Hourieh Shamshiri Milani | Shahid Beheshti University of Medical Sciences (original) (raw)

Papers by Hourieh Shamshiri Milani

International Journal of Gynecology & Obstetrics, 2012

DOAJ (DOAJ: Directory of Open Access Journals), Apr 1, 2017

Journal of Babol University of Medical Sciences, 2015

BACKGROUND AND OBJECTIVE: Constipation and hemorrhoids are common problems during the postpartum ... more BACKGROUND AND OBJECTIVE: Constipation and hemorrhoids are common problems during the postpartum period. Therefore, effective measures should be taken to diminish the deleterious effects of these complications on maternal health. In this study, we aimed to determine the efficacy of postpartum home care on the rate of constipation and hemorrhoids. METHODS: This clinical trial was conducted in two phases on 276 women, who gave birth at hospitals, affiliated to Shahid Beheshti University of Tehran, Iran in 2013. The subjects were divided into intervention (n=92) and control (n=184) groups. First, a model of care was designed by comparative analysis and collection of data on home care guidelines for mothers and newborns, applied in different countries. In the second stage, women received home care services, based on the proposed model (on days 3-5 and 13-15 postpartum). On the other hand, subjects in the control group did not receive any services. The rates of constipation and hemorrhoi...

Sexologies, 2020

Summary Context and objective Increasing the social presence of women in the labor market is one ... more Summary Context and objective Increasing the social presence of women in the labor market is one of the factors influencing the sex life of employed women, and efforts to improve their quality of sexual life are among the essential necessities. The objective of this study was to investigate the factors and interventions that influence the sex lives of employed women. Methods In this study, articles published in Google Scholar PubMed, Web of Sciences, Science direct, Scopus, Iranmedex, Magiran and SID Searches were collected using the following keywords: female employees, sex life, sexual health, sexual dysfunction, sexual function, quality of sex life, marital satisfaction, educational programs and educational interventions, and their English equivalents. During the evaluation, 13 articles that were done inside and outside the country during the period 2010–2020 were included. Results The results of 13 studies were summarized in two main categories: factors favoring the sex life of employed women (8 articles) and measures in favor of the sex life of salaried women (5 articles). Conclusion Benefiting from interventions and trainings based on individual psychology with different approaches can be an effective way to develop the mutual relations of couples and, consequently, to improve the sex life of employed women.

Sexologies, 2021

Summary Context and objective Due to the relationship between sexual life and working life in wom... more Summary Context and objective Due to the relationship between sexual life and working life in women, a study was conducted to explain the experiences of married working women about the effects of work on their sex lives. Methods The information of study was obtained through interviews with 25 women working in Iran. The sampling method was purposive and data analysis was performed using qualitative content analysis and the reliability and validity of the findings were considered. Results From the interviews, 204 primary inferential codes, 1 main category and 4 subsets were extracted. The main category included “Job, an effective factor in sexual life”. This main category includes four sub-categories: “career-psychological achievements that promote sexual & marital satisfaction”, “occupational side effects that reduce sexual & marital satisfaction”, “sexual violence in the workplace” and “gender view towards working woman in the workplace”. Conclusion Explaining the experiences of wor...

Background: Postpartum depression (PPD) is one public health issue that affects both maternal and... more Background: Postpartum depression (PPD) is one public health issue that affects both maternal and child health. This research studies the effect of health volunteers ’ telephone-based support on decreasing PPD. Materials and Methods: This randomized controlled trial evaluated 203 women who had uncomplicated deliveries. The women completed the Edinburg Postnatal Depres-sion Scale (EPDS), 10 to 15 days after childbirth in order to be assessed for pre-trial depression scores. The cut-off point for depression was considered to be a score of>10. We randomly assigned 54 eligible mothers (n=27 per group) with mild and moderate de-pression to the intervention and control groups. In both groups, mothers received routine postpartum care. The intervention group additionally received telephone support from health volunteers. A questionnaire was used to gather demographic and obstetric infor-mation. By the end of the 6th week, mothers completed the EPDS to be reassessed for depression after i...

HIV disease is not only a health problem, but also is a social and cultural challenge. It signifi... more HIV disease is not only a health problem, but also is a social and cultural challenge. It significantly makes patients

JOURNAL OF REPRODUCTION AND INFERTILITY, 2005

Abortion is the termination of pregnancy either spontaneously or intentionally before fetus devel... more Abortion is the termination of pregnancy either spontaneously or intentionally before fetus develops sufficiently to survive outside its mother’s womb. Not all zygotes, which are the result of spermatozoid and ovum fertilization, will reach implantation stages and too many pregnancies terminate inevitably because of fetal or maternal causes. The data on maternal mortality rate and complications which unwanted pregnancies face and the number of attempts for induced abortions is considerable. Although, at the first glance, it seems that abortion is a medical issue, but diverse fields have their statements according to their approaches. These statements are often expertised, judgmental and incisive but most of them are theoretical discussions and cover different beneficiaries and the mothers’ decisions, rights and health for the continuation or termination of pregnancy may be of the least concern. Even in the cases of the mothers’ or fetuses’ illnesses, the decision on maintaining the ...

JPMA. The Journal of the Pakistan Medical Association, 2011

OBJECTIVES To determine prevalence of ecstasy use and its predisposing factors among Iranian high... more OBJECTIVES To determine prevalence of ecstasy use and its predisposing factors among Iranian high school female students in Tehran, capital of Iran. METHODS In this cross-sectional study, 2350 female students of 36 high schools from Tehran, were selected by multi-stage cluster sampling to determine prevalence of ecstasy use and its predisposing factors. SPSS- version 13 was employed to conduct analysis through chi-square, fisher's exact test and logistic regression methods. RESULTS The prevalence of ecstasy use was 2.3% (95% CI: 1.7-2.9%). Party was the most prevalent place of first use (65%) and access was easy for most users (63%). In multivariate analysis, smoking (P-V = 0.005), alcohol use (P-V = 003), use of other substances (P-V < 0.001), being in relationship with boys (P-V = 0.015), families without one or two parents (P-V = 0.020), night spending at friends home without parents' permission (P-V = 0.001) were associated with ecstasy use. CONCLUSION Due to relation...

Introduction Unsafe and illegal abortions are the third leading cause of maternal death. It affec... more Introduction Unsafe and illegal abortions are the third leading cause of maternal death. It affects physical, emotional and social health of women and their families. Abortion is a multi-dimensional phenomenon with several social, legal, and religious implications. The views of policy-makers affect the approach to abortion in every society. Understanding the attitudes and knowledge of high-ranking decision makers towards abortion was the purpose of this study. Materials and Methods A qualitative research was implemented by carrying out individual interviews with 29 out of a selection of 80 presidents of medical sciences universities, senior executive managers in the legal system, forensic medicine and decision-makers in the health system and a number of top Muslim clerics, using a semi-structured questionnaire for data gathering. Content analysis revealed the results. Results There were considerable unwillingness and reluctance among the interviewees to participate in the study. The...

Archives of Clinical Infectious Diseases, 2011

Background: Sexual and reproductive ill health causes over one third of the global burden of dise... more Background: Sexual and reproductive ill health causes over one third of the global burden of diseases among women of childbearing age. This survey was performed to study female students' knowledge and attitudes towards STDs and sexual relations. Patients and methods: A KAP study was achieved. Knowledge, attitudes and practice were asked by questionnaire. One hundred and four female students of three dormitories were selected by convenient sampling method. The levels of knowledge and attitudes were measured and analyzed by SPSS software. Results: AIDS and hepatitis were recalled by 85.6% and 44.9% of students, respectively. Only, 1% of students had acceptable knowledge and the remaining had low and very low level of knowledge. Students guessed their intimate friends have sex relationship with their boyfriends (28.3%). Female students pointed to "sexual need and instinct" as the most prevalent reasons for before marriage sex (40.1% for females and 72.6% for males, p<0...

BACKGROUND: Considering that the quality of personal life and the quality of sexual life of worki... more BACKGROUND: Considering that the quality of personal life and the quality of sexual life of working women interact with each other and considering that job as one of the dimensions that can play a direct role in the quality of life and also due to increasing women's participation in professional activities in today's society, this study was designed and conducted to explain the experiences of working women considering sexual health challenges. MATERIALS AND METHODS: This research was a qualitative study that the information of which was obtained through face-to-face interviews with semi-structured and open-ended questionnaires. Interviews were conducted with 32 working women working in public and private offices in Tehran, Iran, to explore their experiences of the role of jobs in sexual challenges. The sampling method was purposive. Data analysis was performed using a qualitative content analysis method with a conventional approach by MAXQDA software version 10, and to estab...

Asian Pacific Journal of Cancer Biology

In 1983, when I was in the first year of residency in Obstetrics and Gynecology, an eighteen year... more In 1983, when I was in the first year of residency in Obstetrics and Gynecology, an eighteen years old mother died by invasive mole. Since the past 30 years, Mole hydadidiform (HM) as the origin of more invasive forms of Gestational Trophoblastic Neoplasia (GTN) which affects women’s health, has been as one of my concerns and I would like to share my perception and experience in this way with you.

Asian Pacific journal of cancer prevention : APJCP, Oct 26, 2017

Background: The hydatidiform mole (HM) is a precancerous placenta considered as a gestational tro... more Background: The hydatidiform mole (HM) is a precancerous placenta considered as a gestational trophoblastic disease (GTD). It may convert to more invasive forms of gestational trophoblastic neoplasia (GTN), endangering women’s health by more severe complications. Most GTN cases originate from HM, which is associated with uterine bleeding, preeclampsia and thyroid problems. Its etiology has not been adequately explored, but some risk factors have been reported. The aim of the present study was to assess any relationships between molar pregnancy and factors including mothers’ and husbands’ occupations. Methods: In this case control study, seventy complete molar pregnancies (cases) were compared with 200 normal pregnancies (controls) in 5 educational hospitals affiliated to medical universities in Tehran, Iran. Data were analyzed using t-test, chi-square test, Fisher’s exact test and logistic regression modeling. Results: There was no significant relationship between the risk of molar ...

International journal of preventive medicine, 2017

Postpartum depression is considered as a major health complication of women after delivery. It is... more Postpartum depression is considered as a major health complication of women after delivery. It is necessary to find an essential approach for the prevention of its serious consequences on mothers' and infants' health. The aim of this study was to investigate the effect of home visiting on postpartum depression. The first stage of study was the design of postpartum package. According to the package, a clinical trial was performed for 276 mothers who had delivered in affiliated hospitals of Shahid Beheshti University in 2013 and were divided into two groups, i.e., control group and intervention group. Intervention group received health care by home visiting, and control group had no intervention. Mothers were supposed to fill up Edinburgh Postnatal Depression Scale before and 60 days after delivery, and the results were compared. The data were analyzed by SPSS version 18 software and t-test, Chi-square, and logistic regression test. The mean ages of participants were 27.03 ± 5...

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit, 2008

This case-control study investigated the association between molar pregnancy and husband's wo... more This case-control study investigated the association between molar pregnancy and husband's work. In the analysis, cases were 30 women with complete mole and controls were 30 matched women with term pregnancies. The husband's of cases were more likely to have occupations involving physical work than non-physical work and this physical work more usually involved exposure to soil and dust. Among all occupations, the husband's of cases were more likely to have occupations which had exposure to soil and dust (P < 0.01). Comparing all occupations that had exposure to soil and dust with all those who did not have this exposure (physical and non-physical) resulted in a statistically significant difference in the occurrence of molar pregnancy (P < 0.001).

Journal of Research in Medical Sciences

Significant changes that occur postpartum result in a drop in the quality of life of mothers duri... more Significant changes that occur postpartum result in a drop in the quality of life of mothers during this critical period. [4] Most mothers have inadequate knowledge about the postpartum care and complications. [5] For this reason, first-time mothers are often not well prepared for this task and require the support of the family, friends, and health personnel. [6] Provision of postpartum care is the most important measure to prevent unwanted consequences. Thus, performance of health personnel and providing social support for the mothers play important roles in preparing them to cope with the new situation. [7] Postpartum home visit is a suitable method to obviate the educational and supportive needs of mothers because it is often difficult for them to go somewhere during the 1 st day after delivery and it would be best if they could be provided with care services at the Background: Postpartum home care plays an important role in prevention of postpartum complications. Regular visits of mothers during this period are imperative. This study aimed to provide postpartum home care for mothers to assess its effects on mothers' health in Iran. Materials and Methods: This study was carried out in two phases. First, a comprehensive postpartum home care program was compiled by performing a comparative study, using the available guidelines in this regard in different countries and based on the opinions of the experts. Next, a clinical trial was carried out on 276 women who gave birth in the university hospitals affiliated to Shahid Beheshti University of Medical Sciences. There were 92 mothers in the intervention and 184 in the control group. The intervention group mothers were provided with postpartum home care service while the control group did not receive such a service. Results: Outcome assessment at 60 days' postpartum revealed a significant difference between the two groups in terms of the use of supplements, birth control methods, postpartum depression, breastfeeding problems, constipation, and fatigue (P < 0.05). No significant differences were noted between the two groups with regard to hospitalization, hemorrhoids, backache and lumbar pain (P > 0.05). Conclusion: The postpartum home care program had a positive effect on some aspects of the mothers' health status and their satisfaction in our society.

Global Journal of Health Science, 2016

Maternal health is a concept indicating the health of mothers during pregnancy, childbirth and th... more Maternal health is a concept indicating the health of mothers during pregnancy, childbirth and the post-partum period. Recent literature indicates that the maternal mortality rate in Iran is 23 per 100,000 live birth. For every death, 20 to 30 mothers suffer from chronic and acute illnesses arising from pregnancy and delivery; therefore, using a valid and reliable indicator will help researchers assess maternal health more precisely. In this longitudinal study, attempt has been made to compare mothers’ health status by using a subjective tool for evaluating the Physical-Maternal Health Index (P-MHI). The most common complaints made by mothers were headache, back pain, mastitis, nipple fissure, breast abscess, abdominal pain, pain in genitalia, constipation, hemorrhoids, anal fissure, urinary problems/Incontinence, fatigue, and dizziness/vertigo. The P-MHI is defined on the basis of these complaints scaling 0-100. The higher the index, the better the health status of mothers. It was ...