T Negahban, A Ansari,
Volume 14, Issue 4 (16 2009)
Abstract
Background & Aim: Effect of women's psychological status on delivery processes is proven. Studies showed that women who experience severe anxiety were more vulnerable for getting emergency cesarean, and physical and psychological complications. Cesarean section is a surgery in which a lot of complications may occur. As primiparous women experience more fear than the other women and also delivery outcomes in first delivery affect later deliveries this study aimed to study the relationship between fears from vaginal delivery with the occurrence of emergency cesarean in primiparous women.
Methods & Materials: In this cross-sectional study, 243 primiparous women were recruited randomly from Nicknafs hospital during a six months period in 2004. Data were gathered through face-to-face interviewing with the respondents using a structured questionnaire. This questionnaire was included demographic information, reasons for fear from vaginal delivery, and method of delivery. Data were analyzed using χ2 test in SPSS.
Results: Seven percent of the respondents stated that they did not fear from Normal Vaginal Delivery (NVD). Most of the respondents (44.4%) reported that they slightly fear from NVD and 26.3% said that they fear much from vaginal delivery. A relatively high percent of women (22.3%) stated that they extremely fear from NVD. The most mentioned reasons by the women for fear were pain (%68/3), and fetal injury (30%). There was a significant relationship between fear and method of delivery (P<0.001).
Conclusion: It is essential that midwives consider the fear from NVD in their routine cares.
Forough Ansarinik, Masoomeh Mahdavifar, Saeed Hosseini Teshnizi, Aref Faghih,
Volume 31, Issue 3 (9-2025)
Abstract
Background & Aim: Asthma is a prevalent respiratory disease, and encouraging health behaviors is a crucial preventive strategy for managing the condition. This study aimed to assess the impact of self-care education delivered retrospectively on health-promoting behaviors in patients with asthma.
Methods & Materials: This two-group randomized clinical trial with a pre-test-post-test design was conducted on 100 asthma patients visiting Shahid Mofatteh Clinic in Yasuj in 1402. Participants were selected through convenience sampling and randomly assigned to either the intervention or control group. The intervention group received three individual training sessions, one per week lasting 60 to 90 minutes each, delivered retrospectively. The control group did not receive any training. Data was collected using questionnaires on personal and disease information, as well as health-promoting lifestyle. Data analysis was conducted using descriptive and inferential statistical methods in SPSS version 26.
Results: Prior to the intervention, the mean health behavior scores in the experimental group were 124.52±16.05, and in the control group were 121.82±16.61, showing no statistical significance (P=0.411). However, following the intervention, the scores increased to 135.60±10.57 in the experimental group and 123.26±8.92 in the control group, with a statistically significant difference (P<0.001) indicating a significant improvement in the experimental group.
Conclusion: Self-care education delivered in a retrospective manner is recommended as a simple, practical, and cost-effective educational approach for individuals with asthma to enhance health behaviors.
Clinical trial registry: IRCT20230529058325N1
