مجله زنان مامائی و نازائی ایران
سال شانزدهم شماره 73 (هفته سوم آبان 1392)

One of the most critical stages of women’s life is menopause. Knowledge about menopause enables women to tolerate the complications of this period and prevent irreversible complications by sufficient treatment. This aim of this study was determining the level of knowledge and performance of 45-60 years old women in regard to health related issues of menopause in Semnan، Iran. This cross-sectional study was conducted on 784 women aged 45-60 years who lived in Semnan، Iran، 2012. A multi-stage sampling was used. Data was collected using a questionnaire contained demographic characteristics، knowledge levels and health performance about menopause. Data were analyzed using SPSS software (version 16)، t-test، chi-square and ANOVA tests. P value less than 0. 05 was considered significant. The mean age of women was 51. 2±4. 5 years. 81 women (10. 3%) were highly aware of menopause، 548 women (69. 9%) had moderate and 155 women (19. 8%) had poor knowledge. Level of education was not associated with women’s knowledge (p>0. 05)، whereas place of residence، being menopause and marital status were associated with knowledge (p<0. 05). 467 women (59. 6%) had low performance levels، and only 18 women (2. 3%) had good performance. Level of education، place of residence، marital status، being menopause and occupational status were not associated with performance about menopause (p>0. 05). Results showed moderate levels of knowledge and poor performance about health related issues of menopause among the majority of 45-60 years old women in Semnan، Iran.

Return physiological process of childbirth instead of the medical approach can lead mothers to have satisfaction from the birth process. The aim of this study was comparing physiologic and routine method of delivery in mother’s satisfaction level. This descriptive comparative study was conducted on 340 mothers who were divided into two groups of physiologic and routine method of delivery in Ayatollah Mosavai hospital، Zanjan، Iran in 2012. Convenience sampling was used for routine method of delivery group and census was done for physiologic group. Data were collected using a questionnaire included 3 section (demographic and midwifery characteristics، Mackey Childbirth Satisfaction Rating Scale and satisfaction of place of delivery) which were completed by interviewing 24 hours after delivery. Data were analyzed using SPSS software (version 18)، chi-square، independent t-test and Mann Whitney tests. P value less than 0. 05 was considered significant. Mothers age، gestational age and parity were matched in both groups. Level of satisfaction about place of delivery and childbirth experience was high. Nevertheless، mothers’ satisfaction from place of delivery (p<0. 0001) and childbirth experience (p=0. 001) were significantly higher in physiologic delivery group. Physiologic delivery leads mothers to have a satisfactory experience of childbirth by offering set of services، including: supportive proceedings، emphasize on mother’s needs and avoidance from routine and unnecessary procedures.

Postpartum period is transition to a critical stage and the rapid changes that are experienced during postpartum expose mothers to unpleasant experiences such as changes in sleep pattern. Massage as one of the complementary therapies lead mothers to accelerate recovery in sleep disorders. The aim of this study was to determine the effect of foot massage to improve sleep disorders in post partum mothers. This randomized clinical trial was conducted on 60 primiparous women who referred to health care centers in Khoramshahr، Iran in 2011. Samples were divided randomly into two groups (30 women in intervention group and 30 women in control group). Data were collected by a questionnaire included demographic characteristics and Pittsburgh Sleep Quality Index. The intervention group received a single 30-minute foot massage session each evening at the same time for five consecutive days and the control group has not received any intervention. Research information were collected on enrollment (13th day after delivery)، immediately after intervention and one week after the intervention were collected. Data were analyzed by SPSS software version 17، repeated measure، chi-square and paired t-tests. P value less than 0. 05 was considered significant. Mean of Pittsburgh sleep quality index in before، immediately after and a week after intervention showed significance differences (p<0. 001) at the end of study. Foot massage was effective on improvement sleep disorders in mothers. Therefore foot massage is recommended to enhance the quality of postpartum care.