Preconception Care Utilization and Its Predictors in Women Referring to Teaching Hospitals in Mashhad

Background: It has been more than four decades since preconception care was recognized as an important part of women’s healthcare. However, most women do not seek preconception care. Therefore, the present study aimed to assess the predictors of receiving preconception care. Methods: This cross-sectional descriptive study was conducted on 1,019 pregnant women who referred to Mashhad teaching hospitals in 2019. The convenience sampling method was used for sample selection and the required data were collected through a questionnaire. Furthermore, the data were analyzed in SPSS software (version 16). Results: This study showed 33% of the women had utilized preconception care. Number of children (AOR: 0.47; 95% CI: 0.38, 0.6) , housing status (AOR: 0.45; 95% CI: 0.23,0.91) , folic acid consumption (AOR: 14.54; 95% CI: 8.75,24.16), Received information regarding PCC (AOR: 8.67; 95% CI: 5.27,14.26) were significantly associated with preconception care service utilization. Conclusions: According to the results, a different strategy should be adopted from what has been adopted so far to raise public awareness of the importance of pre-pregnancy care. Since a significant relationship has been reported between obtaining information on pre-pregnancy care and receiving this care, modifying information methods to promote public awareness seems necessary. Keywords: predictor, preconception care, utilization of care, childbearing age women, teaching hospital, Mashha

Assessment the Social Determinants of Health in Pregnant Women Referring to Mashhad educational Hospitals in 2019

Background: Being a mother is sweetest experience of women in her life. Nevertheless, it may also prove unpleasant owing to a wide range of factors that put a mother's life and health at risk during pregnancy and delivery. The aim of study was to identify the social determinants of health in pregnant women referring to Mashhad educational hospitals in 2019. Methods: The research sample in this descriptive study comprises 1020 pregnant women who were monitored and visited at Mashhad educational hospitals. Data was collected by means of personal and midwifery application forms and, subsequently, analyzed by SPSS®-v20 software. Significant level was set at 0.05. Results: According to the results, the cases studied were confronted with social factors such as spouse unemployment (4.6%), spouse illiteracy (5%), personal illiteracy (5%), bad hygiene behaviors (10.5% with smoking habit), and drug abuse (2.2%). At the same time, 19% of the cases had no insurance coverage. Conclusions: In addition to the common pregnancy and labor risks, pregnant women are challenged by issues such as poverty, unemployment, and illiteracy that significantly affect their life-quality as well as their ability to improve their health standard.  Keywords: Health Social Determinants, Pregnant Women, Educational Hospitals

Assessment the Social Determinants of Health in Pregnant Women Referring to Mashhad educational Hospitals in 2019

Background: Being a mother is sweetest experience of women in her life. Nevertheless, it may also prove unpleasant owing to a wide range of factors that put a mother's life and health at risk during pregnancy and delivery. The aim of study was to identify the social determinants of health in pregnant women referring to Mashhad educational hospitals in 2019. Methods: The research sample in this descriptive study comprises 1020 pregnant women who were monitored and visited at Mashhad educational hospitals. Data was collected by means of personal and midwifery application forms and, subsequently, analyzed by SPSS®-v20 software. Significant level was set at 0.05. Results: According to the results, the cases studied were confronted with social factors such as spouse unemployment (4.6%), spouse illiteracy (5%), personal illiteracy (5%), bad hygiene behaviors (10.5% with smoking habit), and drug abuse (2.2%). At the same time, 19% of the cases had no insurance coverage. Conclusions: In addition to the common pregnancy and labor risks, pregnant women are challenged by issues such as poverty, unemployment, and illiteracy that significantly affect their life-quality as well as their ability to improve their health standard.  Keywords: Health Social Determinants, Pregnant Women, Educational Hospitals

A Systematic Overview of Reviews on the Efficacy of Complementary and Alternative Medicine in Erectile Dysfunction

Background & aim: This systematic overview of reviews on complementary and alternative medicine (CAM) was performed to summarize the clinical efficacy of this approach in the treatment of erectile dysfunction (ED) and assess methodological quality of the included reviews. Methods: A comprehensive search was performed to find the systematic reviews and meta-analyses on CAM interventions (e.g., acupuncture, saffron, yohimbine, and ginseng) for ED treatment, published until October 2017. To this end, we searched the international databases, including PubMed, Scopus, and Cochrane, as well as Iranian databases, such as SID, IranMedex, and Magiran. The assessment of the methodological quality of the included systematic reviews was accomplished using the AMSTAR scale. Results: The searching process led to the inclusion of five systematic reviews examining CAM therapies, including acupuncture, saffron, Yohimbine, and ginseng. The methodological quality of the retrieved reviews was at a favorable level. Positive results were found for the administration of yohimbine, saffron, and ginseng as treatment agents for ED. However, there was insufficient evidence regarding the effect of acupuncture on this health problem. Major methodological defects included the use of a grey literature search, likelihood of publication bias, and conflicts of interests. Conclusion: As the findings indicated, CAM appeared to be an effective treatment for ED. However, it is essential to conduct further studies on the safety and value of CAM for the management of this condition

Preconception Care Utilization and Its Predictors in Women Referring to Teaching Hospitals in Mashhad: Preconception care utilization and Its Predictors

Background: It has been more than four decades since preconception care was recognized as an important part of women’s healthcare. However, most women do not seek preconception care. Therefore, the present study aimed to assess the predictors of receiving preconception care. Methods: This cross-sectional descriptive study was conducted on 1,019 pregnant women who referred to Mashhad teaching hospitals in 2019. The convenience sampling method was used for sample selection and the required data were collected through a questionnaire. Furthermore, the data were analyzed in SPSS software (version 16). Results: This study showed 33% of the women had utilized preconception care. Number of children (AOR: 0.47; 95% CI: 0.38, 0.6) , housing status (AOR: 0.45; 95% CI: 0.23,0.91) , folic acid consumption (AOR: 14.54; 95% CI: 8.75,24.16), Received information regarding PCC (AOR: 8.67; 95% CI: 5.27,14.26) were significantly associated with preconception care service utilization. Conclusions: According to the results, a different strategy should be adopted from what has been adopted so far to raise public awareness of the importance of pre-pregnancy care. Since a significant relationship has been reported between obtaining information on pre-pregnancy care and receiving this care, modifying information methods to promote public awareness seems necessary. Keywords: predictor, preconception care, utilization of care, childbearing age women, teaching hospital, Mashha