Effects of counseling on lifestyle of menopause women and their spouses: a randomized, controlled trial study (RCT)

Background: Menopause is a part of the normal aging process, but considerably affect the different aspects of women and their spouse lifestyle. Stabilizing a healthy lifestyle is important way to control predisposing factors of disease conditions in menopause women, thus counseling may have a major role for improving lifestyle in women and their spouse. Objective: The present study aimed to assess the influence of counseling on lifestyle of menopause women and their spouses. Methods: An interventional trials study was performed on 120 consecutive Iranian couples (menopause women and their spouses) who were resident in Hamadan. The subjects were randomly assigned to receive counseling service as intervention group or did not receive this service as control group. The lifestyle assessment was performed before counseling, and also after the first session (2 months later) and second session (2 months after the first session) of counseling. The control group did not receive any counseling. In total, five sessions were programmed for one hour as couple Counseling at home. Results: The scores of nutritional habits and physical activity level at baseline were significantly similar between the two groups. However, both nutritional habit and physical activity scores were significantly increased after regular counseling in the intervention group, while these scores remained unchanged in the control group. Conclusion: Counseling has beneficial effects on lifestyle modification in both menopause women and their spouses regarding improvement of nutritional habits and physical activity

Job satisfaction of midwives

Introduction: Job satisfaction of midwives, as key members of healthcare system, has special importance in the quality of midwifery care to the vulnerable groups of the society i.e. mothers and children. Materials and Methods: This is a survey and cross sectional study. Sampling size was 251 midwives, which were chosen through cluster sampling. Data were gathered by questionnaire in one stage and were analyzed by SPSS software, using descriptive and analytic (2, Pearson correlation) statistical methods. Results: Results of this research demonstrated that satisfaction level of midwives in two aspects of job position (62.9%) and relationship with colleagues (48.2%) was moderate. It was low in the aspects of salary and benefits (92.8%), job security (69.7%), managerial policies and work condition (64.9%), supervisory (48.6%) and relationship with personal life (49.8%). There was a significant relationship and correlation between job satisfaction and all of its aspects, strongest with the aspect of managerial policies (r=0.87) and weakest with the relationship with colleagues (r=0.547). There was no significant relationship between job satisfaction and demographic characteristics such as age, academic degree, marital status, the number of children and monthly salary but there was a significant relationship between job satisfaction and the condition of house ownership, the years of job experience, the condition of employment, the place of work, work shift and whether they liked midwifery when they chose it (p<0.05). Conclusion: Half of midwives (49.4%) had moderate job satisfaction, 49% had low and only 1.6% had high job satisfaction. Considering the results of this research, it can be concluded that the authorities must take efficient measures to omit the most important causes of low job satisfaction through increasing salaries and benefits, promoting job security, improving work condition, reformation of managerial and supervisory systems and using midwives’ professional ability in areas of their skill’s

Paternal postnatal depression: prevalence and the associated demographic and maternal reproductive factors among Iranian fathers

BackgroundPaternal postnatal depression (PPND) is a critical mental health issue that may harm family members' health and relationships. The Edinburgh Postpartum Depression Scale (EPDS) is the most common self-reported questionnaire for postnatal depression screening among mothers and fathers worldwide. However, identifying fathers with postnatal depression and determining the related factors have been neglected in some countries.AimsThe present study aimed to determine the prevalence of PPND and then to identify its predictive demographic and reproductive factors. Two cut-off points (10 and 12) for the EPDS were used to detect PPND.MethodsThis cross-sectional study was conducted on 400 eligible fathers selected via multistage sampling. Data were collected using a demographic checklist and the EPDS.ResultsNone of the participants had previously been screened for PPND. The mean age of the participants was 35.53 +/- 5.47 years, and most of them were self-employed and had university degrees. The prevalence of PPND was 24.5 and 16.3 using the EPDS cut-off scores 10 and 12, respectively. An unwanted pregnancy and an abortion history were the predictors of PPND at both EPDS cut-off scores, with gravidity and the number of abortions also being associated with PPND at the cut-off score of 10.ConclusionIn line with the related literature, our results revealed a fairly high prevalence of PPND and its related factors. This indicates the need for a screening program for fathers during the postnatal period to detect and adequately manage PPND and prevent its adverse effects

The comparative study of side effect DMPA with OCP (LD) in reproductive women referring to health center in Kalaleh

This is a retrospective research in order to compare the side effect of DMPA with OCP in reproductive women referring to health center in Kalaleh in year 1998. In this assessment the total number of women participated were 198, from this 115 were using Depo medroxy progesterone injection, and 83 women taking OCP. All the research subjects were assessed for having specifice character necessary for this research, and participated willingly. Data collecting was done by the means of questionnaire and checklist, data analysis was performed. The result revealed most users of DMPA were older with higher incidence of pregnancy and more children, lower socio - economical education and using injection for shorter period, comparing to women taking tablets, however the users of injection were taking OCP before, but those taking OCP never used any other method of contraceptive. There was a significant differences in headache, nausea, decreased vaginal discharge and menstrual problems, but no significant differences in acne, backache, leg cramps, mastalgia and hair loss were observed