مقالات رزومه دکتر رقیه نوری زاده

The present study aimed at investigating the influence of home counseling on breastfeeding self-efficacy (BSE) and breastfeeding performance following cesarean section (CS) among primiparous women.

This randomized controlled clinical trial was conducted on 60 primiparous women following CS in Ardabil, Iran. The subjects were assigned to the intervention and control groups using the block randomization method, ensuring a fair and unbiased selection process. The intervention group participated in three home counseling sessions on 3 and 7 days and a month after childbirth, and the control group received only routine postpartum care. The demographic and obstetric characteristics, BSE scaleshort form, and breastfeeding practice questionnaires were filled out by groups 10 to 15 days and two to four months after childbirth for data collection. After birth and adjusting the birth weight impact, the infant’s weight was measured at two and four months. Chisquare and repeated measures ANOVA (RMANOVA) tests were employed for data analysis, providing a comprehensive and rigorous approach to our research.

In the intervention group, the total mean (SD) score of BSE increased significantly from 50.56 (2.35) during 10-15 days to 62.86 (1.77) two months after birth and 64.2 (1.37) four months after birth. This positive trend was not observed in the control group, where the score changed from 44.26 (5.89) during 10-15 days after birth to 43 (6.93) two months and 39.13 (6.98) four months after birth. Additionally, a significant difference was found in comparing breastfeeding performance in terms of the frequency of breastfeeding during 24 hours, duration of each breastfeeding, exclusive breastfeeding, and frequency of breastfeeding problems between two groups during 10-15 days and two and four months after childbirth (P<0.05). These results highlight the potential of home counseling to improve BSE and performance, offering hope for better postpartum care.

The results revealed that home counseling effectively influences the improvement of BSE and breastfeeding performance after CS. Therefore, it is suggested that in-home supportive interventions be employed among mothers who underwent CS to promote breastfeeding and exclusive breastfeeding.

The purpose of this study was to determine the effect of debriefing intervention on post-traumatic stress disorder (PTSD) following traumatic childbirth.

This was a randomized clinical trial conducted on 70 postpartum women who experienced traumatic childbirth and referred to health centers of Tabriz, Iran. The participants were assigned into two groups of counselling and control (n=35 per group) using block randomization. The intervention group joined a counselling session with critical incident stress debriefing (CISD) approach 3-5 days after childbirth. Post-traumatic Stress Checklist (PCL-5) and Edinburgh Postnatal Depression Scale (EPDS) were completed by the subjects before the intervention session, and 4-6 weeks after childbirth. ANCOVA was used for data analysis.

The mean score of PTSD symptoms showed significant decrease in the intervention group compared to the control group (adjusted mean difference [AMD] =-5.72, 95% CI: -10.47 to -0.96, P=0.01).

It is recommended to compare the effectiveness of structured and unstructured debriefing in future studies.

Maternal anxiety has been accompanied by many unfavorable effects on breastfeeding in the postpartum period. We aimed to provide scientific evidence in identifying effective interventions for anxiety and breastfeeding self-efficacy (BSE) in a systematic review and meta-analysis.

All published studies with inclusion criteria by 2022 were searched in Embase, Cochrane library, Web of Sciences, Google Scholar, PubMed, Scopus, SID and Magiran. The literature search was performed using PRISMA instructions. Further, 20 eligible interventional studies (RCT and pre-posttest) and one case study were included in this systematic review and meta-analysis. Publication bias was checked with Eggers test and funnel plot methods. The collected data were analyzed using stata version16.

It is not possible to provide an explicit and accurate conclusion about the effective intervention method in reducing anxiety and increasing BSE among lactating women during the covid19 pandemic. The results indicated a significant increase in BSE among lactating women after educational and psychological inter-ventions (4.20, 95% CI: 3.61 to 4.80, I2 = 26.38%).

It is recommended to conduct further studies with a strong methodology and based on interven-tion methods during the postpartum period, especially in the first month of birth to reduce the symptoms of stress and anxiety in the mother, establish better mother-child attachment, and improve BSE and maternal per-formance during the Covid-19 pandemic.

Reproductive and sexual health and its dimensions are important aspects of health in human life and the World Health Organization emphasizes to promote these section health indexes. Since a review study has not been conducted to identify an appropriate approach for intervention in this field. Therefore, this study was conducted with the aim of systematically reviewing the impact of educational and counseling interventions on sexual function of women.

A comprehensive electronic search was carried out with no time limit until 6 August 2022. All published studies with inclusion criteria by 2021 were searched in Embase, Cochrane library, Web of Sciences, Google Scholar, Pubmed, Scopus, SID, and Magiran. The literature search was performed using PRISMA instructions. Cochrane Quality Assessment Scale [adapted for evaluating RCT, interventional studies] was used to evaluate the quality of the articles.

From a total of 93 articles obtained from the search in databases, by removing duplicate titles and checking the titles and summaries of the articles, 40 articles were obtained, and finally, after the final review of the full text of the articles, 21 articles were included in the present review. Due to the variety of interventional types in the studies, it was not possible to categorize counseling approaches. Studies showed that interventions based on sexual education and counseling were effective on the outcomes including marital satisfaction, sexual knowledge, sexual satisfaction, marital relationship quality and sexual performance.

Designing a comprehensive educational program with an appropriate approach focusing on various aspects of reproductive and sexual health can be an important role in promoting sexual and reproductive health. Therefore, interventional studies are necessary to identify an appropriate intervention approach to enhance reproductive and sexual literacy of couples.

Sexual and marital satisfaction play an important role in the stability of couples' relationships, so it is necessary to take a proper approach to promote them. This study aimed to identify and categorize psychological interventions affecting sexual satisfaction and marital satisfaction of women in Iran.

An electronic systematic review search was conducted using the Persian and English databases of SID, Embase, PubMed, Scopus, Web of Science, Medline, Cochran library, and Google Scholar motor engine until 2021 to identify all relevant clinical trials and experimental and quasi-experimental studies assessing the effect of psychological interventions on sexual and marital satisfaction.

Totally, we retrieved 528 studies from the previously mentioned databases, of which, 38 met the eligibility criteria. The subgroup meta-analysis of 4 studies conducted showed that interventions based on individual consultations increase sexual satisfaction (MD: 2.94, 95% CI: −0.36 to 6.24, P= .23), (I2 =30.83%). The subgroup meta-analysis of 10 studies conducted revealed that couple-based consultations increase marital satisfaction (MD: 5.93, 95% CI: -2.59 to 9.27, P=.95), (I2 = 0%).

The results of meta-analysis demonstrated the effect of counseling-based psychological interventions on increasing sexual and marital satisfaction of couples. However, further clinical trials are required before making a definitive conclusion.

Depression is highly prevalent during pregnancy and after childbirth, and many factors, including the type of delivery, can contribute to developing this condition. Considering the increased use of remifentanil in painless labor and the need for conducting more studies on the consequences of this method this study aimed to determine the mean score of postpartum depression in women giving birth by either remifentanil-induced painless delivery or elective cesarean section.

The present study was a longitudinal investigation conducted on140 women referred to private hospitals, Tabriz, Iran, between 2020 and 2021 in two groups: women with elective cesarean delivery and women with vaginal delivery with remifentanil analgesia (n=70/each). Depression during pregnancy was assessed at 35-37th weeks’ gestation, and postpartum depression was determined four weeks after childbirth using the Edinburgh Postnatal Depression Scale (EPDS). Independent t test and paired t test were used to compare depression scores.

Postpartum depression was significantly higher in women who had undergone a cesarean section than in those giving birth by remifentanil-induced painless vaginal delivery (P = 0.009).

The prevalence of postpartum depression was higher in women who underwent elective cesarean section than women who underwent painless vaginal delivery with remifentanil. Considering the steady rise in worldwide cesarean section rate and the health burden and consequences of postpartum depression on mothers and children, health legislators should take measures to reduce women’s tendency towards the cesarean section in the long run

Mother–child attachment is formed from early stages of pregnancy and peaks in the second trimester and continues until after childbirth. The fetal or neonatal death as a tragic event could lead to the grief experience among parents, especially mothers. The present study aimed to determine the effect of a coping program on mothers’ grief following perinatal deaths.

This trial study was performed on 56 women with the experience of perinatal death during the last 1–3 months with a score of Perinatal Grief Scale (PGS) ≥91, who were referred to the health centers of Tabriz, Iran, from September 2020 to June 2021. Participants were randomly assigned into the intervention and control groups through stratified blocking on the basis of the stillbirth and neonatal death using Random Allocation Software with a block size of 4 and 6 with a ratio of 1:1. The intervention group received a coping program individually during three sessions, once a week for 45–60 min. Data collection tools included the demographic and obstetric characteristic questionnaire and PGS. The data were analyzed using SPSS24. The groups were compared through t‑test, and ANCOVA after adjusting the effect of baseline score.

Prior to coping program, the mean standard deviation of the grief total score was 108.32 (14.31) in the intervention group and 107.92 (6.65) in the control group (P = 0.89). After coping program, the mean of the grief total score was 82.28 (16.72) in the intervention group and 101.05 (12.78) in the control group. After adjusting the effect of baseline score and stratified factors, the mean of the grief total score in the intervention group was significantly lower than that in the control group [Adjusted mean difference (AMD): −18.77, 95% confidence interval: −26.79 to − 10.75, P ≤ 0.001].

Conducting a coping program during 1–3 months after experiencing perinatal deaths is effective in reducing the mothers’ grief reactions. It is recommended to evaluate the effectiveness of the same intervention after perinatal deaths for both parents with a longer follow‑up period in further studies.

Performing appropriate and regular screening can effectively reduce cervical cancer and mortality rate, however, the available evidence suggests that women’s participation in cervical cancer screening remains low in middle‑ and low‑income countries, and that it is necessary to identify appropriate intervention methods to change behavior. The present study was designed to determine the effect of decision‑aid‑based counseling on cervical cancer screening behavior among women.

This trial study was conducted on 154 women with no history of Pap smear during the past 3 years and refers to Tabriz health care centers. The participants were assigned to the intervention (decision aid based counseling) and control (routine health education) groups through randomized block design with block sizes of 4 and 6 and a 1:1 allocation ratio. The data were collected using the sociodemographic and fertility characteristics, stages of change checklist, and shared decision‑making (SDM) and decisional conflict (DC) questionnaire before and 6 months after the intervention by interview and then, analyzed by SPSS24 software. The independent t‑test, ANCOVA tests were used.

A significant difference was observed between the two groups in terms of changing the stages of cervical cancer screening behavior 6 months after the intervention. As after the intervention, the frequency of individuals entered the preparation or action stage was more than the control group (P = 0.001). The mean score of SDM in the intervention group was significantly higher than the control group after intervention ([45.49 ± 1.18] vs. [27.56 ± 1.18] [Mean Difference (MD): 17.92; 95% confidence interval [CI]: 14.59–21.25; P < 0.001]). The mean score of DC in the intervention group was significantly lower than the control group after intervention ([29.16 ± 1.09] vs. [34.14 ± 1.09] [MD: −4.97; 95% CI: 1.09–8.04; P < 0.002]).

This study revealed that evidence‑based information communicated between clients and clinicians has very important role in clients’ health‑related behavior. It is recommended, health care providers apply decision‑aid‑based counseling for promoting the cervical cancer screening behavior among women.