Barriers and facilitators affecting vasectomy acceptability (a multi stages study in a sample from north eastern of Iran), 2005-2007

<p>Abstract</p> <p>Background</p> <p>In this study we aimed to find factors affecting vasectomy acceptability in Shahroud (north eastern Iran).</p> <p>Methods</p> <p>This study was carried out in three stages. The first stage was a survey of couples that had the vasectomy procedure during 2004-2007 in the Shahroud area. In the second stage of the study we compared characteristics of the cases (the couples who had the vasectomy procedure during the study period) and controls (including couples with at least one child that choose other contraceptive methods excluding a vasectomy) using χ² and T student tests. In the third stage of the study we aimed to assess the knowledge and attitudes of those who did not choose to have a vasectomy as there contraception method by filling out questionnaires in personal interviews.</p> <p>Results</p> <p>An increasing trend toward the vasectomy procedure was observed during 2005 to 2007. We found positive associations between male and female educational levels and choosing to have a vasectomy (p < 0.05). Majority of women (88.44%) thought that their husbands would prefer to have a tubectomy to a vasectomy.</p> <p>Conclusion</p> <p>The study results show a necessity for both couples to participate in educational programs about the vasectomy procedure.</p

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&nbsp;and labor&nbsp;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. &nbsp;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&nbsp;and labor&nbsp;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. &nbsp;Keywords: Health Social Determinants, Pregnant Women, Educational Hospitals

Prevalence of Sexual Dysfunction among Reproductive-age Women in Iran: A Systematic Review and Meta-analysis

Background & aim: Sexual dysfunction is one of the most common problems in women which negatively affect their quality of life, self-esteem, and interpersonal relationships. The prevalence of this problem varies in different studies. Regarding this, this review was conducted to provide a clear picture of the prevalence of sexual dysfunction among reproductive-age women in Iran using a systematic review and meta-analysis. Methods: The relevant articles published up to April 9, 2017 were searched both in the international including Google Scholar, PubMed, Scopus and national electronic databases such as SID, IranMedex, Magiran, and Irandoc. The searching process was accomplished using a set of standard keywords. The data were analyzed using RevMan software, version 5.3. Results: Thedatabase search resulted in the retrieval of 1,024 articles, 9 cases of which were selected for systematic review. Out of the selected studies, seven articles were eligible to be included in the meta-analysis. According to the results of the reviewed studies, the pooled prevalence rate of sexual dysfunction among the reproductive-age women was estimated as 52% (95% CI: 39-66%). Furthermore, the pooled prevalence of sexual dysfunction in the domains of sexual desire, sexual arousal, lubrication, sexual pain, and orgasm was estimated as 39% (95% CI: 35-42%), 34% (95% CI: 21-46%), 32% (95% CI: 21-43%), 38% (95% CI: 24-51%), and 30% (95% CI: 22-38%), respectively. Conclusion: The results of the retrieved studies demonstrated that sexual dysfunction is a common health problem among the Iranian women of reproductive age. However, more high-quality research is needed in this area

Factors influencing low sexual desire and sexual distress in pregnancy: A cross-sectional study

Background: Sexual desire and sexual distress are determined by emotional, psychosocial, hormonal, and anatomical factors during pregnancy. Objective: To identify the factors contributing to female low sexual desire and sexual distress during pregnancy separately and concurrently. Materials and Methods: Overall, 295 pregnant women were enrolled in this cross-sectional study. Sexual desire and distress were assessed by the sexual interest and desire inventory-female (score ≤ 33.0 indicates low sexual desire) and the female sexual distress scale-revised (score ≥ 11 indicates sexual distress). Results: 56.3% and 17.3% of pregnant women met the clinical cut-off for low sexual desire and sexual distress, respectively. After adjusting for the effect of the confounding variables by logistic regression multivariate analysis, satisfaction with body image before and during pregnancy, frequency of sexual intercourse, and satisfaction with foreplay were found to be significantly associated with low sexual desire. Factors related to sexual distress were similar to those noted for common sexual desire, except for satisfaction with foreplay. Other factors related to sexual distress included increased age, fear of abortion, and pregnancy trimester. Factors linked to concurrent low sexual desire and sexual distress were similar to those found for sexual distress, except for pregnancy trimester. Conclusion: Low sexual desire and sexual distress are relatively common sexual experiences during pregnancy. Several factors could predict low sexual desire but were not associated with sexual distress, and conversely. Comprehensive attention to all of these factors is essential while screening for sexual health during pregnancy. Key words: Pregnancy, Sexual desire, Sexual distress, Sexual dysfunctions, Influencing factors

Sexual Dysfunctions and Some Related Factors in Northeast Part of Iran

Background: Sexual dysfunction is common in women and causes serious problems in their lives through affecting their physical and mental health, self-esteem and quality of life. The aim of this study was to determine the frequency of sexual dysfunction in women referred to health centers in north east of Iran in 2016. Methods: The study was cross-sectional. The statistical population consisted of all married women referring to Shahroud health centers in 2016. A total of 478 married women were selected through multi-stage sampling and data extraction methods. Interviews and the (FSFI) questionnaire were used for data collection. Demographic information was also collected. Statistical analysis was performed by Chi-square and independent t-test. Results: The frequency of sexual dysfunction was 48.5% (232/478), which was obtained for each domain as follows: sexual pain disorder 49.8% (238/478), orgasm disorder 51.0% (244/478), lubrication disorder 51.0% ( 244/478), sexual desire disorder 23.2% (111/478), and stimulation disorder 11.3% (54/478), respectively. In this study, sexual dysfunction was significantly associated with age (P≤/0/003) and education (P≤/0/001), but and there was no significant relationship with contraceptive methods or number of children (P≤/0/32). Conclusions: According to research findings, the frequency of sexual dysfunction is relatively high in the community. It is suggested that counseling centers and sex education centers be established in health centers. &nbsp;Keywords: Dysfunction, Female, Northeast, Relate, Sexual

Sexual Dysfunctions and Some Related Factors in Northeast Part of Iran

Background: Sexual dysfunction is common in women and causes serious problems in their lives through affecting their physical and mental health, self-esteem and quality of life. The aim of this study was to determine the frequency of sexual dysfunction in women referred to health centers in north east of Iran in 2016. Methods: The study was cross-sectional. The statistical population consisted of all married women referring to Shahroud health centers in 2016. A total of 478 married women were selected through multi-stage sampling and data extraction methods. Interviews and the (FSFI) questionnaire were used for data collection. Demographic information was also collected. Statistical analysis was performed by Chi-square and independent t-test. Results: The frequency of sexual dysfunction was 48.5% (232/478), which was obtained for each domain as follows: sexual pain disorder 49.8% (238/478), orgasm disorder 51.0% (244/478), lubrication disorder 51.0% ( 244/478), sexual desire disorder 23.2% (111/478), and stimulation disorder 11.3% (54/478), respectively. In this study, sexual dysfunction was significantly associated with age (P≤/0/003) and education (P≤/0/001), but and there was no significant relationship with contraceptive methods or number of children (P≤/0/32). Conclusions: According to research findings, the frequency of sexual dysfunction is relatively high in the community. It is suggested that counseling centers and sex education centers be established in health centers. &nbsp;Keywords: Dysfunction, Female, Northeast, Relate, Sexual

Prevalence of Female Sexual Dysfunction in Iran: A Meta-Analysis Study

Background: Sexual dysfunction in women is very common and it affects physical and mental health. Several studies have been conducted in Iran in order to investigate the prevalence of female sexual dysfunction. However, there is a remarkable diversity among the results. This meta-analysis was conducted to estimate the overall prevalence of female sexual dysfunction in Iran.Methods: International and national electronic databases were searched up to June 2016, which included MEDLINE, Science Citation Index Expanded, Scopus, ISI, Google Scholar, IranDoc, SID, MagIran, and IranMedex, as well as conference databases. Furthermore, reference lists of articles were screened and the studies’ authors were contacted for additional references. Cross-sectional studies addressing the prevalence of female sexual dysfunction were included in this meta- analysis.Results: We assessed eight separate studies involving 5,778 participants overall, of which 2,335 had sexual dysfunction. Overall prevalence rate of female sexual dysfunction was 0.48 (0.38, 0.59).Conclusions: Various prevalences of sexual dysfunction have been reported in different studies. Furthermore, despite many studies conducted addressing the prevalence of female sexual dysfunction, there is however a remarkable diversity between the results. Thus one can hardly give a precise estimation of the prevalence rate of female sexual dysfunction in Iran at the moment

Investigating the Relationship between Self-Esteem and Postpartum Blues among Delivered Women

Postpartum period is the most risky time for mental and psychological disorders including sadness, depression and psychosis. Postpartum depression is the most common postpartum disorder that may disturb relationship of mother with child and family and in the absence of appropriate attention and treatment may have irreparable damages. Therefore, the purpose of this study is investigating the relationship between self-esteem and postpartum depression. This study is cross-sectional and descriptive-analytic and was conducted in 2014 with 322 available samples from the research population, consisted of women who gave birth at Mobini Hospital, Sabzevar. The data collection tools were demographic and midwifery questionnaire, Edinburgh Postnatal Depression Scale, and Rosenberg’s Self-Esteem Scale. Questionnaire within the first 24 hours after giving birth, in the situation where the mother was able to answer the questions, on the third, seventh and tenth day after childbirth, were completed. Then the data were analyzed using SPSS 18 and descriptive and Pearson tests, T-test, and Chi-squared test. The significance level was considered (p=0.05). Blues of giving birth in different days did not differ significantly (p > 05). The relationship between self-esteem and postpartum depression was significant (p < 0.001). Results showed that increased self-esteem in pregnant women results in a reduction in postpartum depression