Introduction: Today, for better assessment of midwifery care quality, in addition to maternal dea... more Introduction: Today, for better assessment of midwifery care quality, in addition to maternal death, a useful supplementary indicator, called "maternal near miss" (MNM) is used. It means that mothers who have survived due to complications of pregnancy or childbirth. Limited studies have been conducted in this regard in Iran and no study has been performed in Khuzestan to evaluate this index. This study was performed with aim to determine the prevalence and factors related to MNM in Ahwaz hospitals in 2016. Methods: This cross-sectional study was performed on 3002 delivery in 5 state hospitals in Ahwaz, from 22 May until 25 July 2016. WHO criteria was used for MNM including potential life-threatening conditions (cardiovascular, respiratory, renal, blood, coagulation, hepatic, and neurological disorders) and criteria for severe maternal complications (severe postpartum haemorrhage, severe pre-eclampsia, eclampsia, sepsis/severe systemic infection, and uterus rupture). The prevalence of MNM and related factors were investigated. Data were analyzed by SPSS software (version 22) and Chi-square, Mann-Whitney test, t-test and logistic regression. P<0.05 was considered statistically significant. Results: The prevalence of MNM was 29.6 per 1,000 live births. The most common direct causes of MNM cases were preeclampsia (49.5) and severe postpartum hemorrhage (38.2). 26 of MNM (29.2) were admitted in intensive care units. The lower gestational age (p <0.001), lower education level (p <0.008), and cesarean delivery (p <0.001) were more likely to resulted in cases of MNM. Conclusion: As for the reasons of maternal death, preeclampsia and obstetrical hemorrhage were the main reasons for MNM. Cesarean and lower gestational age increase the likelihood of MNM.
The matched pairs analysis reveals a significant increase in risk of neonatal sepsis (RR=3.5) and... more The matched pairs analysis reveals a significant increase in risk of neonatal sepsis (RR=3.5) and infection (RR=2.4) among preterm births complicated by PROM, with PROM contributing an excess 4 to 5 cases of sepsis (RD=0.04) or infection (RD=0.05) per 100 infants. PROM ...
Introduction: Today, for better assessment of midwifery care quality, in addition to maternal dea... more Introduction: Today, for better assessment of midwifery care quality, in addition to maternal death, a useful supplementary indicator, called "maternal near miss" (MNM) is used. It means that mothers who have survived due to complications of pregnancy or childbirth. Limited studies have been conducted in this regard in Iran and no study has been performed in Khuzestan to evaluate this index. This study was performed with aim to determine the prevalence and factors related to MNM in Ahwaz hospitals in 2016. Methods: This cross-sectional study was performed on 3002 delivery in 5 state hospitals in Ahwaz, from 22 May until 25 July 2016. WHO criteria was used for MNM including potential life-threatening conditions (cardiovascular, respiratory, renal, blood, coagulation, hepatic, and neurological disorders) and criteria for severe maternal complications (severe postpartum haemorrhage, severe pre-eclampsia, eclampsia, sepsis/severe systemic infection, and uterus rupture). The pr...
Iranian traditional medicine is based on the concept of Mizaj (Temperament). Mizaj is the overall... more Iranian traditional medicine is based on the concept of Mizaj (Temperament). Mizaj is the overall quality of body and any of its organs in terms of the amount and the proportion of combination of each of four elements, i.e. warmness, coldness, wetness, and dryness in it. If an organ or the whole body gets out of their natural temperament, a disease will be developed. Uterine infections are caused by the wet dys-temperament (Su'e Mizaj) of the uterus, from this perspective. This study was carried out to investigate the relationship between uterine temperament and vaginitis. This case-control study was conducted on 223 women aged 20-40 years living in Tehran who referred to two clinics affiliated with Shahid Beheshti University of Medical Sciences by matching the age and contraceptive method. In the case group (n=112) one kind of vaginitis was detected and the control group (n=111) were healthy in this regard. The data were analyzed using chi-square test, independent t-test, or Ma...
Introduction: Toxoplasmosis during pregnancy has some clinical complications including spontaneou... more Introduction: Toxoplasmosis during pregnancy has some clinical complications including spontaneouse abortions, preterm labor, still birth and fetal anomaly. Since premature rupture of membrane (PROM) is the major factor in preterm labor (PTL), this study was performed with aim to determine the relationship between premature rupture of membrane and toxoplasma gondii infection in pregnant women. Methods: This case-control study was carried out on 150 pregnant women referred to Ahwaz Emam Khomeini hospital for delivery in 2016. 50 pregnant women with preterm labor and premature rupture of membranes were selected as case group and 100 pregnant women with preterm labor and healthy membranes (after completing the questionnaire and examination) were selected as control group. Anti Toxoplasma IgG and IgM antibody was measuresd by ELISA in two groups. Analysis of data was performed by statistical software SPSS (version 21) and Chi-square, logistic regression, independent t-test and Mann-Whit...
Introduction: Communication between midwives and parturient women affects the quality of childbir... more Introduction: Communication between midwives and parturient women affects the quality of childbirth experience. It can improve or degrade women experience of pregnancy, birth and motherhood. This study was carried out to determine barriers of effective communication between midwives and parturient women from the viewpoint of both groups. Methods: This cross-sectional study was conducted on 157 midwives who employed in non-educational hospitals and 153 parturient women who referred to those hospitals in Khuzestan province, Iran, 2011. Data were collected by a researcher-made questionnaire that combined qualitative and quantitative methods. Data were analyzed using SPSS software version 19, descriptive and inferential test (t-test). Results: From the viewpoint of midwives; hardness of midwifery job, shortage of midwife to woman ratio, lack of work motivation, and from the viewpoint of parturient women; bad-tempered of midwife, misunderstanding of mothers needs and inappropriate environmental conditions were reported as the most important barriers of effective communication between midwives and parturient women. Conclusion: There were differences in prioritizing communication barriers between the viewpoint of midwives and parturient women. These barriers need to be resolved by the health care system.
Background: Poor and insufficient social support to the mother in the post-partum period impairs ... more Background: Poor and insufficient social support to the mother in the post-partum period impairs the effective functioning of her new role as a mother, and it is an important risk factor for the maternal depression and stress after childbirth. Thus, interventions to improve social support to mothers in their postpartum period are required. The present review aimed to investigate the effectiveness of the existing interventions aimed at improving social support among postpartum women. Methods: In this systematic review, PubMed, Scopus, Science Direct, Cochrane Library, Web of Science, EMBASE, Google Scholar, IranDoc, IranMedex, MagIran and SID were searched until January 2022. Full-text articles on the social support outcome, published in English or Persian, which used the design of randomized controlled trials (RCTs) or comparison groups and involved postpartum or pregnant women as participants were included. The quality of the studies was assessed based on the seven criteria offered...
OBJECTIVES Physical and psychological changes in most postmenopausal women tend to lower their qu... more OBJECTIVES Physical and psychological changes in most postmenopausal women tend to lower their quality of life. Various medical/psychological interventions have been applied to improve the postmenopausal quality of life. This study set out to investigate the effect of Mindfulness Based Stress Reduction (MBSR) training on the Menopause-specific quality of life (MENQOL). METHODS This RCT was conducted on 66 postmenopausal women aged 47-62 in Iran. Participants were randomly assigned to either the MBSR or the control group. The menopause--specific quality of life was assessed in two groups via MENQOL questionnaire prior to, immediately and three months after the intervention. RESULTS The findings revealed a significant improvements in MENQOL (P < 0.001),as well as physical(P = 0.001), psychosocial(P = 0.001) and sexual(P < 0.001)dimensions of the intervention groups compared to the control group, immediately and 3 months after the intervention. CONCLUSION MBSR program can be safely applied to improve menopausal women's quality of life and curb the postmenopausal symptoms. TRIAL REGISTRATION NUMBER IRCT2015072523344N1.
Background Understanding women’s experience of birth planning is necessary for introducing and im... more Background Understanding women’s experience of birth planning is necessary for introducing and implementing this process in the Iranian maternity services. This study aims to explore perceptions of birth plan implementation in Iran from the perspective of women, their husbands, and clinicians. Methods This qualitative study was conducted in Iran. Qualitative data were collected from November 2020 to March 2021 by conducting semi-structured in-depth interviews with ten mothers who prepared a birth plan, and 15 key informants (obstetricians, midwives, and husbands) who were involved in the implementation process of birth plans. Data were analyzed using conventional qualitative content analysis. Results Data reduction process resulted in 380 codes that were categorized in 16 subcategories and five main categories. The main categories were “Guide and pattern of preparing for childbirth pathway”, “Maternal empowerment and sense of triumph”, “Facilitating and enhancing communication”, “Su...
BackgroundChildren's sexual education has an important role in adolescent sexual health; howe... more BackgroundChildren's sexual education has an important role in adolescent sexual health; however sexual upbringing is one of the most challenging dimensions of education for families, especially in Muslim societies experiencing transition to modernity. There is little information about sexuality upbringing for boys in Iran. The present study aimed to explain parents' strategies in the sexual upbringing of adolescent boys in Iran. MethodsThis qualitative study was conducted in 2017 in Ahvaz, Iran. The qualitative data were collected through a purposeful sampling method, with a maximum variation by conducting semi-structured in-depth interviews and focused group discussions with 27 parents from the middle/high social class having 10-19-year-old adolescent sons. Qualitative data were analyzed using conventional qualitative content analysis. ResultsParents' strategies for their sons’ sexuality upbringing emerged in five categories: control, monitoring, and restriction; absti...
Introduction: Today, for better assessment of midwifery care quality, in addition to maternal dea... more Introduction: Today, for better assessment of midwifery care quality, in addition to maternal death, a useful supplementary indicator, called "maternal near miss" (MNM) is used. It means that mothers who have survived due to complications of pregnancy or childbirth. Limited studies have been conducted in this regard in Iran and no study has been performed in Khuzestan to evaluate this index. This study was performed with aim to determine the prevalence and factors related to MNM in Ahwaz hospitals in 2016. Methods: This cross-sectional study was performed on 3002 delivery in 5 state hospitals in Ahwaz, from 22 May until 25 July 2016. WHO criteria was used for MNM including potential life-threatening conditions (cardiovascular, respiratory, renal, blood, coagulation, hepatic, and neurological disorders) and criteria for severe maternal complications (severe postpartum haemorrhage, severe pre-eclampsia, eclampsia, sepsis/severe systemic infection, and uterus rupture). The prevalence of MNM and related factors were investigated. Data were analyzed by SPSS software (version 22) and Chi-square, Mann-Whitney test, t-test and logistic regression. P<0.05 was considered statistically significant. Results: The prevalence of MNM was 29.6 per 1,000 live births. The most common direct causes of MNM cases were preeclampsia (49.5) and severe postpartum hemorrhage (38.2). 26 of MNM (29.2) were admitted in intensive care units. The lower gestational age (p <0.001), lower education level (p <0.008), and cesarean delivery (p <0.001) were more likely to resulted in cases of MNM. Conclusion: As for the reasons of maternal death, preeclampsia and obstetrical hemorrhage were the main reasons for MNM. Cesarean and lower gestational age increase the likelihood of MNM.
The matched pairs analysis reveals a significant increase in risk of neonatal sepsis (RR=3.5) and... more The matched pairs analysis reveals a significant increase in risk of neonatal sepsis (RR=3.5) and infection (RR=2.4) among preterm births complicated by PROM, with PROM contributing an excess 4 to 5 cases of sepsis (RD=0.04) or infection (RD=0.05) per 100 infants. PROM ...
Introduction: Today, for better assessment of midwifery care quality, in addition to maternal dea... more Introduction: Today, for better assessment of midwifery care quality, in addition to maternal death, a useful supplementary indicator, called "maternal near miss" (MNM) is used. It means that mothers who have survived due to complications of pregnancy or childbirth. Limited studies have been conducted in this regard in Iran and no study has been performed in Khuzestan to evaluate this index. This study was performed with aim to determine the prevalence and factors related to MNM in Ahwaz hospitals in 2016. Methods: This cross-sectional study was performed on 3002 delivery in 5 state hospitals in Ahwaz, from 22 May until 25 July 2016. WHO criteria was used for MNM including potential life-threatening conditions (cardiovascular, respiratory, renal, blood, coagulation, hepatic, and neurological disorders) and criteria for severe maternal complications (severe postpartum haemorrhage, severe pre-eclampsia, eclampsia, sepsis/severe systemic infection, and uterus rupture). The pr...
Iranian traditional medicine is based on the concept of Mizaj (Temperament). Mizaj is the overall... more Iranian traditional medicine is based on the concept of Mizaj (Temperament). Mizaj is the overall quality of body and any of its organs in terms of the amount and the proportion of combination of each of four elements, i.e. warmness, coldness, wetness, and dryness in it. If an organ or the whole body gets out of their natural temperament, a disease will be developed. Uterine infections are caused by the wet dys-temperament (Su'e Mizaj) of the uterus, from this perspective. This study was carried out to investigate the relationship between uterine temperament and vaginitis. This case-control study was conducted on 223 women aged 20-40 years living in Tehran who referred to two clinics affiliated with Shahid Beheshti University of Medical Sciences by matching the age and contraceptive method. In the case group (n=112) one kind of vaginitis was detected and the control group (n=111) were healthy in this regard. The data were analyzed using chi-square test, independent t-test, or Ma...
Introduction: Toxoplasmosis during pregnancy has some clinical complications including spontaneou... more Introduction: Toxoplasmosis during pregnancy has some clinical complications including spontaneouse abortions, preterm labor, still birth and fetal anomaly. Since premature rupture of membrane (PROM) is the major factor in preterm labor (PTL), this study was performed with aim to determine the relationship between premature rupture of membrane and toxoplasma gondii infection in pregnant women. Methods: This case-control study was carried out on 150 pregnant women referred to Ahwaz Emam Khomeini hospital for delivery in 2016. 50 pregnant women with preterm labor and premature rupture of membranes were selected as case group and 100 pregnant women with preterm labor and healthy membranes (after completing the questionnaire and examination) were selected as control group. Anti Toxoplasma IgG and IgM antibody was measuresd by ELISA in two groups. Analysis of data was performed by statistical software SPSS (version 21) and Chi-square, logistic regression, independent t-test and Mann-Whit...
Introduction: Communication between midwives and parturient women affects the quality of childbir... more Introduction: Communication between midwives and parturient women affects the quality of childbirth experience. It can improve or degrade women experience of pregnancy, birth and motherhood. This study was carried out to determine barriers of effective communication between midwives and parturient women from the viewpoint of both groups. Methods: This cross-sectional study was conducted on 157 midwives who employed in non-educational hospitals and 153 parturient women who referred to those hospitals in Khuzestan province, Iran, 2011. Data were collected by a researcher-made questionnaire that combined qualitative and quantitative methods. Data were analyzed using SPSS software version 19, descriptive and inferential test (t-test). Results: From the viewpoint of midwives; hardness of midwifery job, shortage of midwife to woman ratio, lack of work motivation, and from the viewpoint of parturient women; bad-tempered of midwife, misunderstanding of mothers needs and inappropriate environmental conditions were reported as the most important barriers of effective communication between midwives and parturient women. Conclusion: There were differences in prioritizing communication barriers between the viewpoint of midwives and parturient women. These barriers need to be resolved by the health care system.
Background: Poor and insufficient social support to the mother in the post-partum period impairs ... more Background: Poor and insufficient social support to the mother in the post-partum period impairs the effective functioning of her new role as a mother, and it is an important risk factor for the maternal depression and stress after childbirth. Thus, interventions to improve social support to mothers in their postpartum period are required. The present review aimed to investigate the effectiveness of the existing interventions aimed at improving social support among postpartum women. Methods: In this systematic review, PubMed, Scopus, Science Direct, Cochrane Library, Web of Science, EMBASE, Google Scholar, IranDoc, IranMedex, MagIran and SID were searched until January 2022. Full-text articles on the social support outcome, published in English or Persian, which used the design of randomized controlled trials (RCTs) or comparison groups and involved postpartum or pregnant women as participants were included. The quality of the studies was assessed based on the seven criteria offered...
OBJECTIVES Physical and psychological changes in most postmenopausal women tend to lower their qu... more OBJECTIVES Physical and psychological changes in most postmenopausal women tend to lower their quality of life. Various medical/psychological interventions have been applied to improve the postmenopausal quality of life. This study set out to investigate the effect of Mindfulness Based Stress Reduction (MBSR) training on the Menopause-specific quality of life (MENQOL). METHODS This RCT was conducted on 66 postmenopausal women aged 47-62 in Iran. Participants were randomly assigned to either the MBSR or the control group. The menopause--specific quality of life was assessed in two groups via MENQOL questionnaire prior to, immediately and three months after the intervention. RESULTS The findings revealed a significant improvements in MENQOL (P < 0.001),as well as physical(P = 0.001), psychosocial(P = 0.001) and sexual(P < 0.001)dimensions of the intervention groups compared to the control group, immediately and 3 months after the intervention. CONCLUSION MBSR program can be safely applied to improve menopausal women's quality of life and curb the postmenopausal symptoms. TRIAL REGISTRATION NUMBER IRCT2015072523344N1.
Background Understanding women’s experience of birth planning is necessary for introducing and im... more Background Understanding women’s experience of birth planning is necessary for introducing and implementing this process in the Iranian maternity services. This study aims to explore perceptions of birth plan implementation in Iran from the perspective of women, their husbands, and clinicians. Methods This qualitative study was conducted in Iran. Qualitative data were collected from November 2020 to March 2021 by conducting semi-structured in-depth interviews with ten mothers who prepared a birth plan, and 15 key informants (obstetricians, midwives, and husbands) who were involved in the implementation process of birth plans. Data were analyzed using conventional qualitative content analysis. Results Data reduction process resulted in 380 codes that were categorized in 16 subcategories and five main categories. The main categories were “Guide and pattern of preparing for childbirth pathway”, “Maternal empowerment and sense of triumph”, “Facilitating and enhancing communication”, “Su...
BackgroundChildren's sexual education has an important role in adolescent sexual health; howe... more BackgroundChildren's sexual education has an important role in adolescent sexual health; however sexual upbringing is one of the most challenging dimensions of education for families, especially in Muslim societies experiencing transition to modernity. There is little information about sexuality upbringing for boys in Iran. The present study aimed to explain parents' strategies in the sexual upbringing of adolescent boys in Iran. MethodsThis qualitative study was conducted in 2017 in Ahvaz, Iran. The qualitative data were collected through a purposeful sampling method, with a maximum variation by conducting semi-structured in-depth interviews and focused group discussions with 27 parents from the middle/high social class having 10-19-year-old adolescent sons. Qualitative data were analyzed using conventional qualitative content analysis. ResultsParents' strategies for their sons’ sexuality upbringing emerged in five categories: control, monitoring, and restriction; absti...
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