Houri Alijani, Narjes Sadat Borghei, Naser Behnampour,
Volume 16, Issue 1 (1-2019)
Abstract
Background and objectives: Fear and anxiety during pregnancy will have a great impact on the mental health of the mother and the fetus, These conditions may be due to fear of childbirth, which can exacerbate sense of pain, severity of pain, anxiety, distress, discomfort and disability. Therefore, we decided to evaluate the factors affecting on fear of child birth.
Methods: This descriptive-analytic study was performed on 211 eligible mothers in health centers of Gorgan, Iran, in the second six months of 1396, by simple sampling. The Data was collected by Wijma Maternity Fear Questionnaire (A) and analyzed by SPSS software version 18, using Fisher and Kruskal Wallis tests at a significance level of 0.05.
Results: The range of maternal fear of childbirth scores was from 14 to 120 with a mean of 61.75 and a standard deviation of 22.99. About 77.2% of mothers had a mild or moderate, 18.5% had clinical and 4.3% had severe fear of childbirth. In this study, the pregnant woman’s and her husband’s job, as well as husband's level of education, were identified as the most important influencing factor on the fear of childbirth.
Conclusion: According to this study, 18.5% of the Nulliparous mothers had clinical and 4.3% had sever fear of Childbirth; therefore, in order to promote the pregnant mother’s mental health, new strategies should be adopted to reduce this fear. In addition, knowing the factors affecting this fear will help us to plan and implement strategies to deal with the fear of childbirth more accurately.
Fatemeh Alijani, Ahmad Khosravi , Mahdieh Sadat Mousavi , Vanessa Delarosa ,
Volume 16, Issue 2 (11-2019)
Abstract
Background: Domestic violence (DV) against women is a global public health concern. The study was conducted to determine the associated factors of domestic violence against infertile women.
Methods: This cross-sectional study was done on 379 infertile women referred to the infertility clinic in Sari, between October 2015 and March 2016. The convenience sampling was used considering inclusion criteria. Data was collected using Revised Conflict Tactics Scale (CTS2). Data was presented with descriptive statistics and Logistic regression to determine associated factors with DV in SPSS-16 software. The significant level was considered P<0.05.
Results: Finding showed that majority of infertile women (88.9%) experienced domestic violence. The age (OR=0.91 95% CI: 0.85-0.99) and smoking (OR=8.12 95% CI: 1.87-35.21) with domestic violence.
Conclusions: Regarding the high prevalence of domestic violence and its consequence on society, screening violence in health centers and support at-risk family via counseling are recommended.
Houri Alijani , Narjes Sadat Borghei, Naser Behnampour ,
Volume 17, Issue 0 (Supplementary 2020)
Abstract
Background: Pregnancy is considered as a critical stage in the life of a woman due to the creation of new tasks and anxieties, If we consider the fear of childbirth as one of the main causes of pregnancy anxiety, To reduce it, we need to look for other solutions, such as psychological solutions. This study was conducted with the aim of determining the effect of group-based cognitive-behavioral Educations on the fear of delivery of Primiparous mothers.
Methods: This quasi-experimental study with pre-test and post-test design, three groups were conducted in the second half of the year in 1396 cities of Gorgan.The data collection tool was a demographic data form and Wijma Delivery/Expectency fear of childbirth Questionnaire (version A). Primiparous Pregnant mothers who were 20-28 weeks old were asked to participate in the study through the Lean system, and 211 patients were referred to relevant health centers and clinics. They completed the maternity fear questionnaire. Among these mothers, 104 nulliparous women with average score of fear of childbirth of 55 and above were divided into three groups: first and second intervention and control group. Based on ethical considerations, the allocation of mothers to intervention and control groups conducted based on their desire. The first intervention group performed eight sessions of group training based on cognitive-behavioral techniques, the second intervention group spent eight sessions of conventional pregnancy training, and the control group did not receive any training. The scores of fear of childbirth in all three groups before and immediately after intervention were analyzed by ANOVA, Kruskal-Wallis, Wilcoxon and paired t-test using SPSS software version 18, were compared and analyzed statistically. The significance level of the tests was considered to be 0.05.
Results: The results showed that before the intervention, the mean scores of fear of childbirth in the three groups were statistically significant and the first group of intervention (group training based on cognitive-behavioral techniques) had a higher mean scores 92.58 ± 12.70, compared to the second group of intervention (conventional education during pregnancy) was 66.54 ± 10.48 and the control group was 73.33 ± 13.13 (P-value <0.0001). Therefore, comparison of the difference before and after the mean scores and the rate of change in the three groups were used. Also, the mean scores of fear of childbirth after intervention in group training based on cognitive-behavioral techniques were 42.81 ± 18.45 in the conventional education group 67.19 ± 11.91 in control group 83.83 ± 18.28 and (P-value< 0/0001). The comparison of the mean scores of fear of delivery before and after intervention showed that group training based on cognitive-behavioral techniques -49.76 ± 19.86 was more than that of the conventional education groups in the period of pregnancy of 0.65 ± 10.14 And control group 11.5 ± 11.36 had a significant reduction in fear scores, which was statistically significant (P-value <0.0001).
Conclusions: Group-based cognitive-behavioral techniques focusing on reducing childbirth fears have the potential to reduce the fear of childbirth in all domains, for the promotion of normal delivery, the Changing the routine content of traditional pregnancy education is a matter of community based on cognitive-behavioral techniques, Focus on reducing fear of childbirth should be considered by healthcare providers.
