فهرست مطالب mitra savabi

One of the new assisted reproductive techniques is surrogacy, and the rate of using this technique is rising. However, the psychological and social consequences of this technique have not been thoroughly investigated. Therefore, this review study was performed with aim to investigate these outcomes following surrogacy in surrogate mother and child. In this review study, to find the related articles between1990-2018, Persian databases of SID and Magiran and English databases of Pubmed, Scopus, Elsevier, Wiley online library, Web Of Science, and Google Scholar search engine were searched. To access all articles in Persian and English, the Persian keywords including: surrogate mother, mother-child relationship, mother-fetus relationship, relationship, psychological outcome, social outcome and English keywords including Surrogate mother, surrogacy, Maternal -Fetal relationships, mother-child relationships, surrogates' family, bonding, attachment, psychology outcome, social outcome, with all possible combinations of these words were used. From 500 articles, 18 articles were eligible for research and were selected for this study. The results of various studies indicated that the birth of the child for surrogate mothers and applicant’s family is a stressful phenomenon that can lead to depression in surrogate mother. There was no significant difference between children born as surrogacy and normal children in terms of evolution, psychological and social dimensions. The results of personality tests and psychological variables were normal in most surrogate mothers and no serious psychological harms were observed. In general, surrogacy is considered to be a positive experience in most mothers. Born children also have a good feeling to their surrogate mothers and have no psychological differences with normal children. Of course, it's important to note that differences in the culture of the countries, their experiences and supportive systems may affect psychological and social consequences of surrogacy.

The concept of sexual dysfunction is dysfunction in desire and emotional – social that it is Impact on the sexual response cycle and can cause stress and interpersonal difficulties. Quality of marital relationship is one of the important factors predicting sexual function disorders, which varies among different cancers. The purpose of this study is to determine the relationship between sexual dysfunction and quality of marital relationship in genital and breast cancers in women.

This correlational study was conducted on 150 breast and genital cancers in women referred to Sayedoshohada and Milad hospitals in Isfahan city through a two‑stage sampling method. Participants completed questionnaires about demographic/disease and sexual function questionnaire (44 questions) and quality of marital relationship (11 questions). Collected data were analyzed using SPSS version 14 software, statistical test such as, Pearson correlation coefficient tests independent t‑ student, one way ANOVA.

The results showed that 70.7% of women had breast cancer and 29.3% had gynaecological cancer. 60% of patient had good quality of marital relationship and 19.3% sexual dysfunction. There was a significant correlation between sexual function and quality of marital relationship (P = <0.001).

There was a significant correlation between sexual function disorder and quality of marital relationship. The inclusion of patients educational programs and couple therapy in cancer disease rehabilitation program is important in order to improve the quality of marital relationship and subsequent sexual dysfunction in cancer patients.

Breast cancer is the most common malignancy and a major cause of cancer deaths among women. Breastfeeding is presented as a probable protective factor against breast cancer, however, the effect of different breastfeeding patterns and duration of breastfeeding on this factor is not well determined. Thus, the aim of this research was to evaluate factors related to breastfeeding and breast cancer.
This case–control study was conducted on 98 women with breast cancer and 198 healthy women who were selected through systematic random sampling method. Studied variables included demographic characteristics, reproduction characteristics, duration of breastfeeding, and breastfeeding pattern. The study variables were measured using a researcher-made questionnaire through self-report method. The two groups were matched in terms of place of residence and age. The data analysis was performed using logistic regression.
A relationship was observed between breast cancer and marital status (P = 0.04), education level (P = 0.02), individuals’ perspectives of their economic status (P = 0.001), and lack of breastfeeding (P = 0.006). However, no relationship was found between breast cancer and reproductive factors. Moreover, multiple logistic regression analysis results showed that breast cancer only had a relationship with individuals’ perspectives of their economic status with OR of 0.31 (95% CI: 0.16–0.59).
The results showed that there was no relationship between breast cancer and reproductive factors and breastfeeding pattern. Due to the difference between the findings of this research and other researches, genetic, epigenetic, and cultural differences must be considered in the evaluation of risk factors for breast cancer.

Aim and Depression is a major postpartum mental disorder. This disorder will have adverse consequences for both generations (mother and child) and may be correlated with breastfeeding. The aim of the present study was to determine the association between postpartum depression and postpartum lactation during the 2 first years of life.
Methods and Materials: This descriptive correlational study was conducted on 366 mothers of 18-45 years of age. The subjects were selected through simple random sampling from among women who had medical records in health care centers. The data collection tools included the Edinburgh Postnatal Depression Scale and the Demographic-Reproductive Characteristics Questionnaire. Data were analyzed using descriptive and inferential statistical methods in SPSS software.
Findings: Among the mothers, 30.4% of non-lactating mothers had depression. However, 19.6% of exclusively breastfeeding mothers and 18.3% of mothers who used breastfeeding in combination with other methods had depression. A significant correlation was observed between the depression scores and the two variables of type and duration of lactation (P Existence of depression among the subjects in this study, and the correlation of maternal depression with lactation status clarify the importance of screening for depression during the breastfeeding period. Thus, in order to benefit from the advantages of breastfeeding and improve infants’ growth and health, the consideration of this issue by health care providers is recommended.

The feeding importance of child in first two years of life and mental damage caused by malnutrition during this period is obvious. However the mother's lifestyle and long-term effects on the health of the mother and infant during breastfeeding period should not be neglected. Therefore, this study aimed to determine the relationship between the demographic characteristics and lifestyle of breastfeeding mothers referring to health centers in Isfahan. In this cross-sectional study, 190 breastfeeding mothers were selected by quota sampling from Isfahan-Iran. Demographic and lifestyle questionnaires were completed. Data were analyzed by descriptive and analytical statistical methods using of SPSS-16. The majority of mothers (88.9%) in breast feeding period have an appropriate lifestyle. The most favorable conditions among different aspects of lifestyle related to spiritual health and the most unfavorable is related to sports and fitness. There was a direct and significant relationship between mother's education and prevention of accidents (r=0.34, P<0.05); father’s education and social health (r=0.281, P<0.05) respectively. Results showed with increasing rank of birth, the avoiding of medications, drug and alcohol decreased; also with increasing duration of breastfeeding, prevention of accidents reduced (P<0.05). According of these findings, it seems that the pregnancy and postpartum period offers a percpective of opportunity to healthcare professionals to train and correct lifestyle and its different aspects of mothers in order to improve the health of the mother and infant.

Sexuality is a basic and important factor in human experiences, which varies among different types of cancers. This study was carried out with the aim of defining the relationship between sexual dysfunction and related factors in genital and breast cancers. This cross‑sectional study was conducted on 150 women with genital and breast cancers admitted to two specialized hospitals in Isfahan and by using a two‑stage sampling method. Participants completed demographic/disease questionnaire and sexual function questionnaire. Collected data were analyzed by using SPSS software version 14 and statistical tests of correlation coefficient, Student’s t‑test and one‑way analysis of variance (ANOVA). The obtained results showed that 47% of women had sexual dysfunction with the mean (SD) age of 47 (7.7) years (with the range of 25–65 years). There was a significant correlation between sexual functioning and age, occupation, educational level, and treatment duration (P < 0.05). There was also a significant correlation between the stage of disease, primary disorder (0.003), and recent disorder (0.028). Meanwhile, Chi‑square test showed no significant relationship between cancer type and primary disorder (0.403) and recent disorder (0.416). Breast and genital cancers may result in significant difficulties with sexual functioning and sexual life. Addressing these problems is essential to improve the quality of life in women with cancer and further investigations should be conducted for prevention and treatment of disorders by the health authorities.

Sexual dysfunction refers to sexual desire disorders and psychosocial changes، which can impact one’s sexual response cycle and cause stress and interpersonal difficulties. Treatment modality is one of the most important predictive factors for sexual dysfunction and varies depending on the type of malignancy. The purpose of this study was to determine the relationship between sexual dysfunctions and treatment modality in gynecologic and breast cancer patients. This correlational study was conducted on 150 women with gynecologic and breast cancers، referring to Seyedoshohada and Milad hospitals in Isfahan، Iran in 2011. The demographic/disease questionnaire، Female Sexual Function Index (FSFI)، and Sexual function-Vaginal changes Questionnaire (SVQ) were completed by the subjects. Student’s t-test and one-way ANOVA were performed، using SPSS version 14. P-value less than 0. 05 was considered statistically significant. As the results indicated، 106 (70. 7%) and 44 (29. 3%) women had breast and gynecologic cancers، respectively. Also، 71 (47. 3%) patients had undergone radiotherapy and chemotherapy. According to ANOVA test results، Sexual dysfunction in patients treated with radiotherapy and chemotherapy was significantly greater than other groups (P=0. 002). Sexual dysfunction in patients with cancers of the breast and genital tract were treated with radiotherapy and chemotherapy was more.

One way to achieve a healthy society is population control and providing effective contraceptive methods. Hormonal contraceptives are the most effective method of birth control. However، their satisfaction rate is affected by many factors. We aimed to study the effective factors on satisfaction from contraceptives including Depot Medroxyprogesterone Acetate (DMPA)، Cyclofem، and low dose (LD) in women who referred to health centers in Isfahan، Iran. This descriptive comparative study was conducted on 150 women who were selected using non-probability sampling during April-October 2010. The subjects were using receive DMPA، Cyclofem، or LD pills for the first time or had used them for less than three months. Data was collected through face to face interviews using a standard questionnaire called ORTHO Birth Control Satisfaction Assessment Tool (BC-SAT) three months after consumption. The data was analyzed using descriptive and inferential statistics. Cyclofem gained the highest mean satisfaction score. There were no significant differences in mean total satisfaction scores assigned by three groups. Although the three groups had significant differences in mean satisfaction scores in ease of use، menstrual impact، and compliance/adherence، no statistically significant differences were observed in lifestyle impact، assurance/confidence، side effects، future fertility concerns، and overall satisfaction. Satisfaction from hormonal contraceptives is influenced by many factors such as knowledge، information، lifestyle، religion، side effects، understanding of individual and others، anxiety، and concerns. On the other hand، satisfaction will in turn influence on the attitudes of individuals.

Teachers, parents and foundations should become objective-oriented for children with visual impairment so that learning and sensitization of necessary knowledge and skills for the behaviors of these children are assisted. Where there is impairment in the relations of children caregivers, their emotional security is disturbed and its effects will appear in their behaviors. Therefore, strong dependence on parents, teachers and other adults is the characteristics of most of the children with physical problems including blind children. Since use of the experiences of caregivers of these children increases their efficiency and life skills, this study was conducted aiming to understand the experiences of blind children caregivers in Isfahan. This study was a qualitative study with a phenomenological approach to investigate the experiences of blind children caregivers including mothers and teachers. Four mothers of blind children and four caregivers of blind children were purposefully selected and interviewed from 2007 to 2009. Data were collected through interviews which were recorded on cassette tapes. The obtained data were analyzed using Collizzi method. The experiences of the blind children caregivers were divided into two groups of challenge and role. The results of this study showed that upon diagnosing the child’s blindness, the parents suffer from mental stress. At first, they deny the problem, but then they begin to come along and accept the blind child. At this time, they analyze the effective factors in keeping and educating the child. At the same time, they act in response to the child influenced by several factors including the role of the society.

• Irregular population growth is considered as a serious threat to the international community and is also a major obstacle for nations’ social and economic development. Thus, one of the ways to have a healthy community is to control the population and provide safe and effective contraceptive methods. Hormonal contraceptives are the most effective method of birth spacing. The present study aimed to determine and compare satisfaction from hormonal contraceptives including depot medroxyprogesterone acetate (DMPA), Cyclofem and LD in women referred to selected health care centers of Isfahan in 2010.• This was a descriptive-comparative study with cross-sectional data collection method from 26 April 2010 to 28 October 2010. Simple non-probability sampling was used to select 150 individuals (divided into three groups of 50) among the females who referred to 8 selected health care centers in Isfahan to receive DMPA, Cyclofem, or LD for the first time, and/or those who had used contraceptives for three months. To assess satisfaction rate and its related factors, the standard ORTHO Birth Control Satisfaction Assessment Tool (BC-SAT) was completed three months after medicine consumption through interviewing. Data was analyzed using descriptive and inferential statistics (Fisher’s exact, chi-square, ANOVA, and LSD tests).• There were no significant differences in terms of mean score of satisfaction between the three groups. Cyclofem (192.2) and DMPA (188.1) gained the highest and lowest mean satisfaction scores, respectively. Although the mean satisfaction score in areas of ease of use/appropriateness, interference in menstruation pattern, acceptance and continuation of the method had significant differences in three groups, no statistically significant difference was observed in lifestyle, confidence to the method, side effects, concerns about future pregnancies and total satisfaction.• Generally, there was no difference in satisfaction from the three studied hormonal contraceptives.