Introduction of midwifery ruler

In the midwifery profession, measuring pelvic and cervical dilatation is essential for making decisions, especially when the mother is in labor phase. For this reason, several studies have been conducted in pelvimetry.[1–4] Measurement of the cervix and judgments about pelvic dimensions are performed by the midwife's fingers. However, as finger size and how to measure the distance between the fingers differ from person to person, it is important to develop a method with similar results for everyone. A reliable and convenient tool would ..

Sleep onset latency in students living in dormitories at Tehran University of medical sciences: A survival analysis

Difficulty Initiating Sleep is a prevalent disorder in university students. In this study, we aimed to estimate the time of going to bed to get sleep and to identify its determinants by survival analysis. This study is based on a cross-sectional study that was been performed on 277 students who lived in dormitories of Tehran University of Medical Sciences (TUMS). We used Pittsburgh Sleep Quality Index(PSQI), General Health Questionnaire(GHQ) and a demographic questionnaire for data collection. Independent t-test, One-way ANOVA and survival analysis were used for analyzing the data. Mean ± SD of time of going to bed to get sleep was 23.61±16.31 minutes. Range of this time was between 0 to 90 minutes. This time was related to sleep quality, mental health and tea drinking in univariate analysis. Cox regression model showed sleep quality, working alongside academic affairs, financial source type for living expences and effect modification between two last variables were significant determinants of sleep latency. All determinants of sleep latency in our study are changeable factors. It means educationonal programs can play a very important role in controlling of these factors and improvement of sleep status of dormitory students

The effect of postpartum home care on maternal practices in infant care

Background & Aims: Mothers are the firstattentive for infants, any factor may have impact on mother health, will affect wellbeing of infantandconsequently community health. The aim of this research was to identify the effect of post partum home care on mothers' practices in infant care. Materials and methods: This randomized, controlled clinical trial study was conducted at a health center in Tehran city in 2011. The sample study included 200 mothers who had attended to Akbar Abad health care center with the purpose of screening test for ..

Effect of home postpartum care on quality of life of low risk mothers

Background & Aim: Home care visits have unique advantages in many social problems and health complications such as psychologic complications and adverse birth outcomes. The aim of this study was to identify the effect of postpartum care at home on quality of life among low risk mothers. Methods & Materials: This interventional study was conducted in Akbarabad health center of Tehran University of Medical Sciences in 2010. A total of 200 mothers were randomly allocated in two intervention and control groups. Mothers in the ..

The survey of sexual function relationship with sexual satisfaction in referred to Tehran South City health centers

Results: The majority of study subjects (58.2%) had moderate sexual satisfaction. Of sexual function in recent months, most units (76.3%) had an intercourse or more per week. 34.5% of people in their most sexual activities, had a sense of being wet. Within a month, 35.2% of the units had reached orgasm sometimes. 50.7% of women reported that have come to the orgasm after his wife. Conclusion: The result of this study showed that all variables related to sexual function of people were associated with their sexual satisfaction. Therefore ..

The relationship between warm and cold temperament and dysmenorrhea

Background Dysmenorrhea or painful menstruation is one of the most important common health problems in women. Improving temperament could decrease painful menstruation by decreasing menstrual blood flow. The aim of this study is to investigate the relationship between warm and cold temperament and dysmenorrhea among Iranian female students. Methods This is a cross-sectional analytical study which was conducted on 112 nursing and midwifery female students. The data were obtained by two questionnaires. The first questionnaire contained questions about the general characteristics of the participants, obstetrical information and menstruation pattern (including bleeding severity) and pain ruler. Finally, the data were analyzed by SPSS software version 16 using mean, standard deviation) and chi-square. P-value less than 0.05 was considered significant. Results The mean age of participants was 20.26 ± 0.91 and the average May be number of consumed pads was 3.25 ± 1.42. Pain had been started less than one year after the onset of the first menstruation (46.4% of participants), 1–3 years after onset of menstruation (17.9%), and more than three years after onset of menstruation (35.7%). Also, the results of this study revealed a significant relationship between pain severity and temperament, in addition, severe dysmenorrhea was seen in 66.7% of people with cold temperament (p = 0.001) Conclusion The results of this study showed that the pain is more observable in cold temperament group, therefore we can empower the gynecologists, midwives and nurses in this field by practical training for them and accordingly contribute to reduce the use of chemical drugs by women with primary dysmenorrhea as well as increasing their efficacy in daily activities and improving their quality of life and their physical and mental health. Keywords: Painful menstruationCold temperamentWarm temperamentIra

Correlates of sexual satisfaction among Iranians women attending South Tehran health centers: A cross-sectional study

Abstract Introduction: Sexual activity not only is a crucial physiologic need, but also it has been associated with religious, mystical, and historical concepts. The aim of this study was to assess Iranian women’s sexual satisfaction and its correlating factors. Methods: This was a cross-sectional study at South Tehran health centers (STHCs), which were affiliated to Tehran University of Medical Sciences (Tehran, Iran). A convenience sample consist of 405 women who were married, had at least sixth-grade literacy level, were not addicted to opioids or alcohol, had no history of infertility, psychiatric, and physical disorders, and referred to STHCs to receive Primary Health Care services. Main outcome measures were women’s demographics, sexual function, and sexual satisfaction were assessed by a questionnaire. Results: Most women (58.2%) had moderate sexual satisfaction. A significant direct association was shown between sexual satisfaction and couple’s educational level (P < 0.001), partner’s higher income (P = 0.037), regular menstruation (P = 0.005), and degree of woman’s love toward her partner (P < 0.001). There was a significant indirect association between sexual satisfaction and gravidity number (P = 0.029), and number of offspring (P = 0.006). Having sexual intercourse at least once a week (P = 0.003), equal sex request (P = 0.028), accepting partner’s request pleasingly (P < 0.001), experiencing sexual arousal (P < 0.001), and lubrication (P < 0.001) was directly associated with sexual satisfaction. Dyspareunia (P < 0.001) and difficulty to reach orgasm (P < 0.001) showed significant indirect association. Conclusion: Women sexual satisfaction associates with interpersonal and sexual factors. Creating opportunity for midwives in health centers to consult with couples, assess their quality of sexual function, educate them, and refer them to specialists if needed, is strongly recommended for healthcare systems of Iran

Marital satisfaction through the lens of iranian women: A qualitative study

Introduction: One of the common concepts to show the happiness and stability of marriage is the concept of marital satisfaction. Marital satisfaction plays an important role in the stability of marriage. This study was conducted to explain the perception of marital satisfaction among Iranian women. Methods: This study was conducted between March and September 2015 by common qualitative content analysis approach through semi-structured interviews and 19 participants were selected by purposive sampling. Results: With the analysis of data two themes: (maturity of personality) which included a sub-theme of blossoming of feelings, and (romantic interaction) consisted of three sub-themes of; mutual support, sense of peace and joyful dependence emerged. Conclusion: Marital life can lead to the development of people and lovely interaction between them. Surely it needs to passing of time and self-knowing and couple-knowing of each other. Family consultants need the perception of how couple's interaction is, also they need to understand about couples who can communicate well to each other so they can overcome many life's other deficiencies

A Review of the Factors Associated with Marital Satisfaction

Marital satisfaction is one of the common concepts used for assessing happiness and stability in a marriage. It is a multidimensional concept that is affected by several factors. The aim of this study was to review factors influencing marital satisfaction or dissatisfaction. A search through academic electronic databases, including PubMed, ScienceDirect, MEDLINE (Medical Literature Analysis and Retrieval System Online), Scopus, Wiley Online Library, Cochrane Library, Google Scholar, and Iranian databases in the period from 2000 to 2015, yielded 250 scientific papers. Related keywords that were used included marital satisfaction, marriage satisfaction, marital adjustment, and couple satisfaction. After reading the titles, 80 papers that satisfied the criteria for inclusion were selected. In general, 80 papers that were eligible to enter the study were reviewed. Following the review of papers, factors deemed to have considerable influence on marital satisfaction were identified as follows: demographic specifications, personality attributes, attachment style, relationship, communication and intimacy, couples’ families, forgiveness and sacrifice, religion, emotional intelligence, personal health, and sexual relations (sex). Family counselors and therapists can benefit from these results to obtain a deeper perception of the foundations of married life and eventually, to help decrease the high divorce rate. Thus, conducting research on marital satisfaction to provide evidence for effecting a management strategy as well as to provide recommendation is indispensabl

Effect of audio-visual education on self-efficacy toward marriage in single people with type 1 diabetes

People with diabetes report that diabetes affects particular aspects of their marital life and leads to other problems in their lives. Moreover, the self-efficacy of diabetic patients is affected by their disease in various respects. There is a significant relationship between self-efficacy and health behaviors. Objectives: This study was conducted to determine the effect of audio-visual education on self-efficacy toward marriage in single people with type 1 diabetes. Methods: This randomized, controlled trial study was carried out on 100 unmarried patients with type 1 diabetes visiting Iran’s diabetes society in 2015 - 2016. The convenient sampling method was used in this study. Samples were divided into two groups (50 patients in each group) with a simple, randomized sampling method. The data collecting tool was a researcher-made questionnaire that patients completed before the intervention and eight weeks afterwards. The intervention was an educational CD about improving self-efficacy toward marriage in diabetics. Using descriptive statistics, inferential statistics (i.e., chi-square, t-test, paired t, Fisher, and co-variance tests), and SPSS software version 16, the self-efficacy toward marriage in both the intervention and control groups was compared. A significant level was considered less than 0.05. Results: The mean of the self-efficacy score improved significantly in the intervention group (84.14 ± 16.29 to 105.82 ± 5.49, P < 0.001). However, this score decreased in the control group (92.92 ± 12.33 to 86.48 ± 11.54, P < 0.001). In addition, the self-efficacy in the control group was higher than in the intervention group before the study (P = 0.003), although the score of the intervention group significantly increased after the study (P < 0.001). Conclusions: This study showed that audio-visual training can have a significant effect on the self-efficacy of people with type 1 diabetes. Providing audio-visual equipment to referral centers of type 1 diabetics, such as hospitals, health centers, and clinics, as well as informing related officials, can be of benefit to managers