shahla meedya

Currently, birth experience is considered an indicator for evaluating the quality of care provided during labor and birth. This study examined the effect of the Iranian positive birth experience guideline on the birth experience of primiparous women.

This randomized controlled clinical trial was conducted at Taleghani Hospital, Tabriz, Iran (2019). Thirty pregnant women admitted to labor after checking the eligibility criteria were randomly assigned to intervention (developed guidelines) and control (routine hospital care) groups. Women’s birth experience was evaluated 24 hours postpartum using the Childbirth Experience Questionnaire (CEQ 2.0). An independent sample t-test was employed to compare the average scores between the groups.

The mean (standard deviation) of the total score of birth experience in the intervention and control groups was 3.0 (0.4) and 2.1 (0.5), respectively. The average score of the childbirth experience in the intervention group was significantly greater than that of the control group [Mean difference: 0.9; 95% confidence interval: 0.5–1.2; P < 0.001].

The Iranian guideline for improving birth experiences was able to improve primiparous women’s birth experiences more effectively than routine care. Practical Implications. The findings of this study can be considered in the policies and management of healthcare centers.

Respectful maternity care (RMC) is a crucial approach to enhancing the experiences of mothers. This study aimed to explore women's views on the factors contributing to disrespect and abuse (D&A) during childbirth.

A qualitative study was conducted with 12 postpartum women selected through purposive sampling to ensure maximum diversity. Data were gathered through in-depth semi-structured interviews and analyzed using a conventional content analysis method.

The analysis revealed seven key categories. These categories included respect for women, meeting needs and preferences, involvement of women, continuity of care, empathy, adequate human and non-human resources, and factors that deter D&A.

It is essential to develop effective interventions to enhance RMC across various dimensions. Providing RMC during and after childbirth necessitates the involvement of policymakers and health managers. This can be accomplished by addressing the welfare and environmental needs, showing empathy towards mothers, safeguarding their privacy, alleviating staff workloads, and transforming the attitudes of healthcare workers.

Disrespect and abuse during childbirth is regarded as harassment of women and a violation of their rights. The aim of this study was to assess the psychometric properties of the disrespect and abuse questionnaire in Iranian parturient women.

This cross‑sectional study was conducted on 265 postpartum women in both private and public hospitals in Tabriz, Iran. The scale was translated from English into Farsi. In the quantitative face validity, the impact score was determined for each item. Moreover, in the quantitative content validity, the Content Validity Ratio (CVR) and Content Validity Index (CVI) were assessed based on the comments of experts on the relevance, clarity, and simplicity of items (CVI) and the necessity of items (CVR). Construct validity was assessed through exploratory and confirmatory factor analyses.

In the face validity assessment, all items received a minimum impact score of 1.5. In assessing the content validity, all the items attained the minimum acceptable value of CVR (>0.69) and CVI (>0.79). According to the exploratory factor analysis, the Disrespect and Abuse Questionnaire has 23 items and five factors, including abandoning the mother, improper care, mother’s immobility, not talking to the mother, and mother’s deprivation. The construct validity of the scale was confirmed by the confirmatory factor analysis, in which X</em>2</em>/df </em><5 and root mean square error of approximation <0.08.

The Farsi version of the disrespect and abuse questionnaire can be used as a valid tool for assessing instances of lack of respectful maternity care in the postpartum period.

When women’s’ lives enter a new phase after childbirth, they need to adapt to it in order to accept their motherhood role. Maternal competency depends on the mother’s perception of her maternal role and the ability to attain and fulfill it. The aim of this study was to examine the association between maternal sense of competence and self-efficacy in the postpartum period.
In this cross-sectional study, 305 Iranian women were selected randomly via a two-stage cluster sampling method at the end of the 4th postpartum month. Data were collected from August 2016 to January 2017 and by using the socio-demographic characteristics questionnaire, parenting sense of competence scale, and maternal self-efficacy questionnaire. The statistical tests including Pearson correlation, Independent sample t-test, One-way ANOVA, and General linear model were used for data analysis.
The mean (SD) score of self-efficacy was 33.8 (5.1) and mean (SD) score of maternal sense of competence was 79.2 (13.8). Between maternal competency and self-efficacy a significantly positive correlation (P = 0.000, r = 0.364) was found. According to the adjusted general linear model, mother’s age, income, spouse’s occupation, type of pregnancy, and self-efficacy have statistically significant relationships with the maternal sense of competence and explains 34.9% of the variation in the maternal sense of competence score.
The findings of the present study showed that increased postpartum self-efficacy is associated with improved maternal competency, which requires health providers to evaluate postpartum maternal self-efficacy and make the necessary interventions if it is low.

Adolescence pregnancy is high risk both for mother and child. This systematic review aimed to determine the effect of home visiting on maternal and neonatal outcomes in adolescent mothers.

This systematic review was performed by searching English databases including Cochran library, PubMed, Google scholar, Scopus, web of science, Embase, Ovid and Persian databases including SID, Magiran, and Barakat Knowledge Network System without time limitation. The search terms included "adolescent or teen pregnancy", "adolescent or teen mothers", "home visiting", "home visitation" and "home visit".

According to databases search, 967 papers were found that among them 913 papers were not related. Among 54 related papers, 44 abstracts and 10 full texts were studied. At the end, 7 RCT included in this systematic review. The meta-analysis result done on 375 person indicated that mental health in the home visiting group was significantly better than the control group (routine care or cares except considered intervention) (standard mean difference: -0.33; 95%CI: -0.57 to -0.10; p=0.006, I2=0%). Also, meta-analysis done on 185 persons showed that there was no significant difference between two groups in terms of repeat pregnancy (odds ratio: 0.83; 95% CI: 0.33 to 2.03; p=0.67; I2=50%) and repeat birth (odds ratio: 0.90; 95%CI: 0.35 to 2.31; P= 0.820, I2=0%).

Results indicates that home visiting can improve mental health but does not have any effect on repeat pregnancy and repeat birth. Clinical trials with accurate methodology by controlling effect of number and duration of home visiting are recommended.