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Papers by fahimeh ranjbar

Archives of iranian medicine, 2024

Background: The COVID-19 pandemic has profoundly affected healthcare systems worldwide, with sign... more Background: The COVID-19 pandemic has profoundly affected healthcare systems worldwide, with significant collateral damage to vulnerable populations, including the perinatal population. This study sought to compare pregnancy-related complications before and during the COVID-19 pandemic in Iran.

Carolina Digital Repository (University of North Carolina at Chapel Hill), 2023

Background The COVID-19 pandemic and its impact on healthcare services is likely to affect birth ... more Background The COVID-19 pandemic and its impact on healthcare services is likely to affect birth outcomes including the delivery mode. However, recent evidence has been conflicting in this regard. The study aimed to assess changes to C-section rate during the COVID-19 pandemic in Iran. Methods This is a retrospective analysis of electronic medical records of women delivered in the maternity department of hospitals in all provinces of Iran before the COVID-19 pandemic (February-August 30, 2019) and during the pandemic (February-August 30, 2020). Data were collected through the Iranian Maternal and Neonatal Network (IMAN), a country-wide electronic health record database management system for maternal and neonatal information. A total of 1,208,671 medical records were analyzed using the SPSS software version 22. The differences in C-section rates according to the studied variables were tested using the χ2 test. A logistic regression analysis was conducted to determine the factors associated with C-section. Results A significant rise was observed in the rates of C-section during the pandemic compared to the prepandemic (52.9% vs 50.8%; p = .001). The rates for preeclampsia (3.0% vs 1.3%), gestational diabetes (6.1% vs 3.0%), preterm birth (11.6% vs 6.9%), IUGR (1.2% vs 0.4%), LBW (11.2% vs 7.8%), and low Apgar score at first minute (4.2% vs 3.2%) were higher in women who delivered by C-section compared to those with normal delivery (P = .001). Conclusions The overall C-section rate during the first wave of COVID-19 pandemic was significantly higher than the pre-pandemic period. C-section was associated with adverse maternal and neonatal outcomes. Thus, preventing the overuse of C-section especially during pandemic becomes an urgent need for maternal and neonatal health in Iran.

نشریه پرستاری ایران, Feb 1, 2017

Background & Aims: Domestic violence during pregnancy can seriously threaten the physical and men... more Background & Aims: Domestic violence during pregnancy can seriously threaten the physical and mental health of mother and baby and finally is a serious threat to public health. The purpose of this study is to determine the prevalence and risk factors for domestic violence against pregnant women in an Iranian setting. Material & Methods: In this cross-sectional survey, 300 pregnant women with the inclusion criteria were selected with Convenience sampling in Urban Health Center in Minoodasht,Golestan,Iran. In the present study we used the demographic questionnaire and the Revised Conflict Tactics Scales (CTS2). The researcher completed the questionnaires through structured interviews. Finally, the data were analyzed by using SPSS software version 18 and descriptive and inferential statistics (Chi-square, Exact Fisher and t-test). Results: The prevalence of domestic violence was 46%. The most common type of violence was psychological (35%), physical (7/8%) and sexual (3/2%) respectively. There was no significant relationship between age, education and occupation of women and their spouse with domestic violence. Unwanted pregnancy was significantly associated with the incidence of violence against women (P<0.05). Conclusions: Because of negative effects of domestic violence during pregnancy, it is recommended that all health centers routinely screen the domestic violence especially in unwanted pregnancies.

Human Fertility, Jan 5, 2022

To identify violence among infertile women, a specific tool is needed. "Infertile Women'... more To identify violence among infertile women, a specific tool is needed. "Infertile Women's Exposure to Violence Determination Scale" (IWEVDS) is the only specific tool to assess violence against infertile women. The aim of this study was to determine psychometric properties of the Persian version of the IWEVDS. In this methodological study, content validity of the scale was determined following backward, forward translation. To assess the construct validity, confirmatory factor analysis (CFA) was used through Partial Least Squares (PLS). To do so, the Persian version of the IWEVDS was administered to a continuous sample of 310 infertile women referred to a women's hospital in Tehran. The results of the CFA confirmed the model and demonstrated a good fit on the scale. The Goodness of Fit (GOF) index and the Standardised Root Mean Residual (SRMR) with values of 0.42 and 0.056, respectively, indicate the adequacy of the overall model. The reliability of the scale is confirmed by the acceptable values of Cronbach's alpha, composite reliability, communality coefficient and Spearman correlation coefficient. The values of Cronbach's alpha were 0.90 for domains domestic violence, 0.85 for social pressure, 0.86 for punishment, 0.7 for exposure to traditional practices, and 0.87 for exclusion. The results of the study revealed that the Persian version of the IWEVDS is a 28-item scale with good validity and reliability among Iranian infertile women. Therefore, healthcare professionals can use it to evaluate the infertile women's exposure to violence.

Health Science Reports

Background and AimsDespite the fact that public health measures such as social isolation can help... more Background and AimsDespite the fact that public health measures such as social isolation can help control the coronavirus disease 2019 (Covid‐19) pandemic, these procedures may contribute to elevated levels of stress and escalate various forms of violence against women. The current study aimed to estimate the prevalence of domestic violence and identify factors associated with domestic violence during the Covid‐19 lockdown among married women attending healthcare centers in Iran.MethodsThis cross‐sectional study, conducted between 2020 and 2021, focused on a sample of 5317 married women who sought healthcare services within urban centers across five major cities in Iran. Sampling was done through a multistage cluster method. The Revised Conflict Tactics Scales (CTS2) were used to assess levels of violence. The collected data was analyzed using descriptive and inferential statistics, including independent sample t‐test, Chi‐square, and multiple logistic regression) with the SPSS soft...

Human Reproduction, Jun 1, 2023

International Journal of Fertility & Sterility, 2019

Background According to the World Health Organization (WHO)'s clinical, epidemiological and d... more Background According to the World Health Organization (WHO)'s clinical, epidemiological and demographic defi- nitions, infertility is an inability to become pregnant within one, two or five years of exposure to pregnancy, respec- tively. Inconsistent infertility-related definitions and various methodological approaches make it difficult to compare quantitative data in this regard and consequently, have negatively influenced estimating the prevalence of infertility. The present study reviewed the results of a large population-based survey on how the clinical, epidemiological and de- mographic definitions of infertility produce different results in terms of infertility prevalence in Iran and subsequently, compared the findings in order to find the right time of treatment-seeking by couples. Materials and Methods This community-based, cross-sectional study was carried out by Avicenna Research Insti- tute in the urban and rural parts of Iran between 2010 and 2011. Using cluster samp...

Journal of Neonatal Nursing

BMC Women's Health

Background With the increasing number of young women surviving cancer and a growing trend among h... more Background With the increasing number of young women surviving cancer and a growing trend among highly educated women to postpone childbearing for educational or professional pursuits, there is a rising demand for egg freezing services to ensure a successful pregnancy. This study aims to assess the knowledge and beliefs surrounding oocyte cryopreservation, both for medical and social reasons, among female students in Tehran, Iran. Methods An online cross-sectional survey was carried out from March to August of 2022, involving a total of 1279 childless students pursuing master’s and doctoral degrees at universities in Tehran. The participants were between the ages of 18 and 38. Knowledge and beliefs about medical and social oocyte cryopreservation were assessed through Fertility Preservation Survey (FPS) instrument. Results The mean age of the participants was 26.38 ± 4.9. The majority of students expected to be “30–34 years” when they become pregnant with their first child (41.1%, M...

Health Science Reports

Background and AimsApproximately half of Iranian marring couples have poor sexual knowledge and a... more Background and AimsApproximately half of Iranian marring couples have poor sexual knowledge and attitudes. This article delves into the main concerns and queries regarding sexual and reproductive health among Iranian newly married couples.MethodsWe conducted a content analysis of the sexual and reproductive health questions and concerns that were anonymously submitted by newly married couples to the researcher via social media in 2021–2022.ResultsA total of 141 questions and concerns that were related to sexual and reproductive health were considered for content analysis. Findings illustrated two main categories: (1) the need to create a reproductive life plan, and (2) the need for sexual knowledge and counseling. The first category consisted of three subcategories: “Poor contraceptive knowledge,” “Need for support in case of a missed period or unplanned pregnancy,” and “Need for preconception care.” The second category included three subcategories: “Concern regarding virginity,” “S...

BMC Public Health

Background The COVID-19 pandemic and its impact on healthcare services is likely to affect birth ... more Background The COVID-19 pandemic and its impact on healthcare services is likely to affect birth outcomes including the delivery mode. However, recent evidence has been conflicting in this regard. The study aimed to assess changes to C-section rate during the COVID-19 pandemic in Iran. Methods This is a retrospective analysis of electronic medical records of women delivered in the maternity department of hospitals in all provinces of Iran before the COVID-19 pandemic (February-August 30, 2019) and during the pandemic (February-August 30, 2020). Data were collected through the Iranian Maternal and Neonatal Network (IMAN), a country-wide electronic health record database management system for maternal and neonatal information. A total of 1,208,671 medical records were analyzed using the SPSS software version 22. The differences in C-section rates according to the studied variables were tested using the χ2 test. A logistic regression analysis was conducted to determine the factors asso...

نشریه پرستاری ایران, Jul 1, 2022

Background & Aims A direct relationship between infertility in women and their exposure to domest... more Background & Aims A direct relationship between infertility in women and their exposure to domestic violence has been reported, and several interventions have been suggested to reduce the exposure to violence in infertile women. The current study aims to assess the effect of problem-solving skill training (PSST) on the exposure of Iranian infertile women to domestic violence. Materials & Methods This is a quasi-experimental study with a pre-test/post-test/follow-up design using a control group, which was conducted in the infertility clinic of Shahid Akbarabadi Hospital affiliated to

Journal of Reproduction & Infertility

Assisted reproductive technology (ART) and third-party reproduction provide the opportunity for i... more Assisted reproductive technology (ART) and third-party reproduction provide the opportunity for infertile couples to have children through different genetic links. This type of treatment has created many challenges for infertile couples. With this treatment, the infertile couple will have a child who is biologically related to the gamete/embryo donor. Accordingly, the transformation that occurs in the structure of traditional families and the concept of parenthood is one of the main consequences and challenges which requires in-depth research. In spite of the successful expansion of infertility treatment and third-party reproduction, there is still no proper social context for implementing third-party infertility treatments in Iran. Therefore, despite the need to use the technology, some couples refuse the treatment unless their confidentiality is preserved. Many couples follow the practice surreptitiously by keeping the donation treatment confidential, to get rid of the existing so...

Journal of Client-centered Nursing Care

Background: Recurrent pregnancy loss (RPL), as one of the most critical issues in reproductive he... more Background: Recurrent pregnancy loss (RPL), as one of the most critical issues in reproductive health, is followed by emotional trauma, social problems, financial concerns, and disruption of marital relations. This study aimed to investigate sexual function in married women with a history of RPL. Methods: This cross-sectional study was conducted on 130 women with a history of RPL who were referred to the recurrent miscarriage clinic of Avicenna Fertility Center in Tehran, Iran, from November 2018 to February 2019. Data were collected using the demographic characteristics form and the female sexual function index (FSFI). Statistical analysis was carried out using SPSS software, version 16. The Kruskal-Wallis and Mann-Whitney tests were used to determine the relationship between the sexual function of the women and their sociodemographic characteristics. The significance level was set at P<0.05. Results: The Mean±SD score of the female sexual function was 26.59±5.73, and 50% of the...

Journal of Psychosomatic Obstetrics & Gynecology

International Journal of Reproductive Biomedicine, 2021

Background Pregnancy through assisted reproductive technology (ART) is a stressful experience tha... more Background Pregnancy through assisted reproductive technology (ART) is a stressful experience that may affect prenatal attachment. However, maternal-fetal attachment (MFA) and anxiety in pregnancy after ART are understudied in Iran. Objective To compare changes in MFA and pregnancy-related anxiety (PRA) in the first and third trimester of pregnancy in women who conceived through ART compared to those who conceived naturally. Materials and Methods This longitudinal study was conducted in 2019 with 187 pregnant women (ART conception = 43, natural conception = 144). Participants were recruited using the consecutive sampling method from a prenatal clinic in Tehran. The Cranley MFA Scale and the Van Den Bergh PRA Questionnaire were used to collect the data. Results The MFA score in the 12 th wk of gestation was lower in the women who conceived with ART compared to in the women who conceived naturally, but there was no statistically significant difference between the groups in wk 36. MFA ...

Copyright © 2015 Fahimeh Ranjbar et al. This is an open access article distributed under the Crea... more Copyright © 2015 Fahimeh Ranjbar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The purpose of our study was describing the meaning of pregnancy through Assisted Reproductive Technologies (ARTs). A qualitative design with hermeneutic phenomenology approach was selected to carry out the research. Semistructured in-depth interviews were conducted with 12 women who experienced assisted pregnancy. Three themes emerged from women’s experience including finding peace in life, paradoxical feelings, and struggling to realize a dream.We concluded that pregnancy is the beginning of a new and hard struggle forwomenwith fertility problems.Thefindings of our study resulted in helpful implications for the health care professionals managing assisted pregnancies. 1.

Background: Women are more likely to be diagnosed with congenital anomalies. Following prenatal d... more Background: Women are more likely to be diagnosed with congenital anomalies. Following prenatal diagnosis of fetal abnormalities, women may be forced to make decisions about whether to continue a pregnancy with fetal abnormalities. This can be a dilemma for the women. The aim of the study was to explore women's experiences of prenatal diagnosis of fetal abnormalities. Methods: A qualitative study was conducted in a referral women's hospital in Tehran, Iran in 2018. Participants were a purposeful sample of 15 women with prenatal diagnosis of fetal abnormalities. Data were collected by individual, in-depth interviews. The conventional content analysis approach was used to analyze the data. Results: Two main themes "emotional suffering" and "decision-making challenge" were extracted from the participants' experiences. Emotional suffering consisted of subthemes "sense of guilt", "selfblame", "questioning of God", "commiseration" and "projection". Decision making challenge included subthemes "distrust", "possible cure", "dark future", "economic problems", "stereotypical beliefs", "coercion" and "lack of support". Conclusions: The experience of prenatal diagnosis of fetal abnormalities was associated with emotional suffering and challenges in decision-making to continue or terminate the pregnancy. Strategies need to be employed to improve women's autonomy in decision-making. Healthcare professionals should be trained in communication skills to provide appropriate counseling to support women with diagnosis of fetal anomalies.

Archives of iranian medicine, 2024

Background: The COVID-19 pandemic has profoundly affected healthcare systems worldwide, with sign... more Background: The COVID-19 pandemic has profoundly affected healthcare systems worldwide, with significant collateral damage to vulnerable populations, including the perinatal population. This study sought to compare pregnancy-related complications before and during the COVID-19 pandemic in Iran.

Carolina Digital Repository (University of North Carolina at Chapel Hill), 2023

Background The COVID-19 pandemic and its impact on healthcare services is likely to affect birth ... more Background The COVID-19 pandemic and its impact on healthcare services is likely to affect birth outcomes including the delivery mode. However, recent evidence has been conflicting in this regard. The study aimed to assess changes to C-section rate during the COVID-19 pandemic in Iran. Methods This is a retrospective analysis of electronic medical records of women delivered in the maternity department of hospitals in all provinces of Iran before the COVID-19 pandemic (February-August 30, 2019) and during the pandemic (February-August 30, 2020). Data were collected through the Iranian Maternal and Neonatal Network (IMAN), a country-wide electronic health record database management system for maternal and neonatal information. A total of 1,208,671 medical records were analyzed using the SPSS software version 22. The differences in C-section rates according to the studied variables were tested using the χ2 test. A logistic regression analysis was conducted to determine the factors associated with C-section. Results A significant rise was observed in the rates of C-section during the pandemic compared to the prepandemic (52.9% vs 50.8%; p = .001). The rates for preeclampsia (3.0% vs 1.3%), gestational diabetes (6.1% vs 3.0%), preterm birth (11.6% vs 6.9%), IUGR (1.2% vs 0.4%), LBW (11.2% vs 7.8%), and low Apgar score at first minute (4.2% vs 3.2%) were higher in women who delivered by C-section compared to those with normal delivery (P = .001). Conclusions The overall C-section rate during the first wave of COVID-19 pandemic was significantly higher than the pre-pandemic period. C-section was associated with adverse maternal and neonatal outcomes. Thus, preventing the overuse of C-section especially during pandemic becomes an urgent need for maternal and neonatal health in Iran.

نشریه پرستاری ایران, Feb 1, 2017

Background & Aims: Domestic violence during pregnancy can seriously threaten the physical and men... more Background & Aims: Domestic violence during pregnancy can seriously threaten the physical and mental health of mother and baby and finally is a serious threat to public health. The purpose of this study is to determine the prevalence and risk factors for domestic violence against pregnant women in an Iranian setting. Material & Methods: In this cross-sectional survey, 300 pregnant women with the inclusion criteria were selected with Convenience sampling in Urban Health Center in Minoodasht,Golestan,Iran. In the present study we used the demographic questionnaire and the Revised Conflict Tactics Scales (CTS2). The researcher completed the questionnaires through structured interviews. Finally, the data were analyzed by using SPSS software version 18 and descriptive and inferential statistics (Chi-square, Exact Fisher and t-test). Results: The prevalence of domestic violence was 46%. The most common type of violence was psychological (35%), physical (7/8%) and sexual (3/2%) respectively. There was no significant relationship between age, education and occupation of women and their spouse with domestic violence. Unwanted pregnancy was significantly associated with the incidence of violence against women (P<0.05). Conclusions: Because of negative effects of domestic violence during pregnancy, it is recommended that all health centers routinely screen the domestic violence especially in unwanted pregnancies.

Human Fertility, Jan 5, 2022

To identify violence among infertile women, a specific tool is needed. "Infertile Women'... more To identify violence among infertile women, a specific tool is needed. "Infertile Women's Exposure to Violence Determination Scale" (IWEVDS) is the only specific tool to assess violence against infertile women. The aim of this study was to determine psychometric properties of the Persian version of the IWEVDS. In this methodological study, content validity of the scale was determined following backward, forward translation. To assess the construct validity, confirmatory factor analysis (CFA) was used through Partial Least Squares (PLS). To do so, the Persian version of the IWEVDS was administered to a continuous sample of 310 infertile women referred to a women's hospital in Tehran. The results of the CFA confirmed the model and demonstrated a good fit on the scale. The Goodness of Fit (GOF) index and the Standardised Root Mean Residual (SRMR) with values of 0.42 and 0.056, respectively, indicate the adequacy of the overall model. The reliability of the scale is confirmed by the acceptable values of Cronbach's alpha, composite reliability, communality coefficient and Spearman correlation coefficient. The values of Cronbach's alpha were 0.90 for domains domestic violence, 0.85 for social pressure, 0.86 for punishment, 0.7 for exposure to traditional practices, and 0.87 for exclusion. The results of the study revealed that the Persian version of the IWEVDS is a 28-item scale with good validity and reliability among Iranian infertile women. Therefore, healthcare professionals can use it to evaluate the infertile women's exposure to violence.

Health Science Reports

Background and AimsDespite the fact that public health measures such as social isolation can help... more Background and AimsDespite the fact that public health measures such as social isolation can help control the coronavirus disease 2019 (Covid‐19) pandemic, these procedures may contribute to elevated levels of stress and escalate various forms of violence against women. The current study aimed to estimate the prevalence of domestic violence and identify factors associated with domestic violence during the Covid‐19 lockdown among married women attending healthcare centers in Iran.MethodsThis cross‐sectional study, conducted between 2020 and 2021, focused on a sample of 5317 married women who sought healthcare services within urban centers across five major cities in Iran. Sampling was done through a multistage cluster method. The Revised Conflict Tactics Scales (CTS2) were used to assess levels of violence. The collected data was analyzed using descriptive and inferential statistics, including independent sample t‐test, Chi‐square, and multiple logistic regression) with the SPSS soft...

Human Reproduction, Jun 1, 2023

International Journal of Fertility & Sterility, 2019

Background According to the World Health Organization (WHO)'s clinical, epidemiological and d... more Background According to the World Health Organization (WHO)'s clinical, epidemiological and demographic defi- nitions, infertility is an inability to become pregnant within one, two or five years of exposure to pregnancy, respec- tively. Inconsistent infertility-related definitions and various methodological approaches make it difficult to compare quantitative data in this regard and consequently, have negatively influenced estimating the prevalence of infertility. The present study reviewed the results of a large population-based survey on how the clinical, epidemiological and de- mographic definitions of infertility produce different results in terms of infertility prevalence in Iran and subsequently, compared the findings in order to find the right time of treatment-seeking by couples. Materials and Methods This community-based, cross-sectional study was carried out by Avicenna Research Insti- tute in the urban and rural parts of Iran between 2010 and 2011. Using cluster samp...

Journal of Neonatal Nursing

BMC Women's Health

Background With the increasing number of young women surviving cancer and a growing trend among h... more Background With the increasing number of young women surviving cancer and a growing trend among highly educated women to postpone childbearing for educational or professional pursuits, there is a rising demand for egg freezing services to ensure a successful pregnancy. This study aims to assess the knowledge and beliefs surrounding oocyte cryopreservation, both for medical and social reasons, among female students in Tehran, Iran. Methods An online cross-sectional survey was carried out from March to August of 2022, involving a total of 1279 childless students pursuing master’s and doctoral degrees at universities in Tehran. The participants were between the ages of 18 and 38. Knowledge and beliefs about medical and social oocyte cryopreservation were assessed through Fertility Preservation Survey (FPS) instrument. Results The mean age of the participants was 26.38 ± 4.9. The majority of students expected to be “30–34 years” when they become pregnant with their first child (41.1%, M...

Health Science Reports

Background and AimsApproximately half of Iranian marring couples have poor sexual knowledge and a... more Background and AimsApproximately half of Iranian marring couples have poor sexual knowledge and attitudes. This article delves into the main concerns and queries regarding sexual and reproductive health among Iranian newly married couples.MethodsWe conducted a content analysis of the sexual and reproductive health questions and concerns that were anonymously submitted by newly married couples to the researcher via social media in 2021–2022.ResultsA total of 141 questions and concerns that were related to sexual and reproductive health were considered for content analysis. Findings illustrated two main categories: (1) the need to create a reproductive life plan, and (2) the need for sexual knowledge and counseling. The first category consisted of three subcategories: “Poor contraceptive knowledge,” “Need for support in case of a missed period or unplanned pregnancy,” and “Need for preconception care.” The second category included three subcategories: “Concern regarding virginity,” “S...

BMC Public Health

Background The COVID-19 pandemic and its impact on healthcare services is likely to affect birth ... more Background The COVID-19 pandemic and its impact on healthcare services is likely to affect birth outcomes including the delivery mode. However, recent evidence has been conflicting in this regard. The study aimed to assess changes to C-section rate during the COVID-19 pandemic in Iran. Methods This is a retrospective analysis of electronic medical records of women delivered in the maternity department of hospitals in all provinces of Iran before the COVID-19 pandemic (February-August 30, 2019) and during the pandemic (February-August 30, 2020). Data were collected through the Iranian Maternal and Neonatal Network (IMAN), a country-wide electronic health record database management system for maternal and neonatal information. A total of 1,208,671 medical records were analyzed using the SPSS software version 22. The differences in C-section rates according to the studied variables were tested using the χ2 test. A logistic regression analysis was conducted to determine the factors asso...

نشریه پرستاری ایران, Jul 1, 2022

Background & Aims A direct relationship between infertility in women and their exposure to domest... more Background & Aims A direct relationship between infertility in women and their exposure to domestic violence has been reported, and several interventions have been suggested to reduce the exposure to violence in infertile women. The current study aims to assess the effect of problem-solving skill training (PSST) on the exposure of Iranian infertile women to domestic violence. Materials & Methods This is a quasi-experimental study with a pre-test/post-test/follow-up design using a control group, which was conducted in the infertility clinic of Shahid Akbarabadi Hospital affiliated to

Journal of Reproduction & Infertility

Assisted reproductive technology (ART) and third-party reproduction provide the opportunity for i... more Assisted reproductive technology (ART) and third-party reproduction provide the opportunity for infertile couples to have children through different genetic links. This type of treatment has created many challenges for infertile couples. With this treatment, the infertile couple will have a child who is biologically related to the gamete/embryo donor. Accordingly, the transformation that occurs in the structure of traditional families and the concept of parenthood is one of the main consequences and challenges which requires in-depth research. In spite of the successful expansion of infertility treatment and third-party reproduction, there is still no proper social context for implementing third-party infertility treatments in Iran. Therefore, despite the need to use the technology, some couples refuse the treatment unless their confidentiality is preserved. Many couples follow the practice surreptitiously by keeping the donation treatment confidential, to get rid of the existing so...

Journal of Client-centered Nursing Care

Background: Recurrent pregnancy loss (RPL), as one of the most critical issues in reproductive he... more Background: Recurrent pregnancy loss (RPL), as one of the most critical issues in reproductive health, is followed by emotional trauma, social problems, financial concerns, and disruption of marital relations. This study aimed to investigate sexual function in married women with a history of RPL. Methods: This cross-sectional study was conducted on 130 women with a history of RPL who were referred to the recurrent miscarriage clinic of Avicenna Fertility Center in Tehran, Iran, from November 2018 to February 2019. Data were collected using the demographic characteristics form and the female sexual function index (FSFI). Statistical analysis was carried out using SPSS software, version 16. The Kruskal-Wallis and Mann-Whitney tests were used to determine the relationship between the sexual function of the women and their sociodemographic characteristics. The significance level was set at P<0.05. Results: The Mean±SD score of the female sexual function was 26.59±5.73, and 50% of the...

Journal of Psychosomatic Obstetrics & Gynecology

International Journal of Reproductive Biomedicine, 2021

Background Pregnancy through assisted reproductive technology (ART) is a stressful experience tha... more Background Pregnancy through assisted reproductive technology (ART) is a stressful experience that may affect prenatal attachment. However, maternal-fetal attachment (MFA) and anxiety in pregnancy after ART are understudied in Iran. Objective To compare changes in MFA and pregnancy-related anxiety (PRA) in the first and third trimester of pregnancy in women who conceived through ART compared to those who conceived naturally. Materials and Methods This longitudinal study was conducted in 2019 with 187 pregnant women (ART conception = 43, natural conception = 144). Participants were recruited using the consecutive sampling method from a prenatal clinic in Tehran. The Cranley MFA Scale and the Van Den Bergh PRA Questionnaire were used to collect the data. Results The MFA score in the 12 th wk of gestation was lower in the women who conceived with ART compared to in the women who conceived naturally, but there was no statistically significant difference between the groups in wk 36. MFA ...

Copyright © 2015 Fahimeh Ranjbar et al. This is an open access article distributed under the Crea... more Copyright © 2015 Fahimeh Ranjbar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The purpose of our study was describing the meaning of pregnancy through Assisted Reproductive Technologies (ARTs). A qualitative design with hermeneutic phenomenology approach was selected to carry out the research. Semistructured in-depth interviews were conducted with 12 women who experienced assisted pregnancy. Three themes emerged from women’s experience including finding peace in life, paradoxical feelings, and struggling to realize a dream.We concluded that pregnancy is the beginning of a new and hard struggle forwomenwith fertility problems.Thefindings of our study resulted in helpful implications for the health care professionals managing assisted pregnancies. 1.

Background: Women are more likely to be diagnosed with congenital anomalies. Following prenatal d... more Background: Women are more likely to be diagnosed with congenital anomalies. Following prenatal diagnosis of fetal abnormalities, women may be forced to make decisions about whether to continue a pregnancy with fetal abnormalities. This can be a dilemma for the women. The aim of the study was to explore women's experiences of prenatal diagnosis of fetal abnormalities. Methods: A qualitative study was conducted in a referral women's hospital in Tehran, Iran in 2018. Participants were a purposeful sample of 15 women with prenatal diagnosis of fetal abnormalities. Data were collected by individual, in-depth interviews. The conventional content analysis approach was used to analyze the data. Results: Two main themes "emotional suffering" and "decision-making challenge" were extracted from the participants' experiences. Emotional suffering consisted of subthemes "sense of guilt", "selfblame", "questioning of God", "commiseration" and "projection". Decision making challenge included subthemes "distrust", "possible cure", "dark future", "economic problems", "stereotypical beliefs", "coercion" and "lack of support". Conclusions: The experience of prenatal diagnosis of fetal abnormalities was associated with emotional suffering and challenges in decision-making to continue or terminate the pregnancy. Strategies need to be employed to improve women's autonomy in decision-making. Healthcare professionals should be trained in communication skills to provide appropriate counseling to support women with diagnosis of fetal anomalies.