Background & Aim: Hysterectomy is a common gynecologic surgery leading to great concerns in women. This study aimed to determine the effect of foot massage on anxiety level after hysterectomy.

  Methods & Materials: In this double-group randomized clinical trial, 60 women undergone hysterectomy were selected using convenience sampling method and were randomly allocated into two intervention or control groups. Patients in the intervention group received foot massage three sessions during three consecutive days (every session lasted 20 minutes). In the control group, the researcher was only beside the women for 20 minutes. The Spilberger anxiety questionnaire was used to measure the anxiety level. Data were analyzed using repeated measures ANOVA and independent t-test.

  Results: The mean of the anxiety score was not significantly different between the two groups before the intervention (P=0.21). After the intervention, there was significant difference between the two groups in the anxiety scores (P<0.001). There was also significant difference between the two groups in the anxiety scores one week after the surgery (P<0.001).

  Conclusion: Foot massage can reduce anxiety in patients who underwent hysterectomy.

  Background & Aim: Reducing maternal anxiety has a critical role in maternal and fetal mental and physical health. This study aimed to assess the effect of two anxiety reducing techniques including relaxation and maternal-fetal attachment training on anxiety in third trimester and postpartum depression among primipara women.

  Methods & Materials: In this clinical trial, 126 pregnant women were randomly selected and divided into three groups including relaxation training, maternal-fetal attachment skills training, and control group. The participants completed a demographic questionnaire, the Spillberger and Beck questionnaires and written consents at baseline. The participants completed the questionnaires after the intervention too. The one way ANOVA and paired t-test were used to analyze the data. 

  Results: At baseline, the mean total anxiety, state and trait anxiety and depression scores were not significantly different between the groups. The ANOVA showed differences in the mean score of anxiety after the intervention (P=0.03) in the intervention groups. There were statistically significant differences between the attachment and control groups (P=0.01) and the relaxation and control groups (P<0.001) in terms of the mean score of state anxiety. The ANOVA showed a reduction in the mean score of state anxiety after intervention in the attachment (P=0.02) and relaxation groups (P=0.01). There was significant difference after the intervention in the mean score of maternal depression (P=0.002) between the attachment and relaxation groups with the control group (P=0.01, P=0.01 respectively). 

  Conclusion: A ttachment and relaxation trainings can reduce maternal anxiety and post-partum depression. Pregnancy visit is an important opportunity to screen maternal anxiety and prevent post-partum depression using simple and non-expensive training programs.

  Background & Aim: There is little information regarding relationship between maternal dietary pattern and infant anthropometric parameters at birth. This study was carried out to determine relationship between dietary patterns in pregnancy with infants' anthropometric parameters .

  Methods & Materials: In this cross-sectional study, 94 pregnant women (GA: 37-40 weeks) referred to Ahvaz Razi hospital were selected. Anthropometric parameters were measured. The dietary intakes were assessed using a semi-quantitative food frequency questionnaire. Factor analysis was used to identify dietary patterns. Statistical analysis was done in the SPSS. 

  Results: In this study, three major dietary patterns including "healthy", "traditional" and "western" dietary patterns were identified. After adjusting of confounders (age, physical activity, energy intake, pregnancy weight gain and infant sex), the relationship between dietary patterns with birth weight, height and head circumference were exhibited in three models. The relationship between healthy dietary pattern and infant weight, height and head circumference at birth was significantly positive in all models (P<0.05). Western dietary pattern had significant negative relationship with head circumference in the model 1 and 2. Moreover, it had negative relationship with birth weight in the model 1 (P<0.05). Traditional dietary pattern did not show any significant relationship with anthropometric parameters at birth.

  Conclusion: The present study found significant relationship between maternal dietary patterns with anthropometric parameters at birth. Further prospective studies are suggested to confirm the findings.

  Background & Aim: Cervical cancer is the fourth common cancer worldwide. Pap smear is a usual t est to screen cervical cancer. The aim of the present study was to determine factors associated with Pap smear screening among married women aged 15-49 years in Lamerd health centers based on the Protection Motivation Theory .

  Methods & Materials: In this cross-sectional study, 220 married women aged 15-49 years were selected. Data were gathered using a questionnaire designed based on the Protection Motivation Theory. The questionnaires were completed via individual interviews with the participants. Validity and reliability of the questionnaire were approved. Data were analysed using the Kruskal-Wallis, U-Man Whitney test and c ² in the SPSS-16.

  Results: Most of the participants ( 40%) had a high school diploma and 70% of them were housewives. Most of the participants (65.6%) had used the test once at least. There were statistically significant relationships between the use of Pap smear with the protection motivation against cervical cancer (P<0.001 ), perceived self-efficacy ( P =0.002 ), perceived response efficacy ( P =0.007 ) and perceived costs ( P <0.001 ) .

  Conclusion: Regarding the statistically significant relationships between the constructs of the Protection Motivation Theory and the use of Pap smear screening test among women , it is recommended to design educational programs based on the Protection Motivation Theory to encourage married women for using Pap smear screening test.

  Background & Aim: Limitation of fluid intake in parturient can affect uterine contractions. Several studies have been conducted on the effect of hydration in labor progress and reported different results. In the present study, we evaluated the effect of over IV hydration on duration of labor and outcome of pregnancy in parturient women .

  Methods & Materials: In this randomized clinical trial, 120 nulliparous women admitted to Ilam Mustafa Hospital were selected from February 2010 to December 2010. All participants had non-complicated singleton pregnancies and were randomly assigned in four groups. The first group received usual care while the second to fourth groups received lactated ringers at 60, 120 and 240 ml per hour (IV fluid groups), respectively throughout active labor phase. All women had unrestrictedly access to oral fluids. The analysis was done using the ANOVA and Chi-squared tests in the SPSS-16. The p-value less than 0.05 were considered to be statistically significant . 

  Results: Key variables known to affect labor outcomes were statistically similar in all groups. The mean duration of active phase of labor was lower in the intervention groups in comparison with the control group. All groups had significant differences in the duration of second stage of labor, Oxytocin augmentation, and prolonged labor. There was a trend toward a lower frequency of the Cesarean deliveries in the 240 ml group however it was not significant. There was no significant difference in the Apgar scores between groups .

  Conclusion: Over IV hydration reduced duration of labor. There were no reports of poor outcomes for mother and infants .

  Background & Aim: Women who experience anxiety during labor are more vulnerable to physical and mental illnesses. Emotional support by a knowledgeable individual can improve physical and even mental conditions. This study aimed to determine the effect of presence of a Doula in delivery unit on parturient women’s anxiety .

  Methods & Materials: This is an experimental study using a randomized interrupted time series with a control group. Using convenience sampling, 64 parturient women with research inclusion criteria were randomly assigned to the control or intervention groups. The parturient women in the intervention group benefited from presence of a Doula and her support. The control group received the usual care without presence of the Doula. Data were collected using the Spielberger state-trait anxiety inventory and a checklist. The results were analyzed using parametric and non-parametric statistical tests in the Stata-11 . 

  Results: The age, education, family income, location of residency, the trait and state anxiety did not have any differences between the two groups at the baseline. After the intervention, the state anxiety was reduced significantly in the intervention group compared with the control group at the time of leaving the labor room, delivery room and recovery room (P<0.001) .

  Conclusion: According to the present research findings, Doula can significantly reduce the anxiety level and its complications among parturient women during childbearing .

  Background & Aim: One of the key factors affecting the physical and mental health of fetus is peace. According to Quran, this factor is a fundamental Principle in different fields of Islamic Ethics and law and it also affects all orders and Prohibitions. That’s because of conditions that are ordained during Pregnancy Period and of course it affects the benefits and losses of the Person in next Periods of growth. This study assessed the fundamental role of peace during pregnancy and fetal life from the perspective of the holy Quran and its priority to other functions of marriage .

  Methods & Materials: This study is a retrospective review which was performed by searching library sources and 15 relevant sources were found. The concept of peace in holy Quran can be followed by keywords such as, Assurance / Etminan (Raad/28), tranquility/ Sakineh ( Fath/24), inhabitancy / Sakana (Tobeh/103), Security / Amniyat (Thein/3), Permanency / Sobat( Forghan/47). In addition, Keywords such as, Health, Pregnancy, and Sprit were studied too . 

  Results: Meanwhile, the topic of marriage and finding a family (including matrimony, spousal time, pregnancy and reproduction) is a composition of religious orders and prohibitions. According to some studies based on the Quran's verses and his successor’s anecdote considerable results such as reproduction, correct sexual satisfactory, moral and psychological peace was achieved. Relaxation in pregnancy phase is very important and vital process for the embryonic formation particularly in view of his/her future corporeal and spiritual life. Such standpoint is firmly emphasized by Islamic orders due to healthy generation among the human being .

  Conclusion: Aquiring spiritual relaxation and developing it according to psychological guidelines and strategies of the holy Quran is necessary to achieve a peaceful and satisfactory condition during pregnancy and birth of a healthy and righteous child .

  Background & Aim: Several studies have indicated that hospitalizing infants causes disruption on mother-infant attachment. The aim of this study was to assess the effect of infant massage by mothers on maternal attachment behavior in infants hospitalized in the neonatal care units .

  Methods & Materials: In this clinical trial, 42 mothers and their neonates were recruited and randomly allocated to the intervention and control groups. Mothers in the intervention group received training by means of educational movies about practical exercises on how to massage the infants. The trained mothers used massage techniques on their infants for five days. The process lasted 15 minutes. The attachment of the mothers on their infants was assessed before and on the day 5 after the massage. Data were collected using the scale of mother-to-infant attachment. Data were analyzed using the Chi-squared test, Fisher’s exact test and the t-test in the SPSS-19 . 

  Results: There were no differences between the two groups in terms of demographic variables and the mean of maternal attachment at baseline (P>0.05). Five days after the massage, there were statistically significant differences between the two groups in the mean maternal attachment (P<0.001) .

  Conclusion: According to the role of massage in attachment behavior, this traditional care is recommended to be used in neonatal units .

  Background & Aim: Mothers often feel anxious about giving care to their premature babies. This maternal stress is associated with negative attitudes and behaviors towards babies. The aim of this study was to assess the effect of Kangaroo mother care on stress among mothers with premature babies .

  Methods & Materials: This quasi-experimental study was carried out on 46 pairs of mothers and their premature babies hospitalized in the ICUs of Shahid Sadooghi and Tamin Ejtemaee hospitals. The participants were selected using convenience sampling method and were assigned into two intervention and control groups. In the intervention group, the Kangaroo mother care was provided to the babies after breastfeeding for about 30 minutes once a day for four weeks. Maternal stress was measured using the Parental Stress Scale before and immediately after the intervention. Data were analyzed using the Chi-squared test, t-test, and Mann-Whitney test . 

  Results: The mean of stress score in mothers of the intervention and control groups were 102.0 ± 17.02 and 174.52 ± 18.25, respectively (P<0.001). The stress score was significantly different before and after the intervention among mothers of the intervention group (P<0.001) .

  Conclusion: The Kangaroo mother care decreased stress score among mothers who had premature babies. The Kangaroo mother care is strongly recommended to be used by mothers with premature babies .

  Background & Aim: Breast cancer is the most common cancer diagnosed in women in both developed and developing countries. Long-term prognosis of breast cancer strongly depends on the stage of disease at diagnosis. More than three months after detecting breast symptoms by Iranian women, they go to visit a doctor. The understanding of life-threatening symptoms and the subsequent responses are differently affected by social interaction networks as well as cultural and social contexts. This study aimed to explore the role of social interactions on health-seeking behaviors among Iranian women with breast cancer symptoms .

  Methods & Materials: A qualitative study was conducted using purposive sampling method. Twenty Iranian w omen who attended the Cancer Institute in Imam Khomeini hospital at Tehran University of Medical Sciences and complained of symptoms of breast cancer were recruited to the study du ring 2012-2013. Data were collected through semi-structured and in-depth interviews. Interviews were transcribed and analyzed using conventional content analysis in the MAXqda . 

  Results: The results revealed three themes including: 1) effectiveness of social learning 2) seeking social support and 3) feedback with a supportive approach which included seven categories of informative social learning, reliable social learning, selective disclosure, seeking information, seeking emotional support , giving reassurance and social support for decision making .

  Conclusion: E ffective social learning and supportive interactions have influential role on health seeking behavior. Thus it is necessary to improve public awareness and correct clients' social beliefs about breast cancer to shorten the patients' delay .

  Background & Aim: Reproductive behavior of a society can be studied in different ways. One of these ways is to check the birth intervals. The aim of the present study was to assess the childbirth along with factors influencing childbirth behavioral patterns in Ahwaz .

  Methods & Materials: In this study , factors affecting birth intervals of women aged 15-49 were investigated . To achieve this goal, given the nature of the birth intervals, the accelerated failure time model was applied. To estimate the parameters of this model, the R statistical software was used . 

  Results: Results indicated that women's educational level , husbands' ethnicity , place of residence , use of contraceptives , age at marriage and pregnancy status were factors significantly influencing first birth interval. Furthermore, women's ethnicity, contraceptive use, number of abortions or stillbirths, pregnancy status , duration of breast feeding and type of childbirth were the most important variables affecting the second birth interval. Also, husband's ethnicity, contraceptive use and duration of breast feeding had significant effects on the third birth interval in this study .

  Conclusion: Comparing the results of this study with those of previous studies shows a recent decline in pregnancy acceleration and an increase in average birth interval. In other words, changes in socio-economic and cultural statuses have caused longer birth intervals and fertility decreases .

  Background & Aim: Quality of work life seems to have impact on employees' job satisfaction, job involvement, job performance, turnover, and organizational transformation. This study aimed to assess the relationship between job satisfaction with the components of quality of work life among midwives in mashhad .

  Methods & Materials: This was a correlational study conducted among 230 midwives in mashhad in 2014. Data were collected using a demographic questionnaire, Walton's quality of work life, and the Minnesota job satisfaction questionnaire. Validity of the questionnaires was confirmed by 10 experts. The reliability was confirmed by alpha Cronbach. Data were analyzed using the descriptive statistics, Pearson, Spearman and ANOVA tests in the SPSS-19 . 

  Results: The overall quality of work life and job satisfaction had significant positive correlations (P<0.001 r_p=0.525 ). The job satisfaction had correlation with fair and adequate payment (r_p=0.277 P <0.001), safe working conditions (r_p=0.274 P <0.001), proper opportunity promotion ( r_p=0.306 P <0.001), o verall space of life ( r_p=0.327 P <0.001), job lawfulness ( r_p=0.233 P <0.001), social dependence in the work life ( r_p=0.207 P <0.001), s ocial cohesion in the organization (r_p=0.352 P <0.001), and proper opportunities to develop human capabilities (r_p=0.259 P <0.001) .

  Conclusion: Higher quality of work life is correlated with the higher job satisfaction. Managers can plan and implement appropriate strategies to promote components of quality of work life of midwives to provide efficient health services .

  Background & Aim: Premenopausal syndrome affects daily activities of many women. This study aimed to compare the effects of Vitexagnus and Flaxseed on premenstrual symptoms in women referred to health centers of Tabriz from October 2013 to September 2014 .

  Methods & Materials: This randomized controlled trial was conducted among 159 women suffered from premenstrual syndrome (PMS). The PMS was measured using the premenstrual assessment form (PAF) . The participants were allocated into three groups (n=53 per group) using block randomization. The group I received 25 grams/d Flaxseed powder and placebo of the Vitexagnus group II received 3.2-4.8 mg/d Vitexagnus tablets and placebo of the Flaxseed and the control group received both placeboes. The PAF was completed at baseline and 1 and 2 month after the intervention. Data were analyzed using the general linear model . 

  Results: The PMS improved significantly in both intervention groups during the first and the second month after the intervention. In the Vitexagnus and Flaxseed groups, the mean total PMS score were significantly lower than that in the control group at the first months after the intervention (adjusted mean difference: -3.3 (95% CI: -4.0 to -2.1) -4.3 (-5.5 to -3.0), respectively). In the second month after the intervention, the mean total PMS score was -5.8 (-7.0 to -4.7) in the Vitexagnus group and -6.6 (-8.1 to -5.7) in the Flaxseed group. There was no significant difference between the Vitexagnus and Flaxseed groups in terms of the PMS score .

  Conclusion: According to the results of this study, Flaxseed and Vitexagnus are effective in improving PMS .

  Background & Aim: Midwives are responsible for providing health services to mothers and infants in crises. The aim of this study was to identify educational needs of midwifery students regarding mother and infant mortality prevention in crisis situations .

  Methods & Materials: In this cross-sectional study, all 235 final-year BSc. and MSc. midwifery students were selected from four medical universities located in Tehran. Informed consent forms were completed and signed by the students. The students completed a researcher-made two-section questionnaire including demographic items and educational needs items regarding mother and child preventive services in crises. Data were analyzed in the SPSS . 

  Results: Mean score of the m aternal and neonatal prevention service dimensions were 70±21.5 ( out of 105 ) and 46.7 ± 9 (out of a 65), respectively. Most of the students (86.8% ) declared that their academic education did not prepare them for their roles in crises. Only 10.6% of the students had some courses on crisis and 11.5% of them had the experience of dealing with crisis. The students in the BSc. degree had more educational needs in both dimensions compared to the students in the MSc. degree (P<0.046). There were significant relationships between the age of students (P<0.001), their clinical experience (P<0.001), previous educational courses (P<0.001) and experience in crisis (P<0.05) with the educational needs. There was no significant relationship between the educational needs and the students’ universities ( P>0.05 ) .

  Conclusion: Educational curriculums should be revised regarding actions to be done on prevention of mother and infant mortality in crises .

  Background & Aim: Anxiety is associated with postpartum mood disorder and is increased with birth of high risk neonates. Foot reflexology is a nursing intervention that can be used to reduce anxiety. T he aim of this study was to evaluate the effect of foot reflexology on anxiety in mothers with high risk neonates after Cesarean section s .

  Methods & Materials: In this non-randomized clinical trial, 99 mothers having high risk neonates were recruited from the Women's General Hospital and Valieasr Hospital . The participants were allocated into three groups (n=33/group) using convenience sampling method . The group I received foot r eflexology for 40 minutes group II received leg massage and the control group received usual care after the Cesarean section. The Spielberger questionnaire was completed at baseline and three days after the interventions by the participants . Data were analyzed using the r epeated measure ANOVA and Chi-Squared in the SPSS-16 . 

  Results: At the baseline, there were no significant differences between the three groups in terms of demographic characteristics and the mean scores of anxiety . After the interventions, the mean score of anxiety was significantly lower in the reflexology and placebo groups than the control group (P<0.001). There was no significant difference between the reflexology and placebo groups in terms of the mean scores of anxiety (P>0.05). Comparing the mean score of anxiety between the reflexology (14.7±7.2) and placebo (9.4±8.5) groups indicated that the reflexology intervention was more effective in reducing anxiety .

  Conclusion: The use of foot reflexology was effective in reducing anxiety. Nurses should use this non-pharmacologic method to control the symptoms of anxiety among mothers .

Background & Aim: Preterm infants are at increased risk for readmission after discharge from the neonatal intensive care unit. Some factors and characteristics of preterm infants have an effect on their readmissions. This study aimed to determine neonatal factors related to preterm infants’ readmissions to the neonatal intensive care unit.

Methods & Materials: This correlational study was conducted on a sample of preterm infants admitted to the neonatal intensive care unit at three teaching hospitals of Shahid Beheshti University of Medical Sciences in 2013. Samples were studied using a questionnaire on possible factors and characteristics related to readmission including sex, gestational age, birth weight, multiple birth and length of stay in the neonatal intensive care unit after discharge. The infants were also followed for readmission thirty days after discharge. The data were initially analyzed by univariate analysis and then by the logistic regression model.

Results: The results of univariate analysis revealed that the infants readmitted at the time of follow up were significantly more premature and had lower birth weight and a longer initial hospital stay in the neonatal intensive care units (P<0.001). In the logistic regression model, only gestational age and birth weight had a significant statistical association with infants’ readmission (R: 0.805, P=0.001 and odds ratio: 0.998, P=0.001 respectively).

Conclusion: Infants’ gestational age and birth weight were associated with hospital readmission within thirty days after discharge, so that the infants with lower gestational age and birth weight were more likely to be hospitalized again after discharge.

Background & Aim: One of the assisted reproductive technologies is the use of donated oocyte. Although, the data about medical aspects of this process is available, knowledge of the psychological aspect related to this therapy is limited. Each individual's psychological aspects can be assessed by the self-concept and the self-discrepancy. Therefore, the present study aimed to assess the self-concept and self-discrepancy among women receiving and donating oocyte.

Methods & Materials: In this descriptive-analytical investigation, carried out in 2015, given the limited research population, 53 women referred to Royan infertility institute, were investigated in each of the donor and recipient groups using the available sampling method. The data were collected by three questionnaires including demographic questions, Rogers’s self-concept scale and self discrepancy scale (ideal-self discrepancy and ought-self discrepancy). The data were analyzed through the descriptive statistics, Chi-square and t-test using SPSS v.16.

Results: Results showed that the self-concept and self-discrepancy scores were poor in both the donor group and the recipient group. Scores of the recipient women (the questionnaire was reverse scored) were more than scores of the donor women. There was no significant difference between the two groups in the mean scores of self-concept (P=0.53). There was a significant difference between the two groups in the ought-self discrepancy score (P=0.02) but no significant difference was found between the two groups in the ideal-self discrepancy score (P=0.15).

Conclusion: According to the results, it should be noted that in the process of oocyte donation, only physical assessment is not enough but individuals’ psychological needs are necessary to be taken into account. So, the authorities should consider measures to assess the psychological aspects of women receiving and donating oocyte.

Background & Aim: Teamwork (between obstetricians and midwives) is one of the main pillars of success in the provision of appropriate services in the maternity wards. Therefore, this study aimed to identify the factors influencing teamwork in a maternity ward in a public hospital in Tehran, Iran.

Methods & Materials: In this qualitative study, nine midwives and four obstetricians were selected through purposive sampling. Data were collected through semi-structured interviews from an affiliated hospital of Tehran University of Medical Sciences in 2013-2014. Data were analyzed using conventional content analysis.

Results: Two themes including the teamwork barriers (four categories) and facilitators (three categories) were extracted from the data analysis. The main categories of teamwork barriers were the underlying issues (inter-professional conflicts, legal issues, and salary and financial issues), individual problems (physical problems, negative personality characteristics and domestic problems), lack of skills (lack of abilities and motivation, educational weakness and lack of experience) and the external management system (inappropriate policy making and planning, hierarchical structure, lack of team evaluation and lack of justice). The main categories of teamwork facilitators were the internal management of team (good leader or manager, appropriate workplace climate, values clarification of the team members’ practices, and proper implementation of regulations), cooperation, collaboration and empathy (help and cooperation and empathy and support), and essential personal qualities for teamwork (good communication and good personality characteristics).

Conclusion: In this study, the teamwork barriers and facilitators in the maternity wards were comprehensively identified at different levels. According to the results, interventions can be designed and implemented to enhance teamwork.

Background & Aim: Maternal request for caesarean section due to fear of normal vaginal delivery (NVD) is one of the main reasons for the high rate of caesarean section. This study aimed to compare the fear of NVD and type of delivery between two groups of pregnant women attended childbirth preparation classes (CPC) and women received routine prenatal care (RPC).

Methods & Materials: In this prospective cohort study, 202 Primigravid women attended healthcare centers for prenatal care services in the East of Guilan were selected using convenient sampling in 2013-2014. Fear of NVD was assessed using a childbirth attitude questionnaire at two stages (before attending CPC or receiving RPC, then at the third trimester of pregnancy). Both groups were followed up to the delivery time. Data were analyzed using inferential and descriptive statistics (Chi square, paired t-test, ANOVA, t-test) through SPSS v.16. P<0.05 was considered as significant.

Results: There was no significant difference (P=0.23) in the mean score of fear of NVD between two groups before attending CPC (35.59±8.78) and receiving RPC (37.08±9.08). The comparison of the mean score of fear of NVD between two groups at the third trimester of pregnancy showed a significant reduction (P<0.001) in the first group (32.30±8.31) than in the second group (37.29±9.55). A significant difference was also observed between two groups in the rate of NVD (P=0.002).

Conclusion: Results confirm the importance of CPC in decreasing fear of NVD and increasing the rate of NVD in primigravid women attended these classes. Therefore, women’s attendance at CPC is recommended to be encouraged.

Background & Aim: Lack of orgasm during intercourse and loss of libido in menopause is very common and can reduce women's quality of life. The aim of the present study was to determine the effect of Aphrodite on orgasm and sexual desire in postmenopausal women.

Methods & Materials: The study design was a randomized clinical trial with a control group. Participants were comprised of 80 postmenopausal women 50-60 years old. The instruments consisted of the demographic characteristics form and the Sabbatsbergsexual function scale that a part of itevaluates orgasm and sexual desire. Descriptive statistics, paired t-test and independent t-test were used to analyze data through SPSS software v.16.

Results: The mean score of orgasm before intervention in the Aphrodite group was 30.25±20.6 and in the placebo group was 29±21.9. One month after intervention, this score increased to 41.12±10.08 in the Aphrodite groupand was 29.12±29.66 in the placebo group, that the difference between the two groups was statistically significant (P=0.02). As well, for the sexual desire score, there was a significant difference between the two groups of Aphrodite and control after intervention (P=0.008).

Conclusion: The use of Aphrodite can improve sexual desire and orgasm in menopausal women. So, it is essential that healthcare providers be familiar with this herbal supplement.