-76.
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Alipour Z, Lamyian M, Hajizadeh E, Vafaei MA. The association between antenatal anxiety and fear of childbirth in nulliparous women: a prospective study. Iranian Journal of Nursing and Midwifery Research. 2011; 16(2):169-173 (Persian).
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Serçekuş P, Okumuş H. Fears associated with childbirth among nulliparous woman in Turkey. Midwifery. 2009; 25(2):155-162.
15
Zar M, Wijma K, Wijma B. Pre-and postpartum fear of childbirth in nulliparous and parous women. Scandinavian Journal of Behaviour Therapy. 2001; 30(4):75-84.
16
Hadinejad H, Zareei F. Reliability, validity and normalization of the oxford happiness questionnaire. Psychology Research. 2009; 12(1-2):62-77 (Persian).
17
Lowe NK. Self-efficacy for labor and childbirth fears in nulliparous pregnant women. Journal of Psychosomatic Obstetrics & Gynecology. 2000; 21(4):219-224.
18
Kish JA. The development of maternal confidence for labor among nulliparous pregnant women. [Doctor Dissertation]. Maryland: University of Maryland, College Park; 2003. P. 34-45.
19
Golmakani N, Asl H, Marzie B, Sadjadi SA, Ebrahimzade S. The Relationship between happiness during pregnancy, and labor pain coping behaviors. Evidence Based Care. 2012; 2(2):85-93 (Persian).
20
Cheng CH, Pickler RH. Maternal psychological well-being and salivary cortisol in late pregnancy and early post-partum. Stress and Health. 2010; 26(3):215-224.
21
Hashemi Asl BM, Golmakani N, Shakeri MT, Sadjadi A. The level of happiness in pregnancy and its related factors in pregnant women of Mashhad city in 2013. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2015; 17(137):19-27 (Persian).
22
Jannati Y, Khaki N. Psychiatry in Midwifery. Tehran: Jameenegar Publisher; 2005.
23
Blake SM, Kiely M, Gard CC, El-Mohandes AA, El-Khorazaty MN. Pregnancy intentions and happiness among pregnant black women at high risk for adverse infant health outcomes. Perspectives on Sexual and Reproductive Health. 2007; 39(4):194–205.
24
Delavar Gavam S, Alizadeh Goradel J. The role of metacognitive beliefs and positive and negative affect in the Fear of childbirth of pregnant women with first experience. Iranian Journal of Nursing Research. 2014; 9(3):10-18 (Persian).
25
Aldvin CM. Stress, coping and development: an integrative perspective. New York: The Guilford Press; 2007. P. 174-181.
26
Moradi M, Jafari SE, Abedi MR. Happiness and personality: a review study. Advances in Cognitive Science. 2005; 7(2):60-71 (Persian).
27
Watson D, Clark LA, Tellegren A. Development and validation of brief measures of positive and negative affect: the PANAS Scales. Journal of Personality and Social Psychology. 1988; 54(6):1063-1169.
28
Ghasemi H, Khanei D. The relationship between personality types (A and B) and happiness level high school teachers in Isfahan city. National Conference on Psychology and Behavioral Sciences, Institute of Information Narkysh, Tehran, Iran; 2015 (Persian).
29
Nasiri F, Sharif S. Relationship between fear of childbirth and personality type in pregnant women. The Iranian Journal of Obstetrics, Gynaecology and Infertility. 2013; 16(66):18-25 (Persian).
30
Akbarei SA, Jamalian R, Koahn S, Valaie N. Effect of childbirth preparation on reduction of pain and duration of delivery. Feyz Journals of Kashan University of Medical Sciences. 2000; 4(3):41-48 (Persian).
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Mohammadi Tabar S, Rahnama P, Heidari M, Kiani A, Mohammadi K. Factors affecting in the choice of mode of delivery in pregnant women referring to hospitals of Tehran. Medical Ethics Journal. 2012; 6(21):131-144 (Persian).
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Mohammadpourasl A, Asgharian P, Rostami F, Azizi A, Akbari H. Investigating the choice of delivery method type and its related factors in pregnant women in Maragheh. Knowledge and Health. 2009; 4(1):36-39.
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35
ORIGINAL_ARTICLE
Comparison of the Sexual Function among Women with and without Diabetes
Background & aim: Globally, diabetes is one of the most common chronic diseases, which is considered as the leading cause of sexual dysfunction. However, its effect on female sexual function is still inconspicuous. This study aimed to compare diabetic and non-diabetic women in terms of sexual function. Methods: This cross-sectional study was conducted on 180 diabetic and non-diabetic (n=90 for each group) women referring to the health facilities of Mashhad, Iran. The subjects were married, aged between 18 to 60 years and had experienced type II diabetes for at least one year. Data were collected using clinical and demographic characteristics questionnaire and Rosen’s Female Sexual Functioning Index. To analyse the data, analysis of covariance (ANCOVA), independent t-test, Mann-Whitney U test, and Chi-square test were run using SPSS, version 16. Results: The mean age of diabetic and non-diabetic was respectively 52.42±9.8 and 43.58±9.39. ANCOVA reflected a significant difference between diabetic and non-diabetic women in terms of total score of sexual function (P=0.002) and the score of five domains of desire (P=0.004), arousal (0.001), lubrication (0.003), orgasm (0.001) and satisfaction (0.002). Conclusion: Diabetes is a risk factor for sexual dysfunction in women, which causes negative effects on their sexual function; therefore, it is recommended to educate patients to protect them against these adverse effects.
https://jmrh.mums.ac.ir/article_9052_d8cad1a9a7776b48200ed3f9a95f0266.pdf
2017-10-01
1090
1097
10.22038/jmrh.2017.9052
Diabetes
Iran
Sexual function
Women
Azam
Parnan
1
MSc in Midwifery, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Mahin
Tafazolim
tafazolim@mums.ac.ir
2
Lecturer, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
LEAD_AUTHOR
Elham
Azmoude
3
Lecturer, Department of Midwifery, Faculty of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
AUTHOR
Jahanfar SH, Molaei-nezhad M. Textbook of sexual disorders. 1st ed. Tehran: Salemi & Bizhe Publication; 2002.
1
Baghdari N, Anbaran ZK, Mazloom SR, Golmakani N. Comparison of women's sexual function after natural childbirth and cesarean section in women referring to the healthcare centers of Mashhad. Iranian Journal of Obstetrics, Gynecology & Infertility. 2012; 15(30):30 (Persian).
2
Novak E. Berek & Novak’s gynecology. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2007.
3
Ramezani M, Dolatian M, Shams J, Alavi H. The relationship between self-esteem and sexual dysfunction and satisfaction in women. Arak Medical University Journal. 2012; 14(59):57-65.
4
Wallner LP, Sarma AV, Kim C. Sexual functioning among women with and without diabetes in the Boston Area Community Health Study. The Journal of Sexual Medicine. 2010; 7(2 Pt 2):881-887.
5
Janati Y, Khaki N. Psychiatry in midwifery. 1st ed. Tehran: Jameenegar Publisher; 2005.
6
7. Mohammadi KH, Heydari M, Faghih-Zade S. The female sexual function index (FSFI): validation of the Iranian version. Payesh. 2008; 7(3):270-278 (Persian).
7
Maiorino MI, Bellastella G, Esposito K. Lifestyle modifications and erectile dysfunction: what can be expected? Asian Journal of Andrology. 2015; 17(1):5-10.
8
Omidvar S, Niaki MT, Amiri FN, Kheyrkhah F. Sexual dysfunction among women with diabetes mellitus in a diabetic center in Amol. Journal of Natural Science, Biology, and Medicine. 2013; 4(2):321-324.
9
Prark K. Prark’s textbook preventive & social medicine. 21th ed. Jabalpur: Banarsi Dass Bhanot Press; 2002.
10
Corona G, Mannucci E, Mansani R, Petrone L, Bartolini M, Giommi R, et al. Organic, relational and psychological factors in erectile dysfunction in men with diabetes mellitus. European Urology. 2004; 46(2):222-228.
11
Copeland KL, Brown JS, Creasman JM, Van Den Eeden SK, Subak LL, Thom DH, et al. Diabetes mellitus and sexual function in middle-aged and older women. Obstetrics and Gynecology. 2012; 120(2 Pt 1):331-340.
12
Asadi E, Mansour L, Khodabakhshi A, Fathabadi J. The relationship between couple burnout, sexual assertiveness, and sexual dysfunctional beliefs in women with diabetic husbands and comparing them with women with non-diabetic husbands. Journal of Family Research. 2013; 9(3):311-324.
13
Enzlin P, Rosen R, Wiegel M, Brown J, Wessells H, Gatcomb P, et al. Sexual dysfunction in women with type 1 diabetes. Diabete Care. 2009; 32(5):780-785.
14
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15
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16
Fatemi SS, Taghavi SM. Evaluation of sexual function in women with type 2 diabetes mellitus. Diabetes and Vascular Disease Research. 2009; 6(1):38-39.
17
Wiegel M, Meston C, Rosen R. The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores. Journal of Sex & Marital Therapy. 2005; 31(1):1–20.
18
Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, et al. The female sexual function index (FSFI): a multidimensional self-report instrument for theassessment of female sexual function. Journal of Sex & Marital Therapy. 2000; 26(2):191-208.
19
Ziaei-Rad M, Vahdaninia M, MontazeriA. Sexuall dysfunctions in patients with diabetes: a study from Iran. Reproductive Biology and Endocrinology. 2010; 8(1):50.
20
Doruk H, Akbay E, Cayan S, Bozlu M, Acar D. Effect of diabetes mellitus on female sexual function and risk factors. Archives of Andrology. 2005; 51(1):1-6.
21
Soltan Ahmadi Z, Ranjbar H, KohanM. The relationship between sexual function of diabetic women with quality of life. Journal of Shahid Beheshti University of Medical Sciences. 2013; 23(82):32-39 (Persian).
22
Fatemi SS, Taghavi SM. Evaluation of sexual function in women with type 2 diabetes mellitus. Diabetes and Vascular Disease Research. 2009; 6(1):38-39.
23
Kolodny RC. Sexual dysfunction in diabetic females. Diabetes. 1971; 20(8):557–559.
24
Ali RM, Al Hajeri RM, Khader YS, Shegem NS, Ajlouni KM. Sexual dysfunction in Jordanian diabetic women. Diabetes Care. 2008; 31(8):1580-1581.
25
Yencilek F, Attar R, Erol B, Narin R, Aydın H, Karateke A, et al. Factors affecting sexual function in premenopausal age women with type 2 diabetes: a comprehensive study. Fertility & Sterility. 2010; 94(5):1840–1843.
26
Olarinoye J, Olarinoye A. Determinants of sexual function among women with type 2 diabetes in a Nigerian population. The Journal of Sexual Medicine. 2008; 5(4):878-886.
27
Martin-Morales A, Sanchez-Cruz JJ, De Tejada IS, Rodriguez-Vela L, Jimenez-Cruz JF, Burgos-Rodriguez R. Prevalence and independent risk factors for erectile dysfunction in Spain: results of the Epidemiologia de la Disfuncion Erectil Masculina Study. The Journal of Urology. 2001; 166(2):569-575.
28
Bitzer J, Alder J. Diabetes and female sexual health. Womens Health. 2009; 5(6):629-636
29
Pontiroli AE, Cortelazzi D, Morabito A. Female sexual dysfunction and diabetes: a systematic review and meta-analysis. The Journal of Sexual Medicine. 2013; 10(4):1044-1051.
30
ORIGINAL_ARTICLE
The Effect of Herbal Teas on Management of Polycystic Ovary Syndrome: A Systematic Review
Background & aim: Polycystic ovary syndrome (PCOS) is a common endocrine and metabolic disorder. Recently, the tendency towards complementary therapies such as using herbs with anti-androgenic effects has been increased. This study reviewed the documents related to the effect of four types of herbal teas on the treatment of PCOS based on the literature review. Methods: The searched databases included ISI, PubMed, Google Scholar, Scopus, Science Direct, Cochrane library, International Clinical Trials registry, MedLib, Society for Information Display (SID), Iranian Registry of Clinical Trials (IRCT), IranMedex and Magiran,. The databases were searched for the clinical trials without any time limit and using English and Persian key terms included “polycystic ovarian syndrome”, “herbal therapy”, and “herbal medicine”. Results: Among 104 randomized controlled trials (RCTs) about the effects of herbal medicines on the treatment of PCOS, only four studies were conducted on diverse types of tea. The results of one study on the effects of mint tea revealed a significant reduction in the total and free testosterone levels in the intervention group (p <0.05). Furthermore, the level of hirsutism measured by the patients’ self-assessment significantly decreased in the intervention group (p <0.05). One study on the effects of green tea demonstrated the positive effect of this herb on weight loss (2.4% reduction) and decreasing the number of amenorrhea cases (P>0.05). Likewise, there was no significant alteration in the serum hormone levels in both groups (P>0.05). Another clinical trial determined the same effects ofusing Stachys lavandulifolia and hormone therapy. Accordig to another study, the level of dehydroepiandrosterone-sulphate (DHEA-S) significantly dropped after treatment with marjoram tea (P=0.05). Conclusion: The positive effects of various types of herbal teas on PCOS has been reported in different trials; however, further RCTs are recommended with larger sample size and prolonged duration.
https://jmrh.mums.ac.ir/article_9368_3afcb48ae8f3f555603864efdb23e42d.pdf
2017-10-01
1098
1106
10.22038/jmrh.2017.9368
Disorders
Herbal tea
Polycystic ovary syndrome
Mitra
Kolivand
1
PhD Student in Reproductive Health, Student Research Committee, Department of Reproductive Health, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran
AUTHOR
Afsaneh
Keramat
keramat1@yahoo.com
2
Associate Professor, Reproductive Studies and Women’s Health Research Center, Shahroud University of Medical Sciences, Shahroud, Iran
LEAD_AUTHOR
Ahmad
Khosravi
khosravi2000us@yahoo.com
3
Assistant Professor, Center for Socio-Behavioral Health Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran
AUTHOR
Wei W, Zhao H, Wang A, Sui M, Liang K, Deng H, et al. A clinical study on the short-term effect of berberine in comparison to metformin on the metabolic characteristics of women with polycystic ovary syndrome. European Journal of Endocrinology. 2012; 166(1):99-105.
1
Berek JS, Berek NS. Berek & Novak’s gynecology. 15th ed. Philadelphia: Lippincott Williams & Wilkins; 2011.
2
Toulis KA, Goulis DG, Kolibianakis EM, Venetis CA, Tarlatzis BC, Papadimas I. Risk of gestational diabetes mellitus in women with polycystic ovary syndrome: a systematic review and a meta-analysis. Fertility and Sterility. 2009; 92(2):667-677.
3
Raja-Khan N, Stener-Victorin E, Wu X, Legro RS. The physiological basis of complementary and alternative medicines for polycystic ovary syndrome. American Journal of Physiology-Endocrinology and Metabolism. 2011; 301(1): E1-E10.
4
Grant P, Ramasamy S. An update on plant derived anti-androgens. International Journal of Endo-crinology and Metabolism. 2012; 10(2):497-502.
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Tomatis V. The effects of Green tea and coffee extracts on glucose metabolism and cardio-vascular function in overweight and obese women with Polycystic Ovary Syndrome (PCOS) and insulin resistance. Cambridge, UK: Medical Research Council (MRC), Human Nutrition Research (HNR); 2013.
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Noorbakhsh F, Rezaie S, Arab M. Evaluation the antifungal activity and chemical composition of essential oils of petroselinum crispum, acimum basilicum, anethum graveolens, mentha viridis on aspergillus parasiticus. Journal of Microbial World. 2010; 3(2):128-135 (Persian).
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Grant P. Spearmint herbal tea has significant anti-androgen effects in polycystic ovarian syndrome. a randomized controlled trial. Phytotherapy Research. 2010; 24(2):186-188.
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Maki KC, Reeves MS, Farmer M, Yasunaga K, Matsuo N, Katsuragi Y, et al. Green tea catechin consumption enhancesexercise-induced abdominal fat loss in overweight and obese adults. The Journal of Nutrition. 2009; 139(2):264-270.
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Kim A, Chiu A, Barone MK, Avino D, Wang F, Coleman CI, et al. Green tea catechins decrease total and low-density lipoprotein cholesterol: a systematic review and meta-analysis. Journal of the American Dietetic Association. 2011; 111(11):1720-1729.
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ORIGINAL_ARTICLE
Pulmonary Metastatic Choriocarcinoma in a Patient with Ectopic Pregnancy
Background & aim: Gestational trophoblastic tumor (GTT) most commonly follows a molar pregnancy. In fact, it can occur following gestational events such as induced or spontaneous abortion, ectopic pregnancy, and term pregnancy.
Case report: In this study, we present the case of a patient with ectopic pregnancy who was treated with a single dose of methotrexate (MTX). The maximum titer of beta subunit of human chorionic gonadotropin (BHCG) was 402. Work up of occult metastatic GTT was carried out following MTX therapy, due to elevated BHCG titer. In the positron emission tomography (PET) scan, a 17-mm lesion was detected in the right lung and treated via thoracotomy resection and adjuvant chemotherapy. Within an 18-month follow up, the patient did not reveal any symptoms and the BHCG titer level did not increase.
Conclusion: Findings of this study revealed that after MTX therapy for ectopic pregnancy patients need to be followed up. Moreover, lack of BHCG titer decline, even in low tittering after treatment with MTX, can be related to GTT tumors or inadequate treatment for ectopic pregnancy.
https://jmrh.mums.ac.ir/article_8854_a5001813ab7f95ce7656b25f6b9341cf.pdf
2017-10-01
1107
1112
10.22038/jmrh.2017.8854
Choriocarcinoma Ectopic
pregnancy
Pulmonary metastasis
Fahimeh
Nokhostin
fahimeh.nokhostin@yahoo.com
1
Associated Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences Yazd, Iran
LEAD_AUTHOR
Razieh
Dehghani Firouz Abadi
2
Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
AUTHOR
Mohammad
Bashiri Zadeh
3
MSc in Genetics , Department of Genetics, Elm va Honar University, Yazd, Iran
AUTHOR
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