M Modaress, St Mirmolaie, F Rahimikian, S Afrasiabie,
Volume 16, Issue 3 (8 2011)
Abstract
Background & Aim: Childbearing is a potentially traumatic event in the lives of women and can lead to post traumatic stress disorder in some women. This study aimed to determine the prevalence and predisposing factors of post traumatic stress disorder after childbearing in women in Bushehr.
Methods & Materials: In this cross-sectional study, 400 women who attended the medical centers 6-8 weeks after delivery were recruited to the study. Participants with traumatic delivery were included in the study. They completed the posttraumatic symptoms scale-I (PSS-I), and predisposing factors questionnaire. Data were analyzed in two groups of women with the PTSD and without PTSD using Chi-square and Fisher&aposs exact test with P=0.05.
Results: The results of this study showed that 54.4% of women had experienced a traumatic delivery and one-third of the women were affected to PTSD after childbearing. There were significant differences between obstetrical factors including complications of pregnancy, wanted pregnancy, post-partum complications, interval of the last two pregnancies less than two years neonatal factors including type of feeding, issues of child care, birth weight and psychological factors including stressful life events, and maternity social support with the PTSD (P<0.05). Income had statistically significant association with the PTSD (P<0.05).
Conclusion: Some of obstetrical, neonatal and psychological factors are associated with occurrence of the PTSD after delivery
Farzaneh Rashidi Fakari, Masoumeh Simbar, Saeed Safari, Fahimeh Rashidi Fakari, Elham Moghadas Inanloo, Leila Molaie,
Volume 25, Issue 4 (1-2020)
Abstract
Background & Aim: Due to repeat emergency patients, the high quality obstetrics and gynecology triage is essential in the obstetrics and gynecology department. Given the importance of improving the healthcare quality, clarifying the aspects and features of the concept of obstetric triage quality would be helpful for determining criteria and standardization of obstetric triage quality. Therefore, the aim of the study was to explain the quality index of obstetric triage.
Methods & Materials: This qualitative study was conducted using a directed content analysis method on 15 participants. Participants included obstetric triage service providers and key specialists in obstetric triage. The data were collected through in-depth, semi-structured interviews. Data analysis was performed using the MAXQDA software version 10.
Results: At this stage of the study, conducted with in-depth, semi-structured interviews, 824 initial codes and 97 merged codes were extracted. The quality of obstetric triage was explained by three main themes, including process quality, structure quality and outcome. The concept of process quality included 35 codes in two sub-categories: actions and care, interactions and communications. Structure quality included 51 codes in five sub-categories: routine and process of triage, pattern and standard, equipment, physical space, and manpower. Outcome included eleven codes in five sub-categories: waiting time, satisfaction, physical implication, psychological implication, and cost.
Conclusion: The index of obstetric triage quality is influenced by the quality of the process (actions and care, communications), the quality of the structure (routine and process of triage, pattern and standard, equipment, physical space, manpower), and outcome (waiting time, satisfaction, physical implication, psychological implication and cost).
Azam Maleki, Mahboubeh Ashtari, Parisa Molaie,
Volume 28, Issue 1 (4-2022)
Abstract
Background & Aim: Compliance with health behaviors during pregnancy plays an important role in the health of mothers and their neonates. The aim of the study was to determine factors predicting adherence to COVID-19 health protocols among pregnant women in Zanjan province in 2020.
Methods & Materials: A cross-sectional, descriptive study was conducted on 2336 pregnant women referred to comprehensive health centers in Zanjan province in 2020. The samples were selected by the multi-stage sampling method. Data were collected by telephone using a researcher-designed questionnaire on health practices and overall perception of COVID-19 disease. To analyze the data, descriptive statistics and multiple linear regression model were used at the confidence level of 95% through the SPSS software version 16.
Results: Most women were in the second trimester of pregnancy and living in the urban areas. Considering the median score as a cutting point, the participants’ adherence level was 46.5% over the median score and at a desirable level. The handwashing adherence was 84.7% and mask use was 76.6%. Location, age, education, occupation, household income, and family history of COVID-19 disease were the most important predictors of compliance with COVID-19 health protocols (P<0.001).
Conclusion: Adherence to health protocols was at a relatively desirable level in almost half of the participants. It is suggested that education and support programs be designed and implemented for young and low-income groups living in rural areas.
