Showing 6 results for Parturition
Asieh.sadat Baniaghil, Fatemeh Bayenat, Masumeh Rezaei Aval, Nasser Behnampour,
Volume 19, Issue 2 (9-2022)
Abstract
Background: Fear of childbirth can affect the health of the mother and the baby, which can be associated with unfavorable consequences. This study was conducted to determine effects of an emotion regulation training based on the Gross model on the fear of childbirth in primigravida women.
Methods: This randomized field trial was conducted on 62 primigravida women with a gestational age of 28-32 weeks, who were referred to comprehensive healthcare centers in Gorgan (Iran) from April to November 2019. Subjects were selected using simple random sampling. The subjects were randomly divided into a control group (n=31) and an intervention group (n=29) based on their mean score of fear of childbirth at pretest. The Gross model-based emotion regulation training was held in 8 sessions of 120 minutes, twice a week, for women in the intervention group in three groups. The control group received routine training programs. Data were collected using the Persian version of the 14-item fear of childbirth questionnaire, at baseline and one month after the intervention. Statistical analysis of data was carried out in SPSS software (version 16) and at significance level of 0.05.
Results: The demographic characteristics of the subjects did not differ significantly between the two groups. After the training intervention, the mean score of fear of childbirth in the intervention group (26.55±5.44) was significantly lower than that in the control group (34.48±7.32) (P=0.0001).
Conclusion: Based on the results, we suggest providing the Gross model-based emotion regulation training in health care centers in order to reduce the fear of childbirth in primigravida women.
Hayedeh Arbabi, Mahin Badakhsh,
Volume 21, Issue 2 (6-2024)
Abstract
Background: Pregnancy and childbirth can be considered as an opportunity to expand thoughts or renew feeling on spiritual beliefs. The present study was conducted with the aim of investigating the relationship between spiritual health and childbirth experience among Iranian pregnant women.
Methods: This is a cross-sectional study that was conducted on 250 pregnant women referred to the Labor, Delivery and Recovery Room (LDR) of Amir al-Momenin Hospital in Zabol (Eastern Iran) for childbirth. Non-random convenience sampling method was used to collect the samples. Data collection tools included a personal characteristics questionnaire, childbirth experience questionnaire (CEQ), and spiritual health questionnaire. Data analysis was conducted using statistical tests, such as Pearson correlation test, independent t-test, and One-Way ANOVA. The level of statistical significance was set at 0.05.
Results: The results of present study showed that the mean age of pregnant women was 25.66 ± 5.73 years, with their mean score of birth experience being 64.97 ± 4.62 and their mean score of spiritual health being 88.89 ± 7.1. The results also showed a statistically significant relationship between birth experience and spiritual health (R =1, P=0.007).
Conclusion: In this study, as the score of spiritual well-being increased, the score of childbirth experience also increased. Thus, we suggest the findings of this study to be used as a basis for further research in other regions of the country and among a more diverse population of mothers with different backgrounds and cultures.
Mehrdad Rohaninasab, Masumeh Hesari, Zahra Mollazadeh Narestan , Akram Gazerani,
Volume 21, Issue 3 (10-2024)
Abstract
Background: The increasing prevalence of preterm birth in many societies has raised concerns. This study was conducted to determine the prevalence and risk factors associated with preterm birth in hospitals in Neyshabur, Eastern Iran.
Methods: This cross-sectional study was conducted on 273 neonates born before 37 weeks of gestational age between 2017 and 2019 in the educational hospitals of Neyshabur. The infants were included in the research through convenience sampling. The research tool consisted of items addressing issues related to both mothers and newborns. Data analysis was performed using SPSS version 22, employing descriptive and analytical statistics, including chi-square and Fisher's exact tests.
Results: The rate of preterm birth in Neyshabur over the three-year period was 2.85%. Bicornuate uterus (1.83%) and cervical insufficiency (1.46%) were the most observed uterine factors, while umbilical cord prolapse (1.83%) and placental adhesion (1.46%) were the most prevalent placental factors. Moreover, breech presentation (10.98%) was the most common co-occurring fetal factor in preterm birth. A significant difference was found between the length of pregnancy and the type of delivery (vaginal or cesarean section) (P=0.003).
Conclusion: Due to the high prevalence of preterm birth in Neyshabur, it is recommended that mothers undergo periodic evaluations before and during pregnancy to identify and manage any accompanying problems or underlying conditions promptly.
Nouzar Nakhaee, Fahimeh Amiri, Muhammad Samari, Hamid Sharifi, Abedin Iranpour,
Volume 21, Issue 4 (12-2024)
Abstract
Background: Declining fertility rates pose significant demographic challenges globally, particularly in Europe, the Asia-Pacific region, and Iran. Female marriage volunteers, as a group capable of having children, are a key target for pronatalist policies. We aimed to identify the factors influencing fertility intention among Iranian female marriage volunteers.
Methods: We conducted a province-wide cross-sectional survey from January to April 2023. Using a convenience sampling approach and a validated questionnaire (Determinants of Childbearing Intention Questionnaire), we assessed the childbearing intention (i.e., intention to have a child during the next three years) and fertility intention (i.e., ideal number of kids) among 1,506 female marriage volunteers in Kerman, Iran. Data were collected through face-to-face interviews and the sealed ballot box method was applied to ensure the confidentiality of the participants’ information. Multivariate logistic regression was used to identify the factors associated with childbearing and fertility intentions.
Results: The majority of the female marriage volunteers (83.7%) intended to have two or more children, and 61.8% of them intended to have a child during the next three years. They believed that the most appropriate time to have a child after marriage was 2.2 (±1.8) years. Physical and mental health, with a mean of 4.37 (0.94) out of a possible score range of 0 to 5, was the most important perceived barrier to having children. The participants stated that the most appropriate ages for women and men to marry were 22.1 (3.7) and 26.2 (3.9) years, respectively. The vertical collectivism score was 3.90 (0.85) out of the maximum attainable score of 5. The working or educational situation of premarital women was a barrier against fertility intention (OR=0.82; CI95%= 0.71-0.94, p<0.001) and childbearing intention (OR=0.81; CI95%= 0.73-0.89, p<0.001).
Conclusion: Despite the decline in the total fertility rate, the tendency to have children is still promising in Iranian female marriage volunteers. Their concern about work and education was the main obstacle to their childbearing intention. This finding underlines the need to implement supportive measures for having children, as seen in the law.
Rohaya Rohaya , Murdingsih Murdiningsih , Yunetra Franciska , Siti Hindun, Ocktariyana Ocktariyana,
Volume 22, Issue 1 (3-2025)
Abstract
Background: Yoga is a non-pharmacological intervention that enhances maternal strength and flexibility while improving the mother's capacity to adapt to physiological changes and labor responses. This study aimed to evaluate the effect of prenatal yoga on the duration of the first, second, and third stages of labor, as well as blood volume during the fourth stage of labor.
Methods: A quasi-experimental study was conducted involving 92 pregnant women in their third trimester who presented no complications and exhibited low-risk factors. The participants were assigned to either the yoga intervention group or the control group using a simple random sampling method. The intervention group engaged in yoga sessions lasting 30 min, conducted over eight weeks, beginning at 30 weeks of gestation. In contrast, the control group received routine standard care without any yoga intervention. The durations of the first, second, and third stages of labor as well as blood volume during the fourth stage, were analyzed between the intervention and control groups using independent t-test and Mann-Whitney U test, with a significance level of p <0.05.
Results: The study revealed a significant difference in the duration of the first (p=0.004) and second stages (p=0.0001) of labor, as well as in the bleeding volume during the fourth stage of labor (p=0.0001) between the yoga intervention group and the control group. However, no significant difference was observed in the duration of the third stage of labor (p=0.234).
Conclusion: Prenatal yoga during the third trimester of pregnancy may help maintain physiological conditions during the first and second stages of labor and reduce the risk of bleeding.
Habiba Khanom , Sharmin Hossain , Rabiul Islam , Liton Baroi , Eashmin Akter Rima R , Jannatul Ferdoues Mitu , Chandra Das , Sumaia Afroz , Jannatul Ferdowsy , Aysha Sultana Luvna, Lita Bose , Shukla Sarker , Alamgir Hossain ,
Volume 22, Issue 4 (12-2025)
Abstract
Background: Fear of childbirth (FOC) is a widespread maternal health concern associated with heightened anxiety, increased medical interventions, and negative birth experiences. While prevalent globally, FOC remains underexamined in low-resource settings such as Bangladesh. This study aimed to determine the level of FOC and identify associated factors among pregnant women in Bangladesh.
Methods: A cross-sectional study was conducted among 262 pregnant women attending antenatal care at Shariatpur Government Upazila Health Complex (December 2023–May 2024). Data were collected using a structured questionnaire and the Melender FOC Scale. Participants were selected using a convenience sampling technique. Fear was categorized as low, moderate, or high. Descriptive analysis, Chi-square tests, ordinal logistic regression, and multivariate logistic regression were performed to identify predictors of FOC using SPSS version 25.
Results: A survey of 262 pregnant women revealed a moderate mean level of fear of childbirth (FOC) (47.45 ± 6.9). Regression analysis identified several significant predictors of higher FOC. The strongest associations were with limited spousal support (AOR = 2.64; 95% CI: 1.38–5.06; p = 0.003) and not attending childbirth classes (AOR = 2.33; 95% CI: 1.21–4.49; p = 0.011). Other significant factors included younger maternal age, lower education (in both the woman and her husband), rural residence, and lower socioeconomic status. These findings underscore the multifactorial nature of FOC, highlighting the need for interventions that address its key social and educational determinants.
Conclusion: FOC is highly prevalent among pregnant women in Bangladesh and is influenced by sociodemographic, obstetric, and psychosocial factors. Routine screening, culturally sensitive prenatal education, improved communication, and partner-inclusive support are recommended to reduce FOC and improve maternal outcomes.
