<?xml version="1.0" encoding="utf-8"?>
			<journal>
			<title>Journal of Midwifery and Reproductive Health</title>
			<title_fa></title_fa>
			<short_title>JMRH</short_title>
			<subject>Medical Sciences</subject>
			<web_url>https://jmrh.mums.ac.ir/</web_url>
			<journal_hbi_system_id>0</journal_hbi_system_id>
			<journal_hbi_system_user></journal_hbi_system_user>
			<journal_id_issn></journal_id_issn>
			<journal_id_issn_online>2345-4792</journal_id_issn_online>
			<journal_id_pii></journal_id_pii>
			<journal_id_doi></journal_id_doi>
			<journal_id_iranmedex></journal_id_iranmedex>
			<journal_id_magiran></journal_id_magiran>
			<journal_id_sid></journal_id_sid>
			<journal_id_nlai></journal_id_nlai>
			<journal_id_science></journal_id_science>
			<language>en</language>
			<pubdate>
				<type>jalali</type>
				<year>0</year>
				<month>0</month>
				<day>1</day>
			</pubdate>
			<pubdate>
				<type>gregorian</type>
				<year>2026</year>
				<month>7</month>
				<day>1</day>
			</pubdate>
			<volume>14</volume>
			<number>3</number>
			<publish_type>online</publish_type>
			<publish_edition>1</publish_edition>
			<article_type>fulltext</article_type>
			<articleset><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Informational Support Needs of Breastfeeding Mothers: A Meta-synthesis of Qualitative Research</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Systematic Review</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background &amp; aim: Worldwide, exclusive breastfeeding (EBF) is considered the healthiest option for infant feeding. Providing informational support to mothers is crucial for informed breastfeeding decision-making and continued practice, as the rate of exclusive breastfeeding has globally declined. This review aimed to systematically synthesize existing evidence on mothers’ informational support needs to identify gaps and improve support strategies.Methods: This meta-synthesis of qualitative studies was conducted based on meta-aggregative qualitative synthesis. The search strategy encompassed English articles indexed in PubMed, Web of Science, Scopus, ProQuest, Google Scholar, as well as the Persian articles indexed in SID, and Magiran. No time restriction was applied up to April 2025. Eligible studies were full-text qualitative articles focused on informational support needs among breastfeeding women. Exclusion criteria included unavailable full texts, review articles, letters to editor, conference papers, case reports, quantitative studies, duplicates, and articles with unresponsive authors, and incomplete or irrelevant data. The quality of the published studies was evaluated using the JBI checklist.Results: This meta-synthesis included ten eligible studies. The review process created 27 subcategories, which were grouped into 20 categories. From these categories four synthesized themes emerged: the need for breastfeeding informative topics, the need for effective strategies for providing information, the need for genuine breastfeeding practice, and the need for sources of information. Conclusion: These findings emphasize the need for healthcare policies that provide personalized, timely, and culturally appropriate breastfeeding information so that mothers can make informed decisions and continue breastfeeding.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Breastfeeding Mothers, Informational Needs, Informational Support Qualitative, Meta-synthesis</keyword>
				<start_page>5438</start_page>
				<end_page>5454</end_page>
				<web_url>https://jmrh.mums.ac.ir/article_27975.html</web_url>
			<author_list><author>
				<first_name>Mohaddesh</first_name>
				<middle_name></middle_name>
				<last_name>Bakhshi Ghalibaf</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>bakhshi.t@gmail.com</email>
				<code>122982</code>
				<coreauthor>No</coreauthor>
				<affiliation>PhD Student of Reproductive Health, Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Sanaz</first_name>
				<middle_name></middle_name>
				<last_name>Mollazadeh</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>sanaz.mollazadeh@gmail.com</email>
				<code>122981</code>
				<coreauthor>No</coreauthor>
				<affiliation>a) Assistant Professor, Nursing and Midwifery Care Research Centre, Mashhad University of Medical Sciences, Mashhad, Iran
b) Department of Midwifery, School of Nursing and Midwifery, Mashhad University Medical of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Narges</first_name>
				<middle_name></middle_name>
				<last_name>Soltani</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>soltanin@mums.ac.ir</email>
				<code>122984</code>
				<coreauthor>No</coreauthor>
				<affiliation>PhD Student of Reproductive Health, Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Khadijeh</first_name>
				<middle_name></middle_name>
				<last_name>Mirzaii Najmabadi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>k.mirzaii@gmail.com</email>
				<code>122983</code>
				<coreauthor>No</coreauthor>
				<affiliation>a) Professor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
b) Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Raheleh</first_name>
				<middle_name></middle_name>
				<last_name>Babazadeh</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>114ram114@gmail.com</email>
				<code>122985</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Assistant Professor, Nursing and Midwifery Care Research Centre, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Barriers and Facilitators of Respectful Maternal Care during Childbirth in Iran: A Scoping Review</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Review Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background &amp; aim: Despite efforts to improve respectful maternal care during childbirth in Iran, its advancement remained limited. This study aimed to synthesize barriers and facilitators of respectful maternal care within the Iranian context.Methods: This review was conducted following Arksey and O’Malley’s framework and JBI guidelines. Two independent researchers searched English databases ofCINAHL, EMBASE, MEDLINE, PsycINFO, ProQuest, Scopus, as well as Persian databases of Irandoc, SID, ISC, and Medlib—using keywords related to respectful maternity care, childbirth, mistreatment, dignity, autonomy, and Iran. Original qualitative and quantitative studies conducted in Iran and published between 2010 and 2024 were included. Quantitative data were extracted and integrated with qualitative findings through narrative synthesis, while qualitative data underwent content and thematic analysis.Results: Of 833 records identified, 24 studies met the inclusion criteria. Most commonly reported disrespectful behaviors were verbal and physical abuse and violations of maternal privacy. Findings were grouped into four main themes: instances of disrespectful care (e.g., neglect, verbal abuse), barriers (e.g., staff shortages, inadequate infrastructure), facilitators (e.g., staff training, family support), and proposed interventions (e.g., educational programs, policy reforms). From healthcare providers’ perspectives, barriers included individual and organizational factors, whereas recipients highlighted individual, health-related, and social issues. Facilitators included interpersonal communication, providers’ characteristics, involvement of recipients and companions, and governance. Interventions were classified as management-oriented and educational strategies.Conclusion: This review highlights major disrespectful behaviors and key barriers and facilitators influencing respectful maternal care in Iran. Addressing staff shortages and improving healthcare settings are essential for sustainable quality improvements.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Abuse, Dignity, Respect, Maternal care, Childbirth, Scoping Review</keyword>
				<start_page>5455</start_page>
				<end_page>5476</end_page>
				<web_url>https://jmrh.mums.ac.ir/article_27326.html</web_url>
			<author_list><author>
				<first_name>Zhila</first_name>
				<middle_name></middle_name>
				<last_name>Mohammadrezayi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>j.mrezayie@gmail.com</email>
				<code>119980</code>
				<coreauthor>No</coreauthor>
				<affiliation>PhD Student in Reproductive Health, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Sepideh</first_name>
				<middle_name></middle_name>
				<last_name>Hajian</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>hajian74@yahoo.com</email>
				<code>119981</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Full Professor, Department of Midwifery, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Seyed Ali</first_name>
				<middle_name></middle_name>
				<last_name>Enjoo</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>a.enjoo@shahed.ac.ir</email>
				<code>119982</code>
				<coreauthor>No</coreauthor>
				<affiliation>Assistant Professor, Department of Medical Ethics, School of Medicine, Shahed University, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Hamid Alavi</first_name>
				<middle_name></middle_name>
				<last_name>Majd</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>alavimajd@gmail.com</email>
				<code>119983</code>
				<coreauthor>No</coreauthor>
				<affiliation>a) Full Professor, Proteomics Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
b) Department of Biostatistics, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Naser</first_name>
				<middle_name></middle_name>
				<last_name>Masoodi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>abcdefgh1390@yahoo.com</email>
				<code>119984</code>
				<coreauthor>No</coreauthor>
				<affiliation>Associate Professor,  Department of General Surgery, School of Medicine, Urmia University of Medical Sciences , Urmia , Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>The Effectiveness of a Combined Loving Lactation Massage and Conventional Technique in Accelerating the Onset of Lactogenesis II among Postpartum Mothers: A Quasi-Experimental Study</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original Research Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background &amp; aim: Postpartum mothers frequently experience a delayed onset of lactogenesis II, which usually stems from hormonal, psychological, or physical factors. Delays in lactogenesis II can negatively affect the success of exclusive breastfeeding. This study aimed to evaluate the effectiveness of a combined intervention involving Loving Lactation Massage (LLM) and conventional breast massage techniques in accelerating the onset of lactogenesis II.Methods: A quasi-experimental study with a post-test-only non-equivalent groups design was conducted from October to December 2022 at an independent midwifery practice in Pontianak, Indonesia. Sixty postpartum mothers were divided into two groups of 30: the treatment group received a combination of LLM and conventional breast massage techniques, while the control group received only the conventional techniques. The onset of lactogenesis was recorded within 72 hours postpartum using a validated observation sheet and quantified in hours. Data were analyzed using the Mann-Whitney test due to non-normal distribution.Results: The treatment group experienced a significantly earlier onset of lactogenesis II (26.27 ± 6.76 hours) compared to the control group (43.26 ± 7.43 hours) )P value &lt; 0.001(. Maternal comfort was also rated higher in the treatment group.Conclusion: The combined intervention of LLM and conventional breast massage methods significantly accelerates the onset of lactogenesis II compared to using conventional methods alone. This approach is recommended for postpartum lactation support, particularly in cases of delayed lactogenesis.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Loving Lactation Massage, Lactogenesis II, Postpartum Mothers, Breast Massage</keyword>
				<start_page>5477</start_page>
				<end_page>5484</end_page>
				<web_url>https://jmrh.mums.ac.ir/article_27596.html</web_url>
			<author_list><author>
				<first_name>Dini</first_name>
				<middle_name>Fitri</middle_name>
				<last_name>Damayanti</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>dinifitrid@gmail.com</email>
				<code>121213</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Associate Professor, Department of Midwifery, Poltekkes Pontianak, Pontianak, Indonesia</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Desy</first_name>
				<middle_name></middle_name>
				<last_name>Rosita</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>desy.rosita.sst@gmail.com</email>
				<code>121214</code>
				<coreauthor>No</coreauthor>
				<affiliation>Assistant Professor, Department of Midwifery, Poltekkes Pontianak, Pontianak, Indonesia</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Jehani Fajar</first_name>
				<middle_name></middle_name>
				<last_name>Pangestu</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>jejehanini@gmail.com</email>
				<code>121215</code>
				<coreauthor>No</coreauthor>
				<affiliation>Assistant Professor, Department of Midwifery, Poltekkes Pontianak, Pontianak, Indonesia</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Jessica Juan</first_name>
				<middle_name></middle_name>
				<last_name>Pramudita</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>jessicajuanp24@gmail.com</email>
				<code>121216</code>
				<coreauthor>No</coreauthor>
				<affiliation>Associate Professor, Department of Medical Laboratory Technology, Poltekkes Kemenkes Semarang, Semarang, Indonesia</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Slamet</first_name>
				<middle_name></middle_name>
				<last_name>Wardoyo</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>slametwardoyo91@gmail.com</email>
				<code>121217</code>
				<coreauthor>No</coreauthor>
				<affiliation>Assistant Professor. Department of Environmental Health, Poltekkes Surabaya, Surabaya, Indonesia</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Exploring Factors Influencing Treatment Adherence in Women with Gestational Diabetes Mellitus: A Thematic Analysis</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original Research Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background &amp; aim: Gestational Diabetes Mellitus (GDM) requires effective management through dietary changes, physical activity, and medications. Adherence to treatment is crucial, as poor adherence can lead to serious maternal and fetal complications. This study explored the factors influencing treatment adherence and compliance among women with GDM, building on prior evidence indicating low adherence levels in this population.Methods: A qualitative study was conducted at a perinatal facility in Tamil Nadu, India, over six months. Purposeful sampling continued until data saturation, with 21 participants. In-depth, semi-structured interviews were held, and data was analyzed using conventional content analysis with a thematic approach. Results: Two main themes affecting adherence emerged: 1) personal and family dynamics and 2) provision of health literacy. Personal and family dynamics included subthemes of perceptions of GDM, family support, roles and responsibilities, work-life imbalance, perceived control over self and family decisions, resource access, and prior diabetes exposure. Provision of health literacy emerged from two sub themes of the quality and adequacy of health literacy and challenges in communicating health information.Conclusion: This study underscores the significant impact of both personal and family dynamics as well as health literacy on treatment adherence. Family factors, including perception of GDM, support, and responsibilities, greatly influence health management practices. Similarly, the quality of health literacy and effective communication of health information are critical for improving adherence. A holistic approach addressing both familial and systemic factors is essential to enhance treatment adherence and overall health outcomes for women with GDM.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Gestational Diabetes Mellitus, Healthcare, Medication Adherence, Perinatal Care, Qualitative research</keyword>
				<start_page>5485</start_page>
				<end_page>5493</end_page>
				<web_url>https://jmrh.mums.ac.ir/article_27597.html</web_url>
			<author_list><author>
				<first_name>Rogina</first_name>
				<middle_name>JS</middle_name>
				<last_name>Savarimuthu</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>roginajerome@gmail.com</email>
				<code>121218</code>
				<coreauthor>No</coreauthor>
				<affiliation>PhD Student, SRM College of Nursing, Faculty of Medical &amp; Health Sciences, SRM Institute of Science and Technology, Kattankulathur, Chengalpattu District, Tamil Nadu, India</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Helen Shaji</first_name>
				<middle_name></middle_name>
				<last_name>JC</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>dean.research.srm.nursing@gmail.com</email>
				<code>121219</code>
				<coreauthor>No</coreauthor>
				<affiliation>Professor, SRM College of Nursing, Faculty of Medical &amp; Health Sciences, SRM Institute of Science and Technology, Kattankulathur, Chengalpattu District, Tamil Nadu, India</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Nagarajan Bamini</first_name>
				<middle_name></middle_name>
				<last_name>Devi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>baminidn@srmist.edu.in</email>
				<code>121220</code>
				<coreauthor>No</coreauthor>
				<affiliation>Professor, SRM College of Nursing, Faculty of Medical &amp; Health Sciences, SRM Institute of Science and Technology, Kattankulathur, Chengalpattu District, Tamil Nadu, India</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Factors Affecting Knowledge, Attitudes, and Practices Related to Reproductive Health Issues among University Youth in Yemen: A Cross-sectional Analytical Study</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original Research Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background &amp; aim: Reproductive health reflects the health of young people throughout adolescence and adulthood; thus, it is critical to address their reproductive health needs and concerns. This study aimed to assess knowledge, attitudes, and practices towards reproductive health and associated factors among university youth in Yemen. Methods: A cross-sectional study including 576 male and female students was undertaken. Participants were selected using a simple random sampling, and data were collected using a self-structured and self-administered questionnaire. Chi-square test, and logistic regression model were used to identify factors associated with university students’ knowledge, attitudes, and practices about reproductive health. Results: The average age of participants was 21.7 years, and 54.9% were male. The study reported that 55.9%, 46.2%, and 73.3% of youth had poor knowledge, negative attitudes, and unsatisfactory practices towards reproductive health services, respectively. Females had a higher odd of having knowledge, positive attitudes, and practices [(AOR= 2.379; 95% CI: 1.591 - 3.558; P =0.001), (AOR= 2.399; 95% CI: 1.613 - 3.569; P =0.001), and (AOR= 1.501; 95% CI: 1.033 - 2.181; P =0.033, respectively)]. Marriage, urban residence, and independence were associated with increased knowledge, positive attitudes, and satisfactory practices.Conclusion: The majority of participants demonstrated poor knowledge, negative attitudes, and unsatisfactory practices regarding reproductive health services, highlighting a significant gap in this population. Gender, marriage, urban residence, and independence emerged as key positive determinants. These findings underscore the urgent need for targeted educational interventions, particularly for male, unmarried, and rural-dwelling students, to improve reproductive health outcomes among university youth.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Reproductive health, Knowledge, Attitude, Practice, Yemen</keyword>
				<start_page>5494</start_page>
				<end_page>5506</end_page>
				<web_url>https://jmrh.mums.ac.ir/article_27599.html</web_url>
			<author_list><author>
				<first_name>Majed</first_name>
				<middle_name></middle_name>
				<last_name>AL-Asfar</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>abouawad55@gmail.com</email>
				<code>121227</code>
				<coreauthor>No</coreauthor>
				<affiliation>Associate Professor, Molecular Biology Research &amp; Studies Institute, Assiut University, Assiut, Egypt</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohamed</first_name>
				<middle_name></middle_name>
				<last_name>Hassan</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>m_hassan79@aun.edu.eg</email>
				<code>121228</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>a) Professor, Department of Genetics, Faculty of Agriculture, Assiut University, Assiut, Egypt
b) Molecular Biology Research &amp; Studies Institute, Assiut University, Assiut, Egypt</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Medhat</first_name>
				<middle_name></middle_name>
				<last_name>Saleh</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>medhatelaraby@aun.edu.eg</email>
				<code>121229</code>
				<coreauthor>No</coreauthor>
				<affiliation>a) Professor, Department of Public Health and Community Medicine, Faculty of Medicine, Assiut University, Assiut, Egypt
b) Molecular Biology Research &amp; Studies Institute, Assiut University, Assiut, Egypt</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Direct and Indirect Estimation of Intentional Abortion and Exploring Its Related Causes, Methods and Consequences in the Last 5 Years in Women in Tehran: A Mixed Methods Study Protocol</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original Research Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background &amp; aim: Unsafe abortion is a major issue in developing countries. Legal, cultural, religious, and customary challenges surrounding the issue of intentional abortion limit direct assessment of the status of intentional abortion and its associated factors in different regions of the world. Therefore, indirect methods of inquiry are useful in this sensitive issue. In direct estimation, the answers to the questions are direct and clear, but in indirect estimation, non-random answers are used. This study aims to estimate the rate of intentional abortions in Tehran over the past five years and to explore its related causes, methods, and consequences.Methods: This sequential explanatory mixed-methods study will be conducted in Tehran, Iran. In the first stage, a descriptive cross-sectional study will be conducted on 831 women aged 15 to 49, using random sampling and a four-part quantitative questionnaire. Then, the data will be analyzed by SPSS 22 software using Fisher&#039;s exact test, chi-square, and regression model. In the second stage, based on the results of the first stage, a qualitative study will be conducted with purposeful selection of participants (women seeking intentional abortion), with a qualitative content analysis approach until data saturation. Finally, both quantitative and qualitative data sets will be integrated to form a comprehensive interpretation.Discussion: Using indirect methods for investigating sensitive topics such as intentional abortions, that individuals may conceal, could provide a more accurate estimate of this issue, which can be used to design and implement healthcare programs for all people with unsafe abortions.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Intentional Abortion, Mixed-methods Study, Protocol</keyword>
				<start_page>5507</start_page>
				<end_page>5518</end_page>
				<web_url>https://jmrh.mums.ac.ir/article_27598.html</web_url>
			<author_list><author>
				<first_name>Zahra</first_name>
				<middle_name></middle_name>
				<last_name>Mehdizadeh</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>mehdizadehzahra847@gmail.com</email>
				<code>121222</code>
				<coreauthor>No</coreauthor>
				<affiliation>Assistant Professor, Department of Midwifery, Faculty of Medicine, Alborz University of Medical Sciences, Alborz, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Shahla</first_name>
				<middle_name></middle_name>
				<last_name>Khosravi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>shahlakhosravi@gmail.com</email>
				<code>121221</code>
				<coreauthor>No</coreauthor>
				<affiliation>Associate Professor, Department of Community Medicine, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Masoud</first_name>
				<middle_name></middle_name>
				<last_name>Yunesian</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>masoudyunesian@gmail.com</email>
				<code>121223</code>
				<coreauthor>No</coreauthor>
				<affiliation>a) Professor, Department of Environmental Health Engineering, Faculty of Public Health, Tehran University of Medical Sciences, Tehran, Iran
b) Department Associate Professor, Center for Air Pollution Research, Institute for Environmental Research, Tehran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mansour</first_name>
				<middle_name></middle_name>
				<last_name>Shamsipour</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>mansourshamsipour@gmail.com</email>
				<code>121224</code>
				<coreauthor>No</coreauthor>
				<affiliation>a) Professor, Department of Environmental Health Engineering, Faculty of Public Health, Tehran University of Medical Sciences, Tehran, Iran
b) Department Associate Professor, Center for Air Pollution Research, Institute for Environmental Research, Tehran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Robab</first_name>
				<middle_name></middle_name>
				<last_name>Hasanzadeh</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>robabhasanzadeh@gmail.com</email>
				<code>121225</code>
				<coreauthor>No</coreauthor>
				<affiliation>Assistant Professor, Department of Nursing and Midwifery, Bon.C., Islamic Azad University, Bonab, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Shirin</first_name>
				<middle_name></middle_name>
				<last_name>Shahbazi Sighaldeh</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>shirinshahbazisighaldeh@gmail.com</email>
				<code>121226</code>
				<coreauthor>No</coreauthor>
				<affiliation>Associate Professor, Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Prevalence of Primary Ovarian Insufficiency, Early Menopause and their Associated Factors among Menopausal Women: Results from the AZAR Cohort study in Iran</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original Research Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background &amp; aim: Primary ovarian insufficiency (POI) and early menopause are among the primary causes of female infertility. Thus, the present study evaluated the prevalence of POI and early menopause and identifies the associated factors in postmenopausal women in Shabestar, Iran.Methods: This cross-sectional study was carried out useing data from the AZAR cohort study (ACS), which was conducted in Shabestar, Iran, from October 2014 to January 2017. Among 15,006 participants, fundamental data for 8,290 women were extracted, of whom 3,491 were in menopausal period. Data were collected using a structured and pre-designed questionnaire. To identify the prevalence of POI and associated factors, univariable and multivariable logistic regression were used.Results: This study found that the prevalence of POI, early menopause, and age at natural menopause was 6.1%, 27.6%, and 66.3%, respectively. Multivariable logistic regression results, after adjusting for all potential confounding factors, revealed that the odds of POI were significantly lower in women with parity ≥ 3, overweight women, and women with late menarche. The odds of POI were also considerably higher in smokers. The results also revealed that underweight women had more than 4 times higher odds of early menopause. Conclusion: The results revealed that parity, age at menarche, overweight, and smoking had a statistically significant relationship with POI. Due to the increasing prevalence of POI and early menopause, screening to identify the associated factors by healthcare providers will help to provide early interventions.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Primary Ovarian Failure, Early menopause, Age at menopause, AZAR cohort study</keyword>
				<start_page>5519</start_page>
				<end_page>5531</end_page>
				<web_url>https://jmrh.mums.ac.ir/article_27594.html</web_url>
			<author_list><author>
				<first_name>Sepideh</first_name>
				<middle_name></middle_name>
				<last_name>Mashayekh-Amiri</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>sepidehmashayekh@yahoo.com</email>
				<code>121209</code>
				<coreauthor>No</coreauthor>
				<affiliation>a) Assistant Professor, Counseling and Reproductive Health Research Centre, Golestan University of Medical Sciences,Gorgan, Iran
b) Department of Midwifery, Faculty of Nursing and Midwifery, Golestan University of Medical Sciences,Gorgan, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Elnaz</first_name>
				<middle_name></middle_name>
				<last_name>Faramarzi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>elnazfaramarzi849@gmail.com</email>
				<code>121211</code>
				<coreauthor>No</coreauthor>
				<affiliation>Associate Professor, Liver and Gastrointestinal Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mojgan</first_name>
				<middle_name></middle_name>
				<last_name>Mirghafourvand</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>mirghafourvand@gmail.com</email>
				<code>121210</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>a) Professor, Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran         
b) Menopause Andropause Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Mental Health Status, Quality of Life and Associated Factors in Postmenopausal Women: A Cross-Sectional Study</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original Research Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background &amp; aim: Physiological changes experienced during menopause in women adversely affect their mental health and overall quality of life. This study aimed to investigate the mental health status, quality of life, and associated factors in postmenopausal women.Methods: This study was a cross-sectional study involving 400 postmenopausal women between April 2022 and February 2023 in Urmia, Northwest Iran. To select participants, multiple-stage sampling was employed. Data were collected using a demographic questionnaire, the Symptom Checklist-90 (SCL-90) to measure mental health status, and the Menopausal Quality of Life Questionnaire (MENQOL) through closed interviews. The data was analyzed using Pearson correlation test and backward multiple linear regression model with SPSS version 16.Results: The average age of the participants was 54.26 ± 3.54 years. In examining the mental status, overall psychological symptoms index was 1.42 ± 0.53, and the highest mean was related to the dimension of obsession (1.74 ± 0.72). There was a substantial association between postmenopausal women&#039;s mental health and educational level, employment, and number of children (P&lt; 0.05). In examining the quality of life, the total questionnaire score was 35.79±13.49, and the physical dimension (20.50 ± 8.49) had the highest average. There was a significant association between quality of life and economic position, number of children, and spouse&#039;s educational degree (P&lt; 0.05).  Also, there was a substantial positive correlation between mental health and quality of life.Conclusion: Based on results, designing supportive interventions to improve the mental health and quality of life of menopausal women seems essential.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Post menopause, Quality of life, Mental health, Women</keyword>
				<start_page>5532</start_page>
				<end_page>5541</end_page>
				<web_url>https://jmrh.mums.ac.ir/article_27586.html</web_url>
			<author_list><author>
				<first_name>Atefeh</first_name>
				<middle_name></middle_name>
				<last_name>Yas</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>atefehyas@yahoo.com</email>
				<code>121181</code>
				<coreauthor>No</coreauthor>
				<affiliation>Assistant Professor, Reproductive Health Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Saeideh</first_name>
				<middle_name></middle_name>
				<last_name>Davar</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>davarsaeide@gmail.com</email>
				<code>121182</code>
				<coreauthor>No</coreauthor>
				<affiliation>Assistant Professor, Department of Epidemiology and Biostatistics, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Zahra</first_name>
				<middle_name></middle_name>
				<last_name>Sahebazamani</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>zs.zaman@yahoo.com</email>
				<code>121183</code>
				<coreauthor>No</coreauthor>
				<affiliation>PhD Student in Nursing, UW–Madison School of Nursing, University of Wisconsin-Madison, Madison, WI, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Homeira</first_name>
				<middle_name></middle_name>
				<last_name>Nournejad</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>h.nournezhad@gmail.com</email>
				<code>121184</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>a) MSc of Counseling in Midwifery, Department of Consultation on Midwifery, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
b) Maternal and Childhood Obesity Research Center, Urmia University of Medical Sciences, Urmia, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Effect of Midwife-led Counseling Based on Gamble’s Approach on Anxiety and Depression during Pregnancy</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original Research Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background &amp; aim: Pregnancy-related anxiety and depression are prevalent and increase the risk of negative maternal outcomes. Therefore, the current study aimed to examine the effect of midwife-led counseling according to Gamble’s approach on pregnancy-related anxiety and depression.
Methods: This quasi-experimental study was carried out from April 4, 2023, to September 21, 2023, in Zahedan, Iran. Fifty-seven Iranian pregnant women at gestational ages of 18-24 weeks with a Hospital Anxiety and Depression Scale (HADS) score of ≥8 were allocated to two intervention and control groups using convenience sampling. The intervention group (n=28) received five counseling sessions according to Gamble’s approach, while the control group (n=29) was subjected to the routine prenatal care. The HADS questionnaire was used to collect data before, immediately after, and two months after the intervention. Data were analyzed using Chi-square test, linear regression model, and repeated measures analysis of variance.
Results: The two groups were not significantly different in terms of anxiety (P=0.9) and depression scores (P=0.2) before the intervention. However, after the intervention, the anxiety and depression scores significantly decreased in the intervention group in comparison with the control group (P&lt;0.0001). According to post-hoc analysis, in the intervention group, two months after the intervention, the levels of anxiety (P&lt;0.007) and depression (P=0.001) were significantly lower  compared to  the pre-intervention stage.
Conclusion: Midwife-led counseling based on Gamble’s approach may help to reduce symptoms of anxiety and depression during pregnancy. Further randomized controlled trials are needed to examine the effectiveness of this intervention in real-world healthcare settings.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Counseling, Anxiety, Depression, Midwifery, prenatal care, pregnancy</keyword>
				<start_page>5542</start_page>
				<end_page>5551</end_page>
				<web_url>https://jmrh.mums.ac.ir/article_27333.html</web_url>
			<author_list><author>
				<first_name>Zahra</first_name>
				<middle_name></middle_name>
				<last_name>Moudi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>zz_moudi@yahoo.com</email>
				<code>120017</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Professor, Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Asma</first_name>
				<middle_name></middle_name>
				<last_name>Yousefi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>asma.usefi.2345@gmail.com</email>
				<code>120018</code>
				<coreauthor>No</coreauthor>
				<affiliation>MSc of Counseling in Midwifery, Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mahbobeh</first_name>
				<middle_name></middle_name>
				<last_name>Faramarzi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>mahbob330@yahoo.com</email>
				<code>120019</code>
				<coreauthor>No</coreauthor>
				<affiliation>Professor, Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Hossein</first_name>
				<middle_name></middle_name>
				<last_name>Ansari</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>ansarih88@gmail.com</email>
				<code>120020</code>
				<coreauthor>No</coreauthor>
				<affiliation>Assistant Professor, Department of Epidemiology &amp; Biostatistics, Zahedan University of Medical Sciences, Zahedan, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>The Relationship of Pregnant Women’s Sexual Activity and Response with Spouses’ Emotional Response to Pregnancy</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original Research Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background &amp; aim: Women&#039;s emotional relationships with their spouses can be influenced by adverse sexual performance during pregnancy. A spouse&#039;s supportive behavior toward pregnancy and his emotional response play a pivotal role in maintaining his pregnant wife’s mental well-being. This study aimed to investigate the relationship between pregnant women’s sexual activity and response with spouses’ emotional response to pregnancy.Methods: In this cross-sectional study, cluster sampling was employed to select 265 pregnant women having a healthy singleton pregnancy within 16–24 weeks from January to Agust 2024. The Raj Sexual Activity and Response Questionnaire and the Kazemi Emotional Reaction to Pregnancy Questionnaire were used to collect data on a self-report basis. ANOVA, paired t-tests, Pearson correlation coefficients, and linear regression were utilized for data analysis in SPSS Statistics 22.Results: Before pregnancy, 79.6% of women showed sexual activity and response at satisfactory to excellent levels. However, this figure declined to 40.4% after pregnancy, with mean scores for sexual activity and response falling from 63.86±19.51 pre-pregnancy to 44.88±14.31 post-pregnancy (P&lt;0.001). Additionally, the mean emotional response to pregnancy score of the spouse was recorded as 52.35±21.31. There was a significant positive correlation between women’s sexual activity and response and the spouses’ emotional response to pregnancy (P=0.001, r=0.202).Conclusion: The spouse&#039;s emotional response to pregnancy was positively associated with the pregnant women’s sexual activity and response. The results can be used to develop a pregnancy counseling program to establish safe marital environments and relationships, helping pregnant women with psychological stress.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>pregnancy, emotional reaction, Sexual Spouse, Sexual behavior</keyword>
				<start_page>5552</start_page>
				<end_page>5563</end_page>
				<web_url>https://jmrh.mums.ac.ir/article_27590.html</web_url>
			<author_list><author>
				<first_name>Farnaz</first_name>
				<middle_name></middle_name>
				<last_name>Talebinejad</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>farnaztalebinejad9@gmail.com</email>
				<code>121196</code>
				<coreauthor>No</coreauthor>
				<affiliation>MSc of Counselling in Midwifery, Department of Midwifery and Reproductive Health, Faculty of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Masoomeh</first_name>
				<middle_name></middle_name>
				<last_name>Kheirkhah</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>shivakheirkhah1345@gmail.com</email>
				<code>121197</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Associate Professor, Department of Midwifery and Reproductive Health, Faculty of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Elahe</first_name>
				<middle_name></middle_name>
				<last_name>Sadeghi Sahebzad</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>sadeghi.se22@gmail.com</email>
				<code>121198</code>
				<coreauthor>No</coreauthor>
				<affiliation>Assistant Professor, Department of Midwifery and Reproductive Health, Faculty of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Shima</first_name>
				<middle_name></middle_name>
				<last_name>Haghani</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>shima_haghani@yahoo.com</email>
				<code>121199</code>
				<coreauthor>No</coreauthor>
				<affiliation>MSc of Statistics, Department of Statistic, Iran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Fertility Desire and Related Factors among Women of Reproductive Age in Iran: A Cross-sectional Study</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original Research Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background &amp; aim: Developed societies have been grappling with population aging and declining fertility rates, prompting Iran to implement policies aimed at increasing fertility. However, research on fertility desire among women of reproductive age in Iran, remained limited. Therefore, this study was conducted to investigate fertility desire and its related factors in women of reproductive age.Methods: This cross-sectional study was conducted on 400 women of reproductive age in Kashan, Iran, between 2023 and 2024, using a multistage sampling method. Data were collected using a four-part questionnaire: demographic characteristics, fertility desire, fertility health awareness, and the Multidimensional Scale of Perceived Social Support. Data were analyzed using one-way ANOVA, independent t-tests, Pearson’s correlation coefficient, and multiple linear regression in SPSS (version 24).Results: The mean score for participants’ fertility desire was 44.9±7.2 (22-61). There was a significant difference in fertility desire scores based on age, age at marriage, participants and spouses’ employment status, participants and spouses’ educational level, economic status, and number of pregnancies. Linear regression analysis showed that age (P&lt;0.001), self-assessment of economic status (P&lt;0.001), fertility health awareness (P&lt;0.001), and perceived social support (P=0.003) predicted and explained 29% of the variance in fertility desire (R^2=0.29).Conclusion: Approximately two-thirds of the women reported a moderate fertility desire. These findings offer policymakers and fertility specialists valuable insight into the key determinants of women’s fertility desire. Improving fertility health awareness, social support, and economic conditions may contribute to promoting a younger population structure in Iran.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Fertility, Women, Reproductive age, Desire, Iran</keyword>
				<start_page>5564</start_page>
				<end_page>5575</end_page>
				<web_url>https://jmrh.mums.ac.ir/article_27592.html</web_url>
			<author_list><author>
				<first_name>Negin</first_name>
				<middle_name></middle_name>
				<last_name>Shaterian</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>negin_shaterian@yahoo.com</email>
				<code>121204</code>
				<coreauthor>No</coreauthor>
				<affiliation>MSc of Midwifery, Department of Reproductive Health and Midwifery, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Azade</first_name>
				<middle_name></middle_name>
				<last_name>Safa</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>azade.fazel@yahoo.com</email>
				<code>121203</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohammad Amin</first_name>
				<middle_name></middle_name>
				<last_name>Jandaghian-Bidgoli</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>mohammadaminjandaghian@sbmu.ac.ir</email>
				<code>121205</code>
				<coreauthor>No</coreauthor>
				<affiliation>MSc of Nursing, Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Menopause and Marital Challenges: Physical, Psychological and Economic Challenges to Couples’ Quality of Life</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original Research Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background &amp; aim: Menopause is a natural biological process; however, it is often accompanied by challenges that can significantly affect the quality of life of both women and their partners. This study aimed to explore the experiences of couples regarding challenges to their quality of life during menopause.Methods: This qualitative study employed a conventional content analysis approach. A total of 30 participants (15 postmenopausal women and their spouses) were selected from health centers in Ahvaz, southwestern Iran using purposive sampling. Data collection was conducted through in-depth, semi-structured interviews until data saturation was achieved. The data were analyzed using the conventional content analysis method proposed by Graneheim and Lundman.Results: The experiences of menopausal women and their husbands about challenges to quality of life were classified into one main theme of &quot;Confronting multifaceted challenges,&quot; and four categories: a) Psycho-emotional toll, b) Struggles with physical changes and pain, c) Sexual health challenges, and d) Socio-economic obstacles.Conclusion: This study highlights the multifaceted nature of menopausal challenges that affect couples&#039; quality of life. The findings underscore the necessity of addressing not only physical and mental health needs but also sexual dynamics and economic factors. A holistic, couple-centered approach in healthcare emphasizing education, support, and targeted interventions is recommended to improve quality of life.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Menopause, Quality of life, Spouses, Qualitative research, Iran</keyword>
				<start_page>5576</start_page>
				<end_page>5587</end_page>
				<web_url>https://jmrh.mums.ac.ir/article_27587.html</web_url>
			<author_list><author>
				<first_name>Leila</first_name>
				<middle_name></middle_name>
				<last_name>Bozorgian</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>liela.bozorgian1@gmail.com</email>
				<code>121185</code>
				<coreauthor>No</coreauthor>
				<affiliation>PhD Student in Midwifery, Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Parvin</first_name>
				<middle_name></middle_name>
				<last_name>Esfandiarinezhad</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>parvinesfandiarinezhad@yahoo.com</email>
				<code>121186</code>
				<coreauthor>No</coreauthor>
				<affiliation>PhD Student in Midwifery, Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Ali Hasan</first_name>
				<middle_name></middle_name>
				<last_name>Rahmani</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>alir884@yahoo.com</email>
				<code>121187</code>
				<coreauthor>No</coreauthor>
				<affiliation>Associate Professor, Toxicology and Forensic Medicine Specialist, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mina</first_name>
				<middle_name></middle_name>
				<last_name>Irvani</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>minairvani2004@yahoo.com</email>
				<code>121188</code>
				<coreauthor>No</coreauthor>
				<affiliation>a) Assistant Professor, Department of Midwifery, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
b) Menopause Andropause Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Personality Traits and Childbearing Motivations: The Mediating Role of Psychological Well-being in Married Women</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original Research Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background &amp; aim: The childbearing motivation is a global and complex process. It depends on several economic, political, social, and individual factors. Therefore, the present study aimed to investigate the  correlation between personality traits and childbearing motivations of married women, considering the mediating role of psychological well-being.Methods: This was a correlational study designed to test a predictive conceptual model using structural equation modeling. The study population included all married women aged 18 to 45 in Hamedan, Iran, from the first April, 2023 to the end of September 2023, who were selected through a multi-site stratified sampling approach. Data were collected in person using the Childbearing Motivation Questionnaire, the Neuroticism-Extraversion-Openness Five-Factor Inventory, and the Scale of Psychological Well-being, with each session lasting 20 to 60 minutes. The final model was analyzed using Structural Equation Modeling and MIMIC analysis via SPSS and LISREL software.Results: Five personality traits and psychological well-being were significantly associated with both positive and negative childbearing motivations. The findings also indicated that psychological well-being was associated with the relationship between personality traits and childbearing motivations (P&lt;0.01). Among the personality traits, neuroticism showed the strongest positive association with negative childbearing motivations (β=0.294) and the strongest negative association with positive childbearing motivations (β=-0.214). Extraversion showed the strongest negative association with negative childbearing motivations (β=-0.219), and conscientiousness showed the strongest positive association with positive childbearing motivations (β= 0.263). Conclusion: These findings clarify the associations between personality traits and individual childbearing motivations and provide preliminary implications for the development of interventions aimed at promoting psychological well-being.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Childbearing motivation, Psychological well-being, Personality</keyword>
				<start_page>5588</start_page>
				<end_page>5599</end_page>
				<web_url>https://jmrh.mums.ac.ir/article_27589.html</web_url>
			<author_list><author>
				<first_name>Faezeh</first_name>
				<middle_name></middle_name>
				<last_name>Manouchehri</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>faezehman999@gmail.com</email>
				<code>121193</code>
				<coreauthor>No</coreauthor>
				<affiliation>Master of Art in Clinical Psychology, Department of Psychology, University of Kurdistan, Sanandaj, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Sanaz</first_name>
				<middle_name></middle_name>
				<last_name>Eyni</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>sanaz.einy@yahoo.com</email>
				<code>121194</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Professor, Assistant Professor, Department of Psychology, University of Mohaghegh Ardabili, Ardabil, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mehdi</first_name>
				<middle_name></middle_name>
				<last_name>Zemestani</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>m.zemestani@uok.ac.ir</email>
				<code>121195</code>
				<coreauthor>No</coreauthor>
				<affiliation>Professor, Department of Psychology, University of Kurdistan, Sanandaj, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>The Relationship between Anthropometric Indices and Lipid Profile in PCOS Women: A Cross-sectional study</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original Research Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background &amp; aim: Infertility presents a formidable challenge to global public health, with polycystic ovary syndrome (PCOS) emerging as a prominent contributor. PCOS is associated with persistent health complications, such as metabolic syndrome, type 2 diabetes, and cardiovascular diseases. Elevated body weight and central adiposity exacerbate the likelihood of anovulation and infertility in women. This study examined the relationship between anthropometric measurements and lipid profiles among infertile women with PCOS.Methods: This cross-sectional study was conducted at an infertility treatment center in Mashhad, Iran, between May 2023 and January 2024. The study enrolled 280 married women aged 18–45 years who met inclusion criteria, specifically those diagnosed with both PCOS and infertility. Participants were selected through consecutive sampling and their anthropometric measurements were assessed by trained personnel. Participants&#039; lipid profile, were assessed following a 14-hour fasting period. Statistical analysis was performed with SPSS using Pearson correlation and ANOVA tests.Results: A significant positive correlation was found between normal Body Mass Index and triglyceride levels (P=0.030). Likewise, individuals with a BMI exceeding 30 displayed a positive correlation with elevated TG levels (P=0.035). Furthermore, a statistically significant positive correlation was observed between Waist-to-Height Ratio (WHtR) values exceeding 0.57 and elevated TG levels (P=0.003).Conclusion: PCOS women, characterized by diverse features, exhibited distinct lipid profiles. The intricate relationship observed between lipid metabolism and various PCOS traits may shed light on the heightened susceptibility to long-term complications associated with elevated lipid levels. Regular monitoring of blood lipids and management of central obesity are imperative for women with PCOS.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Polycystic ovary syndrome, Anthropometric, Dyslipidemia</keyword>
				<start_page>5600</start_page>
				<end_page>5609</end_page>
				<web_url>https://jmrh.mums.ac.ir/article_27588.html</web_url>
			<author_list><author>
				<first_name>Faezeh</first_name>
				<middle_name></middle_name>
				<last_name>Mashhadi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>mashhadifaezeh8@gmail.com</email>
				<code>121189</code>
				<coreauthor>No</coreauthor>
				<affiliation>Assistant Professor, Department of Nutrition, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohsen</first_name>
				<middle_name></middle_name>
				<last_name>Nematy</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>nematym@mums.ac.ir</email>
				<code>121190</code>
				<coreauthor>No</coreauthor>
				<affiliation>Professor, Department of Nutrition, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Fatemeh</first_name>
				<middle_name></middle_name>
				<last_name>Roudi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>roudif@mums.ac.ir</email>
				<code>121191</code>
				<coreauthor>No</coreauthor>
				<affiliation>Associate Professor, Department of Nutrition, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Nayereh</first_name>
				<middle_name></middle_name>
				<last_name>Khadem</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>khademn@mums.ac.ir</email>
				<code>121192</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Professor, Maternal &amp; Neonatal Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Wernicke’s Encephalopathy Associated With Hyperemesis Gravidarum: A Case Report</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Case Report</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background &amp; aim: Wernicke’s encephalopathy (WE) is a rare but serious neurologic complication of hyperemesis gravidarum. The most commonly known etiology for WE is chronic alcohol misuse. Hyperemesis gravidarum is one of the many etiologies of WE. In this paper, we report a case of HG who presented with neurological symptoms and was subsequently diagnosed with WE.
Case report: A case of WE associated with HG in a 22 years old primigravid woman, with a gestational age of 15 weeks and 4 days, is reported. The patient presented with ataxia, confusion, bilateral blurred vision, and lower extremity weakness. She had normal vital signs, and neurological examinations showed confusion and spatial, temporal, and personal disorientation. Laboratory studies showed no abnormal findings. Due to the presence of hyperthyroidism, thyroid storm was another suspected differential diagnosis; however, it was ruled out after further thyroid functioning test and brain MRI. 
Conclusion: The MRI findings were indicative of WE. The patient received full recovery after high dose supplementation of thiamine.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Wernicke&amp;rsquo, s Encephalopathy, Hyperemesis gravidarum, pregnancy, Thiamine Deficiency</keyword>
				<start_page>5610</start_page>
				<end_page>5613</end_page>
				<web_url>https://jmrh.mums.ac.ir/article_28073.html</web_url>
			<author_list><author>
				<first_name>Mahban</first_name>
				<middle_name></middle_name>
				<last_name>Parvaneh Hosseini</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>mahban.ph@gmail.com</email>
				<code>123398</code>
				<coreauthor>No</coreauthor>
				<affiliation>Resident of Obstetrics and Gynecology, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Jelveh</first_name>
				<middle_name></middle_name>
				<last_name>Jalili</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>jalilij1401@gmail.com</email>
				<code>123399</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>a) Assistant Professor, Supporting the Family and Youth of Population Research Core, Mashhad University of Medical Sciences, Mashhad, Iran
b) Department of Obstetrics and Gynecology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Ezzat</first_name>
				<middle_name></middle_name>
				<last_name>Hajmollarezaei</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>hajmollarezaeie@mums.ac.ir</email>
				<code>123400</code>
				<coreauthor>No</coreauthor>
				<affiliation>a) Assistant Professor, Supporting the Family and Youth of Population Research Core, Mashhad University of Medical Sciences, Mashhad, Iran
b) Department of Obstetrics and Gynecology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Sharam</first_name>
				<middle_name></middle_name>
				<last_name>Amini</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email></email>
				<code>123401</code>
				<coreauthor>No</coreauthor>
				<affiliation>Professor, Department of Anesthesiology and Critical Care, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article>
			</articleset>
			</journal>