raheleh babazadeh | Mashhad University of Medical Sciences, Mashhad. Iran. (original) (raw)
Papers by raheleh babazadeh
Research Square (Research Square), Jun 19, 2024
Iranian Journal of Obstetrics, Gynecology and Infertility, 2012
Introduction: The availability of alternative therapies of abnormal gynecologic bleeding has prom... more Introduction: The availability of alternative therapies of abnormal gynecologic bleeding has prompted a reexamination of the impact of hysterectomy on a woman’s quality of life. This paper examines the evidence about the impact of hysterectomy on quality of life and sexual function. Methods: Electronic searching of English language literature was conducted using the search terms: sexuality, sexual satisfaction, sexual function, hysterectomy, sexual desire and orgasm in PubMed, EMBASE, Science Direct and Scopus. Additional papers found in the bibliographies of these papers were also reviewed. 23 studies were found: 11 prospective, 5 retrospective and 7 RCT. With few exceptions, the methodologic quality of the studies was poor, but we continued to review all of the studies given the paucity of data on this important subject. Results: The studies were evaluated for methodologic quality using a scoring system described in the paper. Outcome measures were usually not validated and most studies did not consider important confounding factors. Most studies in this review showed either no change or an enhancement of sexuality in women who had undergone hysterectomy. Conclusion: The majority of researches evaluating the effect of hysterectomy on sexual function were poorly designed. The available evidence showed that quality of life is improved for most women who had hysterectomy and that hysterectomy did not adversely affect sexual function. A number of confounding factors with the potential positive or negative impact on sexual function, independent of hysterectomy, should be taken into account in future studies
KAUMS Journal, Jun 10, 2011
Background: Most women who experience some unpleasant or uncomfortable symptoms of premenstrual s... more Background: Most women who experience some unpleasant or uncomfortable symptoms of premenstrual syndrome (PMS) may use some natural therapies or complementary medicine for relieving its symptoms. In making an evidence-based decision regarding the use of alternative medicine for these women, the health care providers should have access to high quality information. This study aimed to review the outcome and efficacy of clinical trials done in Iran on using herbal drug and complementary/alternative medicine to relieve PMS symptoms. Materials and Methods: Electronic searching of Medline, Sid, Irandoc, Magiran, Journals of herbal drugs and sports sciences was performed during 2010-11. Moreover, through Internet search engines (e.g. Google and Yahoo), randomized clinical trials of herbal and complementary medicine for PMS in Iran were identified. The bibliographies of articles and students' theses were searched and evaluated. Results: The results showed that exercise is beneficial for PMS and preliminary findings indicated that Hypericum perforatum, Saffron, Oenothera Lamarkiana, Starchy diet, Fennel and Chamomile, Vitex Agnus Castus, Ginkgo biloba, acupressure and counseling were also effective to relieve the PMS symptoms. Conclusion: Among the above-mentioned measures, there is much evidence to support the use of exercise to reduce PMS symptoms.
Introduction: Adolescence is the age of challenges and opportunities. Nowadays, the transition to... more Introduction: Adolescence is the age of challenges and opportunities. Nowadays, the transition to adulthood, without adequate awareness about sexual and reproductive health information and services is much more difficult than before. The aim of this study was exploring the views and experiences of adolescent girls and key adults regarding to the necessity of providing sexual and reproductive health information and services for adolescent girls in Iran. Methods: This qualitative study was conducted during February to November 2012. Data were gathered through focus groups and semi-structured interview with 247 adolescent girls and 71 key adults include mothers, school counselors, health providers, state and non-governmental directors of health programs, health policymakers, sociologists and clergies in Shahroud, Mashhad, Tehran, and Qom cities of Iran. All interviews were recorded and transcribed. Data were coded and categorized in content-analysis by MAXQDA10. Results: The main reasons for the necessity of providing sexual and reproductive health services for adolescent girls were categorized in six categories: lack of adequate knowledge about sexual and reproductive health, easy access to inaccurate information sources, cultural and social changes, increasing risky sexual behaviors among adolescents, religion's emphasis on sex training of children and adolescents and existence of cultural taboos. Conclusion: Most of participants confirmed the necessity of providing sexual and reproductive health services for adolescent girls. Provision of these services should be a priority not only for medical concerns but also for religious, social and developmental perspectives.
DOAJ (DOAJ: Directory of Open Access Journals), Oct 1, 2022
Research Square (Research Square), Feb 11, 2022
Introduction: Sexual changes in breast cancer occur after diagnosis and treatment include mastect... more Introduction: Sexual changes in breast cancer occur after diagnosis and treatment include mastectomy. Sexual assertiveness is an effective factor in sexual satisfaction that means the ability to convey sexual feelings, beliefs, and thoughts and logically defend sexual rights. The present study aimed to compare the effectiveness of individual sexual counseling using the BETTER model with individual sexual counseling using the PLISSIT model in terms of increasing sexual assertiveness. Materials and Methods: The present quasi-experimental intervention was conducted in Mashhad in 2021, and 78 mastectomized women with breast cancer were randomly assigned to two groups: BETTER and PLISSIT. Both groups received four individual counseling sessions of 60-90 minutes one week apart. The research tools included demographic information form, female sexual function index (FSFI), and the Hulbert index of sexual assertiveness (HISA). Changes in the mean scores of sexual assertiveness between the two groups were evaluated before and 4 weeks after the intervention, and the mean changes were compared between the groups. Data analysis was conducted using the Kolmogorov-Smirnov test, independent t-test, paired t-test, and Chi-square tests using SPSS 25 (P<0.05). Results: The mean scores of sexual assertiveness were not signi cantly different between BETTER (46.7) and PLISSIT (43.07) groups before the intervention (P=0.253); however, the mean scores of sexual assertiveness in the BETTER group (54.8) and the PLISSIT group (48.6) were signi cantly different 4 weeks after the intervention. (P<0.001) Conclusion: The results indicated that sexual counseling based on the BETTER model was more effective in increasing the sexual assertiveness of mastectomized women with breast cancer than counseling by the PLISSIT method.
Reproductive Health, Nov 14, 2022
Background: Perinatal intimate partner violence is a hidden under reported and difficult to ident... more Background: Perinatal intimate partner violence is a hidden under reported and difficult to identify problem which has negative effects on mother and child. The present study aimed to explore barriers and facilitators of perinatal intimate partner violence disclosure. Methods: This qualitative study was carried out from October 2019 to January 2021 in Mashhad, Iran. Participants included 23 abused women (11 pregnant and 12 after birth) which were selected via purposive sampling. Semi-structured in-depth interviews and focus group discussion were conducted until the data saturation was achieved. The data analysis was performed based on conventional content analysis adopted by Graneheim & Lundman. Results: The main themes "barriers to disclosure" and "facilitators of disclosure" were emerged as the result of data analysis. Barriers to disclosure included negative disclosure consequences and protection of family privacy. Facilitators of disclosure included maternal self-efficacy, threats to security, and formal and informal supportive networks. Conclusions: Most abused women did not disclose violence despite routine screening for perinatal intimate partner violence in antenatal care. Recognizing the barriers to and facilitators of violence disclosure play an important role in eliminating barriers, strengthening facilitators, providing effective supportive services for abused women, and reducing perinatal violence. Focus on the barriers to and the facilitators of disclosure will be useful to policymakers, health program planners, and health care providers to identify and manage intimate partner violence, appropriately.
Research Square (Research Square), May 23, 2023
Background: Normal sexual function is an important part of women's sexual and mental health. The ... more Background: Normal sexual function is an important part of women's sexual and mental health. The aim of this study was to determine the effect of inhalation of Elaeagnus angustifolia essential oil on sexual Function of women of reproductive age. Materials and Methods: This study is a randomized, three-group clinical trial that was performed on 99 women referred to health centers in Mashhad. The rst group used the essential oil by inhalation for 20 minutes three times a day for 4 weeks and the second group used the essential oil by inhalation 20 minutes before intercourse and the third group did not receive any intervention. Sexual function were assessed by FSFI questionnaire at baseline and after 4 weeks in all three groups. Results:The mean and SD age of women were 33.7±7.6. The mean score of sexual function before the intervention in the rst and second intervention group and control group were 23±1.3, 23.3±6.4 and 23.1±3.6 (P=0.630) respectively that was not statistically signi cant(p=0.630). The mean score of sexual function after 4 weeks in the rst and second intervention group and control group were 25.2±7.9, 28.2±4.9 and 23.1±3.5 (P<0.001) respectively. Also after 4 weeks in the second intervention group improved sexual function in all areas, but in the rst intervention Group improved all areas except pain and sexual Satisfaction (P<0.001). Trial registration: The research project was registered in the Iranian Registry of Clinical Trials (IRCT) with a code (IRCT20191203045589N1) and the ethics committee of Mashhad University of Medical Sciences with a code (IR.MUMS.NURSE.REC.1398.07) and rst registration in 11/12/2019. Conclusion: Inhalation of Elaeagnus angustifolia oil, has had a bene cial effect on improving sexual function in women of reproductive age, so it can be used as an affordable herbal supplement to improve Sexual function in these women.
Iranian Journal of Obstetrics, Gynecology and Infertility, 2019
International journal of gynaecology and obstetrics, Apr 17, 2013
Research Square (Research Square), Dec 19, 2022
Background Domestic violence threatens maternal physical, psychological and emotional safety. Abu... more Background Domestic violence threatens maternal physical, psychological and emotional safety. Abused pregnant women required several interventions based on their actual needs with the purpose of reducing domestic violence and its negative consequences. The present study aimed to explore the exclusive needs of abused pregnant women in Iran. Methods This qualitative study was performed from September 2019 to August 2021 in Mashhad, Iran. Semistructured interviews with 14 abused women (8 pregnant and 6 after birth) who were the victims of domestic violence, and 11 key informants with various discipline specialties until the data saturation was achieved. Participants were selected through purposive sampling. Qualitative data were analyzed based on the conventional content analysis adopted by Graneheim & Lundman. Findings: "Family and society empowerment" was the main concept emerged from the data analysis comprising of three categories such as "need to empower couples to reduce domestic violence during pregnancy", "demand for improved health care services", and "need to strengthen inter-sectoral, legal and social supports". Conclusion Abused pregnant women experienced several individual, interpersonal and inter sectoral needs. Family and society empowerment constituted the actual needs of abused pregnant women. Awareness of policymakers and health system managers of these needs could be the basis for designing a supportive care program according to abused women's actual needs. In addition to the educational and skill empowerment of couples, it is essential that supportive organizations cooperate with each other to provide integrated and coordinated services to abused pregnant women and strengthen and facilitate maternal access to supportive resources.
BMC Women's Health, Feb 13, 2022
Background: Hysterectomy is a difficult process that some women encounter that can affect their i... more Background: Hysterectomy is a difficult process that some women encounter that can affect their interdependence, but its impact on women's Interdependence has received less attention. Therefore, this study aimed to explain women's Interdependence after hysterectomy. Methods: This qualitative study was performed using a directed content analysis approach in Mashhad (Iran). Thirty women with a history of hysterectomy were included in the study by purposive sampling method. Data were collected from August 2018 to November 2019 using semi-structured interviews based on the interdependence mod of the Roy adaptation model until data saturation. Data analysis was performed using MAXQDA software and the deductive approach of Elo and Kingas (
International journal of gynaecology and obstetrics, Oct 14, 2012
ObjectiveTo evaluate women's perception of sexual activity during pregnancy in Shahroud, Iran... more ObjectiveTo evaluate women's perception of sexual activity during pregnancy in Shahroud, Iran.MethodsData were gathered during 4 semi‐structured group interviews with 33 pregnant women attending 2 obstetric outpatient clinics of a teaching hospital in Shahroud. The interviewers taped the interviews, coded and categorized their content, and performed a qualitative content analysis.ResultsMost women reported a decrease in sexual desire and frequency of intercourse during pregnancy (69.7% and 81.8%, respectively). Sexual desire, however, increased for 18.2% of the women. Some felt that accepting intercourse prevented spousal infidelity, but 65.2% worried that it might cause injury to the fetus. Only 24.2% received information on the advisability of sexual activity during pregnancy from their physicians or midwives, and the other 75.8% sensed that they should discuss the topic with a professional but were not comfortable starting the conversation.ConclusionAlong with excessive anxiety, insufficient information is the major reason why sexual intercourse is often considered dangerous, and sometimes avoided, during pregnancy in Iran. Healthcare professionals, especially midwives, should educate and counsel women, and reassure them that intercourse is safe in women with healthy pregnancies.
Reproductive Health, Mar 2, 2022
Background: Domestic violence during pregnancy is a severe public health problem. Abused pregnant... more Background: Domestic violence during pregnancy is a severe public health problem. Abused pregnant women are confronted with the threats posed by domestic violence. Pregnancy and protection of the unborn child could affect maternal strategies for managing violence. The purpose of this study was to explore Iranian women's strategies for managing domestic violence during pregnancy. Methods: This qualitative study was conducted in October 2019 to June 2021 in Mashhad, Iran. Data were collected through individual semi structured interviews with 13 women who experienced perinatal domestic violence, two relatives and 24 related specialists as well as two focus group discussions with attendance of 20 abused mothers until the data saturation was achieved. Data were analyzed by the conventional content analysis approach of Graneheim and Lundman. Results: The main themes "escape strategies" and "situation improvement strategies" were emerged as the result of data analysis. Escape strategies was comprised of three categories including concealment, passive dysfunctional behaviors and neutral behaviors to control maternal emotional distress. Situation improvement strategies was comprised of three categories including active self-regulation, protecting family privacy and help seeking to control violence. Conclusion: Understanding the experience of managing domestic violence among pregnant women is essential to design evidence based violence prevention programs, which enable supportive healthcare and social systems to encourage abused mothers to use more effective strategies and seeking help to overcome domestic violence.
Evidence Based Care, Oct 1, 2018
Background: The most important factor affecting weight gain after birth is the type and mode of n... more Background: The most important factor affecting weight gain after birth is the type and mode of neonatal feeding. The most suitable nutrition is exclusive breastfeeding. However, breastfeeding can be accompanied with some difficulties, such as breast engorgement, which results in neonatal feeding complications. Breast Oketani-massage therapy is proposed as a treatment for breast engorgement. Aim: This study aimed to determine the effect of breast Oketani-massage therapy on neonatal weight gain among lactating women with breast engorgement. Method: This randomized controlled clinical trial was conducted on 100 postpartum (i.e., on the first five days of childbirth) women admitted to the Midwifery Clinic and Gynecology and Obstetric Department of Imam Reza Hospital, Mashhad, Iran, due to breast engorgement from August to November 2016. The subjects were divided into two groups, namely Oketani massage and routine care training, through random block allocation. The data were collected regarding neonatal weight gain before and after the intervention and analyzed in SPSS (version 20) using repeated measures ANOVA. Results: The results revealed no significant difference between the two groups in terms of neonatal weight gain on within days 1-5 day before the intervention (P=0.17). However, a statically significant difference was observed between the two groups in this regard 14 and 28 days post-intervention (P<0.001). Implications for Practice: This study showed that breast Oketani-massage in comparison to the routine care increased the neonatal weight gain among lactating women with breast engorgement.
DOAJ (DOAJ: Directory of Open Access Journals), Jun 1, 2021
Iranian Journal of Obstetrics, Gynecology and Infertility, Jul 23, 2017
International Journal of Gynecology & Obstetrics, 2013
European Journal of Obstetrics & Gynecology and Reproductive Biology, 2023
Research Square (Research Square), Jun 29, 2022
Background Perinatal intimate partner violence is a hidden under reported and di cult to identify... more Background Perinatal intimate partner violence is a hidden under reported and di cult to identify problem which has negative effects on mother and child. The present study aimed to explore women's experiences with perinatal intimate partner violence disclosure. Methods This qualitative study was carried out from October 2019 to January 2021 in Mashhad, Iran. Participants included 23 abused women (11 pregnant and 12 postpartum) which were selected via purposive sampling. Semi-structured in-depth interviews and focus group discussion were conducted until the data saturation was achieved. The data analysis was performed based on conventional content analysis adopted by Graneheim & Lundman. Results The main themes "barriers to disclosure" and "facilitators of disclosure" were emerged as the result of data analysis. Barriers to disclosure included negative disclosure consequences. Facilitators of disclosure included maternal self-e cacy, intensity of violence, and formal and informal supportive networks. Conclusions Most abused women did not disclose violence despite routine screening for perinatal intimate partner violence in antenatal care. Recognizing the barriers to and facilitators of violence disclosure play an important role in eliminating barriers, strengthen facilitators, providing effective supportive services for abused women, and reducing perinatal violence. Focus on the barriers to and facilitators of disclosure will be useful to policymakers, health program planners, and health care providers to identify and manage intimate partner violence, appropriately.
Research Square (Research Square), Jun 19, 2024
Iranian Journal of Obstetrics, Gynecology and Infertility, 2012
Introduction: The availability of alternative therapies of abnormal gynecologic bleeding has prom... more Introduction: The availability of alternative therapies of abnormal gynecologic bleeding has prompted a reexamination of the impact of hysterectomy on a woman’s quality of life. This paper examines the evidence about the impact of hysterectomy on quality of life and sexual function. Methods: Electronic searching of English language literature was conducted using the search terms: sexuality, sexual satisfaction, sexual function, hysterectomy, sexual desire and orgasm in PubMed, EMBASE, Science Direct and Scopus. Additional papers found in the bibliographies of these papers were also reviewed. 23 studies were found: 11 prospective, 5 retrospective and 7 RCT. With few exceptions, the methodologic quality of the studies was poor, but we continued to review all of the studies given the paucity of data on this important subject. Results: The studies were evaluated for methodologic quality using a scoring system described in the paper. Outcome measures were usually not validated and most studies did not consider important confounding factors. Most studies in this review showed either no change or an enhancement of sexuality in women who had undergone hysterectomy. Conclusion: The majority of researches evaluating the effect of hysterectomy on sexual function were poorly designed. The available evidence showed that quality of life is improved for most women who had hysterectomy and that hysterectomy did not adversely affect sexual function. A number of confounding factors with the potential positive or negative impact on sexual function, independent of hysterectomy, should be taken into account in future studies
KAUMS Journal, Jun 10, 2011
Background: Most women who experience some unpleasant or uncomfortable symptoms of premenstrual s... more Background: Most women who experience some unpleasant or uncomfortable symptoms of premenstrual syndrome (PMS) may use some natural therapies or complementary medicine for relieving its symptoms. In making an evidence-based decision regarding the use of alternative medicine for these women, the health care providers should have access to high quality information. This study aimed to review the outcome and efficacy of clinical trials done in Iran on using herbal drug and complementary/alternative medicine to relieve PMS symptoms. Materials and Methods: Electronic searching of Medline, Sid, Irandoc, Magiran, Journals of herbal drugs and sports sciences was performed during 2010-11. Moreover, through Internet search engines (e.g. Google and Yahoo), randomized clinical trials of herbal and complementary medicine for PMS in Iran were identified. The bibliographies of articles and students' theses were searched and evaluated. Results: The results showed that exercise is beneficial for PMS and preliminary findings indicated that Hypericum perforatum, Saffron, Oenothera Lamarkiana, Starchy diet, Fennel and Chamomile, Vitex Agnus Castus, Ginkgo biloba, acupressure and counseling were also effective to relieve the PMS symptoms. Conclusion: Among the above-mentioned measures, there is much evidence to support the use of exercise to reduce PMS symptoms.
Introduction: Adolescence is the age of challenges and opportunities. Nowadays, the transition to... more Introduction: Adolescence is the age of challenges and opportunities. Nowadays, the transition to adulthood, without adequate awareness about sexual and reproductive health information and services is much more difficult than before. The aim of this study was exploring the views and experiences of adolescent girls and key adults regarding to the necessity of providing sexual and reproductive health information and services for adolescent girls in Iran. Methods: This qualitative study was conducted during February to November 2012. Data were gathered through focus groups and semi-structured interview with 247 adolescent girls and 71 key adults include mothers, school counselors, health providers, state and non-governmental directors of health programs, health policymakers, sociologists and clergies in Shahroud, Mashhad, Tehran, and Qom cities of Iran. All interviews were recorded and transcribed. Data were coded and categorized in content-analysis by MAXQDA10. Results: The main reasons for the necessity of providing sexual and reproductive health services for adolescent girls were categorized in six categories: lack of adequate knowledge about sexual and reproductive health, easy access to inaccurate information sources, cultural and social changes, increasing risky sexual behaviors among adolescents, religion's emphasis on sex training of children and adolescents and existence of cultural taboos. Conclusion: Most of participants confirmed the necessity of providing sexual and reproductive health services for adolescent girls. Provision of these services should be a priority not only for medical concerns but also for religious, social and developmental perspectives.
DOAJ (DOAJ: Directory of Open Access Journals), Oct 1, 2022
Research Square (Research Square), Feb 11, 2022
Introduction: Sexual changes in breast cancer occur after diagnosis and treatment include mastect... more Introduction: Sexual changes in breast cancer occur after diagnosis and treatment include mastectomy. Sexual assertiveness is an effective factor in sexual satisfaction that means the ability to convey sexual feelings, beliefs, and thoughts and logically defend sexual rights. The present study aimed to compare the effectiveness of individual sexual counseling using the BETTER model with individual sexual counseling using the PLISSIT model in terms of increasing sexual assertiveness. Materials and Methods: The present quasi-experimental intervention was conducted in Mashhad in 2021, and 78 mastectomized women with breast cancer were randomly assigned to two groups: BETTER and PLISSIT. Both groups received four individual counseling sessions of 60-90 minutes one week apart. The research tools included demographic information form, female sexual function index (FSFI), and the Hulbert index of sexual assertiveness (HISA). Changes in the mean scores of sexual assertiveness between the two groups were evaluated before and 4 weeks after the intervention, and the mean changes were compared between the groups. Data analysis was conducted using the Kolmogorov-Smirnov test, independent t-test, paired t-test, and Chi-square tests using SPSS 25 (P<0.05). Results: The mean scores of sexual assertiveness were not signi cantly different between BETTER (46.7) and PLISSIT (43.07) groups before the intervention (P=0.253); however, the mean scores of sexual assertiveness in the BETTER group (54.8) and the PLISSIT group (48.6) were signi cantly different 4 weeks after the intervention. (P<0.001) Conclusion: The results indicated that sexual counseling based on the BETTER model was more effective in increasing the sexual assertiveness of mastectomized women with breast cancer than counseling by the PLISSIT method.
Reproductive Health, Nov 14, 2022
Background: Perinatal intimate partner violence is a hidden under reported and difficult to ident... more Background: Perinatal intimate partner violence is a hidden under reported and difficult to identify problem which has negative effects on mother and child. The present study aimed to explore barriers and facilitators of perinatal intimate partner violence disclosure. Methods: This qualitative study was carried out from October 2019 to January 2021 in Mashhad, Iran. Participants included 23 abused women (11 pregnant and 12 after birth) which were selected via purposive sampling. Semi-structured in-depth interviews and focus group discussion were conducted until the data saturation was achieved. The data analysis was performed based on conventional content analysis adopted by Graneheim & Lundman. Results: The main themes "barriers to disclosure" and "facilitators of disclosure" were emerged as the result of data analysis. Barriers to disclosure included negative disclosure consequences and protection of family privacy. Facilitators of disclosure included maternal self-efficacy, threats to security, and formal and informal supportive networks. Conclusions: Most abused women did not disclose violence despite routine screening for perinatal intimate partner violence in antenatal care. Recognizing the barriers to and facilitators of violence disclosure play an important role in eliminating barriers, strengthening facilitators, providing effective supportive services for abused women, and reducing perinatal violence. Focus on the barriers to and the facilitators of disclosure will be useful to policymakers, health program planners, and health care providers to identify and manage intimate partner violence, appropriately.
Research Square (Research Square), May 23, 2023
Background: Normal sexual function is an important part of women's sexual and mental health. The ... more Background: Normal sexual function is an important part of women's sexual and mental health. The aim of this study was to determine the effect of inhalation of Elaeagnus angustifolia essential oil on sexual Function of women of reproductive age. Materials and Methods: This study is a randomized, three-group clinical trial that was performed on 99 women referred to health centers in Mashhad. The rst group used the essential oil by inhalation for 20 minutes three times a day for 4 weeks and the second group used the essential oil by inhalation 20 minutes before intercourse and the third group did not receive any intervention. Sexual function were assessed by FSFI questionnaire at baseline and after 4 weeks in all three groups. Results:The mean and SD age of women were 33.7±7.6. The mean score of sexual function before the intervention in the rst and second intervention group and control group were 23±1.3, 23.3±6.4 and 23.1±3.6 (P=0.630) respectively that was not statistically signi cant(p=0.630). The mean score of sexual function after 4 weeks in the rst and second intervention group and control group were 25.2±7.9, 28.2±4.9 and 23.1±3.5 (P<0.001) respectively. Also after 4 weeks in the second intervention group improved sexual function in all areas, but in the rst intervention Group improved all areas except pain and sexual Satisfaction (P<0.001). Trial registration: The research project was registered in the Iranian Registry of Clinical Trials (IRCT) with a code (IRCT20191203045589N1) and the ethics committee of Mashhad University of Medical Sciences with a code (IR.MUMS.NURSE.REC.1398.07) and rst registration in 11/12/2019. Conclusion: Inhalation of Elaeagnus angustifolia oil, has had a bene cial effect on improving sexual function in women of reproductive age, so it can be used as an affordable herbal supplement to improve Sexual function in these women.
Iranian Journal of Obstetrics, Gynecology and Infertility, 2019
International journal of gynaecology and obstetrics, Apr 17, 2013
Research Square (Research Square), Dec 19, 2022
Background Domestic violence threatens maternal physical, psychological and emotional safety. Abu... more Background Domestic violence threatens maternal physical, psychological and emotional safety. Abused pregnant women required several interventions based on their actual needs with the purpose of reducing domestic violence and its negative consequences. The present study aimed to explore the exclusive needs of abused pregnant women in Iran. Methods This qualitative study was performed from September 2019 to August 2021 in Mashhad, Iran. Semistructured interviews with 14 abused women (8 pregnant and 6 after birth) who were the victims of domestic violence, and 11 key informants with various discipline specialties until the data saturation was achieved. Participants were selected through purposive sampling. Qualitative data were analyzed based on the conventional content analysis adopted by Graneheim & Lundman. Findings: "Family and society empowerment" was the main concept emerged from the data analysis comprising of three categories such as "need to empower couples to reduce domestic violence during pregnancy", "demand for improved health care services", and "need to strengthen inter-sectoral, legal and social supports". Conclusion Abused pregnant women experienced several individual, interpersonal and inter sectoral needs. Family and society empowerment constituted the actual needs of abused pregnant women. Awareness of policymakers and health system managers of these needs could be the basis for designing a supportive care program according to abused women's actual needs. In addition to the educational and skill empowerment of couples, it is essential that supportive organizations cooperate with each other to provide integrated and coordinated services to abused pregnant women and strengthen and facilitate maternal access to supportive resources.
BMC Women's Health, Feb 13, 2022
Background: Hysterectomy is a difficult process that some women encounter that can affect their i... more Background: Hysterectomy is a difficult process that some women encounter that can affect their interdependence, but its impact on women's Interdependence has received less attention. Therefore, this study aimed to explain women's Interdependence after hysterectomy. Methods: This qualitative study was performed using a directed content analysis approach in Mashhad (Iran). Thirty women with a history of hysterectomy were included in the study by purposive sampling method. Data were collected from August 2018 to November 2019 using semi-structured interviews based on the interdependence mod of the Roy adaptation model until data saturation. Data analysis was performed using MAXQDA software and the deductive approach of Elo and Kingas (
International journal of gynaecology and obstetrics, Oct 14, 2012
ObjectiveTo evaluate women's perception of sexual activity during pregnancy in Shahroud, Iran... more ObjectiveTo evaluate women's perception of sexual activity during pregnancy in Shahroud, Iran.MethodsData were gathered during 4 semi‐structured group interviews with 33 pregnant women attending 2 obstetric outpatient clinics of a teaching hospital in Shahroud. The interviewers taped the interviews, coded and categorized their content, and performed a qualitative content analysis.ResultsMost women reported a decrease in sexual desire and frequency of intercourse during pregnancy (69.7% and 81.8%, respectively). Sexual desire, however, increased for 18.2% of the women. Some felt that accepting intercourse prevented spousal infidelity, but 65.2% worried that it might cause injury to the fetus. Only 24.2% received information on the advisability of sexual activity during pregnancy from their physicians or midwives, and the other 75.8% sensed that they should discuss the topic with a professional but were not comfortable starting the conversation.ConclusionAlong with excessive anxiety, insufficient information is the major reason why sexual intercourse is often considered dangerous, and sometimes avoided, during pregnancy in Iran. Healthcare professionals, especially midwives, should educate and counsel women, and reassure them that intercourse is safe in women with healthy pregnancies.
Reproductive Health, Mar 2, 2022
Background: Domestic violence during pregnancy is a severe public health problem. Abused pregnant... more Background: Domestic violence during pregnancy is a severe public health problem. Abused pregnant women are confronted with the threats posed by domestic violence. Pregnancy and protection of the unborn child could affect maternal strategies for managing violence. The purpose of this study was to explore Iranian women's strategies for managing domestic violence during pregnancy. Methods: This qualitative study was conducted in October 2019 to June 2021 in Mashhad, Iran. Data were collected through individual semi structured interviews with 13 women who experienced perinatal domestic violence, two relatives and 24 related specialists as well as two focus group discussions with attendance of 20 abused mothers until the data saturation was achieved. Data were analyzed by the conventional content analysis approach of Graneheim and Lundman. Results: The main themes "escape strategies" and "situation improvement strategies" were emerged as the result of data analysis. Escape strategies was comprised of three categories including concealment, passive dysfunctional behaviors and neutral behaviors to control maternal emotional distress. Situation improvement strategies was comprised of three categories including active self-regulation, protecting family privacy and help seeking to control violence. Conclusion: Understanding the experience of managing domestic violence among pregnant women is essential to design evidence based violence prevention programs, which enable supportive healthcare and social systems to encourage abused mothers to use more effective strategies and seeking help to overcome domestic violence.
Evidence Based Care, Oct 1, 2018
Background: The most important factor affecting weight gain after birth is the type and mode of n... more Background: The most important factor affecting weight gain after birth is the type and mode of neonatal feeding. The most suitable nutrition is exclusive breastfeeding. However, breastfeeding can be accompanied with some difficulties, such as breast engorgement, which results in neonatal feeding complications. Breast Oketani-massage therapy is proposed as a treatment for breast engorgement. Aim: This study aimed to determine the effect of breast Oketani-massage therapy on neonatal weight gain among lactating women with breast engorgement. Method: This randomized controlled clinical trial was conducted on 100 postpartum (i.e., on the first five days of childbirth) women admitted to the Midwifery Clinic and Gynecology and Obstetric Department of Imam Reza Hospital, Mashhad, Iran, due to breast engorgement from August to November 2016. The subjects were divided into two groups, namely Oketani massage and routine care training, through random block allocation. The data were collected regarding neonatal weight gain before and after the intervention and analyzed in SPSS (version 20) using repeated measures ANOVA. Results: The results revealed no significant difference between the two groups in terms of neonatal weight gain on within days 1-5 day before the intervention (P=0.17). However, a statically significant difference was observed between the two groups in this regard 14 and 28 days post-intervention (P<0.001). Implications for Practice: This study showed that breast Oketani-massage in comparison to the routine care increased the neonatal weight gain among lactating women with breast engorgement.
DOAJ (DOAJ: Directory of Open Access Journals), Jun 1, 2021
Iranian Journal of Obstetrics, Gynecology and Infertility, Jul 23, 2017
International Journal of Gynecology & Obstetrics, 2013
European Journal of Obstetrics & Gynecology and Reproductive Biology, 2023
Research Square (Research Square), Jun 29, 2022
Background Perinatal intimate partner violence is a hidden under reported and di cult to identify... more Background Perinatal intimate partner violence is a hidden under reported and di cult to identify problem which has negative effects on mother and child. The present study aimed to explore women's experiences with perinatal intimate partner violence disclosure. Methods This qualitative study was carried out from October 2019 to January 2021 in Mashhad, Iran. Participants included 23 abused women (11 pregnant and 12 postpartum) which were selected via purposive sampling. Semi-structured in-depth interviews and focus group discussion were conducted until the data saturation was achieved. The data analysis was performed based on conventional content analysis adopted by Graneheim & Lundman. Results The main themes "barriers to disclosure" and "facilitators of disclosure" were emerged as the result of data analysis. Barriers to disclosure included negative disclosure consequences. Facilitators of disclosure included maternal self-e cacy, intensity of violence, and formal and informal supportive networks. Conclusions Most abused women did not disclose violence despite routine screening for perinatal intimate partner violence in antenatal care. Recognizing the barriers to and facilitators of violence disclosure play an important role in eliminating barriers, strengthen facilitators, providing effective supportive services for abused women, and reducing perinatal violence. Focus on the barriers to and facilitators of disclosure will be useful to policymakers, health program planners, and health care providers to identify and manage intimate partner violence, appropriately.