akram karami dehkordi

The presence of accompanying midwives (doulas) in the delivery room always entails many challenges. This study was carried out to determine the challenges of attendance with training from the point of view of midwives and expectant mothers in selected hospitals of Chaharmahal and Bakhtiari province, Iran.

The present study was a descriptive study on 70 midwives working in the delivery block, 120 pregnant mothers, and 20 trained attendants. The sampling of midwives and doulas was performed using the census method, and the sampling of pregnant mothers was conducted using the convenience method. The study tool included questionnaires made by the researcher about demographics and socioeconomics, therapeutics, and psychological challenges for the group of mothers and midwives. The face validity and content validity of the questionnaires were confirmed by midwifery professors and reproductive health specialists, and their reliability was confirmed by internal consistency. The data were analyzed using descriptive statistics with SPSS software (version 21).

In this study, 70 midwives working in selected hospitals of Chaharmahal and Bakhtiari province, 120 pregnant mothers, and 20 trained attendants were examined. Most of the pregnant women (n = 39, 32.5%) mentioned that the most important motivation for requesting a doula during pregnancy and labor was to overcome the fear of childbirth. Most of them (n = 101, 84.9%) also stated that they used doula services at the right time. Meanwhile, 54 women (45%) were familiar with doula services during pregnancy, and most of them (n= 67, 56.3%) stated that doula services can be useful and effective in all three stages of pregnancy, labor, and delivery.

There are dissatisfactions and challenges regarding the support of doulas during pregnancy and childbirth. Therefore, it is recommended to provide the necessary training to healthcare providers, especially obstetricians, midwives, and mothers, regarding the importance and place of doula’s supportive care in this era. Additionally, doula activities should be integrated and promoted in the care of the health team.

Decellularization techniques are widely used in the fabrication of suitable scaffolds for the regeneration of damaged tissues, addressing the issue of insufficient donor tissues. The amnion membrane has qualities such as availability, affordability, low immunogenicity, and anti-inflammatory and regenerative effects. Gelatin is a natural and biocompatible polymer with favorable interactions for cell adhesion and growth. Thus, this study focused on creating and assessing gelatin-decellularized amniotic membrane scaffolds for potential use in tissue engineering.

Initially, the amniotic membrane underwent decellularization, and the extent of this process was assessed using hematoxylin-eosin staining. Following the fabrication of the scaffolds, their physical, chemical, and mechanical properties, were characterized. Additionally, mesenchymal stem cells derived from the uterine endometrium were cultured on the scaffolds, and their biocompatibility was assessed through an MTT assay.

The findings indicated successful decellularization of the amnion tissue. Scanning electron microscope (SEM) images revealed a rough surface on the scaffolds. While all scaffolds exhibited hydrophilic properties, those made of the gelatin-decellularized amniotic membrane were particularly hydrophilic due to the presence of the hydrophilic gelatin polymer in their structure. The constructed scaffolds demonstrated water absorption and swelling. Additionally, the results of the mechanical properties assessment indicated that the scaffolds possessed adequate strength. In terms of biocompatibility, the proliferation of stem cells derived from the uterine endometrium on the scaffolds surpassed that of the control group (cell only).

The scaffolds fabricated with amino-gelatin curtains show promising potential for use in tissue engineering applications.

During the outbreak of infectious diseases such as COVID-19, pregnant women and their fetuses are among high-risk groups, and vaccination is one of the most effective ways to prevent some infectious diseases. However, there is little information about the attitude of pregnant women, their husbands, and health service providers regarding receiving COVID-19 immunization. Therefore, the purpose of the present study was to explain the reasons for not receiving the COVID-19 vaccine during pregnancy.

The present research was conducted in the framework of a qualitative approach and with the method of inductive content analysis in 2022. 29 participants including pregnant women, their spouses and, health service providers were selected with purposeful sampling and a maximum diversity participant selection strategy. The data collection tool was a semi-structured interview. Data analysis was done manually by the Granheim and Lundman method.

The data analysis led to the emergence of 367 codes, 10 subcategories, and 3 main categories ("Incorrect performance of the health system", " Attitudes, opinions, beliefs " and "fears and uncertainties").

Knowing the obstacles to vaccine injection helps implement effective interventions for optimal immunization coverage. It will be possible to inform pregnant women with the cooperation and strong role of midwives and gynecologists based on new and scientific documents and emphasizing the safety, effectiveness, efficiency, and role of the vaccine in reducing the mortality of pregnant mothers and even neonates until the acceptance of vaccination in similar crises will increase among pregnant women as one of the most dangerous groups in the society.

 Sexual satisfaction (SS) and a desirable quality of sex life are known as prerequisites for the physical and mental health of individuals. This study was designed to evaluate the role of the first childbirth and its associated factors in life satisfaction and the quality of life of married women in Shahrekord.

 This self-control cohort study was conducted on 124 married women who were planning to have their first pregnancy from January 2018 to February 2019. The convenience sampling method was used to select the samples. The questionnaires utilized in this research included the Demographic Information Questionnaire, the Married Women’s Sexual Satisfaction Questionnaire, and the Sexual Quality of Life-Female Questionnaire. The data were analyzed by independent t test, chi-square, and Pearson correlation coefficient using SPSS, version 22.

 The mean scores of SS and the quality of sexual life before pregnancy and one year after delivery were 63.45±13.62 and 52.38±13.59, as well as, 88.40±14.19 and 71.08±13.29, respectively. In this study, there was a significant relationship (P±0.041) between changing the quality of sexual life and good economic status of individuals, as well as irregular menstrual status and contraceptive methods (natural birth control). Further, the relationship between residence and change in SS was significant so that people living in cities had the most change in SS compared to those living in rural areas (P±0.046).

 SS and its dimensions, including physical and psychological barriers, dominant cultural values, and husband-related factors, as well as the mean score of the quality of sex life one year after delivery, were lower than before pregnancy.

Introduction and

Adolescence is the most important stage in life for establishing dietary pattern and habits. There is little evidence on adolescent dietary patterns and habits. The aim of this study was to determine food patterns among keiar girl adolescents.

In this study, a total of 300 girl adolescents aged 11-15, were assessed. Dietary intakes were evaluated by a questionnaire.

The results showed that 87.3 percent of students used to go to school with breakfast and 12.7 percent go without. In addition, 86.6 percent of the students used to eat snack. Based on this food pattern, we found that consumption of food groups like proteins, fruits and nuts was insufficient.

Based on this food consumption pattern, we need to design extensive education programs for improving the parents and teacher’s knowledge, point of view and behavioral patterns.

Cervical cancer is the second most common cancer in women and one of the leading causes of cancer-related death in developing countries. In cervical cancer patient، both surgery and radiation therapy can cause sexual dysfunction. Therefore، this study was performed with aim to survey sexual dysfunction in women with cervical cancer and a history of pelvic radiation therapy.

This study was performed on 176 women with cervical cancer and a history of pelvic radiation therapy referred to Ghaem and Omid hospitals in Mashhad who were selected using convenient sampling from 2009 to 2013. Research tools consisted of personal information form and ROSEN Female Sexual Function Index (FSFI). Data was analyzed by SPSS software (version 16. 5) and Spearman and Pearson correlation coefficient tests.

53 (30%) of women with cervical cancer and a history of pelvic radiation therapy had low sexual desire، 86 (49%) undesirable sexual arousal، 62 (35%) low lubrication، 74 (42%) undesirable orgasm. 70 (40%) of women complained of dyspareunia and 42 (24%) of Women were dissatisfied from sexual function. There was a significant correlation between sexual function with staging of cervical cancer (P= 0. 001، r= - 0. 25). There was a significant correlation between sexual desire (P= 0. 04)، sexual arousal (P= 0. 008)، lubrication (P= 0. 001)، orgasm (P= 0. 004)، sexual satisfaction (P= 0. 009) and dyspareunia (P= 0. 000) with staging of cervical cancer.

Sexual disorders in women with cervical cancer and a history of pelvic radiation therapy and correlation between sexual function with stage of cervical cancer reflects the fact that treatment، education and counseling programs is necessary for these women.

Body image is related to cognitive, emotional, and physical aspects of women’s life. Therefore, it is expected to have an important role in women’s sexual health and marital adjustment too. This issue seems to be salient in infertile women who suffer from psychological consequences of infertility. This study was conducted to investigate the relationship of body image with sexual function and marital adjustment in infertile women in 2011 in Mashhad, Iran. This correlational study was performed on 130 infertile women who referred to Montaserieh Infertility Research Centre in Mashhad, Iran. Subjects were selected using convenient sampling method. To collect data, valid and reliable questionnaires including demographic and infertility‑related data tool, modified Younesi Body Image Questionnaire, Rosen Female Sexual Function Index (FSFI), and Spanier Dyadic Adjustment Scale (DAS) were used. Data analysis was performed by SPSS software using Student’s t‑test, correlation, analysis of variance (ANOVA), and Tukey post‑hoc test. The mean scores of body image, sexual function, and marital adjustment in women were 308.1 ± 45.8, 27.23 ± 3.80, and 113.8 ± 19.73, respectively. There was a direct correlation between overall body image and subscales of sexual function including sexual arousal (P = 0.003), sexual desire (P = 0.024), vaginal moisture (P = 0.001), orgasm (P < 0.001), sexual satisfaction (P < 0.001), and dyspareunia (P = 0.007). A direct correlation was also observed between overall body image and subscales of marital adjustment including agreement and consent (P < 0.001), satisfaction with life (P < 0.001), continuity of life (P = 0.007), and expressing emotions within the family environment (P < 0.001). Improved sexual function and marital adjustment in cases with higher body image provides evidence that one of the solutions to reduce sexual dysfunction and marital dispute in infertile women could be planning educational and counseling programs to improve women’s body image.

One of the major causes of mortality and disability in the world is burning. The proper treatment of burns has been considered by physicians from past to present. Properties of medicine plants in burn wound healing have been proven in various studies. Arnebia euchroma is a rich source of antioxidants. This study was carried out to investigate the effect of Arnebia euchroma on second-degree burn wound healing in Balb/C. In this experimental study، 105 Balb/C male mice (5 groups of 20 equal mice and 1 group with 5 mice) weighing 20gr were studied. Mice in 5 groups with Vaseline 1 gr، Silver sulfadiazine 1 gr، without intervention، Arnebia euchroma 1%، and 10% were treated topically for 21 days two times per day. Wound size and healing percentage at day 0، 7، 14 and 21 were measured. Data were analyzed using Kruskal-Wallis and Dunn''s post hoc statistical tests. Results showed that the most recovery was observed in Silver groups، without intervention، Vaseline، Arnebia euchroma 1%، and Arnebia euchroma 10%، respectively. Silver group showed the best healing effects between other study groups (P<. 0. 05). This study shows that Arnebia euchroma root did not have any effect on healing of second degree burn wounds in Balb/C. More study was recommended for evaluating the effects of other dose and extracts of the plant on burn healing.

Anxiety is recognized as a preventive and effective factor in labor progress. Since the effect of accustomizing of women with personnel, delivery room, and equipments has not been investigated, this study was designed to determine the it's effects on the anxiety of nulliparous women before labor. This clinical trial was carried out in sixty-eight nulliparous women in health centers of Shahr Kurd. The women were randomely enrolled in study and control groups and their anxiety was assessed in 34 weeks of gestation with Hamilton scale. In the 36 and 38 weeks of gestation, women in study group were accustomed with labor and delivery room, personnel and equipments and the control group received the standard prenatal care. Also the anxiety of both groups was assessed at the onset of labor. We used Mann-witney and wilcoxon tests for analysis of data and p<0.05 was considered significant. Mean of anxiety score in study group was 26.5±7.6 at 34 weeks of gestation and 11.82±8.3 at time of admission for delivery and difference was significant (P<0.001). It was 25.90±6.9 at 34 weeks of gestation and 23.53±5.8 at time of admission for delivery in the control group and difference was not significant (P=0.25). Accustomizing of nulliparous women with delivery room, personnel and equipments reduced the anxiety of women.

Body image is one of the most important issues in women's mental health and due to its relationship with physical, cognitive and emotional aspects of women’s life; it can predict their healthy or unhealthy behaviors. According to some research reports, women’s negative or positive body image can affect their marital relationships. Considering the impact of infertility on both body image and marital adjustment and the lack of evidence regarding the relationship of these two variables in infertility, this study aimed to investigate the relationship of body image with marital adjustment in infertile women in 2010 in Mashhad.

This correlational study was carried out on 130 infertile women referred to Montaserie Infertility Research Center in Mashhad who were selected through convenient sampling. Research tools were consisted of valid and reliable demographic questionnaire including personal and infertility-related information, modified Younesi Body Image Questionnaire and Spanier marital adjustment scale (DAS) which were completed by subjects. Data analysis was carried out by SPSS software (version 15/5) using t-tests, one way ANOVA, and Spearman and Pearson correlation test.

93/1% of women reported positive body image and 76/9% had high marital adjustment. There was a direct correlation between the overall score of body image with marital adjustment (P<0/001). There was also a direct correlation between the scores of body image subscales including body in loneliness (P= 0/001), real body (P=0/014), public image of body (P=0/016), spouse image of body (P<0/001) and spouse family image of body (P<0/001) with marital adjustment. However, this relationship was not observed between the subscale of ideal body and marital adjustment.

The presence of a direct correlation between body image and marital adjustment could guide developing educational or counseling programs particularly for infertile women who suffer from marital disputes.