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Samaneh Youseflu, Farahnaz Rostami, Majid Yousefi Afrashteh , Zeynab Bayat, Leila Rastegari,
Volume 8, Issue 4 (3-2019)

Background: Postpartum is considered as one of the most vulnerable and stressful periods for women. Changes in physical appearance after pregnancy and childbirth could result in attitudinal changes of women towards their body and subsequently disorders in women’s sexual behavior.
Objectives: Regarding the effect of pregnancy and childbirth on sexual function and the body image of women, this study aims to assess the effect of body image satisfaction on sexual function of Iranian women referring to Health Care Center of Zanjan city after child birth.
Methods: This cross-sectional study was conducted on 420 mothers who had referred to health care centers affiliated to Zanjan University of Medical Sciences between 2018-19. A checklist including questions about demographic and reproductive information, Female Sexual Function Index (FSFI) and the Multidimensional Body–Self Relations Questionnaire (MBSRQ) were filled up for all of the participants. The data were analyzed by SPSS 16 software through using the Pearson correlation coefficient.
Results: A positive relationship was observed between body image satisfaction and sexual function (SF) of women (r=0.23, p<0.001). The participating women’s BMI (r=0.27, p<0.001), marriage duration (r=0.11, p<0.05) and their age (r=0.28, p<0.001) were associated with their body image satisfaction. The levels of body image satisfaction showed significant difference between women with and without sexual dysfunction (p=0.008).
Conclusion: Women experience changes in SF and body image during the postpartum period. Changes in women’s SF can leave negative impact on women’s family relationship. Therefore, in that period, women need breastfeeding and nutritional support as well as psychosocial support with regards to their body image. As a strategy, health care providers are recommended to pay more attention to women’s mental and sexual issues while offering postpartum routine checks.

Soudabeh Niroomand, Fatemeh Razavinia, Zeynab Bayat, Mahsa Jafari, Farahnaz Rostami, Samaneh Youseflu,
Volume 9, Issue 1 (6-2019)

Background: Pregnancy and delivery are considered as pleasant physiological phenomena. This period, however, sometimes leads to variable mood states in women and makes them more sensitive to psychological stimuli and problems.
Objectives: The present study aimed to investigate the role of breastfeeding, type of delivery, contraceptive method, planned pregnancy, and history of infertility on the anxiety level of Iranian women who referred to health centers in Zanjan in the postpartum period.
Methods: This cross-sectional study was conducted on 420 women who attended the health care centers in Zanjan city, Iran, during 2018-2019. A checklist including questions about demographic and reproductive information and Beck anxiety inventory were used as the data collection instruments. The data were analyzed using SPSS 21 software through regression analysis.
Results: This study found that the history of infertility (β=0.26, t=9.38, p<0.001), unplanned pregnancies (β=0.23, t=-7.00, p<0.001), exclusive breastfeeding (β=-0.47, t=-17.40, p<0.001), mothers’ education (β=-0.08, t=-2.89, p<0.001), DMPA (β=0.23, t=6.62, p<0.001), and withdrawal (β=0.17, t=4.59, p<0.001) contraception method were associated with anxiety level.
Conclusion: The results of the present study indicate that factors such as breastfeeding, contraceptive methods, infertility history, unplanned pregnancy, and educational level influence womenchr('39')s anxiety level in postpartum period. Identifying and screening women with high levels of anxiety and providing proper counseling to these mothers can help improve their health, infants, families, and community
Samaneh Youseflu, Mahnaz Keshavarz Afshar, Mina Mousavi, Zahra Moradi, Mojdeh Banaei, Fatemeh Bayat,
Volume 9, Issue 3 (11-2019)

Background: Adolescent pregnancy is considered a high-risk pregnancy and is considered as a common phenomenon in Iran.
Objectives: This study aimed to compare neonatal and maternal outcomes in adolescent mothers with those of adult pregnancy.
Methods: This cross-sectional comparative study was conducted between September 2018 and March 2019 in the Referral Hospital of Ayatollah Mosavi of Zanjan, Iran. Data were collected using the convenience sampling method. Overall, 133 and 696 out of 1340 participated women were teenage and adult women within the age range of 20-30 years, respectively. The Chi-squared and logistic regression tests were used to compare the neonatal and obstetric consequences of the pregnancy of the two age groups. Finally, SPSS25 was used for data analysis, and a P<0.05 was considered statistically significant.
Results: Prevalence of adolescent pregnancy was found to be 9.92%. Adolescents had an increased risk of induced vaginal delivery (IVD) (OR=1.43, (OR: Odds ratio) 95% CI 1.07-4.23(CI: Confidence interval)), (P=0.01), dystocia (OR=3.23, 95% CI (2.27-17.22), (P=0.004)), and episiotomy ((OR=3.63), 95% CI (2.44-7.31), (P=0.001)). None of the neonatal consequences showed any significant difference between the two groups (P>0.05).
Conclusion: In our society, adolescent pregnancy is accompanied by dire consequences for the mother, but not for the neonate. Thus, it is recommended that health workers discourage adolescent pregnancy through appropriate services and education, and in cases where pregnancy has already occurred, support the woman through offering health services in order to prevent or minimize the risks or complications of pregnancy at such early age.

Samaneh Youseflu, Zeynab Bayat, Faezeh Amiri, Parvin Mohebbi,
Volume 10, Issue 1 (4-2020)

Background: Mothers in the postpartum period experiences a change in sleep pattern and loss of sleep duration. In the meantime, factors can cause irregular sleep patterns and decreased sleep quality.
Objectives: The aim of this study was investigating the factors of fertility, anxiety and physical activity on the sleep quality of the lactating women visiting healthcare centers in Zanjan, Iran.
Methods: This descriptive cross-sectional study was carried out from 2018 to 2019 on 380 women aged 14-45 years referred Ayatollah Mousavi Hospital in Zanjan and its affiliated clinics who were maximally 6 months postpartum and selected by convenience sampling method. The measuring tools used in this study included Petersburg Sleep Quality Questionnaire, Beck Anxiety Inventory, and a checklist containing demographic-fertility. Data were analyzed through SPSS software using descriptive and analytical tests (t-test, Mann-Whitney, and Chi-square). The statistical significance level was considered as p<0.05.
Results: in this study 45.8% (n= 174) of the participants suffered from mild anxiety and 13.2% (n= 50) of them from moderate anxiety. The mean score of their sleep quality was 4.70± 3.06. The effect of physical activity (p-value= 0.006) and anxiety level (p-value= 0.002) on womenchr('39')s sleep quality was statistically significant.
Conclusion: The results of the present study confirm the positive effect of regular physical activity and the negative effects of anxiety on sleep quality of the breastfeeding mothers.

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