PP-020 A comparative study of therapeutic effects of Zataria Multiflora vaginal cream and metronidazole vaginal gel on bacterial vaginosis

Núm. de Catàleg de Patrimoni: 744 (Casa de la Ciutat)Llobet, Pere;Clamell Ibáñez, AlíciaPla en detall d'una de les ornamentacions en relleu de l'enteixinat del sostre de l'antiga sala de les eleccions, a la part gòtica de l'Ajuntament de Barcelona, en el moment de la seva restauració. Aquest adornament té forma de l'escut de Barcelon

Effect of Child Birth Preparation Classes on Empowering Iranian Pregnant Women: A Systematic Review

Background and Objective: Pregnancy is one of the most important stages of women's life, which results in significant physical, mental, and social changes. Therefore, the empowerment of pregnant women to adapt to these changes is necessary. Child birth preparation classes have been targeted toward the fulfillment of this purpose. Regarding this, the present study was conducted to review the studies on the effect of child birth preparation classes on empowering pregnant women in Iran. Materials and Methods: The relevant articles published up to the beginning of April 2017 were searched in 12 valid databases and the Google Scholar search engine using several keywords. The search process resulted in the retrieval of 96 articles, the eligibility of which was investigated by studying their abstracts and full-text versions. Finally, 10 studies were included in the systematic review. Results: The results revealed a statistically significant difference between the intervention and control groups in terms of tiredness, postpartum depression, duration of admission, as well as prenatal daily activities, back pain, and pelvic pain during pregnancy. In addition, there was a significant statistical difference between the two groups regarding the duration of active labor phase and the second stage of labor, anxiety level, self-efficacy, neonatal birth weight, satisfaction rate, and normal vaginal delivery rate. Totally, 81.46% and 55.88% of the women in the intervention and control groups had normal vaginal delivery, respectively. Conclusion: Based on the results of the reviewed studies, it can be concluded that the education presented in child birth preparation classes is effective in the empowerment of pregnant women. Therefore, it is recommended to encourage mothers to actively participate in these educational classes and also develop these classes across the country

A qualitative study of sexual health education among Iranian engaged couples

Background: Sexual health education for Iranian engaged couples is always ignored in the premarital education program.Objectives: The aim of this study was to explore the necessity of sexual health education for Iranian engaged couples.Materials and methods: This qualitative study was conducted in Rasht, Iran. The studied sample consisted of 38 engaged men and women; and also 9 health experts and policymakers. We used interview guides to collect data. The data was analyzed through content analysis method.Results: Analyzing participants’ perspectives revealed six themes including: (1) socio-cultural changes, (2) emerging social pathologies, (3) inadequate sexual knowledge; (4) challenges in providing sexual health services, (5) individual consequences and (6) social consequences.Conclusion: Most participants emphasized the necessity of sexual health education not only because of medical concerns, but also from the perspective of social issues. Providing these services should be considered a priority.Keywords: Sexual health, health education, qualitative study, Ira

Azeri Women’s Experiences of Induced Abortion: A Qualitative Research

Introduction: The Centers for Disease Control and Prevention (CDC) (2009) reported that since women’s experiences of induced abortion are poorly known, examining the effectiveness of current policies and planning for the future are difficult. Due to illegality of induced abortion in Iran and the significant knowledge gap in this area, the present study was designed. Method: The data were collected through 23 semi-structured in-depth interviews from May to September 2013 in Tabriz, Iran, and analyzed using descriptive-interpretive approach of content analysis. The participants were 15 women who had recently undergone an induced abortion (during the past year). All interviews were audio-recorded and transcribed verbatim. Data analysis was conducted simultaneously to data collection and using MAXQDA 2007. Results: Findings fell into three main themes: individual reflections, gaining social support, and postabortion conflicts. This means that the study participants, when facing an unplanned pregnancy, showed negative reactions and had some concerns. Then, they begin to gain social support for having an abortion. Due to the incompatibleness of abortion with religious beliefs and values, post-abortion conflict was a common experience. Conclusion: Unplanned pregnancy for women begins with initial negative reactions and leads to postabortion conflicts. These findings highlight the importance of psychological support of women with unplanned pregnancies, prevention of unwanted pregnancy occurrence, and designing secondary prevention programs. Keywords: Unwanted pregnancy, Abortion, Women’s experience, Qualitative researc

The prevalence of polycystic ovary syndrome in a community sample of Iranian population: Iranian PCOS prevalence study

<p>Abstract</p> <p>Background</p> <p>Despite the heavy burden and impact of the polycystic ovary syndrome (PCOS) in reproduction and public health, estimates regarding its prevalence at community levels are limited. We aimed to ascertain prevalence of PCOS in a community based sample using the National Institute of Health (NIH), the Rotterdam consensus (Rott.) and the Androgen Excess Society (AES) criteria.</p> <p>Methods</p> <p>Using the stratified, multistage probability cluster sampling method, 1126 women were randomly selected from among reproductive aged women of different geographic regions of Iran. PCOS were diagnosed using universal assessment of ultrasonographic parameters, hormonal profiles and clinical histories.</p> <p>Results</p> <p>The mean +/- SD of age of study population was 34.4 +/- 7.6 years. Estimated prevalence of idiopathic hirsutism was 10.9% (95% CI: 8.9-12.9%); 8.3% of women had only oligo/anovulation and 8.0% had only polycystic ovaries. The prevalence of PCOS was 7.1% (95% CI: 5.4-8.8%) using the NIH definition, 11.7% (95% CI: 9.5-13.7%) by AES criteria and 14.6% (95% CI: 12.3-16.9%) using the Rott definition.</p> <p>Conclusions</p> <p>At community level, widespread screening of Rotterdam criteria will increase the estimated prevalence of PCOS over twofold. Establishing an explicit and contemporaneous method for definition and screening of each PCOS criteria has important investigational implications and increase the comparability of published research.</p

The Impact of a School-Based Intervention Using the PBSEIM Model on Health Promoting Behaviors and Self-Care in Adolescent Females

AbstractIntroduction: Developing effective health habits during adolescence dramatically effects behavior formation during adulthood. Therefore, the current study was conducted with an aim to investigate the impact of school-based intervention using «Integrated Model of Planned Behavior and Self-Efficacy» (PBSEIM) on self-care and health promoting behaviors of female high school students of Abyek city, Qazvin Province (Iran), during year 2016.Methods: This experimental study was conducted on 100 female public high school students aged 15 to 19 years old in Abyek city, Qazvin Province. Two schools were randomly selected between 6 high schools. One of the high schools was randomly selected as the intervention group and the other one as the control group. Three classrooms in each school were randomly selected and the necessary samples were collected from each class. Overall, 100 samples had the inclusion criteria; 50 were included in the intervention and 50 in the control group. Demographic, “Health Promoting Lifestyle Profile” (HPLP II), and “Adolescent Girl’s Self-Care Questionnaire” was completed by both groups before and after the interventions. Face validity and content validity of the self-care questionnaire were assessed. Also, Cronbach’s alpha coefficient for this questionnaire was obtained as 0.73.The students in the intervention group were trained using the PBSEIM model and the control group received routine training. Data was collected and analyzed using the SPSS software (version 22) and independent and paired t tests. Values lower than 0.05 were considered significant.Results: There was a significant difference before and after the intervention in the average scores of health-promoting behaviors and self-care of adolescents in the intervention group in comparison to the control group (P &lt; 0.05). Inter-group comparison demonstrated a significantly higher increase of health-promoting behaviors and self-care of adolescents in the intervention group before and after the intervention (P-value &lt; 0.05).Conclusions: School-based educational intervention using psychosocial models is effective in changing health-promoting behaviors and self-care

Explaining the Concept of Self-Care in Adolescents

Introduction: Attention to the health of adolescents is investing in the future of any country and their health improvement depends upon their empowerment in terms of self-care. The purpose of this study was to clarify the concept of self-care from the perspective of adolescents in order to take a step towards improving the health of adolescents and the community. Method: This qualitative study was conducted through content analysis. The study participants consisted of 52 (13-18 years old) adolescents. Data were collected through 10 individual semi-structured in-depth interviews and 7 focus group discussions. The subjects were selected through purposive sampling from among residents of various regions in Tehran, Iran, in 2014. Data were analyzed using conventional content analysis method. Results: Data analysis revealed 5 major and 10 minor themes. The themes included healthy nutrition (adhering to a healthy diet, avoiding unhealthy food pattern), physical activity (creating the base for physical activity within the society, creating suitable conditions for physical activity in schools), observance of hygiene (observance of personal hygiene, management to reduce the risks of living in polluted air), sleep (correct pattern of sleep and rest, avoiding the causes of sleep disorders), avoidance of tobacco, drugs, and alcohol (modifying individual risk factors, modifying environmental risk factors). Conclusion: To promote adolescent health, the development of health plans based on self-care by policymakers is essential. Keywords: Adolescent, Health, Self-car

An Explanation of Empowerment-based Sexual Health Education Strategies: A Qualitative Study

Introduction: Empowerment-based sexual health education is the best way to ensure the learning, implement safe and healthy sexual behavior, and confine the unhealthy sexual behavior. This study aimed to explore strategies for empowerment-based sexual health education. Method: Conventional content analysis approach was recruited in this qualitative study. Participants were selected purposefully. Data were collected through 38 in-depth interviews with engaged and married men and women and 9 key informants. All the interviews were recorded and transcribed. The data were analyzed using content analysis method and using qualitative data analysis MAXQDA software. Results: Code extraction revealed strategies for empowerment-based sexual health education in two main themes including use all capacities to educate (with two subthemes of formal and non-formal education), and structure of optimal education (with four subthemes of education for all, educational objectives, education on pillars, and commensurate with the characteristics of the target group). Conclusion: The ultimate goal of educational development and sexual health promotion in the country is individuals and community empowerment. To achieve this goal, using all capacities to take advantage and rearrangement of sexual health education structure is essential. The results of this project would allow us to design sexual health education programs with the aim empowerment of individuals, especially youth. Keywords: Education, Sexual health, Empowermen

A Comparison Between the Skills-Based Education with a Lecture-Based Education on Female Adolescents’ Knowledge, Attitude and Practice about Health in Puberty: A Randomized Trail Study

Abstract Introduction: Skills-based health education is useful in the promotion of health behaviors. Preparing for puberty is essential for adolescents. This study aimed to assess the effects of a skills-based education on girls' knowledge, attitudes, and practice about health in puberty. Methods: This was an experimental study on 80 female school students in Tehran, Iran. Two groups of forty participants were randomly designated as the experimental and control in two different high schools in Tehran. A skills-based education program trained the experimental group, and a routine lecture-based education taught the control group about health in puberty. Data was collected using a questionnaire that assessed the participants' knowledge, attitudes, and practice about health in puberty; before, immediately after, and two months after the education. Results: Knowledge and attitude were significantly improved in the skills-based education group comparing to the Lecture-based group, immediately after (P = 0.002 and P = 0.045, respectively) and two months after the interventions (P &lt; 0.001 and P = 0.034, respectively). Both methods were not effective in improving practice. Conclusions: Skills-based health education is more effective than the routine lecture-based education on improving knowledge and attitudes about puberty in health

Comparison Effects of Vaginal Misoprostol with Vaginal Evening Primrose on Ripening Cervix in Nulliparous Women

AbstractIntroduction: Childbirth requires several changes in the function of the uterus and cervix. Today, various methods are used to prepare the cervix. Ripening of the cervix is one of the most factors in a successful delivery. This study aims to compare the effects of vaginal misoprostol tablet with vaginal evening primrose capsule on cervical ripening in nulliparous women with term pregnancy.Methods: This study was a randomized clinical trial of a sokor conducted on 100 nulliparous women referred to Pasteur Hospital and Prenatal Clinic of University of Medical Sciences of Bam, 40 weeks to 40 weeks±6 days gestational age with Bishop Score less than 4. The women were selected by convenient sampling based on random numbers divided into two groups, evening primrose (1000 mg vaginal evening primrose capsules) and misoprostol (25 micrograms of vaginal misoprostol tablets). The data was collected by demographic and midwifery questionnaire, follow-up form, Bishop's checklist, fetal movement registration form, and daily record. Data were analyzed by SPSS20 software, independent t-test, Mann-Whitney, Chi-square, and Linear by Linear. In all of the tests, P &lt; 0.05 was considered.Results: Bishop’s score at admission in the evening primrose group was 1.84 ± 0.88 versus 0.78 ± 0.66 in the misoprostol group (P &lt; 0.001). The two groups had significant differences in terms of dilatation and cervical consistency during admission. The dilatation in the evening primrose group significantly increased, and cervical consistency was considerably softer in the misoprostol group (P &lt; 0.05).Conclusions: It seems that evening primrose is more effective on cervical ripening and dilatation