Scientific Journal of Medical Sciences
Volume:1 Issue: 4, Fall 2022

Getting infected with Covid-19 in pregnant women has more serious risks than their non-pregnant counterparts. On the other hand, the information of midwives in this matter is not enough and it seems that training in this field is necessary. Therefore, the present study was carried out with the aim of assessing the educational needs of midwives in the conditions of the newly emerging disease of Covid-19.

This cross-sectional descriptive study was conducted from May to June 2020 on 283 midwives in North Khorasan province who had access to the Internet and communication software. Subjects were selected by available sampling method. Information was collected using the form of individual-social characteristics and a needs assessment questionnaire designed based on health protocols to fight against Covid-19, which was prepared electronically. Data were analyzed using SPSS 24 software.

Midwives needed training in all areas including pregnancy (3.66±0.70), childbirth (3.60±0.90), postpartum care (3.62±0.90), breastfeeding (3.64±0.90), mental health (3.69±0.80), sexual intercourse (3.61±0.90) and personal protection (3.31±1.06). Pamphlets (48.4%) were the most common source of midwives' information and receiving information about Covid-19 through online education systems (44.88%) was the best preferred source among midwives.

The greatest educational need of midwives in North Khorasan province during the Covid-19 pandemic is the need for educational topics in the field of mental health and the least educational need is related to the field of personal protection.

The COVID-19 pandemic has created many challenges for health services. Little is known about the impact of the pandemic on frontline and non-frontline nurses working with COVID-19 patients. The aim of this study was to compare mental disorders (sleep disorders, sleepiness, depression, anxiety, and fear) of frontline nurses of COVID-19 with non-frontline nurses.

This comparative correlational study was conducted on 240 frontline and non-frontline nurses of COVID-19 who were selected by simple random sampling method in 2020 in hospitals affiliated to Khoy University of Medical Sciences. Data collection tools included demographic information questionnaire, Pittsburgh Sleep Disorders Index, Epworth Sleepiness Scale, Goldberg Questionnaire, Corona Disease Anxiety Scale, and Numerical Rating Scale. The results were analyzed using SPSS 20 software.

Mean scores of sleep disorder, sleepiness, depression, anxiety, and fear in frontline nurses were 10.27±2.34, 18.85±3.90, 30.11±7.05, 25.40±8.90, 6.07±2.17, respectively, and in non-frontline nurses was 7.20±1.65, 15.35±3.80, 24.34±3.56, 21.60±7.23,4.90±1.62. The mean scores in both groups were moderate, but the difference between the mean scores of the frontline nurses was significantly greater than that of non-frontline nurses (p<0.05). There was a direct and significant correlation between the studied variables with age, gender, marital status, number of children and years of work and an inverse and significant correlation with shift work (p<0.05).

The Mean scores of sleep disorder, sleepiness, depression, anxiety and fear in frontline nurses and in non-frontline nurses are moderate, but these mental disorders are more common in frontline nurses than in non-frontline nurses.

have dangerous side effects in people, especially in pregnant women.The present study was conducted with the aim of investigating the prevalence and factors related to self-medication and the use of medicinal plants and chemical-mineral supplements in the prevention of COVID-19 in pregnant women referring to Sabzevar health care centers.

This descriptive-analytical study was conducted on 109 pregnant women referring to Sabzevar health care centers in 2020 during the second peak of the coronavirus in Iran. Data were collected using an online self-medication questionnaire and analyzed by SPSS 20 software and chi-square test.

The mean age of the participants was 29.5±8.68 years. The prevalence of self-medication during the last three months in pregnant women to prevent COVID-19 was 82.5%.Fear of infection, miscarriage, premature birth due to COVID-19, and crowded health centers were the most prevalent causes of the excessive use of supplements. Vitamin D, Vitamin C, ginger and thyme were the most common substances used for self-medication.

Self-medication in pregnant women in order to prevent COVID-19 disease is quite prevalent and is a great threat to the health of mother and fetus during pregnancy.

The training of practical skills and the need to learn them is one of the characteristics of training in medical sciences, which is carried out in the clinical skills center. However, due to the spread of the Coronavirus, face-to-face training has been transferred to virtual training and the clinical skills training program for clinical learners has faced serious challenges. Therefore, the present study was conducted with the aim of investigating the effect of virtual training of basic clinical skills on the performance of midwifery students during the Covid-19 pandemic.

This semi-experimental study was conducted on first semester midwifery students of Bojnurd University of Medical Sciences who entered the university in 2019 (virtual education, N=25) and in 2020 (traditional education, N=25). Students participated in the study by census method. Data were collected using a demographic questionnaire and a practical test and analyzed using SPSS 24 software and independent t-test, chi-square and Mann-Whitney U.

The mean performance score in the virtual education group was 17.54±1.27 and in the traditional education group was 18.38±1.13, and there was no statistically significant difference between them (p>0.05).

Both traditional education and virtual education can be effective in students' learning, but traditional education in the clinical environment, especially for practical courses and clinical skills, can be somewhat more effective than virtual education alone.

Corona is a highly contagious respiratory disease. Pregnant women are more susceptible to viral respiratory infections. On the other hand, there is limited information on vaccination of pregnant women, so this review was conducted to investigate the relationship between maternal-neonatal outcomes and vaccination of pregnant women.

A present narrative review study was performed from late 2019 to September 2021 by collecting information from Magiran, SID, Library Cochrane, Science Direct, Scopus, PubMed and, Google scholar Web of Science databases, and using the English and Persian keywords “Delivery”, “Pregnancy”, “Vaccine”, “SARS-COV-2”, “COVID-19”, “Neonatal”, “Outcomes”, and “New-born”. Finally, 28 studies were included in the study with inclusion criteria.

Adverse obstetric and neonatal outcomes increase in sufferers in the second half of pregnancy. Common maternal consequences include cesarean section, premature birth, abortion, tachycardia, and premature rupture of the amniotic sac, and common neonatal consequences include effects on fetal brain development, increased risk of autism, and neurological problems. Also, maternal vaccination by transferring antibodies from the placenta to the fetus makes the baby immune.

Although pregnancy is not known as a factor in corona disease, with the focus on the consequences for both mother and neonate, self-care education is important. If possible, vaccination programs should target pregnant women early in pregnancy or before fertilization.

The birth of a premature neonate and separation from the family due to hospitalization in the neonatal intensive care unit lead to tension in the parents, especially the mother. The aim of the present study was to determine the correlation between general health and self-efficacy of mothers with premature neonates admitted to the hospitals affiliated to Shiraz University of Medical Sciences.

This descriptive-correlational study was performed on 100 mothers whose premature neonates were hospitalized in NICUs of Hafez, Namazi and Hazrat Zeinab hospitals in Shiraz City in 2018.
Data were collected through demographic, self-efficacy and general health questionnaires and analyzed by SPSS 25 software. The correlation between general health and self-efficacy of mothers was measured using Pearson correlation test.

The mean scores of mothers’ self-efficacy and general health were 63.60±13.17 and 28.13±16.96, respectively. 50% of the mothers had no general health problem. 31%, 11% and 8% of the mothers suffered from mild, moderate and sever levels of general health problem. The correlation between the mean scores of general health (r=-0.903) and its subscales with the mean score of mothers' self-efficacy was inverse and significant (p<0.001).

There is an inverse correlation between mothers' self-efficacy and their general health. Therefore, with the increase of physical problems, anxiety, social isolation and depression, their self-efficacy decreases.

Moral courage is an essential ingredient for the proper performance of nursing care responsibilities. Nurses must be morally courageous to administer moral problems accurately, have a professional commitment to their patients, and perform according to ethical requirements. The present study aimed to investigate the validity and reliability of the Persian moral courage questionnaire in Iranian nurses.

This methodological study was conducted on nurses working in 4 hospitals in Amol city, Mazandaran, Iran in 2020. 267 nurses working in different hospital wards were selected using available sampling method and completed the Professional Moral Courage Questionnaire. Then the instrumental structure and reliability of the questionnaire were investigated.

The results of exploratory factor analysis supported the validity of the questionnaire structures and showed a domain. The load values of the items were between 0.689 and 0.847. The reliability (Cronbach's alpha) of the questionnaire for this tool was 0.956.

The Professional Moral Courage Questionnaire has good validity and reliability in the Iranian nurses’ community and this questionnaire will be a suitable tool to measure the level of professional moral courage of nurses.