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

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

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.  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.  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

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

Effect of Dialectical Behavioral Therapy on the Postpartum Depression, Perceived Stress and Mental Coping Strategies in Traumatic Childbirth: A Randomized Controlled Trial

Background: The aim of the study was to determine the effect of dialectical behavioral therapy in reducing the number of psychological complications following traumatic childbirth. Methods: The study included 210 primiparous women who had natural traumatic childbirth. A standardized protocol was designed to decrease postpartum depression score, perceived stress, and increase mental coping strategies. The intervention group received five counseling sessions, and the control group received routine care. Their questionnaires measured the variables before the intervention and at 6th and 12th weeks postpartum. Results: No significant difference observed between the mean scores of all variables before the intervention (Pvalue> 0.05). The results of the repeated measure ANOVA showed, after the intervention, at 6th and 12th weeks postpartum, the mean scores of all three variables, including postpartum depression, perceived stress, and mental coping strategies was a statistically significant difference (Pvalue<0.001). Conclusions: Dialectical behavioral therapy can have substantial effects on reducing postpartum depression, reducing perceived stress levels, and increasing the ability to deal with stress in traumatic childbirth. Keywords: Dialectical behavioral therapy, counseling, postpartum depression, perceived stress, coping strategies, traumatic childbirth

Effect of Dialectical Behavioral Therapy on the Postpartum Depression, Perceived Stress and Mental Coping Strategies in Traumatic Childbirth: A Randomized Controlled Trial: test

Background: The aim of the study was to determine the effect of dialectical behavioral therapy in reducing the number of psychological complications following traumatic childbirth. Methods: The study included 210 primiparous women who had natural traumatic childbirth. A standardized protocol was designed to decrease postpartum depression score, perceived stress, and increase mental coping strategies. The intervention group received five counseling sessions, and the control group received routine care. Their questionnaires measured the variables before the intervention and at 6th and 12th weeks postpartum. Results: No significant difference observed between the mean scores of all variables before the intervention (Pvalue> 0.05). The results of the repeated measure ANOVA showed, after the intervention, at 6th and 12th weeks postpartum, the mean scores of all three variables, including postpartum depression, perceived stress, and mental coping strategies was a statistically significant difference (Pvalue<0.001). Conclusions: Dialectical behavioral therapy can have substantial effects on reducing postpartum depression, reducing perceived stress levels, and increasing the ability to deal with stress in traumatic childbirth. Keywords: Dialectical behavioral therapy, counseling, postpartum depression, perceived stress, coping strategies, traumatic childbirth

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