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Kazemi L, Mirghafourvand M, Esmaeilpour K, Kamalifard M. Effects of stress management and relationship-enrichment counseling on sexual and marital satisfaction of working women with high occupational stress. J Educ Health Promot 2024; 13:13. [PMID: 38532919 PMCID: PMC10965015 DOI: 10.4103/jehp.jehp_1402_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Accepted: 02/06/2023] [Indexed: 03/28/2024]
Abstract
BACKGROUND Industrialization of societies has placed considerable stress on employees influencing marital and sexual satisfaction. This study investigated the effects of stress management (SM) and relationship enrichment (RE) counseling on marital and sexual satisfaction in stressed women working at Tabriz University of Medical Sciences hospitals, Iran. MATERIALS AND METHODS In this quasi-experimental study, 75 nurses and midwives experiencing moderate-to-severe occupational stress after obtaining written informed consent were assigned to SM and RE counseling and control groups randomly. The SM and RE attended six-related counseling sessions, and control group received no intervention. The participants completed Osipow's Revised Occupational Stress Inventory (OSI-R), ENRICH Marital Satisfaction Scale, and Larson's Sexual Satisfaction Questionnaire before and 2 weeks after the intervention. The data were analyzed using one-way ANOVA and ANCOVA. RESULTS SM counseling led to relatively good increase in sexual satisfaction. In addition, there was no significant difference between the three groups in the mean occupational stress scores and marital satisfaction scores. CONCLUSION SM counseling increased the level of sexual satisfaction. The approaches had no significant effect on occupational stress and marital satisfaction. Further studies are required to identify the best counseling approaches.
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Affiliation(s)
- Leily Kazemi
- Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mojgan Mirghafourvand
- Social Determinants of Health Research Centre, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | | | - Mahin Kamalifard
- Midwifery Department, Tabriz University of Medical Sciences, Tabriz, Iran
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Zamiri-Miandoab N, Mirghafourvand M, Nemati F, Kamalifard M. The effect of counseling with cognitive behavior approach on self-esteem and body image in lactating mothers: randomized clinical trial. BMC Psychol 2023; 11:401. [PMID: 37980540 PMCID: PMC10657559 DOI: 10.1186/s40359-023-01363-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Accepted: 09/28/2023] [Indexed: 11/20/2023] Open
Abstract
BACKGROUND Some of the women experience low self-esteem and negative body image in pregnancy and postpartum. These two factors along with other factors can reduce the rate of exclusive breastfeeding among women. Cognitive-behavior therapy (CBT) is one of the psychological approaches that is effective on the betterment of many of the psychological and personality disorders such as body image disorders as well as improvement of self-esteem. The aim of this randomized control trial is to recognize the effects of CBT during pregnancy period on self-esteem, body image (primary outcome) and exclusive breastfeeding (secondary outcome). METHOD In this randomized controlled trial, 70 eligible pregnant women referring to health centers of Tabriz- Iran were assigned to two groups of 35 as intervention and control groups using randomized blocking method. For intervention group, 8 sessions of CBT based on Cash and Strachan's body image protocol and Michael Free's for self-esteem were performed. Control group was received routine pregnancy care by their health provider. Rosenberg self-esteem scale and multidimensional body self-relation questionnaire (MBSRQ) were completed before intervention, immediately after intervention and 4 weeks after delivery. Likewise, exclusive breastfeeding questionnaire was completed 4 weeks after childbirth. Independent t-test, chi square and repeated measures ANOVA tests were used to analyze the data. RESULTS According to repeated measures ANOVA test and with controlling baseline score, the mean scores on self-esteem (AMD): 7.18; 95%confidence interval (CI): 4.43 to 9.94; p < 0.001)) and body image (AMD: 49.74; 95%CI = 28.57 to 70.91; p < 0.001) in the intervention group were significantly higher than the control group. Also, after intervention, the mean score of body image subscales including appearance evaluation (p = 0.010), appearance orientation (p = 0.001), fitness evaluation (p = 0.004), fitness orientation (p = 0.001), health evaluation (p = 0.001), health orientation (p = 0.018), and illness orientation (p = 0.002) was significantly higher in the intervention group than the control group. CONCLUSIONS CBT was effective on the improvement of self-esteem and body image and through which might lead to the increase of exclusive breastfeeding among women. TRIAL REGISTRATION NUMBER IRCT20110524006582N33. First Date of registration: 17/10/2022. Submission ID 4ca86cd4-8459-4b86-9fe5-63f6a8184956.
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Affiliation(s)
- Nasrin Zamiri-Miandoab
- Department of midwifery, faculty member of Khoy, University of Medical Sciences, Khoy, Iran
| | - Mojgan Mirghafourvand
- Social Determinants of Health Research Center, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | | | - Mahin Kamalifard
- Department of midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical sciences, Tabriz, Iran.
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Zamiri-Miandoab N, Kamalifard M, Mirghafourvand M. Relationship of Self-Esteem With Body Image and Attitudes Toward Motherhood and Pregnancy. J Psychosoc Nurs Ment Health Serv 2022; 60:29-37. [PMID: 35412877 DOI: 10.3928/02793695-20220330-01] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
The current study aimed to determine the relationship of self-esteem with attitudes toward motherhood and pregnancy and body image in Iranian pregnant women. This cross-sectional study included 228 women from Tabriz, Iran. A cluster random sampling method was used. Instruments were the Rosenberg Self-Esteem Scale, Scale of Attitudes Toward Motherhood and Pregnancy, and Multidimensional Body-Self Relations Questionnaire. To determine the correlation of self-esteem with attitudes toward motherhood and body image, Pearson correlation test was used in bivariate analysis, and the general linear model (GLM) with adjustment of potential confounders was used in multivariate analysis. There was a direct correlation between self-esteem and body image (r = 0.63) and attitudes toward motherhood (r = 0.45). Results of the GLM showed a significant improvement in attitudes toward motherhood (p < 0.001) and body image (p < 0.001) as self-esteem increased. Based on these results, mental health counseling is recommended to promote pregnant women's self-esteem. [Journal of Psychosocial Nursing and Mental Health Services, xx(x), xx-xx.].
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Pak S, Ghaderi F, Soltani Somee A, Mirghafourvand M, Kamalifard M, Maghalian M. The effects of interferential electrical stimulation current on labor pain and duration of active phase of labor in primiparous women: A randomized controlled trial. Physiother Theory Pract 2022; 39:1133-1140. [PMID: 35171084 DOI: 10.1080/09593985.2022.2035035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
BACKGROUND Labor pain is one of the most severe pains experienced by a woman during her life. Interferential current (IFC) is a type of transcutaneous electrical stimulation that can reduce pain, especially deep ones. OBJECTIVE This randomized controlled clinical trial (RCT) aimed to study the effects of quadripolar IFC on pain and the duration of the active phase of labor in primiparous women. METHOD In this RCT, 60 primiparous women were randomized into two groups of IFC and sham IFC. The IFC group received IFC in two periods. The sham group received sham IFC. Primary outcomes were labor pain in different times of active phase and duration of active phase, and secondary outcomes were delivery satisfaction; the number of infants transferred to neonatal intensive care units (NICUs), fetal heart rate (FHR) disorders, Apgar score, partograph variables, and adverse side effects were recorded. RESULT Between-group changes showed a significant decrease in labor pain during the active phase in the IFC group compared to the sham IFC group (mean difference (MD) = -0.95; 95% confidence interval (95% CI) = -1.35 to -0.55; P < .001). The mean of active phase duration was significantly shorter in the IFC group than in the sham IFC group (MD = -38.25; 95% CI = -62.84 to -13.67; P = .003). CONCLUSION This study showed the effectiveness of interferential electrical stimulation during labor to reduce pain and duration of the active phase, which can be valuable in improving the quality of care and encouraging natural childbirth.
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Affiliation(s)
- Sahar Pak
- Department of Physiotherapy, Faculty of Rehabilitation Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Fariba Ghaderi
- Department of Physiotherapy, Faculty of Rehabilitation Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Abbas Soltani Somee
- Department of Physiotherapy, Faculty of Rehabilitation Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
| | | | - Mahin Kamalifard
- Social Determinants of Health Research Centre, Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mahsa Maghalian
- Social Determinants of Health Research Centre, Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
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Maghalian M, Mirghafourvand M, Ghaderi F, Abbasalizadeh S, Pak S, Kamalifard M. Comparison the effect of Swedish massage and interferential electrical stimulation on labor pain and childbirth experience in primiparous women: a randomized controlled clinical trial. Arch Gynecol Obstet 2021; 306:37-47. [PMID: 34716820 DOI: 10.1007/s00404-021-06220-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Accepted: 08/31/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND Since mothers are more inclined toward non-pharmacological labor pain management methods, this study aimed to compare the effect of interferential electrical stimulation (IES) and Swedish massage (SM) on labor pain and childbirth experience (primary outcomes) and childbirth satisfaction, duration of active phase and side effects (secondary outcomes) in primiparous women. METHODS This randomized controlled trial was performed on 90 primiparous women. Participants were randomly assigned into three groups through the block randomization method. The SM group received two massage techniques of effleurage and petrissage, on T10-L1 and S2-S4 at cervical dilatation of 4 and 8-10 cm. The IES group received electrical stimulation in a similar way to SM group, with a base frequency of 4000 Hz and a pulse frequency of 80-120 Hz by a physiotherapist. Control group received only routine care. RESULTS The mean pain was significantly lower in the SM group (adjusted mean difference (AMD) - 0.86; 95% confidence interval (95% CI) - 1.60 to - 0.11) and the IES group (AMD - 0.95; 95% CI - 1.70 to - 0.21) compared to the control group. The mean score of childbirth experience was significantly higher in the SM (MD 5.63; 95% CI 2.15-9.11) and IES (MD 3.66; 95% CI 0.18-7.14) group compared to the control group. The mean childbirth satisfaction in the SM (p = 0.003) and IES (p = 0.046) groups was significantly higher than the control group; and duration of the active phase of labor was significantly lower (p < 0.001) than the control group. No serious side effects were occurred in none of the groups. CONCLUSION SM and IES are safe methods that can significantly reduce pain and duration of active phase and improve the experience and satisfaction of childbirth.
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Affiliation(s)
- Mahsa Maghalian
- Student Research Committee, Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mojgan Mirghafourvand
- Social Determinants of Health Research Centre, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Fariba Ghaderi
- Department of Physiotherapy, Faculty of Rehabilitation, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Shamsi Abbasalizadeh
- Department of Obstetrics and Gynecology, Women's Reproductive Health Research Center, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Sahar Pak
- Student Research Committee, Department of Physiotherapy, Faculty of Rehabilitation, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mahin Kamalifard
- Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
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Zamiri-Miandoab N, Hassanzadeh R, Kamalifard M, Mirghafourvand M. The effect of cognitive behavior therapy on body image and self-esteem in female adolescents: a systematic review and meta-analysis. Int J Adolesc Med Health 2021; 33:323-332. [PMID: 33915608 DOI: 10.1515/ijamh-2021-0029] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2021] [Accepted: 04/06/2021] [Indexed: 06/12/2023]
Abstract
Low self-esteem and negative body image expose girls to many risks and damages. Cognitive-behavior counseling is one of the ways of improving body image and self-esteem. The aim of this systematic review was to determine the effects of cognitive-behavior therapy on body image and self-esteem of adolescent girls. The English (Cochrane library, Web of sciences, EBSCO, PubMed, Google Scholar) and Persian (SID, MagIran) databases were searched without any time limit. The quality of included studies in terms of risk of bias was assessed using Cochran handbook and the quality of evidence was evaluated through Grading of Recommendations Assessment, Development and Evaluation (GRADE). Meta-analysis was performed using RevMan software. Heterogeneity of studies was analyzed by index I 2. Subgroup analysis was performed on the basis of outcome evaluation intervals (after intervention, one month and two months later). A total of 2,664 articles were accessed in different databases of which 2,655 articles were excluded and finally nine studies were systematically reviewed. Meta-analysis results on seven studies (228 participants) showed that the group receiving cognitive-behavior counseling was significantly better than the control group regarding body image (Standardized Mean Difference [SMD]: 13.01; 95% CI: 10.68 to 15.34; I²=26.1%). Likewise, meta-analysis results on two studies (50 participants) showed that self-esteem was not significantly different between the group receiving cognitive-behavior counseling and the control group (SMD: 1.13; 95% CI: -0.7 to 2.32, I²=73%). Meta-analysis results of this study represent effectiveness of cognitive-behavior therapy on body image of adolescent girls; however, since the number of studies in the field of self-esteem is low, more trials in this field with stronger designs are suggested.
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Affiliation(s)
- Nasrin Zamiri-Miandoab
- Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Robab Hassanzadeh
- Department of Midwifery, Bonab Branch, Islamic Azad University, Bonab, Iran
| | - Mahin Kamalifard
- Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mojgan Mirghafourvand
- Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
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Bahrami Vazir E, Mohammad-Alizadeh-Charandabi S, Kamalifard M, Ghelichkhani F, Mohammadi A, Mirghafourvand M. The correlation between sexual dysfunction and intimate partner violence in young women during pregnancy. BMC Int Health Hum Rights 2020; 20:24. [PMID: 32928215 PMCID: PMC7491062 DOI: 10.1186/s12914-020-00245-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/31/2018] [Accepted: 09/08/2020] [Indexed: 11/10/2022]
Abstract
Background Sexual function is one of the main aspects of life. Pregnancy affects sexual function. The aim of this study was to determine the sexual dysfunction in young pregnant women and its correlation with intimate partner violence (IPV). Methods This cross-sectional study was conducted using two-stage cluster sampling method. The data were collected using a socio-demographic questionnaire, Female Sexual Function Index (FSFI), and Conflict Tactics Scale (CTS2). Multivariate logistic regression was used to determine the relationships between sexual dysfunction with IPV and socio-demographic factors. Results The results of this study on 346 pregnant women aged 18–29 years showed that mean (SD = standard deviation) of the total sexual function score was 25.4 (5.9), within a possible score range of 2 to 36. About 66% of the young pregnant women had a sexual dysfunction. The lowest and the highest prevalence of sexual dysfunction were in sub domains of sexual satisfaction and sexual desire, respectively. The prevalence of overall IPV against young women was 63%. The most common type of IPV experienced by women was psychological aggression (56.6%). There were statistically significant relationships between sexual dysfunction and IPV (OR (Odds Ratio) = 0.4, 95% Confidence Interval = 0.2 to 0.6, p < 0.001), sufficiency of income for expenses (0.2, 0.1 to 0.6, p = 0.005), husband educational level (0.5, 0.3 to 0.9, p = 0.028) and marriage duration (1.9, 1.0 to 3.7, p = 0.044). Conclusions Sexual dysfunction has a high prevalence in young pregnant women and IPV had correlation with sexual dysfunction. The routine screening for sexual dysfunction and IPV is recommended during pregnancy for detection and consulting.
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Affiliation(s)
- Ellahe Bahrami Vazir
- Department of midwifery, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Islamic Republic of Iran
| | - Sakineh Mohammad-Alizadeh-Charandabi
- Department of Midwifery, Social Determinants of Health Research Centre, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Islamic Republic of Iran
| | - Mahin Kamalifard
- Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Islamic Republic of Iran
| | - Fatemeh Ghelichkhani
- Department of Midwifery, Imam Sajjad Hospital, Shahriar, Iran University of Medical Sciences, Tehran, Islamic Republic of Iran
| | - Azam Mohammadi
- Department of Midwifery and Reproductive Health, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran
| | - Mojgan Mirghafourvand
- Department of Midwifery, Social Determinants of Health Research Centre, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Islamic Republic of Iran.
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Amiri P, Mirghafourvand M, Esmaeilpour K, Kamalifard M, Ivanbagha R. The effect of distraction techniques on pain and stress during labor: a randomized controlled clinical trial. BMC Pregnancy Childbirth 2019; 19:534. [PMID: 31888543 PMCID: PMC6938000 DOI: 10.1186/s12884-019-2683-y] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2019] [Accepted: 12/17/2019] [Indexed: 12/28/2022] Open
Abstract
Background Pain control and the stress associated with labor and delivery are among the most important issues of health care system. Use of distraction techniques during childbirth is reported to reduce pain and stress of labor. However, there is a limited publication that looked on the effect of distraction techniques on labor pain and stress. Thus, the aim of this study was to determine the effect of distraction techniques on labor pain and stress (primary outcomes), fear of childbirth, length of delivery stages, first minute Apgar score and oxytocin consumption (secondary outcomes). Methods A randomized controlled clinical trial was conducted on 68 pregnant women. Participants were allocated into two groups (intervention and control groups) by blocked randomization. Participants in the intervention group received distraction techniques in four sessions. Questionnaires of Fear of Childbirth (W-DEQ version A) and PSS once were completed before intervention and again at the 36th week for the W-DEQ and in the active phase for the PSS through interviews. The pain was assessed through VAS during active phase per hour. The length of delivery stages was recorded in the partograph chart. Data were analyzed by independent t-test and ANCOVA. Results The mean of perceived stress during labor in the intervention group was significantly less than that of the control group (AMD: -3.2; 95% CI: − 0.8 to − 6.0; P = 0.01). The mean (SD) of pain intensity during labor was less than in the intervention and control groups compare to the control group (6.2 vs 7.5; P < 0.001). There was no significant difference between the two groups in terms of fear of childbirth score (AMD: 5.3; 95% CI: 13.0 to − 6.0; P = − 2.3). Moreover, there was no statistically significant difference between the two groups in terms of the active phase of labor (P = 0.504), second stage of delivery (P = 0.928), total length of delivery (P = 0.520), Apgar score (P = 1.000) and frequency of oxytocin consumption (P = 0.622). Conclusion According to the results, distraction techniques can reduce the pain and stress of labor, but further studies by using the distraction techniques are needed to reach a decisive conclusion. Trial registration IRCT2017042910324N39; Name of registry: Iranian Registry of Clinical Trials; Registered 11 September 2017. URL of registry: https://fa.irct.ir/user/trial/10814/view. Date of enrolment of the first participant to the trial: September 2017.
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Affiliation(s)
- Paria Amiri
- Department of Midwifery, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mojgan Mirghafourvand
- Social Determinants of Health Research Centre, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran. .,Nursing and Midwifery Faculty, Midwifery Department, Tabriz University of Medical sciences, Tabriz, Iran.
| | | | - Mahin Kamalifard
- Department of Midwifery, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Reyhaneh Ivanbagha
- Department of Midwifery, Faculty of Nursing and Midwifery, Khlkhal University of Medical Sciences, Khalkhal, Iran
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Kamalifard M, Abbasalizadeh S, Mirghafourvand M, Bastani P, Gholizadeh Shamasbi S, Khodaei L, Gholizadeh G. The effect of Seidlitzia rosmarinus (eshnan) on the prevention of recurrent cystitis in women of reproductive age: A randomized, controlled, clinical trial. Phytother Res 2019; 34:418-427. [PMID: 31680378 DOI: 10.1002/ptr.6534] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2019] [Revised: 09/03/2019] [Accepted: 10/09/2019] [Indexed: 01/11/2023]
Abstract
The World Health Organization has recommended herbal medicine for treatment and control of recurrent cystitis. This study was conducted to determine effect of eshnan on the prevention of recurrent cystitis. The present triple-blind clinical trial was conducted on 126 women (63 women per group) with recurrent cystitis. The participants were assigned to the intervention and control groups. Three 500-mg eshnan or placebo tablets were taken orally with a glass full of water by the participants half an hour after each meal for 2 months. The study subjects were clinically and paraclinically evaluated by the end of the second, fourth, and sixth months after the intervention and every time they showed clinical symptoms of cystitis. The present findings showed that the incidence rate of cystitis and symptoms of cystitis was significantly lower in the eshnan group compared with the placebo group 2, 4, and 6 months after the intervention (p < .05). The incidence of recurrent was also significantly lower in the intervention group compared with the control group (p < .001). No side effects were observed in the intervention and control groups. The consumption of eshnan can improve the symptoms of cystitis and prevent the incidence of recurrent cystitis in women of reproductive age.
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Affiliation(s)
- Mahin Kamalifard
- Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Shamsi Abbasalizadeh
- Women's Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mojgan Mirghafourvand
- Midwifery Department, Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Parvin Bastani
- Women's Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Sevda Gholizadeh Shamasbi
- Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Laleh Khodaei
- Department of Phytopharmacy, Traditional Medicine Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Golchehreh Gholizadeh
- Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
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Ghaffarilaleh G, Ghaffarilaleh V, Sanamno Z, Kamalifard M, Alibaf L. Effects of Yoga on Quality of Sleep of Women With Premenstrual Syndrome. Altern Ther Health Med 2019; 25:40-47. [PMID: 31221931] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
OBJECTIVE Women with premenstrual syndrome (PMS) commonly complain of sleep disturbances, specifically in the luteal phase of the menstrual cycle. Therefore, the effects of yoga on quality of sleep of women experiencing PMS was investigated. MATERIAL AND METHODS Women (aged 20-45 y) monitored for PMS, who were referred to the private obstetrics and gynecology clinics in Tabriz, Iran, were referred to the private obstetrics and gynecology clinics in Tabriz, Iran. Afterward, 62 women, were selected and divided into 2 groups, randomly: 31 subjects in yoga the yoga group and 31 in the control group. Subjects in yoga performed for 10 wk in 3 sessions, with each session lasting 60 min. Subjects in the control group did not perform any yoga. Subjects completed a demographic questionnaire and the Pittsburgh sleep quality index questionnaire before and after yoga in both groups. RESULTS After yoga intervention, subjects significantly expressed improvement in sleeping (P < .05). Based on the Mann-Whitney U test, a significant difference was observed in the subdomains of both groups on quality of sleep (P < .01), sleep latency (P < .01), and sleep efficiency (P < .05). CONCLUSION Yoga reduced the disturbances of sleep in the subjects with PMS, which subsequently improved the efficiency of their sleep. Therefore, we conclude that yoga can be prescribed for improving sleep disturbances in women with PMS and medical therapy will probably be needed in severe situations.
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Mollazadeh S, Sadeghzadeh Oskouei B, Kamalifard M, Mirghafourvand M, Aminisani N, Jafari Shobeiri M. Association between Sexual Activity during Menstruation and Endometriosis: A Case-Control Study. Int J Fertil Steril 2019; 13:230-235. [PMID: 31310078 PMCID: PMC6642425 DOI: 10.22074/ijfs.2019.5601] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/01/2018] [Accepted: 12/31/2018] [Indexed: 02/01/2023]
Abstract
Background The prevalence of endometriosis in the general population is estimated at 7-10%. There are various risk
factors for this disease, including early menarche age, prolonged menstruation or no history of pregnancy. It seems
that sexual activity leading to orgasm during menstruation increases the retrograde menstruation, sending endometrial
tissue to an abnormal sites and thus increasing the risk of endometriosis. The present study is aimed to determine the
association between sexual activity during menstruation and endometriosis. Materials and Methods This case-control study, conducted in the year 2017, recruited 555 women who were visited
at Alzahra Hospital in Tabriz, Northwest of Iran. The case group comprised 185 women of reproductive age with
confirmed endometriosis. The control group comprised 370 women of reproductive age without endometriosis visit-
ing the hospital for other issues. Data was collected using a researcher-made questionnaire based on previous studies.
Bivariate analysis was performed by the chi-squared test and multivariate analysis was done using conditional logistic
regression to control confounding variables. Results The sexual activity of the two groups during menstruation was significantly different. The occurrence of
endometriosis in women who stated they had vaginal intercourse or non-coital sexual activities, leading to orgasm
during menstruation, was significantly higher compared to those who stated they did not. Conclusion According to our findings, there is an association between sexual activities leading to orgasm during
menstruation and endometriosis.
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Affiliation(s)
- Sanaz Mollazadeh
- Students' Research Committee, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
| | | | - Mahin Kamalifard
- Midwifery Department, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mojgan Mirghafourvand
- Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Nayyereh Aminisani
- Department of Statistics and Epidemiology Faculty of Health Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mehri Jafari Shobeiri
- Department of Obstetrics and Gynecology, Tabriz University of Medical Sciences, Tabriz, Iran
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Bahrami-Vazir E, Mirghafourvand M, Mohammad-Alizadeh-Charandabi S, Kamalifard M. Predictors of sexual function in pregnant Iranian adolescents. Int J Adolesc Med Health 2019; 33:/j/ijamh.ahead-of-print/ijamh-2018-0069/ijamh-2018-0069.xml. [PMID: 30807288 DOI: 10.1515/ijamh-2018-0069] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2018] [Accepted: 05/24/2018] [Indexed: 01/23/2023]
Abstract
INTRODUCTION Human sexual activity is one of the main aspects of life. The present study intended to determine the status of sexual function in pregnant adolescents at their second trimester of pregnancy and its predictive factors. MATERIALS AND METHODS This cross-sectional research studied 136 adolescents aged 15-19 years in their 24th-30th gestational weeks. All eligible pregnant adolescents in all 80 health centers of Tabriz, Iran were considered as the study samples. The data were collected using a socio-demographic questionnaire, the Female Sexual Function Index (FSFI) and the Conflict Tactics Scale (CTS2). A general linear model was used to determine the relationships between sexual function and socio-demographic characteristics and intimate partner violence (IPV). RESULTS The frequency of sexual dysfunction in pregnant adolescents was about 65%. The mean [standard deviation (SD)] of total sexual function score was 25.3 (5.9) from the attainable score of 2-36. The pregnant adolescents obtained the lowest and the highest mean scores in the sexual desire and sexual satisfaction subscales, respectively. Shorter marital duration and IPV were sexual function predictors. CONCLUSION Considering the high prevalence of sexual dysfunction in pregnant adolescent, and the impact of IPV on sexual function, midwives should take the necessary actions in identifying and consulting this disorder and IPV in their prenatal visits.
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Affiliation(s)
- Ellahe Bahrami-Vazir
- Department of Midwifery, Faculty of Nursing and Midwifery, Ilam University of Medical Science, Ilam, Islamic Republic of Iran
| | - Mojgan Mirghafourvand
- Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Islamic Republic of Iran, Phone: 00989143206121, Fax: 00984134796969
| | - Sakineh Mohammad-Alizadeh-Charandabi
- Social Determinants of Health Research Centre, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Islamic Republic of Iran
| | - Mahin Kamalifard
- Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Islamic Republic of Iran
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Mollazadeh S, Kamalifard M, Oskouei BS, Mirghafourvand M, Aminisani N, Shobeiri MJ. Association Between Health Behaviours during Menstruation and Endometriosis. J Clin Diagn Res 2019. [DOI: 10.7860/jcdr/2019/37416.12583] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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14
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Kamalifard M, Bayati Payan S, Panahi S, Hasanpoor S, Babapour Kheiroddin J. Paternal Postpartum Depression and Its Relationship With Maternal Postpartum Depression. J Holist Nurs Midwifery 2018. [DOI: 10.29252/hnmj.28.2.115] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
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Farshbaf-Khalili A, Kamalifard M, Namadian M. Comparison of the effect of lavender and bitter orange on anxiety in postmenopausal women: A triple-blind, randomized, controlled clinical trial. Complement Ther Clin Pract 2018; 31:132-138. [PMID: 29705445 DOI: 10.1016/j.ctcp.2018.02.004] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2017] [Revised: 01/07/2018] [Accepted: 02/01/2018] [Indexed: 11/19/2022]
Abstract
INTRODUCTION This trial compared the effects of lavender and bitter orange on anxiety in postmenopausal women. METHODS This trial was conducted in 2015. Eligible postmenopausal women were allocated into one of two intervention groups or a control group (n = 52 per group) in a 1:1:1 ratio using a randomized block design. Intervention groups received 500 mg capsules containing only bitter orange or lavender flower powder, and the control group received 500 mg capsules containing starch. The Spielberger's State -Trait Anxiety Inventory (STAI) was used before and eight weeks after starting the intervention. Data analyses were based on intention to treat. RESULTS A one-way ANOVA showed no significant difference in mean state anxiety (P = 0.254) and trait anxiety (p = 0.972) score among the three groups before the intervention. The general linear model, adjusted for baseline state and trait anxiety scores and confounding factors, showed significant differences among the groups in the mean state anxiety (P = 0.010) and trait anxiety (p = 0.041) score after eight weeks of treatment. Bitter orange significantly reduced the mean state-anxiety scores compared with the control group [Adjusted Mean Difference (aMD): -1.99 (95% Confidence Interval, -3.64 to -0.34)]. Lavender significantly reduced the mean state-anxiety scores compared with the control group as well [aMD: -2.45 (95% CI -4.13 to -0.77)] and Bitter orange significantly reduced the mean trait-anxiety scores compared with the control group [aMD: -1.76 (95% CI -3.45 to -0.06)]. Lavender significantly reduced the mean trait-anxiety scores compared with the control group as well [aMD: -2.05 (95% CI -3.76 to -0.33)]. There was no significant difference between bitter orange and lavender groups after intervention in the mean trait-anxiety (p = 0.731) or state-anxiety (p = 0.578) scores. CONCLUSION The positive effect of bitter orange and lavender on anxiety in postmenopausal women suggests that they can be used to decrease anxiety in such women.
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Affiliation(s)
- Azizeh Farshbaf-Khalili
- Aging Research Institute, Physical Medicine and Rehabilitation Research Centre, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mahin Kamalifard
- Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mahsa Namadian
- Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.
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Kamalifard M, Farshbaf-Khalili A, Namadian M, Ranjbar Y, Herizchi S. Comparison of the effect of lavender and bitter orange on sleep quality in postmenopausal women: A triple-blind, randomized, controlled clinical trial. Women Health 2017; 58:851-865. [DOI: 10.1080/03630242.2017.1353575] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Affiliation(s)
- Mahin Kamalifard
- Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Azizeh Farshbaf-Khalili
- Department of Midwifery, Physical Medicine and Rehabilitation Research Centre, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mahsa Namadian
- Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Yunes Ranjbar
- Department of Midwifery, Wise Traditional Medicine, Hakim Razi Centre for Traditional Medicine, Tabriz, Iran
| | - Sepideh Herizchi
- Department of Psychiatry, Tabriz University of Medical Sciences, Tabriz, Iran
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Mirghafourvand M, Kamalifard M, Ranjbar F, Gordani N. Relationship of breastfeeding self-efficacy with quality of life in Iranian breastfeeding mothers. J Matern Fetal Neonatal Med 2017; 31:2721-2728. [DOI: 10.1080/14767058.2017.1354368] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Mojgan Mirghafourvand
- Department of Midwifery, Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mahin Kamalifard
- Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Fatemeh Ranjbar
- Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Nasrin Gordani
- Faculty of Nursing and Midwifery, Student Research Committee, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
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Kamalifard M, Yavari A, Asghari-Jafarabadi M, Ghaffarilaleh G, Kasb-Khah A. The Effect of Yoga on Women’s Premenstrual Syndrome: A Randomized Controlled Clinical Trial. International Journal of Women’s Health and Reproduction Sciences 2017. [DOI: 10.15296/ijwhr.2017.37] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Kamalifard M, Farshbaf Khalili A, Namadian M, Herizchi S, Ranjbar Y. Comparison of the Effect of Lavender and Bitter Orange on Depression in Menopausal Women: A Triple-Blind Randomized Controlled Trial. International Journal of Women’s Health and Reproduction Sciences 2017. [DOI: 10.15296/ijwhr.2017.40] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Mohammad-Alizadeh-Charandabi S, Bahrami-Vazir E, Kamalifard M, Mirghafourvand M. Intimate partner violence during the first pregnancy: A comparison between adolescents and adults in an urban area of Iran. J Forensic Leg Med 2016; 43:53-60. [PMID: 27450537 DOI: 10.1016/j.jflm.2016.07.002] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2015] [Revised: 05/21/2016] [Accepted: 07/03/2016] [Indexed: 11/16/2022]
Abstract
There is uncertain evidence that intimate partner violence (IPV) during pregnancy is more common among adolescents. We aimed to compare prevalence and chronicity of IPV during the first pregnancy between adolescents and adults. 136 women aged 15 to 19 and 272 women aged 20-29 years between 24 and 30 weeks gestation (stratified by center) were examined at all 80 public health centers/posts in Tabriz-Iran. IPV was assessed using the revised conflict tactics scales. The adolescents and adults reported roughly the same rate of overall IPV perpetration (72% vs. 71%, p = 0.816). Rate of victimization was slightly higher among the adolescents (69% vs. 62%) but the difference was not statistically significant (p = 0.144). The most common types of IPV perpetration and victimization in the both groups were psychological aggression, followed by physical assault and sexual coercion. Using only two physical assault and sexual coercion subscales, rate of IPV perpetration fell to 40% vs. 28%, p = 0.016 and victimization fell to 46% vs. 38%, p = 0.227. There were no statistically significant differences between the groups in terms of prevalence and chronicity of various types of IPV, except sexual coercion victimization which was more prevalent among the adolescents (31% vs. 21%, p = 0.034). The high rates of IPV perpetration and victimization during pregnancy among both adolescents and adults in the study area with significant higher risk of sexual coercion victimization among adolescents require health policy makers and care providers to have serious efforts for its reduction.
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Affiliation(s)
- Sakineh Mohammad-Alizadeh-Charandabi
- Social Determinants of Health Research Centre, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Islamic Republic of Iran.
| | - Ellahe Bahrami-Vazir
- Students' Research Committee, Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Islamic Republic of Iran.
| | - Mahin Kamalifard
- Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Islamic Republic of Iran.
| | - Mojgan Mirghafourvand
- Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Islamic Republic of Iran.
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21
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Shanazi M, Farshbaf Khalili A, Kamalifard M, Asghari Jafarabadi M, Masoudin K, Esmaeli F. Comparison of the Effects of Lanolin, Peppermint, and Dexpanthenol Creams on Treatment of Traumatic Nipples in Breastfeeding Mothers. J Caring Sci 2015; 4:297-307. [PMID: 26744729 PMCID: PMC4699508 DOI: 10.15171/jcs.2015.030] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2015] [Accepted: 09/27/2015] [Indexed: 11/09/2022] Open
Abstract
INTRODUCTION Traumatic nipple is among the most common problems of the breastfeeding period which leads to early cessation of breastfeeding. The study aimed to compare the effects of the lanolin, peppermint, and dexpanthenol creams on the treatment of traumatic nipples. METHODS This double-blind randomized controlled trial was carried out on 126 breastfeeding mothers. The mothers had visited at the health centers and children's hospitals in Sanandaj City. The selected participants were randomly divided into the following three groups of lanolin, peppermint, and dexpanthenol cream groups. Nipple pain was measured using the Store scale while trauma was measured with the Champion scale. Analyses were carried out through the Kruskal-Wallis test, Chi-square, ANOVA, and repeated measures ANOVA by using SPSS software ver. 13. RESULTS The result showed that the mean score of nipple pain and nipple trauma at the prior to intervention stage, third, seventh, and fourteenth days of intervention was not significantly different between three groups. But, repeated measures ANOVA showed a significant difference in comparison of the four time periods of intervention in each group. CONCLUSION RESULTS of this study revealed that the lanolin, peppermint, and dexpanthenol medicines had similar therapeutic effects on traumatic nipple.
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Affiliation(s)
- Mahnaz Shanazi
- Department of Midwifery, Nursing and Midwifery Faculty, Tabriz University of
Medical Sciences, Tabriz, Iran
| | - Azizeh Farshbaf Khalili
- Department of Midwifery, Tabriz Health Services Management Research Centre,
Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mahin Kamalifard
- Department of Midwifery, Nursing and Midwifery Faculty, Tabriz University of
Medical Sciences, Tabriz, Iran
| | - Mohammad Asghari Jafarabadi
- Department of Biostatistics & Epidemiology, Road Traffic Injury Research
Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Kazhal Masoudin
- Department of Midwifery, Nursing and Midwifery Faculty, Tabriz University of
Medical Sciences, Tabriz, Iran
| | - Fariba Esmaeli
- Information Technology, Faculty of Nursing and Midwifery, Tabriz University of
Medical Sciences, Tabriz, Iran
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Kamalifard M, Yavarikia P, Babapour Kheiroddin J, Salehi Pourmehr H, Iraji Iranagh R. The effect of peers support on postpartum depression: a single-blind randomized clinical trial. J Caring Sci 2014; 2:237-44. [PMID: 25276732 DOI: 10.5681/jcs.2013.029] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2013] [Accepted: 05/18/2013] [Indexed: 11/17/2022] Open
Abstract
INTRODUCTION Postpartum depression and its consequences not only involve mothers and their children but it will also affect their families. Therefore, this study aimed to investigate the effect of mothers receiving peer support on postpartum depression. METHODS 100 eligible primiparous women participated in a randomized clinical trial. The intervention group received phone calls by their peers from the last three months of pregnancy until two months after delivery. The control group only had access to routine care. Both groups in the second month after delivery were checked regarding depression using Edinburgh Postnatal Depression Scale. Data analysis was performed using independent t-test, chi-square test and covariance analysis. RESULTS Mean depression score before intervention was 13.92 (3.23) in the control group and 14.06 (3.12) in the intervention group. In week 8 after delivery, mean score of depression in control group was 13.29 (4.08) but in the intervention group it was reduced to 10.25 (4.18). Difference in the reduction of mean postpartum depression score between the two groups showed statistically significant difference (p < 0.001). CONCLUSION This study showed that peer support was effective in the prevention of postpartum depression, therefore, it is recommended to be used in the reduction of postpartum depression.
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Affiliation(s)
- Mahin Kamalifard
- Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Parisa Yavarikia
- Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Jalil Babapour Kheiroddin
- Department of Psychology, Faculty of Educational Sciences and Psychology, Tabriz University, Tabriz, Iran
| | - Hanieh Salehi Pourmehr
- Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Rogayyeh Iraji Iranagh
- Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
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Mohebbi P, Malekpour P, Kamalifard M, Atri SB, Safaeiyan A, Alizadeh K. Clients' Viewpoints about the Quality of Services in the Premarital Counseling Classes in Tabriz Health Centers. Int J Prev Med 2014; 5:365-9. [PMID: 24829723 PMCID: PMC4018648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2013] [Accepted: 11/21/2013] [Indexed: 10/31/2022] Open
Abstract
BACKGROUND Premarital counseling equips couples with information about all aspects of sexuality and the related health issues. This study was aimed to assess the quality of premarital counseling services in health care centers in Tabriz. METHODS A cross-sectional study was conducted on 236 randomly selected women from premarital counseling centers in Tabriz was carried out and a self-structured instrument including items on demographic characteristics, the quality of counseling condition and providers, family planning, genetic and thalassemia counseling and sexual health was used for data gathering. RESULTS The results showed that the viewpoint of clients about relationship with health care provider and condition of consultation was suitable in 75.8% and 85.2% of women, respectively. It was found that in 72.5%, 38.1% and 49.6% of clients the counseling areas were in moderate level respectively for counseling about importance of family planning, genetic counseling and thalassemia. It was indicated that 58.5% of participants expressed the sexual health aspect of the premarital classes as poor or completely poor. CONCLUSIONS Our study results can provide suitable information for health policy providers to improve the quality of premarital counseling classes. In order to develop a relatively stable behavior in young couples, it is recommended that the quality of the classes would be overemphasized.
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Affiliation(s)
- Parvin Mohebbi
- Department of Midwifery, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran,Correspondence to: Parvin Mohebbi, Department of Midwifery, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran. E-mail:
| | - Padide Malekpour
- Department of Midwifery, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran
| | - Mahin Kamalifard
- Department of Midwifery, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Shirin Barzanje Atri
- Department of Midwifery, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Abdolrasoul Safaeiyan
- Department of Vital Statistics, School of Health, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Kamyab Alizadeh
- Department of Urology, Uro-Oncology Research Center (URoC), Tehran University of Medical Sciences, Tehran, Iran
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Kamalifard M, Hasanpoor S, Babapour Kheiroddin J, Panahi S, Bayati Payan S. Relationship between Fathers' Depression and Perceived Social Support and Stress in Postpartum Period. J Caring Sci 2014; 3:57-66. [PMID: 25276749 PMCID: PMC4134169 DOI: 10.5681/jcs.2014.007] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2013] [Accepted: 12/23/2013] [Indexed: 12/25/2022] Open
Abstract
INTRODUCTION The evidence suggests that some men experience depression after the childbirth of their wife, and this real and unknown phenomenon will adversely affect them as well as their families. Regarding the lack of understanding about the paternal depression and its complex and multifaceted etiology, the present study was done to assess the paternal postpartum depression and its relationship with perceived stress and social support components. METHODS In this descriptive study, 205 new fathers were assessed from 6th to 12th week postpartum in seven health centers, affiliated to Shahid Beheshti University. Collected data with the Edinburgh Postnatal Depression Scale, Perceived Stress Scale, and the Perceived Social Support Scale were analyzed by descriptive statistics, correlation tests and linear regression analysis. RESULTS 11.7% of the fathers scored 12 or above in the Edinburgh scale, which indicated depression symptom. The postnatal depression scores had a significant positive correlation with the perceived stress scores and a significant negative correlation with the perceived social support components scores. Perceived stress was key predictor of paternal postpartum depression. Perceived social support components cannot significantly predict the paternal postpartum depression. CONCLUSION Assessment of paternal postpartum depression and its risk factors is recommended. Healthcare providers should pay more attention to the increasing public awareness, stress management and communication skills training, and support of fathers during the postnatal period.
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Affiliation(s)
- Mahin Kamalifard
- Department of Midwifery, faculty of Nursing and Midwifery, Tabriz University of
Medical Science, Tabriz, Iran
| | - Shirin Hasanpoor
- Department of Midwifery, faculty of Nursing and Midwifery, Tabriz University of
Medical Science, Tabriz, Iran
| | - Jalil Babapour Kheiroddin
- Department of Psychology, faculty of Psychology and Educational Sciences,
University of Tabriz, Tabriz, Iran
| | - Samira Panahi
- Department of Midwifery, faculty of Nursing and Midwifery, Students Research
Committee, faculty of Nursing and Midwifery, Tabriz University of Medical Science, Tabriz,
Iran
| | - Somayeh Bayati Payan
- Department of Midwifery, faculty of Nursing and Midwifery, Students Research
Committee, faculty of Nursing and Midwifery, Tabriz University of Medical Science, Tabriz,
Iran
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Kamalifard M, Malakouti J, Pezeshki MZ, Velayati A. Continuation and Discontinuation Reasons of LD Contraceptives among Iranian Women. IJWHR 2014. [DOI: 10.15296/ijwhr.2014.46] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Ebrahimi-Mameghani M, Mehrabi E, Kamalifard M, Yavarikia P. Correlation between Body Mass Index and Central Adiposity with Pregnancy Complications in Pregnant Women. Health Promot Perspect 2013; 3:73-9. [PMID: 24688955 DOI: 10.5681/hpp.2013.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2012] [Accepted: 03/29/2013] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND The prevalence of obesity is increasing throughout the world.Obesity assessed by body mass index (BMI) has shown to be associated with gestational complications while the relationship using waist circumference (WC) is not clear yet. The present study was aimed to determine the relationship between WC and adverse pregnancy complications. METHODS In this prospective cohort study, 1140 nulliparous pregnant women at 1st trimester of pregnancy referred to health care centers in Tabriz, Iran were enrolled in 2009-2010. Anthropometric indexes including (weight, height and WC) were measured using standardized measures and methods. BMI was classified into normal, overweight and obesity based on WHO classification. Abdominal obesity was defined as WC ≥ 88 cm. Pregnancy complication including gestational diabetes, hypertension and preeclamsia. Data were analyzed using SPSS, version 16. RESULTS Mean of BMI and WC were 24.32±4.08 kg/m(2), 81.84±9.25cm at 1(st) trimester of pregnancy, respectively. Prevalence of overweight (BMI=25-29.9kg/m(2)) and obesity (BMI>29.9 kg/m(2)) was 27.6%, 8.8%, respectively. Abdominal obesity based on WC was 34.8%. Significant correlations were found between BMI and WC (r=0.73, P =0.0001). Women with BMI>29.9 kg/m(2) and WC>88 cm were more likely to suffer from gestational pregnancy and hypertension, as well as preeclampsia and preterm delivery. CONCLUSION Early maternal WC similar to BMI is related with pregnancy complications.
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Affiliation(s)
| | - Esmat Mehrabi
- Faculty of Nursing & Midwifery, Tabriz Azad University of Medical sciences, Tabriz, Iran
| | - Mahin Kamalifard
- School of Nursing & Midwifery, Tabriz University of Medical Sciences
| | - Parisa Yavarikia
- School of Nursing & Midwifery, Tabriz University of Medical Sciences
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Kamalifard M, Abbasalizadeh S, Ghojazadeh M, Ghatreh Samani F, Rabiei L. Diagnostic value of fetal movement counting by mother and the optimal recording duration. J Caring Sci 2013; 2:89-95. [PMID: 25276714 PMCID: PMC4161098 DOI: 10.5681/jcs.2013.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2012] [Accepted: 02/28/2012] [Indexed: 11/17/2022] Open
Abstract
INTRODUCTION Fetal movement counting is a method used by mother to quantify her baby's movements. However, the optimal number of movements and the ideal duration of counting them have not been recognized. The aim of this study was to determine the diagnostic value of the two common fetal movements counting methods by mother including "ten fetal movements counting in two hours" and "three fetal movements counting in one hour" and to compare the required mean time for counting fetal movements in the two methods. METHODS 300 subjects were selected by random sampling among clients with complains of decreased fetal movements referring to AL-Zahra teaching hospital in Tabriz, Iran. Full training about how to perform the two methods of fetal movements counting and how to record in related tables was instructed by researcher. Immediately after counting movements, biophysical profile test was performed. RESULTS Among 291 mothers in the two groups, 99.7% had active fetuses based on both methods of fetal movement counting. 96.9% of these active fetuses obtained score of 10 in biophysical profile. There was a statistically significant relation between the results of both two methods of fetal movement counting and the biophysical profile as the gold standard. Sensitivity, specificity, positive and negative predictive values of both methods were equally 100%, 96%, 10% and 100%, respectively.Mean time (SD) for ten movement counting was 22.1(4.6) and for three movementcounting was 8.0(2.8) minutes CONCLUSION The findings of this study showed that fetal movement counting test can be used as an initial screening method in predicting fetal health.
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Affiliation(s)
- Mahin Kamalifard
- Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of
Medical Sciences, Tabriz, Iran
| | - Shamsi Abbasalizadeh
- Department of Obstetrics and Gynecology,Faculty of Medicine, Tabriz University
of Medical Sciences, Tabriz, Iran
| | - Morteza Ghojazadeh
- Women’s Reproductive Health Research Center, Tabriz University of Medical
Sciences, Tabriz, Iran
| | - Fatemeh Ghatreh Samani
- Department of Radiology, Faculty of Medicine, Tabriz University of Medical
Sciences, Tabriz, Iran
| | - Leila Rabiei
- Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of
Medical Sciences, Tabriz, Iran
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Kamalifard M, Ebrahim H, Rahmat M. The Scope of Pre-Pregnancy Care Conducted at Health Centers of Tabriz, Iran: Women's Viewpoints. J Caring Sci 2013; 2:165-167. [PMID: 25276723 PMCID: PMC4161093 DOI: 10.5681/jcs.2013.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2012] [Accepted: 02/28/2012] [Indexed: 06/03/2023] Open
Abstract
Pre-pregnancy care is considered as preventive medicine related to pregnancy and delivery. This Questionnaire based study upon 384 women in the first half of the pregnancy showedthe scope of pre-pregnancy care in the area of physical health was either weak (75%) or average (25%). All women declared that they had not received mental health-related care during the pre-pregnancy care. The scope of pre-pregnancy care in the area of life-style was categorized as weak, average, and good by 69.79%, 29.69%, and 0.52% of the studied women, respectively.
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Affiliation(s)
- Mahin Kamalifard
- Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of
Medical Sciences, Tabriz, Iran
| | - Hossein Ebrahim
- Department of Psychiatric Nursing, Faculty of Nursing and Midwifery, Tabriz
University of Medical Sciences, Tabriz, Iran
| | - Mahnaz Rahmat
- Student Research Committee,Faculty of Nursing and Midwifery, Tabriz University
of Medical Sciences, Tabriz, Iran
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29
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Mehrabi E, Kamalifard M, Yavarikia P, Ebrahimi Mameghani M. The Relation between Early Pregnancy Anthropometric Indices among Primiparous Women and Macrosomia. J Caring Sci 2012; 1:153-8. [PMID: 25276690 DOI: 10.5681/jcs.2012.022] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2011] [Accepted: 03/06/2012] [Indexed: 11/17/2022] Open
Abstract
INTRODUCTION The prevalence of obesity is increasing in both developed and developing nations. Body mass index (BMI) is the most common index for obesity assessment and its relation with most complications among non-pregnant and pregnant women is known. However, no study has evaluated the relation between abdominal obesity and macrosomia among pregnant women. METHODS In this prospective study, anthropometric indices including weight, height, and waist circumference (WC) of 1140 nulliparous pregnant women during their first trimester of pregnancy (6(th)-10(th) weeks) were measured by the researcher. According to the classification of the World Health Organization, women with BMI > 25 kg/m(2) were considered as overweight or obese. Abdominal obesity was defined as WC ≥ 88 cm. Finally, mothers were followed up and fetal macrosomia was recorded in a checklist. Data was analyzed in SPSS15. RESULTS The results showed that 77.5% of women aged 20-35 years and 92.7% were housewives. The mean (SD) values of BMI and WC were 24.32 (4.08) kg/m(2) and 81.84 (9.25) cm, respectively. The prevalence of overweight (BMI = 25-29.9 kg/m(2)) and obesity (BMI > 29.9 kg/m) was 27.6% and 8.8%, respectively. Abdominal obesity based on WC was found in 34.8% of the subjects. CONCLUSION Findings of this study revealed obesity in over one third of nulliparous pregnant women during their first trimester. Moreover, the high prevalence of macrosomia, in these women confirmed the importance of maternal education about obesity-related complications in order to change their lifestyle and prevent obesity.
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Affiliation(s)
- Esmat Mehrabi
- PhD Student of Reproductive Health, Shahid Beheshti University, Tehran, Iran And Lecturer, Department of Midwifery, Islamic Azad University, Tabriz, Iran
| | - Mahin Kamalifard
- MSc, Instructor, Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Parisa Yavarikia
- MSc, Instructor, Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mehrangiz Ebrahimi Mameghani
- PhD, Assistant Professor, Department of Nutrition, Nutrition Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
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30
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Mohammad Alizadeh Charandabi S, Kamalifard M, Mahzad Sedaghiani M, Montazeri A, Dehghanpour Mohammadian E. Health-Related Quality of Life and its Predictive Factors among Infertile Women. J Caring Sci 2012; 1:159-64. [PMID: 25276691 DOI: 10.5681/jcs.2012.023] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2011] [Accepted: 05/04/2012] [Indexed: 11/17/2022] Open
Abstract
INTRODUCTION The present study aimed to determine health-related quality of life (HRQOL) and its predictive factors among infertile women. METHODS This cross-sectional study was conducted on infertile women referring to Majidi Infertility Center (Tabriz, Iran). The data was collected through self-administered questionnaires including clinical and demographic characteristics and the Persian version of 36-item short form health survey (SF-36). One-sample t-test, independent t-test, one-way analysis of variance (ANOVA), and logistic regression were used for data analysis. RESULTS Overall, 1012 infertile women were studied. The quality of life scores of infertile women in all eight subscales were significantly lower than normative data for Iranian women. Low physical component summary was more frequent in younger [adjusted odds ratio (AOR):1.45; 95% CI: 1.07-1.96], less educated (AOR: 1.75; 95% CI: 1.27-2.41), and low income (AOR: 1.52; 95% CI: 1.06-2.16) participants. It was less frequent in individuals whose infertility duration was 3-9 years (AOR: 0.65; 95% CI: 0.48-0.86), had male (AOR: 0.58; 95% CI: 0.43-0.78) or female and male factors infertility (AOR: 0.48; 95% CI: 0.30-0.78), or had a history of 1-2 in vitro fertilization (IVF), intrauterine insemination (IUI), or intracytoplasmic sperm injection (ICSI). Low mental component summary was associated with low income (AOR: 1.56; 95% CI: 1.11-2.18) and unexplained cause of infertility (AOR: 0.52; 95% CI: 0.32-0.56). CONCLUSION The findings of this study indicated low quality of life among infertile women. The findings suggested the need for providing this group, especially those at higher risk such as low educated or low income females, with necessary support.
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Affiliation(s)
| | - Mahin Kamalifard
- MSc, Instructor, Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mehrzad Mahzad Sedaghiani
- MD, Associate Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Ali Montazeri
- PhD, Professor, Mental Health Research Group, Health Metrics Research Center, Iranian Institute for Health Sciences Research, Academic Center for Education Culture and Research, Tehran, Iran
| | - Elham Dehghanpour Mohammadian
- MSc, Postgraduate Student, Student Research Committee, Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
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Kamalifard M, Shahnazi M, Sayyah Melli M, Allahverdizadeh S, Toraby S, Ghahvechi A. The efficacy of massage therapy and breathing techniques on pain intensity and physiological responses to labor pain. J Caring Sci 2012; 1:73-8. [PMID: 25276679 DOI: 10.5681/jcs.2012.011] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2012] [Accepted: 04/07/2012] [Indexed: 11/17/2022] Open
Abstract
INTRODUCTION There are many non-pharmacological methods for relieving labor pain. The preferable method is certainly the one that is effective and harmless. Therefore, we decided to compare the efficacy of massage therapy and breathing techniques on pain intensity, physiological responses to labor pain, labor type and the outcomes. METHODS A quasi-experimental study was conducted in Alzahra Hospital in Tabriz. At first, 4o primigravidas, satisfying the inclusion criteria, were selected and randomly divided into two groups of massage 1 (M1) and breathing 1 (B1). Then, another 42 mothers were selected based on the same criteria and randomly divided into two groups of massage 2 (M2) and breathing 2 (B2). An educated researcher assistant (ERA) provided practical training to (B1 and B2 groups) by holding one educational session. As the labor process started, the ERA, who was present at the labor room, repeated the breathing technique for B1 and B2 groups. The breathing groups employed the techniques during the first or second stage of labor at 4, 6, 8 and 10 centimeter of dilatation for 30 minutes. The intensity of pain was measured by a numerical rating scale (NRS) 30 minutes after determining dilatation. The physiological responses were evaluated at the same time intervals. The ERA performed massaging at the same dilatations for M1 and M2 groups. The data was collected similarly. Labor progression was evaluated by the partograph. RESULTS Massage at 4 and 6 cm dilatations and breathing at most dilatations decreased pain scores significantly. The mean difference of pain intensity and physiological responses to pain was not significant between the massaging and breathing groups at most dilatations. CONCLUSION Based on the findings of this research, providing the possibility of choosing one or both methods for labor pain relief and decreasing cesarean section rate is suggested.
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Affiliation(s)
- Mahin Kamalifard
- MSc, Instructor, Departement of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mahnaz Shahnazi
- MSc, Instructor, Departement of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Manizheh Sayyah Melli
- MD, Professor, Departement of Obstetrics and Gynecology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Shirin Allahverdizadeh
- MSc, Instructor, Departement of Midwifery, Tabriz Branch, Islamic Azad University, Tabriz, Iran
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