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Houri Alijani, Narjes Sadat Borghei, Naser Behnampour,
Volume 16, Issue 1 (1-2019)
Abstract

Background and objectives: Fear and anxiety during pregnancy will have a great impact on the mental health of the mother and the fetus, These conditions may be due to fear of childbirth, which can exacerbate sense of pain, severity of pain, anxiety, distress, discomfort and disability. Therefore, we decided to evaluate the factors affecting on fear of child birth.
Methods: This descriptive-analytic study was performed on 211 eligible mothers in health centers of Gorgan, Iran, in the second six months of 1396, by simple sampling. The Data was collected by Wijma Maternity Fear Questionnaire (A) and analyzed by SPSS software version 18, using Fisher and Kruskal Wallis tests at a significance level of 0.05.
Results: The range of maternal fear of childbirth scores was from 14 to 120 with a mean of 61.75 and a standard deviation of 22.99. About 77.2% of mothers had a mild or moderate, 18.5% had clinical and 4.3% had severe fear of childbirth. In this study, the pregnant woman’s and her husband’s job, as well as husband's level of education, were identified as the most important influencing factor on the fear of childbirth.
Conclusion: According to this study, 18.5% of the Nulliparous mothers had clinical and 4.3% had sever fear of Childbirth; therefore, in order to promote the pregnant mother’s mental health, new strategies should be adopted to reduce this fear. In addition, knowing the factors affecting this fear will help us to plan and implement strategies to deal with the fear of childbirth more accurately.
Tayebeh Ebadi, Borghei Narjes Sadat , Roghieh Bayrami , Zahra Mehrbakhsh ,
Volume 16, Issue 2 (11-2019)
Abstract

Background: Preconception care is an opportunity to change unhealthy behaviors which in turn reduces unplanned pregnancy and plays an important role in reducing maternal and infant mortality. The aim of this study was to determine the level of preconception care and its related factors in pregnant women.
 
Methods: This cross-sectional study was conducted on 394 pregnant women referred to Gorgan health centers in 2017. Samples were selected by multi-stage stratified sampling method from Gorgan health centers in Golestan province. Data was gathered using self-report questionnaire. Data analysis was performed using chi-square test, Fisher's exact, and Kruskal-Wallis tests in SPSS-16. The P-value less than 0.05 were considered significant.
 
Results: 32.7%  of women were received complete preconception care and 17.8%  had no pre-pregnancy care. Only 44.2% of women used folic acid daily since the first trimester of pregnancy. Most of pregnant women (63.7%) performed triple screening laboratory test (FBS, CBC, TSH). Preconception care was more successful in mothers with higher level of education (p<0.001), having health insurance (p<0.001), history of disease (p=0.027), higher family income (p=0.044), and nulliparity (p= 0.049).
 
Conclusions: Preconception care coverage and acid folic consumption is not optimal. It seems necessary to plan more precisely on how such services need to be provided. The identification of factors associated with this care showed that far less attention was paid among low-income, without assurance coverage and low-educated people. Since these people do not have enough money to take care of mother and infant during pregnancy, health policymakers should provide the related services for free.
 
Tayebeh Ebadi, Narjes Sadat Borghei , Roghieh Bayrami, Zahra Mehrbakhsh,
Volume 17, Issue 0 (Supplementary 2020)
Abstract

Background: Preconception care is an opportunity to change unhealthy behaviors, and reduces unplanned pregnancies and plays important role in reducing maternal and infant mortality. Considering the importance of these care services, this study was conducted to determine preconception care and its related factors in Groan's pregnant women.
Methods: This cross-sectional descriptive study was conducted on 394 pregnant women referring to Gorgan health centers. Samples were selected by multi-stage Stratified sampling. Bayrami's researcher-made questionnaire, that validity and reliability Steps has been accomplished in Mashhad urban community, was used to collect information. Data analysis was performed by using SPSS16 software and chi-square test and KruskalWallis. P value less than 0.05 was considered significant.
Results: 32.7% (129) of women was received complete preconception care and 17.8% (70) had no pre-pregnancy care, only, 44.2% (174) of women used folic acid daily from the previous three months of pregnancy. Also, 251 (63.7%) of pregnant women performed triple screening laboratory test (FBS, CBC, TSH). Preconception care was done better in mother's with high education (P <0.001), health insurance (P <0.001), illness history (P <0.005), high family income (P <0.001) and nulliparity (P = 0.001).
Conclusions: Preconception care coverage and acid folic consumption is not optimal. It seems to be necessary to plan more precisely how such services are provided. The identification of factors associated with this care, showed that less attention was paid for low-income, without assurance coverage and low-educated people. Although these people will not have enough money to take care of their during pregnancy, health policymakers should take care of these services for free.
Houri Alijani , Narjes Sadat Borghei, Naser Behnampour ,
Volume 17, Issue 0 (Supplementary 2020)
Abstract

Background: Pregnancy is considered as a critical stage in the life of a woman due to the creation of new tasks and anxieties, If we consider the fear of childbirth as one of the main causes of pregnancy anxiety, To reduce it, we need to look for other solutions, such as psychological solutions. This study was conducted with the aim of determining the effect of group-based cognitive-behavioral Educations on the fear of delivery of Primiparous mothers.
Methods: This quasi-experimental study with pre-test and post-test design, three groups were conducted in the second half of the year in 1396 cities of Gorgan.The data collection tool was a demographic data form and Wijma Delivery/Expectency fear of childbirth Questionnaire (version A). Primiparous Pregnant mothers who were 20-28 weeks old were asked to participate in the study through the Lean system, and 211 patients were referred to relevant health centers and clinics. They completed the maternity fear questionnaire. Among these mothers, 104 nulliparous women with average score of fear of childbirth of 55 and above were divided into three groups: first and second intervention and control group. Based on ethical considerations, the allocation of mothers to intervention and control groups conducted based on their desire. The first intervention group performed eight sessions of group training based on cognitive-behavioral techniques, the second intervention group spent eight sessions of conventional pregnancy training, and the control group did not receive any training. The scores of fear of childbirth in all three groups before and immediately after intervention were analyzed by ANOVA, Kruskal-Wallis, Wilcoxon and paired t-test using SPSS software version 18, were compared and analyzed statistically. The significance level of the tests was considered to be 0.05.
Results: The results showed that before the intervention, the mean scores of fear of childbirth in the three groups were statistically significant and the first group of intervention (group training based on cognitive-behavioral techniques) had a higher mean scores 92.58 ± 12.70, compared to the second group of intervention (conventional education during pregnancy) was 66.54 ± 10.48 and the control group was 73.33 ± 13.13 (P-value <0.0001). Therefore, comparison of the difference before and after the mean scores and the rate of change in the three groups were used. Also, the mean scores of fear of childbirth after intervention in group training based on cognitive-behavioral techniques were 42.81 ± 18.45 in the conventional education group 67.19 ± 11.91 in control group 83.83 ± 18.28 and (P-value< 0/0001). The comparison of the mean scores of fear of delivery before and after intervention showed that group training based on cognitive-behavioral techniques -49.76 ± 19.86 was more than that of the conventional education groups in the period of pregnancy of 0.65 ± 10.14 And control group 11.5 ± 11.36 had a significant reduction in fear scores, which was statistically significant (P-value <0.0001).
Conclusions: Group-based cognitive-behavioral techniques focusing on reducing childbirth fears have the potential to reduce the fear of childbirth in all domains, for the promotion of normal delivery, the Changing the routine content of traditional pregnancy education is a matter of community based on cognitive-behavioral techniques, Focus on reducing fear of childbirth should be considered by healthcare providers.

Narjes Sadat Borghei, Fatemeh Seifi, Naser Behnampour, Fatemeh Raeesian,
Volume 19, Issue 2 (9-2022)
Abstract

Background: Sexual function is particularly important aspect of pregnant women’s lives that can affect mental health and family cohesion. The present study aimed to determine the effect of sex education on sexual function of primigravid pregnant women.
Methods: This randomized clinical trial study with four parallel groups (two intervention and two control groups) was conducted on 100 primigravid women in 2019. The Two intervention groups (n=50) received three sessions of sex education, once a week and two control groups (n=50) didn't received sex education. The Female Sexual Function Index was completed at the beginning of the study and after eight weeks. Data were analyzed with SPSS (version 18) and One-way analysis of variance (ANOVA), paired t-test, Fisher's exact test were used for analysis and significance was set at 0.05.
Results: The Given that the mean sexual function in the groups before the intervention was significantly different (P=0.0004), the Mean difference rate of change (Mean DRC) was used for inter-group comparisons.  Mean DRC of sexual function in the first intervention group (sex education and prenatal education) was 0.173±0.563 (17% increase) and the second intervention group (only sex education), was 0.106±0.209 (10% increase). However, Mean DRC of sexual function decreased significantly in the two control groups (-0.0364±0.205) (-0.009±0.132) (P<0.05).
Conclusion: The results confirm the positive effects of sex education on sexual function during pregnancy. In addition, combination of sex education with conventional prenatal education can have a greater impact on the overall sexual function than each intervention separately.


Nahid Haji Hoseini , Narjes Sadat Borghei , Mitra Reyhani , Mahin Tatari,
Volume 20, Issue 2 (10-2023)
Abstract

Background: Husband attendance during labor provides psychological support for her, and may also affect the duration of childbirth. Therefore, the present study was conducted to investigate the effect of the husband attendance in delivery ward on duration of labor and mode of delivery of primigravid women.
Methods: The present study is a field trial study that was performed on 57 couple in Kalaleh hospital in 2021 of primigravid women. The samples were assigned to two groups using a quadratic block method. The intervention group husbands attended beside their wife for at least two hours during active phase and control group received routine care. Data were collected using information form and checklist and analyzed using Mann-Whitney, Chi-square and Fisher's exact test.
Results: The mean of husband attendance during labor in minute was 152.32±32.25 in the intervention group. The mean of active phase in minute was 279.43±169.78 in the intervention and 345.69±167.94 in the control groups, despite the difference of 66.26 minutes in the averages, it was not statistically significant (p>0.05). In addition, there was no significant difference in the mode of delivery in the two groups.
Conclusion: There was no difference in the duration and mode of delivery in the two groups under investigation, thus 2 hours husbands' attendance in delivery ward did not affect time and mode of delivery.

Maryam Ghanbarzadeh , Sedigheh Moghasemi, Navisa Sadat Seyedghasemi, Narjes Sadat Borghei, Tahmineh Saboori Rostami ,
Volume 23, Issue 2 (6-2026)
Abstract

Background: Respectful maternity care (RMC) involves providing healthcare that upholds women's dignity, privacy, and confidentiality. It also entails protecting women from harm, supporting informed decision-making, and providing continuous support throughout labor and delivery. This study aimed to evaluate the knowledge and practices of midwives working in hospitals in Golestan Province regarding respectful maternity care.
Methods: In a cross-sectional study conducted in 2023, a total of 137 midwives working in the maternity wards of hospitals in Golestan Province, Iran, were selected through census sampling. Data were collected using the Respectful Maternity Care questionnaire, which covers emotional support, safe care, and the prevention of mistreatment. The data were analyzed using SPSS 18 and the Mann-Whitney U test, Kruskal-Wallis test, generalized linear models (GLMs), and Wilcoxon signed-rank test, with the significance level set at P < 0.05.
Results: The median (Interquartile range) knowledge and practice scores for respectful maternity care were 95.62 (13.04) and 90.21 (11.41), respectively. Knowledge scores were significantly higher than practice scores for the overall score (P < 0.001) and in the domains of providing emotional support (P < 0.001) and preventing mistreatment (P < 0.001). In the generalized linear regression analysis, the RMC knowledge score was significantly associated with education level (B = -67.60, 95% CI: -132.82 to -2.39, P = 0.04), whereas the RMC practice score was significantly associated with the overall knowledge score (B = 246.73, 95% CI: 152.94-340.52, P < 0.001).
Conclusion: Midwives demonstrated high levels of knowledge and practice regarding respectful maternity care. However, discrepancies between knowledge and practice in some domains highlight the need for interventions that facilitate the translation of knowledge into routine clinical practice.


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