Health Care for Women International最新文献

Cesarean delivery continues to increase due to various reasons, considering its negative effects, our aim in this research is to investigate the behavioral intention of pregnant women who choose vaginal delivery. In this regard, the expanded Theory of Planned Behavior was used by increasing two predictor variables. About 188 pregnant women voluntarily participated in this research in some healthcare centers in Tehran County, Iran. Our results showed that this enhanced model can increase the power of the original theory. Overall, the expanded model successfully described the mode of delivery among Iranian women and explained 59.4% of the variation in the intention variable with a stronger effect. The effect of the variables added to the model was indirectly significant. Among all the variables, attitude showed the best effect on the choice of normal vaginal delivery, and after that, the variable of general health orientation had a greater effect on attitude.

ABSTRACTsThe probable relationship between type of delivery and postpartum sexual function is one of the reasons behind women's tendency to cesarean. This study was performed with 250 women participants. Female Sexual Function Index and examination form were used to determine pelvic organ prolapse and its severity and type based on POP-Q. Our results showed the difference between the mean performance score in the dimensions of desire (p = .19), lubrication (p = .08), orgasm (0.13), pain (p = .08), and satisfaction (p = .06) was not significant in the two groups of vaginal delivery and cesarean, but the difference between the mean score of sexual function in the dimension of total score (p = .002) was significant in the two groups. Regarding the relationship between sexual function and pelvic organ prolapse, the total score of sexual function in women with uterine, cystocele, and rectocele prolapse was significantly lower (p < .001). Researchers should work to provide more evidence on relationship of female sexual function and the type of delivery and pelvic organ prolapse.

The researchers aimed through this cross-sectional study to explore the co-occurrence of health-related behaviors and their association with food insecurity in pregnant women. The investigated behaviors include smoking, alcohol consumption, non-regular consumption of fruit, and physical inactivity among 605 participants. Our findings reveal that women experiencing food insecurity exhibit a higher prevalence of simultaneous engagement in specific health behaviors. Specifically, the co-occurrence of alcohol consumption and non-regular fruit consumption is elevated, as is the co-occurrence of smoking, alcohol consumption, and physical inactivity, and alcohol consumption, regular fruit consumption, and physical inactivity. The implications of these findings underscore the need for targeted interventions addressing both food insecurity and clustered health behaviors during pregnancy.

This study was conducted to determine the effects of the Human Caring Theory-based post-cesarean caring and pain management training on caring behaviors and caring outcomes. The sample consisted of 25 nurses, midwives and 208 women who had cesarean. Nurses and midwives were given training based on Human Caring Theory, which consisted of three sessions. Nurses and midwives caring behavior scores increased after the training. Midwives' self-rating scores, the rate of using a scale to assess pain and recording information on pain assessment increased. Caring satisfaction and perception of the caring behavior of women who had cesarean increased and their pain levels decreased.

Our purpose in the present study is to determine mothers' perceptions of breastfeeding through metaphors. This is qualitative, cross-sectional and descriptive study. The present study included 33 volunteer mothers who gave birth vaginally for the first time, received care in the postpartum service, and breastfed their babies at least 10 times. To reveal the metaphors related to the concept of breastfeeding, each mother was asked to complete the sentence "Breastfeeding is like… because…." The perceptions of the mothers about breastfeeding were gathered under three main themes: positive, negative and neutral metaphors. The identified metaphors were divided into five categories: indescribable emotion, peace, healing, task and inflicting pain. The mothers produced more positive metaphors about breastfeeding.

In this study, we aimed to evaluate the impact of telemedicine for contraceptive counseling on knowledge levels and satisfaction with Family Planning Services. We collected data from 77 third-trimester pregnant women using a personal information form, Family Planning Knowledge Questionnaire, and the Satisfaction with Family Planning Services Scale and compared the data using chi-square test, Fisher's exact chi-square test, t-test for independent and dependent groups and Mann-Whitney U analysis. The experimental group participants (n = 37) received two informative video visits for contraceptive counseling, while the women in the control group (n = 40) received routine face-to-face Family Planning Services at their primary health care center. Participants in the experimental group showed a greater increase in knowledge levels and higher satisfaction with Family Planning Services than those in the control group (p < 0.05). In conclusion, we determined that telemedicine for contraceptive counseling is a promising option even beyond the pandemic.

Diagnostic delay for endometriosis is a well-established phenomenon. Despite this, little is known about where in the health care system these delays occur or why they occur. Our review is the first attempt to synthesize and analyze this international evidence. A systematic scoping review with a pre-specified protocol incorporated the literature on diagnostic delay for endometriosis using the social-ecological theoretical framework. Four databases (PubMed, MEDLINE, EMBASE, PsychINFO) were searched from inception to September 2023. The search yielded 403 studies, 23 of which met the inclusion criteria. Most were from high-income country researchers. The average diagnostic delay reported across studies was 6.8 years (range 1.5-11.4 years) but this masked the very wide differences reported between countries. Considering the impact on individuals and the health system, addressing diagnostic delay for endometriosis must remain a priority for researchers, health care providers and policy makers.