solmaz mohammadi

A high-risk pregnancy (HRP) is adversely affects the health of the mother, baby, or both.Most prenatal care research, rather than quality concepts, focuses on the adequacy of prenatal careand describes the emotional-psychological experiences of women with HRP. The main purpose of thisstudy was to explore the perspectives of healthcare professionals regarding the quality of prenatal carefor women with HRP. This qualitative study was conducted in three university hospitals and 12 comprehensivehealth centers in Ahvaz (Iran) from December 2020 to May 2021. In the present study, 10 midwives,2 executive directors, and 7 specialists were purposefully selected with maximum diversity. In-depthsemi-structured individual interviews were used to collect the data. Data were analyzed concurrentlyusing Elo and Kinga’s content analysis. The MAXQDA software version 10 was used for data analysis. During data analysis, the 6 main categories “infrastructure for care provision”, “optimalclinical care”, “organizing referrals”, “preconception care”, “risk assessment”, and “family-centeredcare” and 14 subcategories were identified. Our findings showed that professional groups focused on the technical aspects of caring.The findings from this study highlight several conditions that can affect the quality of prenatal carefor women with HRP. Healthcare providers can use these factors to effectively manage HRPs, therebyimproving pregnancy outcomes among women with HRPs.

Preterm Birth (PTB) is one of the leading causes of infant morbidity and mortality. Prenatal care is an effective way to improve pregnancy outcomes but there is limited evidence of effective interventions to improve perinatal outcomes in disadvantaged pregnant women. This review was conducted with the aim to assess the effectiveness of prenatal care programs in reducing PTB in socioeconomically disadvantaged women.

We searched the Scopus, PubMed, Web of Science, and Cochrane Library databases from January 1, 1990 to August 31, 2021. The inclusion criteria included clinical trials and cohort studies focusing on prenatal care in deprived women with the primary outcome of PTB (< 37 weeks). Risk of bias was assessed using the Cochrane Collaboration’s tool for assessing risk of bias and the Newcastle–Ottawa Scale. Heterogeneity was evaluated using the Q test and I2 statistics. The pooled odds ratio was calculated using random‑effects models.

In total, 14 articles covering 22,526 women were included in the meta‑analysis. Interventions/exposures included group prenatal care, home visits, psychosomatic programs, integrated intervention on socio‑behavioral risk factors, and behavioral intervention through education, social support, joint management, and multidisciplinary care. The pooled results showed that all types of interventions/exposure were associated with a reduction in the risk of PTB [OR = 0.86; 95% confidence interval: (0.64, 1.16); I</em>2 = 79.42%].

Alternative models of prenatal care reduce PTB in socioeconomically disadvantaged women compared with standard care. The limited number of studies may affect the power of this study.

Psychological Distress (PD) is one of the most common mental disorders during pregnancy and involves stress, anxiety, and depression. According to the literature, High‑Risk Pregnancy` (HRP) is a major physiological risk factor associated with PD during pregnancy. The main purpose of this study was to explore the perception and experience of women with HRP who, based on standard questionnaires, had moderate‑to‑severe stress and anxiety scores.

This qualitative study was conducted using conventional content analysis from December 2020 to June 2021. To this aim, 16 women with HRP were purposefully selected from Imam Khomeini Hospital in Ahvaz, Iran, with maximum diversity. In‑depth, semi‑structured, individual interviews were conducted to collect the data. The MAXQDA software was used for data analysis.

Data analysis led to the extraction of two main categories and nine subcategories. “Disrupted peace” and “inefficient adaptation to the situation” were the two extracted categories. The former included the five subcategories of concerns about pregnancy complications, concerns about the parenting process, concerns about the couple’s relationship, fear of Covid‑19, and occupation‑related stress. The latter included the three subcategories of unpleasant feelings, current pregnancy experiences, and previous pregnancy experiences.

This study highlighted a wide range of psychosocial factors involved in the PD of women with HRP. These findings can be used to design appropriate prevention strategies to manage the mental health problems of these women in order to turn their pregnancy into a pleasurable experience.

Vulvovaginal candidiasis is the second most common cause of vulvovaginal infections. Due to the increasing resistance to synthetic antifungal drugs, the use of drugs with a natural origin is a priority. The aim of the present study was to compare the effectiveness of Arnebia euchroma </em>with vaginal cream clotrimazole 1% United States Pharmacopeia (USP) for the treatment of vulvovaginal candidiasis.

This triple‑blind trial study was performed on 112 women with diagnosed Candida vaginitis clinically and by a laboratory test, patients were randomly divided into two groups receiving Arnebia euchroma </em>and vaginal clotrimazole (56 people per group) in clinics and medical centers Ahvaz (Iran) from April 2018 to April 2019. Clinical and laboratory symptoms were recorded at the beginning of the study and 1 week after the end of treatment by a researcher‑made questionnaire. Data analysis were performed using SPSS software v‑23. p </em>< 0.05 was considered significant.

After the intervention, vaginal culture was negative in terms of Candida in 17 (36.17%) patients of the Amoeba euchroma </em>group and 37 (69.81%) patients of the clotrimazole group. The Chi‑square showed that there was a significant difference between the culture results in both groups (c</em>2 = 10.10, df = 1, p </em>= 0.001). No differences were observed between the two groups in terms of vaginal symptoms based on adjustment for age and using a logistic regression model.

A vaginal cream containing Arnebia euchroma </em>could reduce the complaints of vulvovaginal candidiasis. But, future studies with larger sample sizes and different dosages are recommended.l

Different factors have an important role in the positive and negative childbirth experiences of the mothers. The parturient mother’s privacy preservation is one of the factors for increasing the mothers’ satisfaction consistent with natural childbirth. Hence, this study aimed to investigate the factors affecting the parturient mother’s privacy preservation.

Content analysis was used in this qualitative study that is based on the semi structured individual interviews with women who had experienced natural vaginal delivery, midwives, and the specialist in a maternity ward from 2018 to 2021 in Shahroud, Iran. The collected data were analyzed simultaneously with the sampling procedure using a five-step qualitative content analysis method. To ensure the robustness of the data, Lincoln and Guba's four criteria (credibility, dependability, confirmability, and transferability) were used.

The findings of the study with 40 participants resulted in the extraction of 28 codes, 9 subcategories, and 2 main categories entitled extra-and intra personal factors affecting the mother’s privacy.

To foster the mother’s awareness of her rights and privacy during pregnancy and delivery, continuous education, monitoring, and evaluating both the students and the staff to respect preserving the mother’s privacy is necessary to develop an instrument to measure the preservation of the mother’s privacy in the maternity ward.

The scalability of a single gateway LoRa network depends on different parameters such as interference and noise. The scheme of spreading factor allocation can control the interference and noise. This article analyzes the impact of the interference of the concurrent transmission with the same spreading factor (co-SF) and different spreading factor (inter-SF) on the scalability of the LoRa network. The interference has been modeled as the Poisson point process. The proposed scheme considers the success probabilities and device density (SPD) in each area in determining the width and boundaries of SF areas. The simulation results showed that the proposed SPD scheme had improved 13.20% over the EIB method in terms of success probability under joint co-SF and inter-SF interference. Also, the coverage probability under the joint impact of cumulative co-SF and inter-SF interference of the SPD and EIB methods is compared in the clean and noisy conditions. The probability of coverage in EIB degrades more than SPD as the scalability increases. Also, the uplink performance of the proposed SPD scheme has been studied in the absence of any interference under AWGN. SPD has a higher success probability under AWGN than EIB.

Teenagers (especially girls) who are going through puberty are among vulnerable populations whose sexual needs receive little attention. This study aimed to determine educational needs of 11-14 year old girls on sexual health in Dezful. This cross-sectional study was conducted on 810 middle school girls aging 11 to 14 in Dezful city in 2012. Samples were selected by cluster sampling method. Data collection instrument was a researcher made questionnaire including 14 questions on demographic data and 46 questions on 4 domains of puberty, menstruation, sex relationship and reproduction using articles and resource reviews.Descriptive statistics and Chi-square, Kruskal-Wallis test were used for quantitative and qualitative data analysis. ­­The knowledge of girls on puberty, menstruation and reproductive was weak. Need to get information on puberty health (underwear wash with soap, shaving) and menstruation (age of menarche, menstruation blood source, dysmenorrhea) was 95/7% and 97/5% respectively. The most important source of information on puberty (51/1), menstruation (54/2%) mother, sexual activity (42/5%) friends and reproduction (32/1%) was sister. There was a significant correlation between mother's education level and need to obtain information on puberty, menstruation and reproduction using Chi-square test (P<0/05). In attention to the need for samples to receive information on sexual health and the role of mothers as the most important source of information to girls, people based training approaches (family education through health volunteers) is the best solution.

Today, considerable advances achieved in different scientific fields have led to an ever-increasing access of people to various medications and their unauthorized consumption, which negatively affects the healthcare and treatment system. Thus, this study was conducted to determine the Prevalence and causes of this phenomenon in the female population of Ahwaz. In this Cross-sectional study364 Women referring to seven health centers in Ahwaz were selected randomly and based on the family medical file number and by proportional distribution to each center and semi-structured questionnaires were completed through interviews. The data were analyzed by Chi square test and logistic regression. P<0.05 was considered significant. Self-medication was observed in 70.1% of women. The most frequent group was those above the age of 30. The most common self-medication case was urogenitaldisorders (58.7%). there was a significant relation between education (p<0.003) and number of births (p=0.003) and unauthorized drug consumption. The most causes for synthetic drug use were previous illness background (48.6%) and high medication costs (50.6%), and about herbal drugs were high medication costs (41.1%), and the effectiveness of these products about medicinal herbs (38.1 %). High rate of self-medication in the studied society necessitates training on proper use of drugs through the use of social media.

Introducion: preeclampsia is the most common complication of pregnancy. Considering high prevalence of preeclampsia، its serious complications، and its high costs of treatment، the aim of this study was evaluation of blood Indexes and micro factors in pregnant women with preeclampsia. This cross-sectional study was implemented on 800 women at 22 Bahamn Hospital of Khozestan from 2006 to 2010. After assessing hospital records during these years، 400 pregnant women with preeclampsia as case group and 400 pregnant women without preeclampsia were randomly selected as control group. Inclusion criteria for the case group consisted of: women who had a blood Pressure ≥140/90، proteinuria≥+1 on the dipstick، and no history of chronic hypertension، diabetes and chronic kidney disease. Collected data were analyzed by using SPSS software version 16، independent t، chi-square، and Kruskal tests. P value less than 0. 05 was considered statistically significant. Two groups in terms of babies'' gender، mothers'' blood group، gestational age، birth weight، platelet and hemoglobin had not statistically different (p<0. 05). But MCH and MCHC in two group had significant different (p<0. 001). The most frequent blood group in women with preeclampsia was group A. Parity is a risk factor for preeclampsia. Preeclampsia women are similar to normal women in many blood factors except for MCH and MCHC.