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Relevance of infertility, epigenetics, nutrient, and bioactive components: A review of the literature 不孕、表观遗传学、营养和生物活性成分的相关性:文献综述
IF 0.4 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2023-07-13 DOI: 10.2174/1573404820666230713104512
N. Sanli̇er, Kadriye Erdogan, N. Sanlier
This review discusses epigenetic mechanisms and the relationship of infertility in men and women in relation to parameters pertaining to nutrition.A review of the line of the literature was conducted prior to June 2021 through the selected websites, including MEDLINE, Embase, Web of Science, www.ClinicalTrials.gov, Cochrane Central, PubMed, Google Scholar, Science Direct, and the WHO.The prevalence of infertility worldwide is 8-12%, and one out of every 8 couples receives medical treatment. Epigenetic mechanisms, aging, environmental factors, dietary energy and nutrients and non-nutrient compounds; more or less energy intake, and methionine play a role in the onset of infertility. Furthermore, more factors that contribute to infertility include the vitamins B12, D, and B6, biotin, choline, selenium, zinc, folic acid, resveratrol, quercetin, and others..To understand the molecular mechanisms regulating the expression of genes that affect infertility, the environment, the role of genotype, age, health, nutrition, and changes in the individual's epigenotype must first be considered. This will pave the way for the identification of the unknown causes of infertility. Insufficient or excessive intake of energy and certain macro and micronutrients may contribute to the occurrence of infertility as well. In addition, it is reported that 5-10% of body weight loss, moderate physical activity and nutritional interventions for improvement in insulin sensitivity contribute to the development of fertility.Epigenetic processes involve inherited changes but not encoded by the DNA sequence itself. Nutrition is thought to affect the epigenetic mechanisms that play a role in the pathogenesis of many diseases, including infertility. Epigenetic mechanisms of individuals with infertility are different from healthy individuals. Infertility is associated with epigenetic mechanisms, nutrients, bioactive components and numerous other factors.
本文综述了表观遗传机制以及与营养参数有关的男性和女性不育症的关系。在2021年6月之前,通过选定的网站对文献进行了综述,包括MEDLINE、Embase、Web of Science、www.ClinicalTrials.gov、Cochrane Central、PubMed、Google Scholar、Science Direct和WHO。全世界的不孕症发病率为8-12%,每8对夫妇中就有一对接受治疗。表观遗传机制、衰老、环境因素、膳食能量和营养素及非营养素化合物;能量摄入多或少,与蛋氨酸在不孕症发病中起作用。此外,导致不孕的因素还包括维生素B12、D和B6、生物素、胆碱、硒、锌、叶酸、白藜芦醇、槲皮素等。要了解影响不孕的基因表达的分子机制,必须首先考虑环境、基因型、年龄、健康、营养和个体表观基因型变化的作用。这将为确定不孕不育的未知原因铺平道路。能量和某些宏量和微量营养素摄入不足或过量也可能导致不孕症的发生。此外,据报道,体重减轻5-10%、适度体育活动和改善胰岛素敏感性的营养干预有助于生育能力的发展。表观遗传过程包括遗传变化,但不是由DNA序列本身编码的。营养被认为影响表观遗传机制,在许多疾病的发病机制中发挥作用,包括不孕症。不孕症个体的表观遗传机制与健康个体不同。不孕症与表观遗传机制、营养物质、生物活性成分和许多其他因素有关。
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引用次数: 0
An updated review on the early detection and drug development targeting breast cancer 针对乳腺癌的早期检测和药物开发的最新综述
IF 0.4 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2023-07-13 DOI: 10.2174/1573404820666230713110902
Pervej Alom Barbhuiya, Shahil Arman, Hrishika Paul, Saikat Sen, B. Dey, Manash Pratim Pathak
Breast cancer is one of the most common types of cancer in women globally, which poses a significant public health threat on a global scale. Continuous updates of the recent development in terms of drug development and diagnosis are the key to decoding the complexity of the location-specific different forms of breast cancer. The aim of this review is to sifter out the current advances and status of drugs, treatments, therapies and technologies related to breast cancer.The authors searched for a number of article sources, and all possible data was collected from different databases like MEDLINE, EMBASE, Pub Med, Web of Science and Google Scholar. to identify recent development in drug development and diagnosis.After a detailed literature survey, it was found that in drug discovery, a number of new drug candidates for breast cancer have completed clinical trials; in the diagnosis of breast cancer, a number of new technologies like artificial intelligence (AI), smart bra, smart vest, clinical breast exam have developed. It was found that breast self-awareness has immense importance in the early detection of breast cancer, which is par with the accuracy of modern diagnostic tools.An effort has been made to present all the updated data related to recent drug development, like surveillance status of drugs in clinical trials, diagnosis and social stigma of people with breast cancer recovery. Recent technological advances have led to the development of many devices for the early detection of breast cancer, providing efficacy in line with the diagnostic tools that pave the way for early treatment using effective drug candidates.
乳腺癌是全球妇女中最常见的癌症类型之一,在全球范围内对公共卫生构成重大威胁。在药物开发和诊断方面不断更新的最新发展是解码位置特异性不同形式乳腺癌复杂性的关键。本文旨在梳理乳腺癌相关药物、治疗、疗法和技术的最新进展和现状。作者搜索了大量的文章来源,所有可能的数据都是从MEDLINE、EMBASE、Pub Med、Web of Science和Google Scholar等不同的数据库中收集的。确定药物开发和诊断的最新进展。经过详细的文献调查,发现在药物发现方面,已有一批乳腺癌新药候选药物完成了临床试验;在乳腺癌诊断方面,人工智能(AI)、智能胸罩、智能背心、临床乳腺检查等一批新技术得到发展。研究发现,乳房自我意识在乳腺癌的早期发现中具有巨大的重要性,这与现代诊断工具的准确性相当。我们努力展示与最近药物开发有关的所有最新数据,如临床试验中药物的监测状况、乳腺癌康复患者的诊断和社会耻辱。最近的技术进步导致了许多用于早期检测乳腺癌的设备的发展,提供符合诊断工具的功效,为使用有效的候选药物进行早期治疗铺平了道路。
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引用次数: 0
A Mini Review of the Literature with a Special Focus on India on the Prevalence of Indian Traditional Medicine (ITM) Use During Pregnancy 对印度怀孕期间使用印度传统医学(ITM)的流行情况进行文献综述
IF 0.4 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2023-07-12 DOI: 10.2174/1573404820666230712125718
A. Wal, P. Wal, B. Dash, Divyanshi Gupta, Srishti Morris, Prachi, Vibhu Sahani, A. Rai
Although pregnancy has been an integral part of women’s lives for millennia, not all women have found the process comfortable. About 65 percent of women in India consume Indian traditional herbs during pregnancy. Herbal medicines are used nowadays by up to half of the world's population. Phytomedicines isolated from plants contain a wide variety of bioactive components that can have both negative and positive effects. Many herbal plants, such as Sage (Salvia fruticosa), golden cotula (Matricaria aurea), anise (P. anisum), peppermint (Mentha aquatica), and cumin (Cuminum cyminum), etc., are used in pregnancy. To minimize the adverse effects, the use of Indian traditional medicine can be the best possible alternative.Regarding the usage of herbal medicines in India, there are large research gaps and a lack of a regulatory framework. This article aims to highlight the most common traditional Indian remedies used by pregnant women, along with their uses and any possible interactions between herbal remedies and prescription drugs.Several databases, including the WHO guidelines, PubMed, Bentham Science, Elsevier, Springer Nature, Wiley, and Research Gate, were used to compile the data for the article following a thorough analysis of the various research findings connected to pregnancy and herbs for pregnancy care.An overview of the use of herbal medicine is given in this review, along with information on its limitations and general safety. The prevalence of herbal medicine use during pregnancy in India is then discussed, along with the uses, adverse effects, side effects, and efficacy of the most popular herbal medications.The use of herbal medicine during pregnancy is a common phenomenon. The outcomes of this study showed Indian Traditional medicines are known to have numerous advantages that can be helpful during or after pregnancy, including raising milk production, reducing nausea, easing labor pains, reducing morning sickness, or reducing flatulence, however, some herbal remedies have the potential to be teratogenic, poisonous, and abortive, especially during the first trimester of pregnancy because the active components of some medicinal plants can cross the placental barrier and get to the foetus. To determine the safety of taking herbal medications, studies, especially clinical trial trials, must be conducted.
尽管几千年来怀孕一直是女性生活中不可或缺的一部分,但并不是所有的女性都觉得这个过程很舒服。大约65%的印度妇女在怀孕期间食用印度传统草药。如今,世界上多达一半的人口都在使用草药。从植物中分离出来的植物药含有各种各样的生物活性成分,可以有负面和积极的影响。许多草本植物,如鼠尾草(Salvia fruticosa)、金盏花(Matricaria aurea)、八角茴香(P. anisum)、薄荷(Mentha aquatica)和孜然(Cuminum cyminum)等,都被用于怀孕。为了尽量减少副作用,使用印度传统药物可能是最好的选择。关于草药在印度的使用,存在很大的研究空白和缺乏监管框架。这篇文章旨在强调孕妇使用的最常见的传统印度疗法,以及它们的用途和草药和处方药之间可能的相互作用。几个数据库,包括世界卫生组织指南,PubMed, Bentham Science,爱思唯尔,施普林格·自然,威利和研究之门,在对怀孕和怀孕护理草药相关的各种研究结果进行彻底分析后,用于编制文章的数据。本综述概述了草药的使用,并介绍了其局限性和一般安全性。然后讨论了印度怀孕期间使用草药的流行情况,以及最流行的草药的用途、副作用、副作用和功效。怀孕期间服用草药是一种普遍现象。这项研究的结果表明,印度传统药物在怀孕期间或怀孕后都有很多好处,包括提高产奶量、减轻恶心、缓解阵痛、减少孕吐或减少肠胃胀气,然而,一些草药有可能致畸、有毒和流产。特别是在怀孕的前三个月,因为一些药用植物的活性成分可以穿过胎盘屏障进入胎儿体内。为了确定服用草药的安全性,必须进行研究,特别是临床试验。
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引用次数: 2
Impact of Promoting a Healthy Lifestyle on Anthropometric Characteristics, Climacteric Symptoms, Sleep Quality, and Quality of Life in Women During Menopausal Transition 促进健康生活方式对绝经过渡期妇女人体测量特征、更年期症状、睡眠质量和生活质量的影响
IF 0.4 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2023-07-06 DOI: 10.2174/1573404820666230706105736
K. Mekki, Azzeddine Senouci, Wassila Benhabib, Rahmouna Fizi
The purpose of the study was to assess the effects of a lifestyle promotion based on the principles of the Mediterranean diet (MD) combined with regular physical exercise on climacteric symptoms, sleep quality, and quality of life in women in the menopausal transition.Among 100 perimenopausal women recruited, 80 (48 ± 2 years) with climacteric symptoms were eligible for the study and were randomized into two groups: an intervention group (n=40) that received nutritional counselling based on the principles of MD with the practice of regular activity during 8 weeks, and a control group (n=40). At baseline and 8 weeks after the initiation of nutritional intervention, we assessed daily energy expenditure and food intake, anthropometric characteristics, climacteric symptoms, sleep quality, and quality of life.Results showed that in the intervention group, compared to the control group, after 8 weeks of nutritional counselling, a significant decrease was noted in somatic and psychologic (p<0.01) symptoms. No significant difference was noted in urogenital symptoms. The quality of life was improved by the decrease of the Menopause Rating Score (-25%, p<0.001). A decrease was observed in subjective sleep quality (-27%, p<0.05), sleep duration (-39%, p<0.05), habitual sleep efficiency (-43%, p<0.05), and daytime dysfunction (-43%, p<0.01). The score of PSQI was decreased by (-31%, p<0.01), which meant that the quality of sleep improved.Anthropometric characteristics, climacteric symptoms, sleep quality and quality of life were improved in women on menopausal transition adopting a healthy lifestyle based on the principles of Mediterranean eating pattern combined with regular physical activity.
该研究的目的是评估基于地中海饮食(MD)原则的生活方式推广与定期体育锻炼对更年期症状、睡眠质量和更年期过渡妇女生活质量的影响。在招募的100名围绝经期妇女中,有80名(48±2岁)有更年期症状的妇女符合研究条件,并被随机分为两组:干预组(n=40)接受基于MD原则的营养咨询,并在8周内进行常规活动,对照组(n=40)。在基线和开始营养干预后8周,我们评估了每日能量消耗和食物摄入、人体测量特征、更年期症状、睡眠质量和生活质量。结果显示,与对照组相比,干预组在进行8周营养辅导后,躯体和心理症状均有显著降低(p<0.01)。泌尿生殖系统症状无显著差异。绝经评分降低(-25%,p<0.001)改善了生活质量。主观睡眠质量(-27%,p<0.05)、睡眠持续时间(-39%,p<0.05)、习惯性睡眠效率(-43%,p<0.05)和日间功能障碍(-43%,p<0.01)均下降。PSQI评分降低(-31%,p<0.01),睡眠质量有所改善。采用基于地中海饮食模式原则的健康生活方式并结合规律的体育活动,绝经过渡妇女的人体测量特征、更年期症状、睡眠质量和生活质量得到改善。
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引用次数: 0
Study of Ultrasonographic Changes of the Adrenal Gland in Growth Restricted Fetus 生长受限胎儿肾上腺超声变化的研究
IF 0.4 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2023-07-05 DOI: 10.2174/1573404820666230705162433
Fathimath Hashreen K A, Shraddha Shetty K
Fetuses with Fetal Growth Restriction (FGR) are at increased risk of chronic intra-uterine hypoxia, due to increased secretion of corticosterone from the fetal adrenal glands. This plays a major role in the cardiovascular and circulatory adaptation of FGR fetuses. These modifications are untimely identified by sonographic imaging.To study the association between ultrasound features of the adrenal gland and growth restriction in the fetus.A total of 104 pregnant women (52 FGR pregnancies and 52 controls) were evaluated between 28 and 36 weeks of gestation. All the study participants underwent transabdominal ultrasonography to measure bilateral fetal adrenal gland volume and fetal zone volume, corrected for gestational age. They were followed up until delivery. The two groups were compared to analyze the perinatal outcome in relation to ultrasonographic changes in the adrenal gland.The adrenal gland measurements were significantly larger in fetuses with FGR as compared to the control group. FGR group had a larger corrected adrenal gland volume(cAGV) and fetal zone and adrenal gland (FZ/AG)ratio A statistically significant correlation was found between the two groups regarding gestational age at delivery, birth weight, APGAR score, and NICU admissions. Perinatal morbidity was found to be higher among women diagnosed with FGR, i.e., 14 (53.84%).Fetal adrenal gland size measurement is important to identify FGR fetuses that are vulnerable to hypoxia. It helps the obstetrician prepare for effective in-utero management to reduce perinatal morbidity and mortality.
由于胎儿肾上腺皮质酮分泌增加,胎儿生长受限(FGR)的胎儿发生慢性子宫内缺氧的风险增加。这在FGR胎儿的心血管和循环适应中起着重要作用。超声成像不能及时发现这些变化。目的探讨肾上腺超声特征与胎儿生长受限的关系。共有104名孕妇(52名FGR孕妇和52名对照组)在妊娠28至36周期间接受了评估。所有的研究参与者都接受了经腹超声检查来测量双侧胎儿肾上腺体积和胎区体积,并根据胎龄进行校正。他们一直被跟踪到交货。比较两组胎儿的围生期结局与肾上腺超声变化的关系。与对照组相比,FGR胎儿的肾上腺测量值明显较大。FGR组校正肾上腺体积(cAGV)、胎区与肾上腺(FZ/AG)比较大,两组分娩胎龄、出生体重、APGAR评分、新生儿重症监护病房入院率均有统计学意义。诊断为FGR的妇女围产期发病率较高,为14(53.84%)。胎儿肾上腺大小测量对于识别易受缺氧影响的FGR胎儿是重要的。它有助于产科医生准备有效的宫内管理,以减少围产期发病率和死亡率。
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引用次数: 0
Essential Herbal Plants for the Clinical Management of Polycystic Ovary Syndrome and Patents for the same 多囊卵巢综合征临床治疗必备植物及相关专利
IF 0.4 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2023-06-26 DOI: 10.2174/1573404820666230626110413
N. Minocha, K. Rao, Nikita Yadav, Nidhi Bansal
Polycystic Ovarian Syndrome (PCOS) is a hormonal disorder in females with excessive hormonal levels, but a reasonable cause is unknown. For PCOS, various pharmaceutical therapies have been offered, like oral contraceptive pills (which balance hormonal imbalances). PCOS is commonly used as an alternative to PCOD (Polycystic Ovary Disease). Although a part of the implicated mechanism in the occurrence of PCOS has been discovered, the specific etiology and pathophysiology are still unknown. Many types of complementary medicines are used to treat PCOD, and herbal medicines are one of them. Medical herbs have long been utilized to manage PCOS in women's gynecological and reproductive issues. This review article discusses the importance of herbal medicines and lifestyle modifications for PCOD patients. Many clinical studies proved that herbs like liquorice, cinnamon, Unkei-to, and fenugreek are helpful in PCOD management by improving hormone levels, ovulatory dysfunctions, obesity, and insulin resistance in the body. This review explores the natural plants that can be used to treat the disease naturally. The herbs can be used either alone or in combination.
多囊卵巢综合征(PCOS)是一种激素水平过高的女性荷尔蒙失调,但合理的原因尚不清楚。对于多囊卵巢综合征,已经提供了各种药物治疗,如口服避孕药(平衡激素失衡)。PCOS通常被用作PCOD(多囊卵巢疾病)的替代品。虽然已经发现了多囊卵巢综合征发生的部分机制,但具体的病因和病理生理尚不清楚。许多类型的补充药物用于治疗PCOD,草药是其中之一。长期以来,草药一直被用于治疗女性妇科和生殖问题中的多囊卵巢综合征。本文综述了中草药治疗和生活方式改变对PCOD患者的重要性。许多临床研究证明,甘草、肉桂、冬瓜和胡芦巴等草药通过改善体内激素水平、排卵功能障碍、肥胖和胰岛素抵抗,有助于控制PCOD。本文综述了可用于自然治疗该疾病的天然植物。这些草药既可以单独使用,也可以联合使用。
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引用次数: 0
A Rare Case Report: Bilateral Spontaneous Twin Tubal Ectopic Pregnancy from Iran 伊朗双侧自发性双输卵管异位妊娠1例
IF 0.4 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2023-06-15 DOI: 10.2174/1573404820666230615112139
F. Sarbazi, E. Akbari, R. Nasr, Nayere Tamizi, Sahar Khoshravesh
One of the main problems of women of reproductive age is ectopic pregnancy. Lack of early diagnosis and treatment can lead to internal bleeding and death of the patient. Approximately 1.2 to 1.4% of the reported pregnancies is ectopic pregnancy and one of the rarest types of ectopic pregnancy is bilateral ectopic pregnancy, which is reported in only 0.0005% of pregnant women.A 35-year-old woman with polycystic ovary syndrome, weight 65 kg and height 153 cm, referred for pregnancy. Using examination and history taking, ultrasound and β-hCG titer measurement, one of the masses at 5 to 6 weeks and in the area of the isthmus of the right tube and the other mass two weeks later at 7 to 8 weeks, in the area Infundibulum of the left tube was diagnosed. The most common complication that the patient complained about was abdominal pain and frequent bleeding. Both times, the patient underwent laparoscopy and because of the patient's condition, salpingectomy was performed on both left and right tubes of the patient.Due to the rarity of bilateral twin ectopic pregnancy, early diagnosis with the help of history taking and clinical examination, measurement of β-hCG titer and ultrasound is necessary. Early diagnosis can lead to the reduction of women's mortality.
育龄妇女的主要问题之一是异位妊娠。缺乏早期诊断和治疗可导致患者内出血和死亡。约1.2 - 1.4%的报告妊娠为异位妊娠,其中最罕见的异位妊娠之一是双侧异位妊娠,仅占孕妇的0.0005%。女性,35岁,多囊卵巢综合征,体重65公斤,身高153厘米,因怀孕而就诊。通过检查、病史记录、超声及β-hCG滴度测定,分别于5 ~ 6周诊断1例右侧管峡部肿物,2周后7 ~ 8周诊断1例左侧管峡部肿物。患者最常见的并发症是腹痛和频繁出血。两次患者均行腹腔镜检查,由于患者病情,对患者的左右输卵管均行输卵管切除术。由于双侧双胎异位妊娠罕见,早期诊断应结合病史、临床检查、测定β-hCG滴度及超声检查。早期诊断可降低妇女死亡率。
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引用次数: 0
Female sexual function following pelvic organ prolapse reconstruction: A case serial study 盆腔器官脱垂重建后女性性功能:病例系列研究
IF 0.4 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2023-06-07 DOI: 10.2174/1573404820666230607104422
S. Rahayu, Edy Fakhrizal, Muhammad Yulis Hamidy
Pelvic organ prolapse (POP) may reduce women's quality of life and is one of the most important aspects in the occurrence of sexual dysfunction.This study aimed to assess sexual function in POP women with pelvic floor dysfunction pre and post-surgery.This study was a prospective cohort study. Using the total sampling technique at Arifin Achmad Hospital, Indonesia, the study recruited women who underwent POP surgery with active sexual function from July 2020 to December 2021. The pelvic floor disorder was evaluated through Pelvic Floor Distress Inventory (PFDI) questionnaires validated in the Indonesian language, pre, and post-surgery. The assessment of sexual function was carried out using the Indonesian linguistic validation of the Female Sexual Function Index (FSFI) questionnaires before and after surgery.There was a decrease in the average value of pelvic floor disorder scores before and six months after surgery (P< 0.05). However, the sexual function increased with a cut-off score of FSFI > 20.25 at 3 and 6 months post-surgery, respectively as much as 61.1% (11/18 subjects) and 72.2% (13/18 subjects), compared to the pre-surgery sexual function scores by 7.8% (5/18 subjects). Out of the 6 domains of sexual function, an increase was found in the sexual arousal domain (P<0.05).There is a decrease in pelvic floor disorder and an increase in sexual function, particularly an increment in sexual arousal at six months post-surgery.
盆腔器官脱垂(POP)可能会降低女性的生活质量,是发生性功能障碍的重要方面之一。本研究旨在评估骨盆底功能障碍的POP女性手术前后的性功能。本研究为前瞻性队列研究。该研究使用了印度尼西亚Arifin ahmad医院的总抽样技术,招募了从2020年7月到2021年12月期间接受过POP手术且性功能活跃的女性。盆底障碍通过盆底窘迫量表(PFDI)问卷评估,以印尼语验证,术前和术后。术前和术后用印尼语验证的女性性功能指数(FSFI)问卷进行性功能评估。两组患者术前、术后6个月盆底障碍评分平均值均降低(P< 0.05)。但术后3个月和6个月性功能评分均有所提高,FSFI临界值> 20.25,分别比术前提高了61.1%(11/18例)和72.2%(13/18例),提高了7.8%(5/18例)。在6个性功能域中,性唤起域明显增加(P<0.05)。盆底障碍减少,性功能增强,尤其是术后6个月性唤起增加。
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引用次数: 0
Explanation Of The Educational Needs Related To Women's Health During Menopausal Period: A Qualitative Study 更年期妇女健康相关教育需求的解释:一项质性研究
IF 0.4 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2023-06-06 DOI: 10.2174/1573404820666230606160811
S. Masoumi, Marzieh aotogara, Masoumeh Rostami-Moez, F. farahani, S. Alimohammadi, K. Oshvandi
Menopause is one of a woman's most crucial life stages. Identifying menopause's educational needs is critical.This study aims to explain the educational needs of women during menopause.The current study employs a qualitative content analysis method. The study included 12 women around menopause who were referred to Fatemieh Hospital's menopause clinic in Hamadan in 2020 and seven midwives. Individual semi-structured interviews with open-ended questions were used to collect data for the study. Data analysis was performed by Cheevakumjon method and conceptual content analysis was used to extract the concepts. After reading the text of the data, key sentences and concepts were derived and finally categorized.The mean age of menopausal women and midwives was 54.15±4.24 and 34.35±3.54 years, respectively. In this study, three main themes were found in each of the perspectives of menopausal women (educational needs, expectations from the health system, expectations from others) and nurse-midwives (effective factors in the successful implementation of programs related to the health of menopausal women, obstacles and challenges of successful program implementation, strategies to increase program performance) regarding health needs related to menopause. The experiences of postmenopausal women had 3 themes, 4 categories and 15 subcategories and midwives' point of view was also divided into 3 themes and 5 categories and 14 sub categories.In order to manage the challenges of menopause, education and counseling are needed regarding the physical, mental, psychological and social changes that menopausal women may face. Moreover, to achieve these goals, there is a need for comprehensive support from the relevant politicians.
更年期是女性生命中最关键的阶段之一。确定更年期的教育需求是至关重要的。本研究旨在解释更年期妇女的教育需求。本研究采用定性内容分析法。该研究包括12名绝经期妇女,她们于2020年被转介到哈马丹的Fatemieh医院更年期诊所,以及7名助产士。采用带有开放式问题的个人半结构化访谈来收集研究数据。数据分析采用Cheevakumjon法,概念内容分析法提取概念。在阅读数据文本后,推导出关键的句子和概念,最后进行分类。绝经期妇女和助产士的平均年龄分别为54.15±4.24岁和34.35±3.54岁。在本研究中,在绝经期妇女的每个视角中都发现了三个主要主题(教育需求、卫生系统的期望、他人的期望)和护士-助产士(成功实施与绝经期妇女健康相关的项目的有效因素、成功实施项目的障碍和挑战、提高项目绩效的策略),这些都与更年期相关的健康需求有关。绝经后妇女的经历分为3个主题4类15个小类,助产士的观点也分为3个主题5类14个小类。为了应对更年期的挑战,需要对更年期妇女可能面临的生理、心理、心理和社会变化进行教育和咨询。此外,要实现这些目标,还需要相关政界人士的全面支持。
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引用次数: 0
Effect of Continued Midwifery Support in Labor on Childbirth Experience and Self-esteem of Primipara Women: A Randomized Controlled Trial 持续助产支持对初产妇分娩经验和自尊的影响:一项随机对照试验
IF 0.4 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2023-05-19 DOI: 10.2174/1573404820666230519123920
F. Kazemi, N. Soleimani, M. Refaei
During labor and delivery, mothers should be supported by people who give them comfort. The present study aims to determine the effect of continued midwifery support in labor on the childbirth experience and self-esteem of nulliparous women 6 weeks after childbirth.This randomized controlled trial was performed in 2021 on 70 pregnant women in the delivery ward. Participants were allocated to two groups through balanced block randomization. First, participants completed questionnaires. In the intervention group, the researcher stayed at the mother’s bedside and accompanied the mother continuously throughout the labor and up to 2 hours after childbirth. Both groups received routine care. Six weeks after childbirth, participants in both groups were contacted to complete the CEQ 2.0 and Rosenberg self-esteem questionnaires. The required data were collected and analyzed at a significance level of 0.05.The mean (± SD) of childbirth experience 6 weeks after childbirth was 3.1 (± 0.2) in the intervention group and 2.6 (± 0.3) in the control group, and this difference was statistically significant (p < 0.001) (Cohen’s d = 1.7; 95% CI: 1.1, 2.3). The comparison of the mean of maternal self-esteem showed that this rate in the intervention group was 2.1 scores higher than that in the control group, and the difference was statistically significant (p = 0.02) (Cohen’s d = 0.6; 95% CI: 0.1, 1.1).Continued support of the midwife in labor and up to 2 hours after childbirth can lead to a better childbirth experience and enhance the mother’s self-esteem up to 6 weeks after childbirth.
在分娩过程中,母亲应该得到安慰的人的支持。本研究旨在探讨持续助产支持对分娩后6周未生育妇女分娩体验和自尊的影响。这项随机对照试验于2021年对70名分娩病房的孕妇进行。参与者通过平衡块随机分配分为两组。首先,参与者完成问卷调查。在干预组,研究人员守在母亲床边,在分娩过程中持续陪伴母亲直至分娩后2小时。两组均接受常规护理。分娩六周后,研究人员联系两组参与者完成CEQ 2.0和Rosenberg自尊问卷。收集所需数据,以0.05的显著性水平进行分析。分娩后6周分娩经历的平均值(±SD)干预组为3.1(±0.2),对照组为2.6(±0.3),差异有统计学意义(p < 0.001) (Cohen’SD = 1.7;95% ci: 1.1, 2.3)。比较母亲自尊的平均值,干预组的这一比率比对照组高2.1分,差异有统计学意义(p = 0.02) (Cohen’s d = 0.6;95% ci: 0.1, 1.1)。助产士在分娩时和分娩后2小时内的持续支持可以带来更好的分娩体验,并在分娩后6周内增强母亲的自尊。
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Current Women s Health Reviews
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