مجله زنان مامائی و نازائی ایران
سال پانزدهم شماره 12 (هفته دوم امرداد1391)

Newborn identification is a significant issue for parents and treatment systems. In Iran, used of footprint method for this that it may result hospital infection and misidentification. Our subject of this study was evaluation of health care worker's views (include gynecologists, pediatricians, newborn nurses and midwives) about footprint identification method. In this cross sectional study 203 health care workers participated and filled short questionnaire which had two parts (Attitude and Perceptions) with 14 questions and one open unstructured response. The questionnaire was distributed among health care workers. Data were analyzed by using of SPSS software version 18 and frequency and percentage of responses were identified. A total of 203 questionnaires of participants include 28 (13.7%) gynecologists, 84 (41.3%) pediatricians, 45 (22.1%) newborn nurses and 46 (22.5%) midwives were analyzed. 157 person of them (77%) know that footprint take from all newborn, 93 person (45.6%) did not know what way use for newborn identification in developed countries and 83 person (40.7%) did not know about risk of infection transmission, 68 person (33.3%) opposed with this way and 132 person (64.7%) prefer to use alternative method. Footprint identification method is not a health care workers priority and must be replaced with alternative method.

Sexual-health education has faced challenges in most cultures. Iranian adolescents, particularly females, have many unmet needs in terms of sexual-health education; nonetheless, there are controversies about the necessity and appropriateness of sexual-health education for adolescents mainly due to the socio-cultural challenges in Iranian society. This qualitative study, therefore, aimed to explore perspectives and experiences of adolescents and key adults regarding the necessity of sexual health education to female adolescents in Iran.

The design was a qualitative content analysis, in which qualitative data were collected through careful interviews and group discussions with female adolescents, mothers, authorities of health and education organizations of the province, midwives of health centers, teachers and school counselors, and clergies in Ahvaz and Mashhad. Data were analyzed adopting conventional content analysis using MAXqda software.

The main reasons for necessity of sexual-health education for female adolescents were categorized in five emerged themes including: lack of accurate sexual knowledge and attitudes, existence of inaccurate sources for sexual knowledge, socio-cultural changes, increased sexual health disorders in adolescents, and proved attitudes of religion.

Many adolescents and adults agreed on the necessity of sexual-health education. This reality would encourage policymakers to go forward to the next step, which is designing and implementing sexual-education programs according to the adolescents’ needs, instead of being in doubt about whether adolescents need to be provided for the sexual-health education or not.

Pregnancy accompanies physical and psychological alternations during woman's life. These changes effluence the overall dimensions of couple’s life especially sexual relation. The aim of this study was to investigate the effects of teaching on sexual-activity changes during pregnancy. This was a field trial study with control group which was held on pregnant women referred to Azima and Baghzandan health center of Shahrod City in 2011. 87 pregnant women were selected and randomly assigned to one of trial or control group (46 pregnant women in intervention group and 41 in control group). Data-collecting tools were included sexual-activity changes and demographic Questionnaire. Data were analyzed by SPSS software version 16, Mann-Whitney test, chi-square and Wilcoxon. P value was considered significant lower than 0.05. Findings showed that at the beginning of the study 50 % (23) of women in education group had moderate, 28.3% (13) had good and 21.7% (10) had weak sexual satisfaction. At the beginning of the research, women of both groups had almost the same sexual satisfaction. Two months later after intervention, 54.3% (25) of women in intervention group had well, 39.1% (18) moderate and 6.5% (3) weak sexual satisfaction. After intervention, statistical tests showed that sexual satisfaction of women in intervention group was more than the control group. (p=0.016) Findings indicated that sexual teaching had a positive effect on the sexual satisfaction and increased pregnant women’s sexual satisfaction.

Distress of pain during labor may threaten mother and fetus. This distress causes maternal hypertension and hypersecretion of epinephrine and norepinephrin. Pain control strategies consist of pharmacological and non-pharmacological methods. Yet, there is no ideal drug to control anxiety during labor since all the available drugs pass through placenta and cause fetal depression. The aim of this study was comparison of effect of Transcutaneous electrical nerve stimulation (TENS) and acupressure in decreasing labor pain in primiparous women. In present quasi-experimental study, 135 primiparous women randomly divided into three groups: acupressure, TENS, and control group. Intervention was begun in cervical dilatation of 3-4 cm on SP6 location for 30 minutes. Pressure in the first group and TENS like acupuncture in the second group were applied. No method was held on the third group. Pain severity was assessed by Visual Analog Scale in four phases in all groups: before intervention in dilatation of 3-4 cm, immediately after intervention, 30 and 60 minutes after intervention. The immediate, 30, and 60 minutes after intervention pain severity in first two groups was significantly lower than in control group. There was no significant difference between the acupressure and TENS groups before and immediately after intervention, but the labor pain 30 and 60 minutes after intervention was significantly lower in TENS group. (p<0.001) Both TENS and acupressure methods decreased the pain during the first stage of labor in primiparous women but TENS was more effective.