جستجوی مقالات مرتبط با کلیدواژه "آموزش های بارداری" در نشریات گروه "پزشکی"

Sexual functioning during pregnancy presents couples with many challenges. The purpose of this study was to determine the effect of an educational intervention based on PLISSIT model on sexual satisfaction of pregnant women in the third trimester of pregnancy.

This was a non-randomized clinical trial. A sample of pregnant nulliparous women who referred to a large general hospital in Tehran was entered into the study. The sexual satisfaction questionnaire (MWSSQ) and a demographic questionnaire were used to collect data. The Data were analyzed by SPSS software using descriptive statistics, independent t-test and chi-square and repeated measures analysis.

While there was no significant difference in the mean sexual satisfaction of pregnant women before intervention (p = 0.91), 4 weeks after training, the sexual satisfaction of pregnant women in the intervention group was significantly higher than the control group (p = 0.027).  However, at the end of the second trimester and the end of the third trimester sexual satisfaction were higher in the intervention group as compared to the control group, but did not show any significant difference

Sexual education during pregnancy seems improve sexual satisfaction in women. Indeed it is suggested that sexual education be included in routine prenatal care programs.

Pregnancy is one of the enjoyable and evolutionary aspects of women’s life, which is often associated with many stresses and concerns. Counseling is one of the most appropriate interventions to reduce concerns and increase the decision-making power of pregnant women. This study aimed to determine the effect of solution-focused group counseling on pregnant women’s worries. A randomized clinical trial was conducted on 108 pregnant women with gestational age of 6 to 19 weeks and a score of worry ≥55, from May to September 2017 in health centers of Sabzevar University of Medical. The intervention group received a solution-focused counseling and the control group received routine prenatal care. Concerns of pregnant women were evaluated before, after, and two months after the intervention using the Farsi version of Cambridge Worry Scale. The data were analyzed using t-test, chi-square, and repeated measure analysis of variance through the SPSS software version 22. A P value less than 0.05 was considered statistically significant. The mean score of worry before the study was 58.9±5.9 for the intervention group and 58.8±4.37 for the control group, and no significant difference was observed. After the intervention, these values for the intervention group and the control group were 34.6±13.3 and 57.7±8.78, respectively. Two months after the study, these values were 31.1±10.1 and 54.6±10.9, respectively. The analysis of variance with repeated measurements showed that pregnant women’s concerns about childbirth, fetal health, maternal health, and family relationships were significantly reduced after the intervention and two months later (P<0.001). Women’s worries about socioeconomic issues were not significantly reduced after the intervention and two months later in comparison with the control group (P=0.563). The solution-focused counseling is an effective way to reduce pregnant women’s concerns about maternal and fetal health, family relationships and childbirth. It can be used in conjunction with pregnancy care.

To examine the efficacy of cognitive-behavioral therapy (CBT) and antenatal education for the prevention of postpartum depression (PPD) in «at risk» women. this study was an experimental with pre-test post-test. The subjects were invited to research from three health care centers in zabol (IRAN). In this study 30 depressed pregnant women who met the entrance criteria were selected. Women divided three groups consisted of 10 women in each group. First group participated in 8 sessions based on cognitive behavior therapy، second group participated in 8 sessions based on antenatal education intervention and third group used only routine health care center were selected as control group. The depression was evaluated in three times، before and after intervention and then between 2 weeks or 2 months after delivery by Beck Depression Inventory (BDI). The data was analyzed using ANOVA and scheffe. this study was an experimental with pre-test post-test. The subjects were invited to research from three health care centers in zabol (IRAN). In this study 30 depressed pregnant women who met the entrance criteria were selected. Women divided three groups consisted of 10 women in each group. First group participated in 8 sessions based on cognitive behavior therapy، second group participated in 8 sessions based on antenatal education intervention and third group used only routine health care center were selected as control group. The depression was evaluated in three times، before and after intervention and then between 2 weeks or 2 months after delivery by Beck Depression Inventory (BDI). The data was analyzed using ANOVA and scheffe. For women with prenatal depression cognitive behavior therapy is a better option than antenatal education and routine care، leading to clinically significant reduction of symptoms during pregnancy and postpartum.

Pregnancy accompanies physical and psychological alternations during woman's life. These changes effluence the overall dimensions of couple’s life especially sexual relation. The aim of this study was to investigate the effects of teaching on sexual-activity changes during pregnancy. This was a field trial study with control group which was held on pregnant women referred to Azima and Baghzandan health center of Shahrod City in 2011. 87 pregnant women were selected and randomly assigned to one of trial or control group (46 pregnant women in intervention group and 41 in control group). Data-collecting tools were included sexual-activity changes and demographic Questionnaire. Data were analyzed by SPSS software version 16, Mann-Whitney test, chi-square and Wilcoxon. P value was considered significant lower than 0.05. Findings showed that at the beginning of the study 50 % (23) of women in education group had moderate, 28.3% (13) had good and 21.7% (10) had weak sexual satisfaction. At the beginning of the research, women of both groups had almost the same sexual satisfaction. Two months later after intervention, 54.3% (25) of women in intervention group had well, 39.1% (18) moderate and 6.5% (3) weak sexual satisfaction. After intervention, statistical tests showed that sexual satisfaction of women in intervention group was more than the control group. (p=0.016) Findings indicated that sexual teaching had a positive effect on the sexual satisfaction and increased pregnant women’s sexual satisfaction.