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Effects of aromatherapy with Rosa damascena on nulliparous women's pain and anxiety of labor during first stage of labor

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Journal of Integrative Medicine 2018年第2期16卷 120-125页

作者： Sepideh Hamdamian Soheila Nazarpour masoumeh simbar Sepideh Hajian Faraz Mojab Atefeh Talebi Department of Midwifery and Reproductive Health School of Nursing and MidwiferyShahid Beheshti University of Medical Sciences Department of Midwifery Chalous Branch Islamic Azad University Midwifery and Reproductive Health Research Center Department of Midwifery and Reproductive HealthSchool of Nursing and MidwiferyShahid Beheshti University of Medical Sciences Department of Pharmacognosy School of Pharmacy and Research Center of Pharmaceutical ScienceShahid Beheshti University of Medical Sciences Department of Biostatistics School of Paramedicine Shahid Beheshti University of Medical Sciences

Background： Reducing labor pain and anxiety is one of the most important goals of maternity care. Objective： This study aimed to assess the effects of aromatherapy with Rosa damascena on pain and anxiety in the first stage of labor among nulliparous women. Design, setting, participants and interventions： This was a randomized clinical trial of 110 nulliparous women. The eligible participants were randomly assigned to two groups of aromatherapy and control in an Iranian maternity hospital. The participants received 0.08 mL of Rosa damascena essence in the aro- matherapy group and 0.08 mL of normal saline in the control group, every 30 min. Pain was measured 3 times, once each at three stages of cervical dilation （4-5, 6-7, and 8-10 cm）. Anxiety was measured twice, once each at two stages of cervical dilation （4-7 and 8-10 cm）. The tools for data collection were the Spielberger anxiety questionnaire, numerical pain rating scale, demographic and obstetric questionnaire, and an observational checklist. Data analyses included the t-test, Mann-Whitney U test and Chi-square test. Main outcome measures： Severity of labor pain and severity of anxiety were used as primary outcome measures. Labor and delivery characteristics （including number of contractions, duration of contractions in second stage, Bishop score, augmentation by oxytocin, Apgar score, and mode of delivery）, demographic characteristics, and fertility information were used as secondary outcome measures. Results： Pain severity in the group receiving aromatherapy with R. damoscena was significantly lower than in the control group after treatment at each pain assessment （cervical dilation of 4-5, 6-7, and 8-10 cm; P 〈 0.05）. Anxiety levels were also significantly lower in the treatment group than in the control group after treatment at each time of measurement （cervical dilation of 4-7 and 8-10 cm; P 〈 0.05）. Conclusion： Aromatherapy with R. damascena reduced the severity of pain and anxiety in the first stage of

关键词： Aromatherapy Rosa damasceoa Obstetric labor PainAnxiety Nulliparous

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Gender Sensitive STIs/HIV/AIDS Prevention Policies: A Qualitative Study

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Health 2014年第11期6卷 1246-1254页

作者： Fatemeh Rahmanian masoumeh simbar Ali Ramezankhani Farid Zayeri Department of Biostatistics Faculty of Paramedicine Shahid Beheshti University of Medical Sciences Tehran Iran Department of Midwifery and Reproductive Health Faculty of Nursing and Midwifery Shahid Beheshti University of Medical Science Tehran Iran Department of Public Health Faculty of Health Shahid Beheshti University of Medical Science Tehran Iran The Research Center for Safe Motherhood Department of Midwifery and Reproductive Health Shahid Beheshti University of Medical Science Tehran Iran

Background: The global incidence of STIs is rising. It is estimated that 499 million new cases of curable STIs occur every year. The existence of more than one million reported cases of STIs annually in Iran shows that addressing this issue must be a priority for Iranian health authorities. While recognition of the importance of gender issues to reproductive health (RH) programs has grown significantly in the past several years, major challenges remain in implementing gender-sensitive programs. Gender mainstreaming in Iranian reproductive health program is a relatively new issue, so this study aims to explore gender sensitive STIs/HIV/AIDS prevention policies. Method: This study employed a qualitative research design. Participants were health managers, health policy makers and reproductive health providers. They were selected purposefully and then continued by snowball sampling method. 43 semi-structured in-depth interviews with 37 key informants were done. All the interviews were recorded and transcribed. The data were analyzed by content analysis method. Trustworthiness of the data was achieved by using credibility, trans-ferability and conformability. Results: Key informants clearly explained the gender sensitive STIs/ HIV/AIDS prevention policies in three main categories: 1) advocacy, 2) collaboration between different sectors and 3) community empowerment to gender sensitive STIs/HIV/AIDS prevention programs. Conclusion: Changing gender neural STIs/HIV/AIDS prevention policy to more complete gender sensitive policy needs advocacy, collaboration of sectors and community empowerment.

关键词： Gender Gender Sensitive STIs/HIV/AIDS Prevention Policies Qualitative Study

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Concerns about One’s Own Future or Securing Child’s Future: Paradox of Childbearing Decision Making

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Health 2014年第10期6卷 1019-1029页

作者： Nourossadat Kariman masoumeh simbar Fazlollah Ahmadi Abou Ali Vedadhir Department of Antropology Tehran University Tehran Iran Department of Midwifery and Reproductive Health Shahid Beheshti University of Medical Science Tehran Iran Department of Nursing Faculty of Medical Sciences Tarbiat Modares University Tehran Iran The Research Center for Safe Motherhood Department of Midwifery and Reproductive Health Shahid Beheshti University of Medical Science Tehran Iran

Background and Purpose: Researchers’ incomplete perception of the concerns about childbearing decision making process is revealed in discussions about policies and programs that are designed to influence fertility. Perceiving the concerns of women is essential to explain process of decision making for childbearing. This study aimed to understand women’s main concerns about childbearing decision making. Methods: This qualitative study was performed by conventional content analysis approach. The participants included 22 married women in Tehran who were pregnant for the first time or were using contraceptive methods. Purposeful sampling began and continued up to data saturation. To collect data, the unstructured in-depth interviews were used. Data were analyzed using qualitative content analysis by Lundman and Graneheim method. Findings: Four categories were obtained from data including “fear”, “uncertainty”, “hope” and “financial security”. The main category or theme was “concerns about one’s own future or securing child’s future” that was extracted as the main concern of women about childbearing decision making process. Conclusion: The findings of this study suggest that concerns about one’s own future or securing child’s future are the main concerns of women about childbearing decision making. Deep understanding of women’s concerns about childbearing will help midwives and other service providers to provide services, strategies and more sensitive and appropriate interventions.

关键词： Concern Decision Making Childbearing Qualitative Study Content Analysis

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