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Showing 7 results for Maleki

Azam Malekia, Elahe Ahmadnia,
Volume 1, Issue 1 (9-2011)

  Background and Objectives: Increasing d aily intake of 400 micrograms folic acid to 80% among childbearing women up to 2010 is a public health goal. This study aimed to assess the knowledge and practice of pregnant women on folic acid intake and its related factors.

  Material and Methods: In this cross-sectional study, 361 literate pregnant women attending health centers in Zanjan were recruited to the study using a convenience sampling method. Data were collected usinf a questionnaire. The Cronbachchr('39')s alpha coefficient for the items was 0.75. Data were analyzed using statistical t-test, ANOVA, Chi-square, and logistic regression. The mean of knowledge score was considered as the average knowledge and ranges more or less than the average were considered as high or low knowledge, respectively.

  Results: About 25.2 percent of pregnant women had good knowledge, 53.2 percent had average knowledge, and 21.6 percent had low knowledge. The knowledge score had a significant relationship with the occupation, mothers’ age, and education .More than 60 percent of the participants used folic acid alone or in combination with multivitamins or iron. The folic acid usage had a significant correlation with gestational age as the highest percentage of consumption of folic acid was in the second trimester of pregnancy and the lowest percentage was in the first trimester. Most of the women (73.1%) had heard about folic acid. Public clinics were the most cited source of information. Marriage classes had provided the least information.

  Conclusion: Despite a large percentage of women who had heard about folic acid, most of them had not enough knowledge about benefits of folic acid consumption during pregnancy. Folic acid intake amount was near the public health goal however, most of the participants had started taking the pills after their first trimester. Therefore, educating women on the benefits of folic acid intake during pregnancy should be considered in educational classes

Fateme Saremi, Shamsi Taran, Azam Malekia,
Volume 1, Issue 2 (3-2012)

Background and Objectives: Health status, lifestyle and previous history of pregnancies significantly affect pregnancy outcome however, many adverse pregnancy outcomes are preventable. This study aimed to investigate causes of hospitalization of pregnant women in delivery unit of Zanjan Ayatollah Mosavi hospital. Material and Methods: In this cross-sectional study, the causes of hospitalization of 4830 women with gestational ages more than 20 weeks were investigated during 2009-2010. Data were collected using a check list including patientschr('39') chief complaint, women’s demographic characteristics and delivery history. Data were analyzed using descriptive test, chi square, and t-test in a confidence level of 95 %. Results: From 4830 hospitalized women, 1278 were hospitalized due to obstetrics complications. The mean age of women was 26.52±6.26 year. The mean gestational age was 264.24±21.40 days. The most common causes of hospitalization were rupture of amniotic membranes (49.1%), preterm labor (29.3%), meconium staining (15.5%), and hypertension (11.8%). The rate of caesarian section, male baby, APGAR score lower than six in the 1st and 5th minutes of delivery, hypertension, and twin pregnancies were high in preterm labors. Meconium staining and rupture of amniotic membranes were common in term and post term deliveries. Conclusion: Findings showed that the most common causes of hospitalization were rupture of amniotic membranes and preterm labor. It is necessary to conduct more research on the causes of these complications

Azam Maleki, Soghrat Faghihzadeh,
Volume 6, Issue 1 (6-2016)

Background and Objectives: Menchr('39')s participation in family care programs is one of the important strategies in maternal and child health care. The present study aimed to evaluate the fatherschr('39') function after the transition to fatherhood stage and its related factors.

Materials and Methods: The study was a cross-sectional design that conducted in Zanjan between 2012-2013. The function of 403fatherswere investigated whose wives had delivered in last 8 weeks. The samples were selected randomly, and the data was collected using the Inventory of Functional Status- Father (IFS-F) scale, which in the fatherschr('39') function were categorized according to the median cut-off point. The content validity and reliability of the scale was approved using Content Validity Ratio (CVR=0.89) and Cronbach’s Alpha in the function of the components were 0.52- 0.90, respectively. Data were analyzed using descriptive statistics and kruskal-Wallis H test (Acceptable P value<0.05).

Results: The highest and lowest mean score of fatherschr('39') function belonged to the job and social dimensions, respectively. There was an increased level of fatherschr('39') participation in home activities (23.2%), and taking care of the other children (30.4%) compared to pregnancy period. The fatherschr('39') function dropped by 7% and 27.6% in their job and social activity dimensions, respectively. A significant association was found between the mean score of fatherschr('39') function and the marriage age, the number of children, educational level, and the time of first fatherhood experience.

Conclusion: Moderate fatherschr('39') function in most of the fatherhood dimensions was remarked in the current study. Given that the importance of the menchr('39')s participation in maternal and child health care, and influencing of the demographic characteristics on this process, it is recommended that the fathers, and young fathers with low education level particularly, to be attended fatherhood preparations courses.

Atefeh Rajabi, Azam Maleki, Mohsen Dadashi, Farzaneh Karami Tanha,
Volume 8, Issue 1 (6-2018)

Background: Mothers with preterm infants experience numerous stressful problems which can be associated with negative effects on maternal role adaptation.
Objectives: The present study aimed to evaluate maternal role adaptation in mothers with late-preterm infants and its related factors.
Methods: This descriptive-analytical study was conducted in Ayatollah Mousavi Hospital in Zanjan, Iran during June-November 2017. A total of 95 women with preterm infants were selected by convenience sampling method. Data were collected using demographic and maternal role adaptation questionnaires. Finally, the obtained data were analyzed by the SPSS software employing descriptive statistics test and regression models at a confidence level of 95% (P<0.05).
Results: Based on the results, the highest mean of maternal role adaptation belonged to the areas of child dependency and emotional development while the lowest mean was related to the area of concern and anxiety. In addition, the results demonstrated a significant correlation between the degree of maternal role adaptation and its areas such as family income, maternal and parents level of education, parents occupational status, birth weight, Apgar score, the gender of the infant, and delivery method.
Conclusion: In general, the adaptation of mothers with preterm infants was low in the area of concern and anxiety compared to the other areas. Therefore, planning appropriate interventions to strengthen the maternal role is of great importance for the parents who have preterm infants, low level of education, and are unemployed with insufficient income.

Elmira Aziziz, Azam Maleki, Saeideh Mazloomzadeh, Reza Pirzeh,
Volume 8, Issue 2 (9-2018)

Background: Stress during pregnancy and delivery is associated with unfavorable outcomes, which negatively affects maternal breastfeeding self-efficacy.
Objectives: This study aimed to determine the relationship between perceived stress and breastfeeding self-efficacy of women in Zanjan, Iran.
Methods: This descriptive- analytical study was performed on 224 pregnant women, who participated in delivery preparation classes and were selected by Poisson random sampling. The data were collected using Demoghraphic and midwifery characteristics Questionnaires, Cohen’s perceived stress scale, and Dennis’s breast-feeding self-efficacy scale. In addition, data analysis was performed using descriptive statistics, Pearson’s correlation coefficient, and logistic regression model at 95% confidence interval.
Results: In this study, the mean age of the participants was 26.56±4.61 years. Moreover, a majority of mothers were nulliparous (81.3%), had academic degrees (56.7%), and were housewives (86.6%). According to the results, there was a significant and reverse association between perceived stress and breastfeeding self-efficacy and neonatal weight at birth (P=0.0001) (P=0.01). While breastfeeding self-efficacy had a direct association with natural delivery, wanted pregnancy, neonatal weight, and family income level, It had a significant and reverse relationship with history of abortion (P<0.05).
Conclusion: Due to the significant and negative relationship between perceived stress and self-efficacy as well as the importance of this issue in the rate of exclusive nutrition and continuation of lactation, planning to control perceived stress in nulliparous women with a history of abortion, unwanted pregnancy, and low income levels seems necessary
Azam Maleki, Sayeh Sadat Moosavi Sahebalzamani, Soghrat Faghihzadeh, Mansoreh Sepehrinia,
Volume 9, Issue 1 (6-2019)

Background: Application of technology for education accounts for an important aspect of expansion of the information technology in the present century.
Objectives: This study aims to examine the degree of readiness of the faculty member of Zanjan University of Medical Sciences for e-Teaching.
Methods: This descriptive-cross-sectional study focused on the degree of readiness of 70 faculty member of Zanjan University of Medical Sciences in 2014. It followed the simple randomized sampling method. The readiness of faculty member was assessed from five dimensions, including organizational support, perceived value, and time commitment, working skill, access to computer, internet and attitude towards e-Teaching, using a standard questionnaire. The data were analyzed using descriptive statistics indices, Pearson correlation coefficient and Logistic Regression Model at 95% confidence interval.
Results: The university faculty member were in adequate level of readiness in terms of organizational support (46.4%), positive attitude towards e-Teaching (49.3%); the skill of work with computer (49.3%), time commitment (44.9%), access to computer (49.3%) and positive perceived value (45.6%). The predictive variables of the university faculty member’ readiness were appropriate in terms of organizational support, access to computer and in term of, perceived value, age and gender of the university faculty member in term of, perceived time obligation, skill in work with computer and organizational support.
Conclusion: The results showed that readiness of the the faculty member of Zanjan University of Medical Sciences for e-Teaching was in a relatively appropriate level. Expanson of the technological infrastructure, holding empowerment workshops in order for improvement of the required skill and changing attitude of the university faculty member for e-Teaching are suggested

Nahid Moradi, Azam Maleki, Saeedeh Zenoozian,
Volume 10, Issue 2 (8-2020)

Background: Spiritual experience helps individuals to cope with stressful life situations.
Objectives: The present study was to determine the effect of integrating midwifery counseling with a spiritual approach on pregnant women’s spiritual experience.
Methods: A randomized controlled trial study was conducted on 40 pregnant women who referred to Abhar health centers in 2019. For the experimental group, eight counseling sessions were held using a spirituality-oriented approach, and the control group received routine health care services. Data were collected using a spiritual experience questionnaire in three stages (namely before intervention, 28 weeks of pregnancy, and 36 weeks of pregnancy). The data were analyzed using descriptive statistics, the Chi-square test, the independent t-test, and ANCOVA at 95 % confidence level.
Results: The comparison of the mean scores of spiritual experience in the experimental and control groups revealed that the scores were higher in the second and third trimesters. In this regard, the mean score of spiritual experience in the pre-intervention stage in the control group was 73.31, which decreased to 69.47 in the third trimesters. Meanwhile, the mean score of spiritual experience in the experimental group in the pre-intervention phase was 71.65, which increased by 84.15 in the third trimesters. The mean difference of spiritual experience scores was statistically significant between the two groups (p=0.001).
Conclusion: Counseling along with a spiritual approach was effective in improving pregnant women’s spiritual experience. , and it can be integrated with prenatal care package.

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