مجله پزشکی تامین اجتماعی
پیاپی 52-53 (فروردین تا تیر 1389)

Fear of childbirth not only can cause significant problems during childbirth and thepostpartum period, but also has been implicated in women’s requests for cesareansection and a resultant increased rate of this elective operation. To describe fears associated with childbirth and reasons for the fears, 30 nulliparous pregnant women withfear of childbirth were entered into a qualitative study. Data were collected throughsemi-structured interviews between 30-90 minutes of duration. The interviews weretape-recorded and then transcribed to facilitate data collection and analysis. The resultsshow that the women’s fears were related to labor pain, child’s well being andeducation, economic problems and body’s physical changes. Nine of these womenconsidered an elective cesarean section. According to this study, as the fears relatedto the childbirth increases the likelihood of the request for cesarean section, the fearsshould be dealt with by the health professionals who provide antenatal care. The development and evaluation of formal childbirth education is also recommended.

Control of hazardous wastes including those produced by hospitals is an importantissue due to their infectious and poisonous characters. As the quality of hospital wastemanagement in the city of Shahrekord has been under question and been implicated

Toxoplasmosis has been known as an opportunistic infection in immunocompromisedpatients for a long time. The importance of this infection lies in the fact that toxoplasmosisis the third cause of fatality, after infections with Pneumocystis and Cryptosporidium,in AIDS patients.

Information and communications technology (ICT) has affected the developmentof healthcare services. Although, operation of many applications in the fields of diagnosis,treatment, and education, is now dependent on ICT, this technology has facedseveral challenges that have prevented its full integration into the healthcare system.This is due not only to the inherent complexity of the medical science and technology,but also to the lack of appropriate infrastructure. Therefore, an integrative healthcaremodel should be considered that implements the development of national health informatics, strategies, and infrastructure as a whole. Two main applications of ICT includeelectronic health record and electronic health (e-health). E-health or telehealthincludes telemedicine and telecare.