<?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>10</month>
				<day>1</day>
			</pubdate>
			<volume>14</volume>
			<number>4</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>The Effect of Ice Massage on LI4 Acupressure Point for Labor Pain: A Systematic Review and Meta‑analysis</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: Pain management during childbirth is a key component of midwifery care. Acupressure with ice may provide pain relief, but findings are inconsistent. Therefore, this systematic review and meta-analysis evaluated the effects of LI4 massage with ice on labor pain.Methods: This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses2020  on articles published. PubMed-Medline, Web of Science, ScienceDirect, and Cochrane Library databases were searched up to April 07, 2025. The potential for bias in both randomized and non-randomized trials was assessed utilizing the Cochrane Risk of Bias Tool for Randomized Trials (RoB-1) and Non-Randomized Studies (ROBINS-I). Data were analyzed using CMA software version 2. Continuous outcomes were analyzed using MD or SMD, as appropriate, with 95% CIs, and pooled estimates were calculated using a random-effects model.Results: Of 224 articles, 12 studies were included in the systematic review, and 9 were included in the meta-analysis. The results demonstrated that LI4 massage with ice can reduce labor pain compared with control group 30 minutes (MD = −1.25, 95% CI: −1.96 to −0.54, P-value&lt;0/001), and 60 minutes after intervention (SMD = −1.85, 95% CI: −2.61 to −1.10, P-value&lt;0/001). However, no significant reduction was observed immediately after the intervention (MD = −1.89, 95% CI: −4.65 to 0.87, P-value = 0.179).Conclusion: Based on the results, the acupressure point (LI4) with ice significantly relieved labor pain. Health care providers, especially midwives, can perform this procedure at a hospital or maternity clinic due to its cost-effectiveness and simplicity.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Acupressure, Ice massage, Hegu (LI4) point, Labor pain, Complementary therapy</keyword>
				<start_page>5614</start_page>
				<end_page>16</end_page>
				<web_url>https://jmrh.mums.ac.ir/article_28181.html</web_url>
			<author_list><author>
				<first_name>Sedigheh</first_name>
				<middle_name></middle_name>
				<last_name>Abdollahpour</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>abdollahporsd@mums.ac.ir</email>
				<code>123899</code>
				<coreauthor>No</coreauthor>
				<affiliation>a) Assistant Professor in Reproductive Health, 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>Mona</first_name>
				<middle_name></middle_name>
				<last_name>Larki</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>larkim@mums.ac.ir</email>
				<code>123900</code>
				<coreauthor>No</coreauthor>
				<affiliation>a) Assistant Professor in Reproductive Health, 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>Zahra</first_name>
				<middle_name></middle_name>
				<last_name>Hadizadeh-Talasaz</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>hadizadehz@mums.ac.ir</email>
				<code>123901</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>a) Assistant Professor in Reproductive Health, 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_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>Safe Menstrual Hygiene Management Practices and Associated Factors among Secondary School Female Students in Northern Ethiopia: 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: Many women worldwide face challenges in managing menstrual hygiene due to inadequate facilities, high costs, and misinformation, which can increase the risk of health complications. Evidence regarding safe menstrual management practices among secondary school students in northern Ethiopia remains limited. This study aimed to assess menstrual hygiene management practices and their associated factors among secondary school female students in Northern Ethiopia.Methods: A cross-sectional study was carried out among 834 female secondary school students from April 1 to 30, 2022, who were selected using a multistage random sampling. Data were collected using a self-administered questionnaire with close supervision by the data collectors. The data were entered into EpiData version 3.1 and analyzed using SPSS version 26. Both bivariate and multivariable logistic regression analyses were performed.Results: This study revealed that the proportion of students practicing safe menstrual management was 46.6% (95% CI: 43.2–50.0). Age at menarche (AOR = 6.4, 95% CI: 1.0–13.6), prior information before menarche (AOR = 3.0, 95% CI: 2.2–4.2), having pocket money (AOR = 2.6, 95% CI: 1.9–3.6), comfort with the school environment (AOR = 2.0, 95% CI: 1.5–2.8), and knowledge of menstrual management (AOR = 1.9, 95% CI: 1.1–3.1) were factors associated with safe menstrual hygiene practices.Conclusion: More than half of the participants did not practice safe menstrual hygiene management. Hence, awareness about menstrual hygiene management should be enhanced among female students to improve their safe hygiene practices.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Adolescent, School, Menstruation, Hygiene, Ethiopia</keyword>
				<start_page>5630</start_page>
				<end_page>5640</end_page>
				<web_url>https://jmrh.mums.ac.ir/article_28182.html</web_url>
			<author_list><author>
				<first_name>Zigijit</first_name>
				<middle_name></middle_name>
				<last_name>Azene</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>zegijitazene@gmail.com</email>
				<code>123902</code>
				<coreauthor>No</coreauthor>
				<affiliation>Lecturer, Department of Midwifery, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Tigist</first_name>
				<middle_name></middle_name>
				<last_name>Derebe</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>tigistderebe19@gmail.com</email>
				<code>123903</code>
				<coreauthor>No</coreauthor>
				<affiliation>Lecturer, Department of Midwifery, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>selamawit</first_name>
				<middle_name></middle_name>
				<last_name>Nigatu</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>nigatuselamawit400@gmail.com</email>
				<code>123904</code>
				<coreauthor>No</coreauthor>
				<affiliation>Lecturer, Department of Midwifery, College of Medicine and Health Sciences, Wachemo University, Hosanna, Ethiopia</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mangistu</first_name>
				<middle_name></middle_name>
				<last_name>Abera</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>mengistua900@gmail.com</email>
				<code>123905</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Lecturer, Department of Midwifery, College of Medicine and Health Sciences, Wolkite University, Wolkite, Ethiopia</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Aberash</first_name>
				<middle_name>Beyene</middle_name>
				<last_name>Derribow</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>aberashbey217@gmail.com</email>
				<code>123906</code>
				<coreauthor>No</coreauthor>
				<affiliation>Lecturer, Department of Midwifery, College of Medicine and Health Sciences, Wolkite University, Wolkite, Ethiopia</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 Role of Counseling based on the Fogg Behavior Model as a Trigger for the Choice of Vaginal Birth after Cesarean Section: A Randomized Clinical Trial</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 high rate of repeated cesarean section and its complications necessitates the need to change the behavior of choosing the mode of birth by mothers with previous cesarean section.. The present study investigates the role of counseling as a trigger in Fogg’s model on the choice of vaginal birth after cesarean section (VBAC).Methods: : Parallel cluster randomized clinical trial conducted on 62 previous cesarean section mothers at 28-30 weeks of gestation by multistage sampling in Mashhad’s health centers between June and December 2020. Participants were randomly allocated to counseling and control groups. Both groups received the routine cares and intervention group participated in two sessions (45-60 minutes) of individual counseling and one online session through the Telegram channel. Participants in the control group only. Both groups completed the demographic characteristics form and questionnaire of triggers for birth options and choice of birth at the beginning and two weeks after the counseling. Data analyzed by using SPSS 25 and Fisher&#039;s exact, Chi-squared and the Mann-Whitney U tests in significant level 0.05.Results: Findings showed that the frequency of intention to choose VBAC in the intervention group before and two weeks after counseling was significant (P&lt;0.001). There was a statistically significant difference between the frequency of intention to choose after the counseling in the two groups (P&lt;0.001).Conclusion: Counseling as a trigger by increasing the motivation and ability in choosing birth mode, increased the intention to choose VBAC and can be considered during prenatal care.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Counseling, Choice, Cesarean section, Vaginal Birth after Cesarean</keyword>
				<start_page>5641</start_page>
				<end_page>5651</end_page>
				<web_url>https://jmrh.mums.ac.ir/article_28183.html</web_url>
			<author_list><author>
				<first_name>Somayeh</first_name>
				<middle_name></middle_name>
				<last_name>Attarian</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>attarians971@mums.ac.ir</email>
				<code>123907</code>
				<coreauthor>No</coreauthor>
				<affiliation>a) MSc of Consulting in Midwifery, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
b) Department of Midwifery, Faculty of Nursing and Midwifery, Mashhad Medical Sciences, Islamic Azad University, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Zhaleh</first_name>
				<middle_name></middle_name>
				<last_name>Feyzi</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>feyzizh1@mums.ac.ir</email>
				<code>123908</code>
				<coreauthor>No</coreauthor>
				<affiliation>PhD in Health Psychology, Psychiatric and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Jamshid</first_name>
				<middle_name></middle_name>
				<last_name>Jamali</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>jamalij@mums.ac.ir</email>
				<code>123909</code>
				<coreauthor>No</coreauthor>
				<affiliation>Associate Professor, Department of Statistics, Faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mahboobeh</first_name>
				<middle_name></middle_name>
				<last_name>Firoozi</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>firoozim@mums.ac.ir</email>
				<code>123910</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>a) Associate Professor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
b) Department of Midwifery, Faculty of Nursing and Midwifery, Mashhad Medical Sciences, Islamic Azad University, 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>Exploring the Experiences of Jordanian Rural Women with Postpartum Depression: A Qualitative 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: Childbirth sometimes arouses intense emotional and psychosocial distress among the mothers, known as postpartum depression, reducing quality of life and health outcomes for mothers and their newborns. However, little is known about the experience of women living in rural settings with this condition. This study explores the experiences of women with postpartum depression in the rural areas of Jordan.Methods: In this qualitative descriptive study, face-to-face semi-structured interviews were held with 12 women residing in rural Jordan, who were initially selected through purposive sampling at primary healthcare centers followed by snowball sampling to reach women in isolated rural areas. Data was audio-recorded, and analyzed using content analysis technique proposed by Hsieh and Shannon.Results: Three overarching themes were identified, with various subthemes, as follows. (A) “Emotional and psychosocial status” including subthemes of (1) sadness and emotional instability, (2) fear and anxiety, and (3) loss of identity. (B) “Effects on Daily Life” consisting subthemes of (1) disrupted sleep and persistent fatigue, (2) disrupted relationship with partner, and (3) social withdrawal. (C) “Coping and Support” embracing subthemes of (1) support from partner, family and friends, (2) poor understanding by society, (3) professional healthcare support and therapy, (4) spirituality and religion, and (5) stigma and fear of seeking conventional support.Conclusion: Postpartum depression inflicts negative psychosocial implications among the Jordanian rural women, and despite the available coping mechanisms, such as social support and spirituality, there is still evidence that societal stigma and a lack of understanding often hindered effective help-seeking.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>coping, Psychological, Anxiety, Depression, Postpartum, Jordan, Qualitative research</keyword>
				<start_page>5652</start_page>
				<end_page>5662</end_page>
				<web_url>https://jmrh.mums.ac.ir/article_28190.html</web_url>
			<author_list><author>
				<first_name>Mohammad</first_name>
				<middle_name>N.</middle_name>
				<last_name>Al-Shloul</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>dralshloulm@gmail.com</email>
				<code>123934</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Associate Professor, Prince Al Hussein Bin Abdullah II Academy for Civil Protection, Al-Balqaʼ Applied University Amman-Jordan</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Roqia</first_name>
				<middle_name>S.</middle_name>
				<last_name>Maabreh</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>maabreh.roqia@yahoo.com</email>
				<code>123935</code>
				<coreauthor>No</coreauthor>
				<affiliation>Professor, Faculty of Nursing, Irbid National University, Irbid-Jordan</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Hekmat</first_name>
				<middle_name>Y.</middle_name>
				<last_name>Al-Akash</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>hikmat.akash@yahoo.com</email>
				<code>123936</code>
				<coreauthor>No</coreauthor>
				<affiliation>Associate Professor, Clinical Nursing Department, Faculty of Nursing, Applied Science Private University, Amman- Jordan</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Sabah</first_name>
				<middle_name></middle_name>
				<last_name>Alwedyan</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>sabah.alwedyan@yahoo.com</email>
				<code>123937</code>
				<coreauthor>No</coreauthor>
				<affiliation>MSc of Nursing, Kettering Hospital Practice, Ohio-USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Doha</first_name>
				<middle_name>M.</middle_name>
				<last_name>Al-Shloul</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>dalshloul@yahoo.com</email>
				<code>123938</code>
				<coreauthor>No</coreauthor>
				<affiliation>Doctor of Medicine, Obstetrics &amp; Gynecology Residency Program, Jordanian Royal Medical Services, Military King Talal Hospital, Mafraq-Jordan</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Nazzal</first_name>
				<middle_name>M.</middle_name>
				<last_name>Al-Shloul</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>nazzalshloul32@gmail.com</email>
				<code>123939</code>
				<coreauthor>No</coreauthor>
				<affiliation>MSc of Paramedics, Mental health Medic, Wilson Medic One, 190 Abernethy Rd, Belmont WA Australia</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 Effect of 30-Minute Oxytocin Massage on Breast Milk Volume and Infant Weight Gain in Early Postpartum Women: A Randomized Controlled Trial</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: Many new mothers discontinue breastfeeding prematurely. Exclusive Breastfeeding (EBF) during the first six months of life is widely recognized as an optimal feeding practice that supports infant health and survival. This study examined the effect of a 30-minute oxytocin massage on breast milk volume and infant weight gain among early postpartum women.Methods: A randomized single-blind controlled trial with a two-group pretest–posttest design was conducted among 60 postpartum women. Participants were randomly assigned to two groups using computer-generated randomization applying allocation concealment. The intervention group received a 30-minute oxytocin massage, while the control group received a 15-minute oxytocin massage for three consecutive days. Breast milk volume was measured using standardized manual milk expression, and infant weight was assessed using calibrated infant weighing scales. Outcomes were evaluated at baseline and after completion of the intervention. Data were analyzed using SPSS V. 20 with paired- and independent-samples t-tests.Results: The mean age of participants was 28.3 ± 5.1 years. The increase in breast milk volume and infant weight was greater in the intervention group (mean = 10.03 mL and 151.50 g) than the control group (mean = 8.33 mL and 106.16 g). These differences were statistically significant for both breast milk volume (P&lt; 0.001) and infant weight gain (P&lt; 0.001). ANCOVA also showed significant between-group differences.Conclusion: A 30-minute oxytocin massage may improve breast milk volume and infant weight gain, offering a practical, low-cost method for postpartum lactation support.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Postpartum Period Breastfeeding, Lactation, Massage, Infant Growth</keyword>
				<start_page>5663</start_page>
				<end_page>5674</end_page>
				<web_url>https://jmrh.mums.ac.ir/article_28186.html</web_url>
			<author_list><author>
				<first_name>Kurniati</first_name>
				<middle_name>Devi</middle_name>
				<last_name>Purnamasari</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>kurniatidevip@unigal.ac.id</email>
				<code>123920</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Assistant Professor, Department of Midwifery, Faculty of Health Sciences,Universitas Galuh, Indonesia</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Yudita</first_name>
				<middle_name>Ingga</middle_name>
				<last_name>Hindiarti</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>yuditaingga87@gmail.com</email>
				<code>123921</code>
				<coreauthor>No</coreauthor>
				<affiliation>Assistant Professor, Department of Midwifery, Faculty of Health Sciences,Universitas Galuh, Indonesia</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Erna</first_name>
				<middle_name>Yovi</middle_name>
				<last_name>Kurniawati</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>ernyovi@almaata.ac.id</email>
				<code>123922</code>
				<coreauthor>No</coreauthor>
				<affiliation>Assistant Professor, Department Midwifery Profession, Alma Ata University, Yogyakarta, Indonesia</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Iqbal</first_name>
				<middle_name></middle_name>
				<last_name>Pramukti</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>iqbal.pramukti@unpad.ac.id</email>
				<code>123923</code>
				<coreauthor>No</coreauthor>
				<affiliation>Assistant Professor, Department of Community, Faculty of Nursing, Universitas Padjajaran, 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>Impact of Peplau’s Communication Therapy on Tokophobia, Stress and Anxiety in Primiparous Pregnant Women: 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: Tokophobia is a common concern among pregnant women that can negatively affect their mental health and complicate labor. This study evaluated the effect of Peplau’s communication therapy on tokophobia, stress, and anxiety in primiparous pregnant women.  
Methods: A quasi-experimental pre-test/post-test design was used. Sixty nulliparous women with tokophobia from health centers in Ahvaz, South Iran, were assigned to either an experimental group, who underwent eight sessions of Peplau’s communication therapy or a control group, who received routine care only. Data were collected using Hartman’s Fear of Childbirth Scale, Cohen’s Perceived Stress Scale, and Beck’s Anxiety Inventory, and analyzed using Chi-square, t-test and ANCOVA.  
Results: Before the intervention, no significant differences were found between groups in mean scores of tokophobia, stress, or anxiety, indicating homogeneity. After the intervention, the mean tokophobia score decreased to 19.10±7.80 in the experimental group compared to 29.40±6.94 in the control group (P&lt;0.001; 95% CI: 6.48 to 14.11). Stress levels were also significantly reduced in the experimental group (20.40±5.15) compared to the control group (28.16±4.61) (P&lt;0.001; 95% CI: -10.29 to -5.29). Similarly, anxiety scores decreased to 9.13±7.64 in the experimental group, while remaining higher at 16.16±7.55 in the control group (P&lt;0.001; 95% CI: -9.99 to -2.04).  
Conclusion: Peplau’s interpersonal communication therapy effectively reduces tokophobia, stress, and anxiety in primiparous pregnant women. Healthcare providers could consider integrating this structured communication model into routine prenatal care to improve maternal psychological outcomes.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Communication therapy, tokophobia, stress, Anxiety, Primiparous Women</keyword>
				<start_page>5675</start_page>
				<end_page>5686</end_page>
				<web_url>https://jmrh.mums.ac.ir/article_28184.html</web_url>
			<author_list><author>
				<first_name>Yasman</first_name>
				<middle_name></middle_name>
				<last_name>Darabpour Ghandali</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>yasidarabpour@gmail.com</email>
				<code>123915</code>
				<coreauthor>No</coreauthor>
				<affiliation>BSc Student of Nursing, Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Kourosh</first_name>
				<middle_name></middle_name>
				<last_name>Zarea</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>kourosh1685@gmail.com</email>
				<code>123916</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Full Professor, Nursing Care Research Center in Chronic Diseases, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Amin</first_name>
				<middle_name></middle_name>
				<last_name>Sattari</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>criticalcare95@gmail.com</email>
				<code>123917</code>
				<coreauthor>No</coreauthor>
				<affiliation>PhD Student in Medical Ethics, Department of Medical Ethics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Hossein</first_name>
				<middle_name></middle_name>
				<last_name>Komili-Sani</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>hossein148@ymail.com</email>
				<code>123918</code>
				<coreauthor>No</coreauthor>
				<affiliation>Lecturer, Nursing Care Research Center in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohammad</first_name>
				<middle_name></middle_name>
				<last_name>Hossein Haghighizadeh</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>haghighy-mh@ajums.ac.ir</email>
				<code>123919</code>
				<coreauthor>No</coreauthor>
				<affiliation>Lecturer, Department of Statistics and Epidemiology, School of Health, 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>The Significance of Primary Incompatible Schema Differentiation in Women with Primary and Secondary Dyspareunia: A Comparative 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: Dyspareunia negatively affects women’s intimate relationships. Although early maladaptive schemas (EMS) have been linked to sexual dysfunction, few comparative studies were conducted in non-Western contexts. This study compared EMS among women with primary and secondary dyspareunia with a control group. Methods: This comparative cross-sectional study was conducted between January and May 2023, including 1912 women (primary dyspareunia: n=402, secondary dyspareunia: n=104, control: n=1406(, who referred to the sexual/reproductive health clinic of a private hospital in Tehran, Iran. Women aged 18 to 45, married for at least one year with experience of dyspareunia were included.  Participants were recruited through convenience sampling. The control group was matched for demographic characteristics. Data were collected using the validated Persian version of the Young Schema Questionnaire and analyzed using one-way multivariate analysis of variance and discriminant analysis in SPSS version 26.0.Results: Mean ages in the control, primary, and secondary dyspareunia groups were 29.49, 28.40, and 30.57 years, respectively. Women with dyspareunia exhibited significantly higher scores on EMS domains including disconnection/rejection, impaired autonomy, and over-vigilance/inhibition compared with controls (P&lt; 0.001). Discriminant analysis yielded two significant functions (eigenvalues: 0.044 and 0.018), with a modest overall classification accuracy of 48.6%. No significant schema-pattern differences were found between two groups of primary and secondary dyspareunia (P &gt; 0.05).Conclusion: EMS significantly contribute to dyspareunia, indicating potential benefits of schema-focused interventions. Further research should examine long-term treatment outcomes.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Dyspareunia, Sexual dysfunctions, Psychological, Cognitive behavioral therapy, Sexual health</keyword>
				<start_page>5687</start_page>
				<end_page>5695</end_page>
				<web_url>https://jmrh.mums.ac.ir/article_27593.html</web_url>
			<author_list><author>
				<first_name>Maryam</first_name>
				<middle_name></middle_name>
				<last_name>Moghadasin</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>mmoghadasin@khu.ac.ir</email>
				<code>121206</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Associate Professor, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Kharazmi University, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Hossein</first_name>
				<middle_name></middle_name>
				<last_name>Rezaei Aderyani</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>rezaii.hosein@gmail.com</email>
				<code>121207</code>
				<coreauthor>No</coreauthor>
				<affiliation>Graduated of Clinical Psychology, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Kharazmi University, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Yasaman</first_name>
				<middle_name></middle_name>
				<last_name>Merci</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>yassamanmerci@gmail.com</email>
				<code>121208</code>
				<coreauthor>No</coreauthor>
				<affiliation>Graduated of Clinical Psychology, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Kharazmi 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>The Effect of Perinatal Educational Empowerment of Women and their Key Supporters on Perceived Social Support and Postpartum Depression: 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 care is an important factor in improving mothers&#039; performance. One effective strategy for improving postpartum services is participatory health promotion training. This study was conducted to examine the effect of perinatal educational empowerment of women and their key supporters on perceived social support and postpartum Depression.
Methods: A quasi-experimental study was conducted on 178 women in the perinatal period using multistage sampling from July 2020 until February 2021 in Bojnurd, Northeast Iran. Four online sessions of self-care training were conducted for mothers and their key supporters. The duration of each session varied from 30 to 100 minutes, depending on the participants’ needs. Hopkins Perceived Social Support and Edinburgh postpartum depression scales were completed at two and eight weeks postpartum. Data were analyzed using the independent t-test. 
Results:  No significant difference was found in perceived social support between the intervention and standard care groups at two weeks (81.07±22.94 vs. 78.32±17.38; P=0.380) or eight weeks postpartum (76.32±18.08 vs. 76.53±17.96; P=0.938), although perceived social support decreased significantly over time in both groups (P=0.002 and P=0.025). Postpartum depression rates did not differ significantly between groups at two weeks (18.9% vs. 13.6%) or eight weeks (7.8% vs. 6.8%), but the reduction within the intervention group was significant (P=0.013).
Conclusion:  Although the educational empowerment did not significantly improve social support or depression compared with standard care, but it significantly reduced postpartum depression within the intervention group over time. Further studies with larger sample size and longer follow-up are needed to confirm these findings.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Empowerment, Perceived social support, Postpartum Depression, Postpartum</keyword>
				<start_page>5696</start_page>
				<end_page>5707</end_page>
				<web_url>https://jmrh.mums.ac.ir/article_27591.html</web_url>
			<author_list><author>
				<first_name>Sakineh</first_name>
				<middle_name></middle_name>
				<last_name>Nazari</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>s4.nazari@gmail.com</email>
				<code>121201</code>
				<coreauthor>No</coreauthor>
				<affiliation>Associate Professor, Department of Midwifery, School of Nursing and Midwifery, North Khorasan University of Medical Sciences, Bojnurd, North Khorasan, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Hamid</first_name>
				<middle_name></middle_name>
				<last_name>Alavi 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>121202</code>
				<coreauthor>No</coreauthor>
				<affiliation>a) 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>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>hajian1974@gmail.com</email>
				<code>121200</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Professor, Department of  Midwifery, School of Nursing and Midwifery, Shahid Beheshti 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>The Efficacy of Squill Oil on Sexual Satisfaction among Women of Reproductive Age: A Double-blind Randomized Placebo-Controlled Trial</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: Sexual satisfaction is an important component of women&#039;s health and quality of life, influenced by biological and psychosocial factors. Although Squill oil is traditionally believed to enhance sexual arousal, evidence for its effectiveness is limited; therefore, this study examined the effect of Squill oil on sexual satisfaction among women of reproductive age.Methods: This double-blind randomized placebo-controlled trial was conducted on 60 women aged 15–45 years who were referred to the Women&#039;s Clinic of Mashhad University of Medical Sciences, Mashhad, Iran. Participants were randomly assigned to either the Squill oil group, in which participants applied 2–3 drops of Squill oil topically to the clitoral area five minutes before intercourse, 1–3 times weekly for four weeks, or the placebo group. Sexual satisfaction was assessed using the Larson Sexual Satisfaction Questionnaire before and four weeks after the intervention. Data were analyzed using SPSS software (version 21) using the chi-square, independent t-test, Mann–Whitney U, and Wilcoxon tests.Results: The mean preintervention sexual satisfaction score was 40.0 ± 0.4 in the intervention group and 41.9 ± 4.1 in the control group, with no statistically significant difference between groups. Four weeks after the intervention, the mean score increased by 37.4 ± 10.4 points in the intervention group and 7.1 ± 10.3 in the control group. A statistically significant difference was seen between the two groups after the intervention (P&lt;0.001).Conclusion: Squill oil may improve sexual satisfaction among women of reproductive age. Further robust clinical trials are recommended.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Sexual satisfaction, Squill oil, Plant Oil, Herbal Medicine, Traditional Medicine</keyword>
				<start_page>5708</start_page>
				<end_page>5716</end_page>
				<web_url>https://jmrh.mums.ac.ir/article_28457.html</web_url>
			<author_list><author>
				<first_name>Maryam</first_name>
				<middle_name></middle_name>
				<last_name>Abbasi Pirouz</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>maryamabbasi1224@gmail.com</email>
				<code>125034</code>
				<coreauthor>No</coreauthor>
				<affiliation>MSc of Consulting in Midwifery, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Khadigeh</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>125037</code>
				<coreauthor>Yes</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>Mohammad Taghi</first_name>
				<middle_name></middle_name>
				<last_name>shakeri</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>shakerimt@mums.ac.ir</email>
				<code>125036</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Biostatistics ,Social Determinants of Health Research Center, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Abbas</first_name>
				<middle_name></middle_name>
				<last_name>Zojaji</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>sabbaszojaji@gmail.com</email>
				<code>125035</code>
				<coreauthor>No</coreauthor>
				<affiliation>Associate Professor,  Islamic Azad University of Mashhad, 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>Socioeconomic Factors Affecting the Pattern of Using Contraceptives among Multiparous Women in Bangladesh</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: Despite population policy of Bangladesh, promoting a two-child norm, many families have more than two children. The government provides free domiciliary contraceptive services and counseling to address myths about birth control. Therefore, this study aimed to identify socio-demographic factors influencing the pattern of using contraceptive among multiparous women in Bangladesh.Methods: This cross-sectional study used data (n=10004) extracted from the Bangladesh Demographic and Health Survey (BDHS) between 24 October 2017 and 15 March 20182017-2018. Ever-married women with two or more children were selected using stratified, multistage cluster sampling design. Data was collected through interviews using the structured BDHS Women’s Questionnaire. Chi-square tests were used for bivariate analysis, followed by binary logistic regression to identify factors influencing contraceptive decisions. Data analysis was conducted using SPSS version 25.Results: This study determined socio-demographic factors including son preference, limited decision-making power, and insufficient knowledge about the ovulatory cycle influencing contraceptive use among Bangladeshi women with two or more children. Findings also showed that higher education of husbands reduced contraceptive use (P&lt;0.0001), while women&#039;s education had no significant impact (P=0.246). Contraceptive use by women were found to be increased with their age and the women from Chittagong, Dhaka and Sylhet divisions showed a greater likelihood to use contraceptives than the others.Conclusion: The contraceptive prevalence rate (CPR) was higher among women with two or more children, with multiple sociodemographic factors influencing their contraceptive decisions. Addressing multiparous women, this study proposes a special intervention to increase contraceptive use in Bangladesh.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Family Planning, contraceptive, Unwanted pregnancy, Logistic regression, Socio economic status</keyword>
				<start_page>5717</start_page>
				<end_page>5729</end_page>
				<web_url>https://jmrh.mums.ac.ir/article_28193.html</web_url>
			<author_list><author>
				<first_name>Mohammad Safi</first_name>
				<middle_name></middle_name>
				<last_name>Uddin</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>safimeijijp@gmail.com</email>
				<code>123949</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Graduate, School of Governance Studies, Meiji University and Family Planning Officer, Directorate General of Family Planning, Bangladesh</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Kanak</first_name>
				<middle_name></middle_name>
				<last_name>Chapa</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>kanakchapa503@gmail.com</email>
				<code>123950</code>
				<coreauthor>No</coreauthor>
				<affiliation>Graduated, Department of Child Development and Social Welfare, Government College Applied Human Science</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Nayamat</first_name>
				<middle_name></middle_name>
				<last_name>Ullah</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>nayamatullah@gmail.com</email>
				<code>123951</code>
				<coreauthor>No</coreauthor>
				<affiliation>Graduated, Department of Development Studies, Islamic University Bangladesh</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 Effect of Foot Reflexology on Pain and Anxiety in Pregnant Women Candidates for Amniocentesis: A Randomized Clinical Trial</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: Most pregnant women have anxiety regarding screening tests such as amniocentesis. The current research was carried out to examine the effect of foot reflexology on pain and anxiety in pregnant women candidates for amniocentesis.Methods: This randomized clinical trial included 60 pregnant women candidates for amniocentesis at a training hospital in Mashhad , Iran. The participants included in the study were randomly allocated to intervention (N=29) and control (N=31) groups . The participants in the intervention group performed 20 minutes of foot reflexology (10 minutes on each foot), daily in the solar plexus area for 10 consecutive days. The control group received no additional intervention beyond routine care. Data were collected using demographic and obstetrics questionnaires, the Spielberger State-Trait Anxiety Inventory, and the Visual Analogue Scale. The data were analyzed using SPSS 16 software with independent t-tests, chi-square tests, and covariance analysis. Results: The reflexology group had significantly lower mean state anxiety scores than the control group immediately and 10 days after amniocentesis (P&lt;0.001 and P&lt;0.001, respectively). The mean trait anxiety scores in the foot reflexology group were significantly lower at 10 days after amniocentesis (P&lt;0.001). The reflexology group had significantly less pain intensity immediately after amniocentesis (P=0.001).Conclusion: Reflexology is an effective method to reduce pain and anxiety in pregnant women who underwent amniocentesis.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Reflexology, Amniocentesis, Anxiety, Pain</keyword>
				<start_page>5730</start_page>
				<end_page>5741</end_page>
				<web_url>https://jmrh.mums.ac.ir/article_28194.html</web_url>
			<author_list><author>
				<first_name>Mahla</first_name>
				<middle_name></middle_name>
				<last_name>Salarfard</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>salarfard.ma@gmail.com</email>
				<code>123952</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>Marzieh</first_name>
				<middle_name></middle_name>
				<last_name>Samieean</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>samieeanm961@mums.ac.ir</email>
				<code>123953</code>
				<coreauthor>No</coreauthor>
				<affiliation>MSc of Midwifery, Department of Midwifery, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Zahra</first_name>
				<middle_name></middle_name>
				<last_name>Abedian</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>salarfard.ma68@yahoo.com</email>
				<code>123954</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Lecturer, Department of Midwifery, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Seyed Reza</first_name>
				<middle_name></middle_name>
				<last_name>Mazlom</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>mazlomr@mums.ac.ir</email>
				<code>123955</code>
				<coreauthor>No</coreauthor>
				<affiliation>Lecturer, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Hoda</first_name>
				<middle_name></middle_name>
				<last_name>Azizi</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>azizih@mums.ac.ir</email>
				<code>123956</code>
				<coreauthor>No</coreauthor>
				<affiliation>Associate Professor, Department of Acupuncture, School of Persian and Complementary 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>Tara</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>taraf@mums.ac.ir</email>
				<code>123957</code>
				<coreauthor>No</coreauthor>
				<affiliation>Associate Professor, Department of Obstetrics &amp; Gynecology, 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>Socioeconomic, Maternal, Neonatal and Health System Determinants of the Choice of Delivery Mode in Tehran Province: 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: Cesarean section (CS) is a life-saving intervention in specific obstetric situations but has become increasingly common worldwide. This study investigated socioeconomic, maternal, neonatal, and health system determinants of delivery mode in Tehran Province, Iran, from March 2023 to March 2024.Methods: This cross-sectional study included 400 mothers selected through stratified urban–rural sampling. Data were collected at healthcare facilities using a researcher-developed questionnaire covering demographic, socioeconomic, maternal, and obstetric characteristics and mode of delivery. Data were analyzed using Chi-square and Mann–Whitney U tests, followed by Firth’s penalized binary logistic regression in Stata 17.Results: Overall, 62% of participants had CS. Maternal age &gt;31 years (OR = 4.02; 95% CI: 1.49–10.87), public-sector maternal employment (OR = 4.50; 95% CI: 1.66–12.22), and supplementary health insurance (OR = 2.01; 95% CI: 1.10–3.68) were associated with higher odds of CS. A history of stillbirth (OR = 0.06; 95% CI: 0.01–0.48), participation in birth-preparation classes (OR = 0.41; 95% CI: 0.24–0.69), and delivery in public hospitals or at home versus private hospitals (OR = 0.30; 95% CI: 0.16–0.56) were associated with lower odds of CS.Conclusion: Delivery mode is influenced by multiple socioeconomic, maternal, and health system factors, highlighting the importance of supportive prenatal services and evidence-based policies.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Cesarean section, Natural Childbirth, Maternal health, prenatal care, Socioeconomic factors</keyword>
				<start_page>5742</start_page>
				<end_page>5754</end_page>
				<web_url>https://jmrh.mums.ac.ir/article_28191.html</web_url>
			<author_list><author>
				<first_name>Farbod</first_name>
				<middle_name></middle_name>
				<last_name>Ebadi Fard Azar</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>dr_febadi@yahoo.com</email>
				<code>123940</code>
				<coreauthor>No</coreauthor>
				<affiliation>Professor, Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Narges</first_name>
				<middle_name></middle_name>
				<last_name>Saeedi</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>nsaeidi085@gmail.com</email>
				<code>123941</code>
				<coreauthor>No</coreauthor>
				<affiliation>MSc in Mental Health, Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohammad Hossein</first_name>
				<middle_name></middle_name>
				<last_name>Ghafoori</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>mohammadghb67@gmail.com</email>
				<code>123942</code>
				<coreauthor>No</coreauthor>
				<affiliation>PhD Student in Health Economics, Iran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Saeed</first_name>
				<middle_name></middle_name>
				<last_name>Bagheri Faradonbeh</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>s.bagheri1986@ygmail.com</email>
				<code>123943</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>a) Assistant Professor, Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran 
b) Department of Healthcare Services Management, School of Health, 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>Instrumental Support Needs of Breastfeeding Mothers: A Qualitative 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: Breastfeeding is an important strategy to ensure health promotion and wellbeing. Breastfeeding rates have consistently decreased around the world, and therefore protection, promotion, and support of breastfeeding is considered as one of the public health priorities. This study aimed to explore breastfeeding mothers’ perceptions and experiences of instrumental support needs.Methods: This study was performed between March 2019 and April 2021, in five health centers and four hospitals affiliated to Mashhad University of Medical Sciences, Mashhad, Iran. Participants were 23 breastfeeding mothers, two family members, and 11 healthcare providers, who were selected using a purposive sampling and attended in individual semi-structured in-depth interviews. Data were analyzed using directed content analysis based on the Elo and Kyngas approach, with MAXQDA software (version 2010).Results: Five categories of mothers’ instrumental support needs emerged: ‘facilitating maternal roles’, ‘supplying necessary items’, ‘providing welfare services’, ‘cultural services’ and ‘healthcare services’.Conclusion: Breastfeeding mothers need various forms of instrumental support to facilitate and sustain breastfeeding. Significant others, such as the husband, family members, health providers, and broader social and institutional systems play an important role in addressing these needs.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Breastfeeding Mothers, Qualitative research, Social Support, Instrumental Support Needs</keyword>
				<start_page>5755</start_page>
				<end_page>5766</end_page>
				<web_url>https://jmrh.mums.ac.ir/article_28188.html</web_url>
			<author_list><author>
				<first_name>Malihe</first_name>
				<middle_name></middle_name>
				<last_name>Amirian</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>amirianm@mums.ac.ir</email>
				<code>123928</code>
				<coreauthor>No</coreauthor>
				<affiliation>a) Associate Professor, Fellowship of Infertility, Milad Infertility Treatment Center of Mashhad, University of Medical Sciences, Mashhad, Iran
b) Department of Obstetrics and Gynecology, Fellowship of Infertility, School of Medicine, University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>khadijeh</first_name>
				<middle_name></middle_name>
				<last_name>Mirzaei 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>mirzaeikh@mums.ac.ir</email>
				<code>123929</code>
				<coreauthor>No</coreauthor>
				<affiliation>Associate Professor, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Nahid</first_name>
				<middle_name></middle_name>
				<last_name>Maleki</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>malekimidwife@gmail.com</email>
				<code>123927</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Assistant Professor, Department of Midwifery, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, 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 impact of Low- versus High-Dose Oxytocin Infusion on Maternal Hematologic and Hemodynamic Parameters after Vaginal Delivery: A Randomized Triple-Blind Clinical Trial</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 hemorrhage is a major cause of maternal mortality. Although oxytocin is routinely used for prevention, optimal dose balancing uterine efficacy and maternal hemodynamic stability remains uncertain. This trial compared the impact of low-dose versus high-dose oxytocin infusion on maternal hematologic and hemodynamic parameters after vaginal delivery.Methods: This randomized, triple-blind clinical trial was conducted on 60 primiparous women undergoing vaginal delivery at a teaching hospital affiliated with Neyshabur University of Medical Sciences, Neyshabour, Iran in 2024. Participants were randomly allocated 1:1 to low-dose (10 IU) or high-dose (60 IU) oxytocin infusion immediately after delivery. Hemoglobin and hematocrit were measured at admission and six hours postpartum. Blood pressure and heart rate were monitored for two hours postpartum. Data were analyzed using linear mixed-effects models.Results: Participants had a median age of 21 years (interquartile range, 19.25–25.50 years), with similar baseline characteristics between groups. Maternal heart rate and body temperature showed no significant differences in two groups (P &gt; 0.05). Although transient changes in systolic and diastolic blood pressure occurred at 15 minutes postpartum, mixed-effects analysis showed no dose-dependent effects (P &gt; 0.05). Hemoglobin and hematocrit decreased significantly from admission to six hours postpartum in both groups (p &lt; 0.001), with no significant between-group differences.Conclusion: Low- and high-dose oxytocin infusion resulted in comparable maternal hemodynamic and hematologic outcomes during the early postpartum period. These findings support using the lowest effective dose to maintain uterine contraction while minimizing potential adverse effects.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Oxytocin, Hemoglobin, Hematocrit, blood pressure, Heart rate, Body Temperature Postpartum Hemorrhage</keyword>
				<start_page>5767</start_page>
				<end_page>5778</end_page>
				<web_url>https://jmrh.mums.ac.ir/article_28192.html</web_url>
			<author_list><author>
				<first_name>Maryam</first_name>
				<middle_name></middle_name>
				<last_name>Zamani</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>zamani66mm@gmail.com</email>
				<code>123945</code>
				<coreauthor>No</coreauthor>
				<affiliation>BSc Community Midwife, Royal London Hospital, Barts Health NHS Trust, London, United Kingdom</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Fatemeh</first_name>
				<middle_name></middle_name>
				<last_name>Khorashadizadeh</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>fkhorashadi89@yahoo.com</email>
				<code>123946</code>
				<coreauthor>No</coreauthor>
				<affiliation>Assistant Professor, Department of Epidemiology and Biostatistics, Neyshabur University of Medical Sciences, Neyshabur, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Hediyeh</first_name>
				<middle_name></middle_name>
				<last_name>Feyzi Laein</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>hfeyzi80@gmail.com</email>
				<code>123948</code>
				<coreauthor>No</coreauthor>
				<affiliation>Medical Student, Students Research Committee, Neyshabur University of Medical Sciences, Neyshabur, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Zohre</first_name>
				<middle_name></middle_name>
				<last_name>Salari</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>salariz2@nums.ac.ir</email>
				<code>123947</code>
				<coreauthor>No</coreauthor>
				<affiliation>Assistant Professor, Fellowship of Maternal-Fetal Medicine, Neyshabur University of Medical Sciences, Neyshabur, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Elham</first_name>
				<middle_name></middle_name>
				<last_name>Azmoude</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>azmoudehe@gmail.com</email>
				<code>123944</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Assistant Professor, Department of Midwifery, School of Nursing and Midwifery, Neyshabur University of Medical Sciences, Neyshabur, 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>Large Retroperitoneal Hematoma after Vaginal Cystocele Repair: 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: Anterior colporrhaphy with native tissue repair is a common gynecological surgery to correct anterior vaginal wall prolapse. Here, we introduce a rare case of retroperitoneal hematoma after vaginal cystocele repair. Case report: A 33-year-old woman with abdominal pain and pelvic pressure referred to the Gynecology Emergency Unit of our hospital in Mashhad, Iran. She underwent vaginal cystocele repair on previous day in another hospital. Vaginal examination showed tenderness and bulging with a large ecchymotic area around labia majora that extended to buttock. On admission to our hospital, her vital signs showed tachycardia (pulse rate of 120 beats/min) with normal blood pressure and respiratory rate. Although the patient had received three units of packed red blood cells on previous day, hemoglobin level (Hb) was 8 g/dl at admission time. Computed tomography showed a large presacral hematoma measuring 117 × 86 × 71 mm and extending to the perineal area. with extension to perineal area. After transfusion of a total of five units of packed red blood cells, with regard to optimal response to conservative management, normal vital sign and decreased abdominopelvic pain and discomfort, there was no need for further therapeutic interventions such as embolization or surgical management.Conclusion: Using imaging modalities for accurate diagnosis, retroperitoneal hematoma could be managed with conservative treatment.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>hematoma, Retroperitoneal Hemorrhage, Uterine prolapse</keyword>
				<start_page>5779</start_page>
				<end_page>5783</end_page>
				<web_url>https://jmrh.mums.ac.ir/article_28202.html</web_url>
			<author_list><author>
				<first_name>Leila</first_name>
				<middle_name></middle_name>
				<last_name>Pourali</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>pouralil@mums.ac.ir</email>
				<code>124001</code>
				<coreauthor>No</coreauthor>
				<affiliation>Associate Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Atiyeh</first_name>
				<middle_name></middle_name>
				<last_name>Vatanchi</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>vatanchia@mums.ac.ir</email>
				<code>124002</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Associate Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Behzad</first_name>
				<middle_name></middle_name>
				<last_name>Aminzadeh</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>124003</code>
				<coreauthor>No</coreauthor>
				<affiliation>Assistant Professor, Department of Radiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Samira</first_name>
				<middle_name></middle_name>
				<last_name>Armanpour</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>samiraarman@yahoo.com</email>
				<code>124004</code>
				<coreauthor>No</coreauthor>
				<affiliation>Gynecologist and Obstetrician, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article>
			</articleset>
			</journal>