مجله زنان مامائی و نازائی ایران
سال هفدهم شماره 129 (هفته سوم دی 1393)

Quality of work life and organizational commitment are two important variables which have been recently considered by many managers. Various working conditions cause different quality of work life and organizational commitment in every organization and despite the importance of these two variables، assessment of them in midwifery is limited. This study was performed with the aim to determine the relationship between quality of work life and organizational commitment among midwives working in health-medical centers and maternities.

This descriptive-correlation study was performed on 230 midwives working in health-medical centers and maternities of teaching hospitals of Mashhad University of Medical Sciences. Data collection tool was demographic questionnaire، Walton quality of work life، and Alan Meyer organization commitment questionnaires. Data was analyzed by SPSS software (version 19) and spearman، Pearson، Kruskal-walis، Mann-Whitney، independent T and chi-square tests. P

Mean score of quality of work life among midwives working in the health-medical centers was 67. 89±12. 16 and among midwives working in maternities was 62. 16±13. 08. Mean score of organizational commitment among midwives working in the health-medical centers was 76. 40 ± 10. 06 and among midwives working in maternities was 75. 61 ± 11. 09. According to Pearson correlation test، significant positive correlation was found between the quality of work life and organizational commitment among midwives working in health-medical centers (p<0. 001، rp=0. 441)، and in maternities (p<00001، rp=0. 633).

There is significant positive correlation between quality of working life and organizational commitment، so that higher quality of working life is associated with more organizational commitment for employees، therefore، organizations can increase quality of working life of employees and this leads to increased organizational commitment and growth and dynamism of organization.

Gestational diabetes is a medical condition of carbohydrate intolerance which can adversely affect the fetus and newborn. The best way to reduce the complication of gestational diabetes is education that is applicable to all patients. This study was performed aimed to evaluate the effect of discharge education on neonatal outcomes in women with gestational diabetes. This clinical trial study was performed on 126 Patients at 28-36 weeks of pregnancy with gestational diabetes in 2013. The patients were divided into 2 test groups and 1 control group. The first test group received 2 sessions of 40 minutes of training. The second test group received an instructional booklet. The control group received routine hospital education. Data was analyzed by SPSS software (version 16) and Fisher''s exact، Chi-square، ANOVA and Kruskal-Wallis tests. P0= 0. 5 and P1= 0. 1 were considered. Among the studied outcomes، the incidence of jaundice in the first week was statistically significantly different between studied groups (P=0. 027)، So that in both methods، the percentage of infants hospitalized because of jaundice in the first week was lower than the control group. but، there was no statistically significant difference between different studied groups in terms of birth weight (P= 0. 829)، hypoglycemia (P= 0. 294)، hypocalcemia (P= 0. 294). Discharge education to mothers especially in patients with gestational diabetes can affect neonatal outcomes، therefore، it leads to increased health of the neonates of this risky group and reduced hospital costs due to decrease in neonate''s hospitalization.

Breast cancer is the most common cancer and the major factor of death from cancer in women worldwide and also it is the most common cancer among women in Iran. Many studies suggest that breast cancer is associated with latitude، sunlight and vitamin D. This study was conducted with aim to ecologically evaluate breast cancer in Iranian women based on geographical latitude، exposure to sunlight and vitamin D. This ecological study is was performed in 2014 with aim to evaluate the relationship between breast cancer in Iranian women and some effective factors such as latitude، exposure to sunlight and vitamin D. For this purpose، we used National Cancer Registry data، Iran segmentation map based on latitude، distribution of prevalence of vitamin D deficiency based on the results of the study of SaeidNia، and mean hours of sunlight which was collected by the Meteorological Agency. in lower latitudes especially at 20 to25 degrees which the incidence of breast cancer is lower، the prevalence of vitamin D deficiency is lower and mean hours of sunlight is higher than higher latitudes. There is negative association between the incidence of breast cancer، latitude، hours of exposure to sunlight and vitamin D intake. However، analytical studies will be needed to achieve scientific inferences.