Shiraz University of Medical Sciences
Women’s Health Bulletin
2345-5136
2382-9990
8
3
2021
07
01
The Sexual Function of Iranian Pregnant Women: a Systematic Review and Meta-analysis
126
133
EN
Hora
Ameri
Ahmad
0000-0002-2781-0885
Bahman Hospital, Iran University of Medical Sciences, Tehran, Iran
ameri.houra@gmail.com
Masoumeh
Rostami
0000-0003-4648-1172
Department of Nursing, Asadabaad Faculty of Medical Sciences, Asad abad, Iran
rostamimasomeh1361@gmail.com
Sahar
Dalvand
0000-0003-3855-7982
Department of Epidemiology and Biostatistics, School of Public health, Tehran University of Medical Sciences, Tehran, Iran
s_dalvand91@yahoo.com
Azam
Rahmani
0000-0001-8528-2374
Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
arahmani@sina.tums.ac.ir
Reza
Ghanei Gheshlagh
0000-0002-7414-8134
Spiritual Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
rezaghanei30@gmail.com
10.30476/whb.2021.89596.1099
<strong>Contex:</strong> Sexual function during pregnancy affects martial satisfaction of couples and increases empathy in the completion of pregnancy and women’s self-confidence with reduction in fears. Studies on the sexual function of Iranian pregnant women have shown controversial results. The present study aimed to review the sexual function of Iranian pregnant women.<br /> <strong>Methods:</strong> The international and national databases of Web of Science/ISI, PubMed, Scopus, MagIran, and SID databases using “sex”, “sexuality”, “sexual intercourse”, “sexual function”, “sexual dysfunction”, and “pregnancy” without a time limit. We included all the papers published in Persian and English reporting the mean score of sexual function of pregnant women. Based on the pre-designed form, the required data included the name of the first authors, year of publication, sample size, research setting, questionnaire type, and methodological quality, which were extracted and recorded. Data analysis was performed in STATA version 14 using a meta-analysis method and random-effects models. The heterogeneity of the studies was evaluated utilizing the I2 test.<br /> <strong>Results:</strong> In total, 11 articles with the total sample size of 2,657 were reviewed. The highest and lowest standard scores of sexual function were reported in the first pregnancy trimester (58.92%; 95% CI: 54.08-63.75) and the third trimester (47.70%; 95% CI: 23.18-39.56), respectively. In addition, publication bias was significant in the first (P=0.001), second (P=0.009), and third trimesters (P=0.014).<br /> <strong>Conclusion:</strong> The sexual function of women was found to reduce through pregnancy progress. Therefore, sexual function assessment and counseling on pregnancy care seem crucial for pregnant women.
Sexual function,Pregnancy,women,Systematic review,Meta-analysis
https://womenshealthbulletin.sums.ac.ir/article_47724.html
https://womenshealthbulletin.sums.ac.ir/article_47724_f8f8221d4ce0132590f6498d9e14499e.pdf
Shiraz University of Medical Sciences
Women’s Health Bulletin
2345-5136
2382-9990
8
3
2021
07
01
The Effect of Eight Weeks Aerobic Training and Omega3 Ingestion on the Levels of Adipsin and Insulin Resistance in Overweight and Obese Women
134
141
EN
Saleheh
Ahmadzadeh
0000-0003-0131-4661
Department of Physical Education and Sport Sciences, Science and Research Branch, Islamic Azad University, Tehran, Iran
s_ahmadzadeh6612@yahoo.com
Mandana
Gholami
0000-0001-8960-4123
Department of Physical Education and Sport Sciences, Science and Research Branch, Islamic Azad University, Tehran, Iran
m.gholami@srbiau.ac.ir
Shahram
Soheili
Department of Physical Education and Sport Sciences, Shahr-e-Qods Branch, Islamic Azad University, Tehran, Iran
shsohaily@yahoo.com
Farshad
Ghazalian
Department of Physical Education and Sport Sciences, Science and Research Branch, Islamic Azad University, Tehran, Iran
phdghazalian@gmail.com
10.30476/whb.2021.89493.1096
<strong>Background:</strong> Exercise training and omega-3 supplementation are believed to have a positive effect on obese and overweight people. We conducted the present study in order to investigate the effect of aerobic training and omega3 ingestion on the levels of Adipsin and insulin resistance in overweight and obese women.<br /> <strong>Methods:</strong> In this semi-experimental study conducted in Tehran, summer 2020, 40 overweight and obese women (aged from 20 to 35 years old, and BMI 29.6±1.93 kg.m2) were assigned in four equal groups, namely placebo (P), omega-3 (O), training (E), and training+omega-3 (OE) groups. The subjects in the training and training+omega-3 groups completed the eight-week (three sessions per week) aerobic training program. 2000 mg omega-3 supplement was consumed on a daily basis. Blood samples were obtained before and after completing the intervention and Adipsin and insulin levels were measured. The data were analyzed via repeated measures analysis of variance (ANOVA) test along with Tukey post-hoc test. The study was approved under the IRCT registration code of IRCT20200811048360N1.<br /> <strong>Results:</strong> The findings of the present research shed light on a significant decrease in serum Adipsin levels in the E and OE groups compared to those in the P and O groups (p <0.05). Moreover, insulin resistance significantly decreased in E compared with that in the P group (P=0.012) and also in the OE group compared to that in the P (P=0.001) and O (P=0.009) groups.<br /> <strong>Conclusion:</strong> The present study indicated that omega-3 supplementation could increase the effect of exercise training on the reduction in the Adipsin and insulin resistance; further effects may be observed by increasing the duration of exercise training period.
Obesity,Endurance training,Adipokines,Complement factor D
https://womenshealthbulletin.sums.ac.ir/article_47628.html
https://womenshealthbulletin.sums.ac.ir/article_47628_a7695a6647bda92591b99fa56d04f2af.pdf
Shiraz University of Medical Sciences
Women’s Health Bulletin
2345-5136
2382-9990
8
3
2021
07
01
Home Delivery Practices among Pregnant Women in Southeast of Iran and Associated Factors after the Implementation of the Health Transformation Plan: a Case-control Study
142
151
EN
Fariba
Ramezani Siakhulake
0000-0003-2718-2986
Department of Epidemiology and Biostatistics, School of Public Health, Zahedan University of Medical Sciences, Zahedan, Iran
gilanehf@gmail.com
Seyed Mehdi
Tabatabaei
0000-0002-0618-7676
Health Promotion Research Centre, Zahedan University of Medical Sciences, Mashahir Square, Zahedan, Iran
zu.healthdeputy@gmail.com
Mehdi
Mohammadi
0000-0001-9616-6125
Health Promotion Research Centre, Zahedan University of Medical Sciences, Mashahir Square, Zahedan, Iran
memohammadi@yahoo.com
Fateme
Behmanesh Pour
0000-0002-5886-6013
Pregnancy Health Research Center, Zahedan University of Medical Sciences, Mashahir Square, Zahedan, Iran
bp.darya@yahoo.com
10.30476/whb.2021.91277.1122
<strong>Background:</strong> Free-of-charge vaginal deliveries have been offered as part of the Health Transformation Plan (HTP) in Iran, but still a high proportion of deliveries are occurring at home. This study aimed to investigate the reasons for home deliveries after the implementation of HTP in southeast of Iran.<br /> <strong>Methods:</strong> This case-control study included women who gave birth at home between September 2015 and September 2016 for their last pregnancy; considered as cases (n=300), and women who delivered at a health facility (hospital or Safe Delivery Posts), assigned to the control group (n= 600). Data were collected during face to face interview using a 77-item semi-structured questionnaire. A multivariable logistic regression technique was used to identify independent predictors of home delivery.<br /> <strong>Results:</strong> Women who were worried about giving birth at a teaching hospital (OR=1.9, 95% CI:1.3 -2.8), women with negative experiences in the previous delivery (OR=1.6, 95% CI:1.0-2.4), illiterates (OR=3.8, 95% CI: 2.0-7.4), individuals with primary/secondary education (OR=2.3, 95% CI: 1.3 - 4.4), women with no health insurance (OR=5.1, 95% CI: 3.5- 7.4), if the decision on choosing the place of birth was made by the women alone (OR=12.7, 95% CI: 7-22.8), women with financial constraints (OR=1.7, 95% CI: 1.2-2.4), women with precipitate labour (OR=2.4, 95% CI: 1.7-3.5) and women with fear of the hospital environment (OR= 1.6, 95% CI: 1.1- 2.4) were more likely to deliver at home.<br /> <strong>Conclusions:</strong> Our findings highlight socio-economic and cultural barriers that need to be addressed to reduce home deliveries among the disadvantaged women.
Home births,Place of delivery,Health Transformation Plan,Zahedan,Iran
https://womenshealthbulletin.sums.ac.ir/article_47669.html
https://womenshealthbulletin.sums.ac.ir/article_47669_ba715836baaca0ecc710061a47a78c6e.pdf
Shiraz University of Medical Sciences
Women’s Health Bulletin
2345-5136
2382-9990
8
3
2021
07
01
Effect of Aquatic Exercises on Severity of Urinary Incontinence and Estrogen Level in Postmenopausal Women
152
160
EN
Abbas
Saremi
0000-0002-0113-1497
Department of Exercise Physiology, Faculty of Sport Sciences, Arak University, Arak, Iran
a-saremi@araku.ac.ir
Karim
Zohrevandian
Department of Exercise Management, Faculty of Sport Sciences, Arak University, Arak, Iran
k-zohrevandian@araku.ac.ir
Mohammad
Parastesh
0000-0003-1696-4309
Department of Exercise Physiology, Faculty of Sport Sciences, Arak University, Arak, Iran
m-parastesh@araku.ac.ir
Samira
Khaleghi
Faculty of Sport Sciences, Arak University, Arak, Iran
s-khaleghi@araku.ac.ir
10.30476/whb.2021.90934.1117
<strong>Background:</strong> Urinary incontinence (UI) is prevalent among women and seriously impairs the quality of life. Urinary incontinence is believed to be associated with a decrease in estrogen and estrogen regeneration improves these signs. We conducted the present study to assess the effects of aquatic exercise on multiple domains of urinary leakage and estradiol level in postmenopausal women.<br /> <strong>Methods:</strong> In this semi-experimental study, 24 postmenopausal women with UI were selected from October to December 2019 in Arak, Iran. They were randomized into the aquatic exercise (n=12) and control (n=12) groups. Aquatic exercise was carried out at moderate intensity, three days per week for eight weeks in 33–34°C, swimming pool. The control group did not participate in a supervised program. The International Consultation on Incontinence Questionnaire–Short Form (ICIQ-SF) was used to assess urinary incontinence and blood samples were collected 48 hours before and after the last sessions of exercise training. In addition, UI-related practices and the use and modification of daily protection were examined. Estradiol was assessed using enzyme-linked immunosorbent assay (ELISA assay). The data were analyzed utilizing paired t test or Wilcoxon test in SPSS version 21.<br /> <strong>Results:</strong> The mean age of the subjects was 56.77 years old; 78.6% were married and 58% were overweight. The ICIQ-SF score (P=0.03) as well as severity of urinary incontinence symptoms (P=0.05) in the exercise group improved significantly compared to those in the control group. Furthermore, no significant differences in estradiol level were observed between the groups (P>0.05).<br /> <strong>Conclusion:</strong> Aquatic exercise was found to be beneficial and improved fitness and severity of urinary incontinence in postmenopausal women although this improvement occurred without changes in estrogen levels.
Aquatic exercise,estradiol,Postmenopausal,Urinary incontinence
https://womenshealthbulletin.sums.ac.ir/article_47670.html
https://womenshealthbulletin.sums.ac.ir/article_47670_5617526a6ef5ad8e8a0e466f2b8e0425.pdf
Shiraz University of Medical Sciences
Women’s Health Bulletin
2345-5136
2382-9990
8
3
2021
07
01
Exploring the Experience of Rural Women toward Community-Based Approaches Associated with Physical Activity, a Qualitative Study
161
169
EN
Maryam
Baradaran-Binazir
0000-0002-3409-0636
Social Determinants of Health Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
maryam_baradaran@hotmail.com
Ramak
Zavvarkabeh
Social Determinants of Health Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
r.zavvar@yahoo.com
Fariba
Heidari
Social Determinants of Health Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
fariba_heidari@hotmail.com
10.30476/whb.2021.90638.1110
<strong>Background:</strong> Women are less likely to meet the suggested levels of physical activity compared to men, particularly in the rural setting. For this reason, community-based interventions associated with physical activity were developed to improve physical activity in village women. We conducted the present study to explore the experience of target group in term of physical activity to identify factors that could be strengthened and the weaknesses that could be improved.<br /> <strong>Methods:</strong> This qualitative study was conducted applying content analysis. The study setting was Saied Abad, a village in the northwest of Iran. The data were collected using semi-structured in-depth interviews conducted between August 2018 and January 2019. All the participants were rural women, who had experienced at least once doing physical activity in the community-based intervention named Women’s Park.<br /> <strong>Results:</strong> The findings were classified into two main categories and six subcategories: (a) intrapersonal facilitators, such as habituation, (b) interpersonal facilitators, such as family support, (c) environmental facilitators, such as practical activities, (d) intrapersonal barriers, such as lack of time due to family responsibilities, (e) interpersonal barriers, such as not having the support of friends, and (f) environmental barriers, such as cost.<br /> <strong>Conclusion:</strong> In the rural women’s experience, the factors affecting doing physical activity were both facilitators and barriers. This study demonstrated that in addition to the intrapersonal factors, doing physical activity is affected by interpersonal and environmental factors. These findings will be helpful in promoting community-based interventions and scheduling rural women’s health promotion behaviors.
Physical Activity,Community-based,Interventions,women,Rural,Experience
https://womenshealthbulletin.sums.ac.ir/article_47672.html
https://womenshealthbulletin.sums.ac.ir/article_47672_03896761fe761d44dadb140562fe5ad8.pdf
Shiraz University of Medical Sciences
Women’s Health Bulletin
2345-5136
2382-9990
8
3
2021
07
01
Effect of Transactional Analysis Training on Communication Skills and Attribution Beliefs of Incompatible Women
170
178
EN
Gooya
Safinia
0000-0001-5915-8548
Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran
safigoya@gmail.com
Hossein
Ebrahimi Moghadam
0000-0002-0912-761X
Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran
ebrahimimoghadamh@gmail.com
Khadijeh
Abolmaali
0000-0002-9714-1816
Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran
abolmaalialhoseyni@gmail.com
10.30476/whb.2021.90920.1116
<strong>Background:</strong> The recent problems of couples necessitate the greater focus of research in this field on relationships between couples. The present study aimed to investigate the effect of transactional analysis training on communication skills and attribution beliefs of incompatible women in Tehran, Iran.<br /> <strong>Methods:</strong> The research method was quasi-experimental. The research population included all incompatible women who were referred to the psychological clinics of district 1 of Tehran, Iran in 2020. Thirty women were selected as the sample using convenience sampling and randomly divided into experimental and control groups (n=15 in each group). The experimental group underwent eight sessions (60-minutes sessions per week) of transactional analysis training. The follow-up was performed after 60 days. The research instruments included the Communication Skills Questionnaire, the Relationship Attribution Measure, and the Dyadic Adjustment Scale. Data analysis was conducted using repeatedmeasures ANOVA by SPSS software version 24.0.<br /> <strong>Results:</strong> The mean± SD of the post-test scores of communication skills and attribution beliefs of incompatible women was (115.93±8.40) and (85.33±13.40) in the experimental group and (87.93±8.53) and (113.23±12.53) in the control group. The results showed that transactional analysis training effectively and persistently improves communication skills and attribution beliefs of incompatible women (p <0.001).<br /> <strong>Conclusion:</strong> Transactional analysis training can be recommended as an intervention to improve the quality of life of families with computability problems.
Transactional Analysis,Communication,Attribution,Adaptation,women
https://womenshealthbulletin.sums.ac.ir/article_47697.html
https://womenshealthbulletin.sums.ac.ir/article_47697_8dda5159dadb3562d528e0c65e0acde9.pdf
Shiraz University of Medical Sciences
Women’s Health Bulletin
2345-5136
2382-9990
8
3
2021
07
01
A Sociological Study of Social Factors Related to Girls’ Awareness and Attitude toward Human Papillomavirus (HPV) in Shiraz
179
188
EN
Halimeh
Enayat
0000-0001-9721-9719
Department of Sociology and Social Planning, Shiraz University, Shiraz, Iran
henayat@rose.shirazu.ac.ir
Majid
Movahed Majd
Department of Sociology and Social Planning, Shiraz University, Shiraz, Iran
mmovahed@rose.shirazu.ac.ir
Marzieh
Fazeli
Department of Sociology and Social Planning, Shiraz University, Shiraz, Iran
fazeli.marzieh@gmail.com
10.30476/whb.2021.88889.1091
<strong>Background:</strong> Human Papillomavirus (HPV) is one of the most prevalent sexually transmitted diseases that could lead to cervical cancer. The current study aimed to assess the awareness of young girls about HPV and the relevant current sources of information about HPV. The present work also investigated the social factors related to young girls’ awareness of HPV.<br /> <strong>Method:</strong> Methodologically, this was a cross-sectional study. The sample population was 303 single girls living in Shiraz, Iran. We used quota sampling. The data collection was carried out during October to November 2018. Data gathering tool included a two-part questionnaire: demographic information and HPV awareness measurement questionnaire. The validity of HPV awareness measurement questionnaire was confirmed by experts and its reliability was also assessed with Cronbach’s alpha coefficient of 0.942. We analyzed the data via descriptive and inferential statistics in SPSS version 21.<br /> <strong>Results:</strong> The findings of the present research showed that the participants’ mean awareness of HPV was 5.84 out of 23. A total of 48.5% of the respondents had information about HPV prior to this study, among which the awareness score was 10.12. There was a significant relationship between education level (p <0.001), monthly income, type of occupation (p <0.001), and field of study (p <0.001) with HPV awareness.<br /> <strong>Conclusion:</strong> Considering low awareness of girls about HPV, cultural, health, and governmental institutions, as well as non-profit organizations, need to make efforts to educate and inform the public about HPV and its transmission routes, which may result in the reduction of HPV-related diseases, including cervical cancer.
Alphapapillomavirus (HPV),Uterine cervical neoplasms,Awareness,women,Sexual Transmitted Disease (STD)
https://womenshealthbulletin.sums.ac.ir/article_47702.html
https://womenshealthbulletin.sums.ac.ir/article_47702_5389cdd1d68b2e04838b24d5e3f07f71.pdf
Shiraz University of Medical Sciences
Women’s Health Bulletin
2345-5136
2382-9990
8
3
2021
07
01
Pregnancy Before Completion of Follow-Up in Gestational Trophoblastic Neoplasia: a Case Report
189
194
EN
Marjaneh
Farazestanian
0000-0003-4053-7868
Department of Obstetrics and Gynecology, Fellowship of Gynecology Oncology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
farazestanianm1@mums.ac.ir
Maliheh
Hassanzadeh
Department of Obstetrics and Gynecology, Fellowship of Gynecology Oncology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
hasanzade@mums.ac.ir
Zohreh
Yousefi
Department of Obstetrics and Gynecology, Fellowship of Gynecology Oncology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
yousefiz1@mums.ac.ir
Fatemeh
Homaee
Department of of Radiotherapy, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
homaeef1@mums.ac.ir
Nafiseh
Saghafi
Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
saghafin1@mums.ac.ir
Amir Hossein
Jafarian
Department of Pathology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
jafarianah1@mums.ac.ir
Parvaneh
Layegh
Department of Radiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
layeghp1@mums.ac.ir
Mansoureh
Mottaghi
Fellowship of Gynecology Oncology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
mmottaghi36@yahoo.com
Laya
Shirinzadeh
Fellowship of Gynecology Oncology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
lashirinzadeh1@yahoo.com
Leila
Mousavi Seresht
Department of Obstetrics and Gynecology, Fellowship of Gynecology Oncology, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
mousavileila11@yahoo.com
Helena
Azimi
0000-0002-6400-0961
Department of Obstetrics and Gynecology, Fellowship of Gynecology Oncology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
azimihl1@mums.ac.ir
10.30476/whb.2021.90959.1118
<strong>Introduction:</strong> Choriocarcinoma is a rare and malignant tumor, which may present during or following any type of pregnancy. This tumor often demonstrates rapid hematogenous spread to multiple organs and is associated with high levels of human chorionic gonadotropin (HCG) and a good response to chemotherapy. Herein, we introduced a case of metastatic choriocarcinoma who failed to response to conventional therapies.<br /> <strong>Case presentation:</strong> A 22-year-old woman referred with vaginal bleeding. The evaluations revealed that she had a metastatic choriocarcinoma that failed to response to conventional therapies. Continuation of chemotherapy was not possible due to the development of neutropenia. Interestingly, the patient achieved a complete remission spontaneously without receiving further treatment. During the follow-up period, when the patient should not become pregnant, she became pregnant and had no problems during the pregnancy.<br /> <strong>Conclusions:</strong> Gestational trophoblastic neoplasia is a rare disease. The majority of women suffering from this disease can be cured and their reproductive function could be preserved through the utilization of sensitive quantitation assay for human chorionic gonadotropin (β-hCG) and highly effective chemotherapy.
Choriocarcinoma,Metastasis,Chemotherapy
https://womenshealthbulletin.sums.ac.ir/article_47622.html
https://womenshealthbulletin.sums.ac.ir/article_47622_14bfecfb95f0dc70ca3918ed6ea965d6.pdf