Prevalence of malnutrition during pregnancy and associated factors in women of Ardal County in 2012-2013

Background and aims: Normal pregnancy and its successful outcome require intake of sufficient food. Undesirable nutrition is directly associated with pregnancy outcome, therefore, its prevention is the best strategy to maintain maternal and fetal health. The present study was conducted to investigate the prevalence of malnutrition during pregnancy and associated factors in women of Ardal County. Methods: The present study was a descriptive, analytical, cross-sectional study conducted in 2012-2013 and investigated 435 pregnant women referring to healthcare center of Ardal, who were enrolled by census method. The instrument of data gathering was a form which was filled out with reference to the registered data in household medical file. The data were analyzed by SPSS 16 using Chi square and Fisher’s exact test. Results: Of the total of 435 women, 31.7% had diploma education and 98.2% were housewives. Chi square test indicated no significant association between the women’s and their spouses’ education level and occupation, and weight gain throughout the whole pregnancy (P>0.05). The highest prevalence of malnutrition (51.3%) was derived in the first trimester. Conclusion: In view of the prevalence of underweight pregnant women, the training of healthcare centers’ personnel is important. Consider the proper implementation of healthcare schedule during pregnancy, particularly monitoring of mothers’ weight gain and training of appropriate nutrition

Letter to Editor: A neglected critical time to prevent maternal and offspring’s adverse outcomes: The preconception period

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The Effect of Happiness Training Based on Fordyce Model on Perceived Stress in the Mothers of Children with Cleft Lip and Palate.

Introduction: A child afflicted with facial deformities such as cleft lip and palate usually affects their parents, because of difficulties in nutrition, speech, aesthetics and social connections, and also imposing a lot of stress on them. The aim of this study was to investigate the effects of a happiness program on the perceived stress in the mothers of children with cleft lip and palate. Methods: This study was a quasi-experimental study in which 64 mothers of children with cleft lip and palate were divided by simple random sampling into intervention and control groups (n=64). The program of happiness training was implemented within 10 sessions and the questionnaires of demographics and Cohen perceived stress were filled out prior to and two months after the last session in intervention group. Data analysis was done using SPSS Ver.13. Results: Independent t-test indicated a significant difference in the perceived stress mean score after training in the intervention and control groups. Also paired t-test indicated a significant difference in perceived stress mean score before and after training in the intervention group, but the difference was not statistically significant for the control group. Conclusion: Considering the effect of happiness program on reducing stress in the mothers of children with cleft lip and palate, it is recommended that this model can be used as an intervention in the maternal care for more involvement in the process of treatment and care of their child, in addition to reduce psychological problems in the parents

Effect of Orem's Self-Care Model on Perceived Stress in Adolescents with Asthma Referring the Asthma and Allergy Clinic, Isfahan, 2014.

BACKGROUND Incidence of asthma in adolescents leads to variations in family status, roles and interaction with peers for them, which could be a source of stress and psychological tensions in them. Therefore, the present study was conducted to investigate the effect of Orem's self-care model on perceived stress in adolescents with asthma. METHODS In this semi-experimental study conducted from April 2013 to February 2014, 64 asthmatic adolescents referring Shariati Hospital, Isfahan were enrolled by simple random sampling and the patients were assigned to two groups of control and intervention. Then, Orem's self-care model-based training was implemented throughout eight sessions of two hours each and the Cohen Perceived Stress Scale was administered to both groups prior to and two months after the completion of the training. The data were analyzed by descriptive and analytical statistics consisting of paired t-test, independent t-test, Chi-square and Mann-Whitney using SPSS Version 20. RESULTS Mean age of the participants was 14.15±3.12 years in the intervention group and 15.21±3.09 years in the control groups. 68.8% and 59.4% of the participants were male in the intervention and control groups, respectively. Independent t-test indicated a significant difference in the mean scores of perceived stress in the intervention (25.46±5.31) and control groups (28.90±5.27) after the training. Also, the result of paired t-test indicated a significant difference in the mean score of perceived stress between before (29.18±5.27) and after (25.46±5.31) training. CONCLUSION As the training based on Orem's model had a positive effect on declining perceived stress in asthmatic adolescents, continuation of using these training interventions could contribute to ultimately achieving positive outcomes in health functions of these patients

Fordyce Happiness Program and Happiness in Mothers of Children with a Cleft Lip and Palate.

INTRODUCTION Facial deformities and aesthetic and functional anomalies in children may be a cause of real distress in families. Problems faced by parents in coping with a child's anomaly can be upsetting and lead parents to exhibit over-severe behavior. The present study was conducted in order to study the effect of happiness program on the happiness of the mothers of children with a cleft lip and palate. MATERIALS AND METHODS In this semi-experimental study, 64 mothers of children with a cleft lip and palate enrolled by convenience random sampling were assigned to an intervention or control group based on a simple random sampling. Then, a program of happiness training was implemented consisting of 10 sessions of 2 hours each. A demographic questionnaire and the Oxford Happiness Questionnaire were completed prior to and 2 months after the last session of intervention. The data were analyzed using descriptive and analytical statistics, consisting of a paired t-test, independent t-test and Chi-square test using SPSS version 20. RESULTS The independent t-test indicated a significant difference in mean happiness score after training between the intervention and control groups (P0.05). CONCLUSION In light of the efficacy of happiness training on the promotion of happiness in the mothers of children with a cleft lip and palate, this model is recommended as a healthcare intervention to decrease stress in mothers following the birth of an infant with a cleft lip and palate

Fordyce happiness program and performance in the mothers of children with cleft lip and palate referring healthcare team in Isfahan University of Medical Sciences in 2015

AbstractBackground:Giving birth to a child with cleft lip and palate, as a crisis, can jeopardize the physical and mental health of parents, especially mothers, and affect their function.Therefore, the present study was conducted to investigate the effect of happiness program on performance in the mothers of children with cleft lip and palate.Methods: In this semi experimental study, 64 mothers of children with cleft lip and palate referring healthcare team in Isfahan University of Medical Sciences, were enrolled by simple random sampling, and the patients’ referring and assigned to two groups of control and intervention. Then, the program of happiness training was implemented within 10 sessions of two hours each and performance Questionnaire were filled out prior to and two months after the last session. The data were analyzed by descriptive and analytical statistics consisting of paired t test, independent t test, chi-square and Mann-Whitney in SPSS 20.Findings: Mean age of the mothers in intervention and control groups was 33.3±6.3 and 33.5±5.8 years, respectively, and Mean age of the children in intervention and control groups was 6.34±3.37 and 5.03±3.36 years. No significant differences in demographic variables between the two groups (P > 0.05). No significant differences in mean score of performance domains in the two groups before training (P > 0.05). However after 2 months a significant difference in mean score of performance domains was observed between two groups (P < 0.05). Furthermore in intervention group showed significant differences in mean score of performance domains before and after intervention (P < 0.05). However in the control group had not any significant change.   Conclusion: Given the effect of happiness program in promoting mothers performance for children with cleft lip and palate, this program can be used in healthcare centers to empower mothers and enhance performance in taking care of children

Association between anogenital distance as a noninvasive index in the diagnosis and prognosis of reproductive disorder: A systematic review

Background: There are 2 measures of anogenital distance (AGD) in men and women. AGD has been used as an indicator of fetal androgen dysfunction and an adverse outcome in adulthood. Some studies have shown the association of AGD as a predictor in the diagnosis and prognosis of diseases and disorders. Objective: To systematically summarize the latest evidence for presenting AGD as a new approach for prognosis and early diagnosis of diseases. Materials and Methods: A systematic review of the available literature was performed using Medline via PubMed, Scopus, and ISI Web of Knowledge up to July 2021, using search terms “anogenital distance” OR “anogenital index” OR “ano genital distance” OR “ano genital index”. Language restrictions were not imposed. Results: After reviewing the retrieved articles, 47 unique studies were included in this systematic review. Different outcomes, including endometriosis, prostate cancer, polycystic ovary syndrome, pelvic organ prolapse, hypospadias, cryptorchidism, fertility and semen parameters, maternal and birth development, and ovarian and gynecological-related disorders, have been studied in the included evidence. A negative association was observed between AGD and endometriosis and hypospadias and a positive association between AGD and prostate cancer, polycystic ovary syndrome, male fetal gender, and fertility parameters. Conclusion: Using quantitative indicators such as AGD may be a useful clinical tool for diagnosing diseases. Although many studies have shown an association between AGD and diseases, some factors, including different measurement methods, different measurement tools, age, and different definitions of AGD, can be involved in the variation of AGD. Key words: Genitalia, Prognosis, Early diagnosis, Reproductive health

Association of Using Oxytocin during Labor and Breastfeeding Behaviors of Infants within Two Hours after Birth

Background: Opioids are used to relieve pain during labor and may affect the neurobehavioral conditions of infants. However, effects of using drugs, such as oxytocin, as a routine component of pre- and post-delivery care on the breastfeeding behaviors of newborns remain unclear. The present study aimed to investigate the association between the maternal use of oxytocin during labor and breastfeeding behaviors of neonates within two hours after birth.Methods: This descriptive-analytical study was conducted on 160 women selected via convenience sampling. The participants were assigned to two groups of oxytocin administration (n=70) and physiologic delivery (n=90). Data were collected using demographic questionnaires and infant breastfeeding assessment tool (IBFAT). IBFAT was completed by the researcher through observing the behaviors of infants during breastfeeding after birth. Data analysis was performed in SPSS version 20, using descriptive and analytical statistics, including independent t-test, correlation-coefficients, and analysis of variance.Results: Mean age of the mothers in the oxytocin administration and physiologic delivery groups was 26.9±5.9 and 27.8±5.5 years, respectively. Breastfeeding was significantly stronger in the infants whose mothers had physiologic delivery compared to the group administered with oxytocin during labor.Conclusion: According to the results, use of oxytocin during labor directly weakens the breastfeeding of neonates. Therefore, it seems necessary to inform and prepare women for physiologic delivery during pregnanc

Challenges for Infants’ Home Care: a Qualitative Study

Background Home care is an acceptable strategy for the relationship between family and healthcare team and implementation of healthcare interventions, and infants’ nurses could play an important role in enhancing the capability of families and promoting child health in this area. This study examined challenges facing infants’ home care from nurses’ viewpoints in Iranian culture.Materials and MethodsA qualitative design was used to explain challenges facing infants’ home care from nurses’ viewpoints. Participants included 20 nurses’ working in the neonatal units of University hospitals in Isfahan, Iran in 2015. Data collection was done by interviewing nurses working in neonatal units of Shahid Beheshti and Alzahra hospitals. All the data were analyzed by qualitative content analysis.ResultsFour main categories of “The need to warn the community ", “culture",” need for security " and ” legal support" were extracted from the participants' explanations, indicating the dimensions of Challenges for Infants’ Home Care.Conclusion Nursing policy makers and managers are able to help to facilitate home care and improve the infants’ health through correcting the infrastructure and eliminating current obstacles

The effect of happiness training on self-esteem in the mothers of children with cleft lip and palate in Isfahan 2015.

BACKGROUND Birth of a child with cleft lip and palate, as a crisis, can affect family relationships and interactions seriously and hence self-esteem in family members. The present study was conducted to investigate the effect of a happiness training program on self-esteem in the mothers of children with cleft lip and palate. MATERIALS AND METHODS In this quasi-experimental study, 64 mothers of children with cleft lip and palate referring to health-care team in the Isfahan University Medical Sciences were enrolled by convenience random sampling. Then, the program of happiness training was implemented within 10 sessions, and a questionnaire of demographic characteristics and Coopersmith Self-Esteem Inventory was filled out before and 2 months after the last session. The data were analyzed by descriptive and analytical statistics (paired t-test, independent t-test, Chi-square, and Mann-Whitney) in SPSS 20 (SPSS Inc: Chicago). RESULTS The mean age of the mothers in intervention and control groups was 33.3 ± 6.3 and 33.5 ± 5.8 years, respectively. The mean age of the children in the intervention and control groups was 6.34 ± 3.37 and 5.03 ± 3.36 years. Independent t-test indicated a significant difference in self-esteem mean score after training in the intervention and control groups. Moreover, paired t-test indicated a significant difference in self-esteem mean score between before and after training in the intervention group. CONCLUSION In the light of the effect of happiness training on the promotion of self-esteem in children with cleft lip and palate, this program can be used as a care intervention to reduce psychological and mental problems and to enhance adjustment in parents