ORCID Profile
0000-0002-9536-0767
Current Organisation
Shiraz University of Medical Sciences
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Publisher: Mary Ann Liebert Inc
Date: 06-2017
Abstract: Approximately one in five Western women who breastfeed are likely to experience acute mastitis. This study investigated the incidence and risk factors of acute mastitis in a cohort of Iranian women. Subjects were 672 participants of the Shiraz Infant Feeding Study conducted between June 2014 and March 2015. Mothers were recruited from the maternity ward and followed up at 1, 3, 4, and 6 months postpartum to obtain information on their breastfeeding practices and experiences. The occurrence of acute mastitis in the first 26 weeks postpartum was self-reported and the occurrence of acute mastitis in the first 4 weeks and between 5 and 12 weeks postpartum was treated as separate outcomes. The risk factors for acute mastitis were explored using multivariable logistic regression analysis. In total, 130 mothers (19.3%, 95% confidence interval: 16.3-22.3%) experienced at least one episode of acute mastitis. Having expressed breast milk and use of a pacifier were significantly associated with acute mastitis in both the first 4 weeks and between 5 and 12 weeks postpartum. Persistent problems with cracked or sore nipples, or engorged breasts, and a reduction in breastfeeding were associated with acute mastitis between 5 and 12 weeks. The incidence of acute mastitis experienced by this cohort of Iranian women is similar to that reported for women in Western countries. The risk factors of acute mastitis identified in this study are potentially modifiable and could be prevented or ameliorated with adequate support and anticipatory guidance provided in the early postpartum period.
Publisher: International Journal of Women's Health and Reproduction Sciences
Date: 04-06-2021
Abstract: Objectives: Abortion can be stressful for the family and may lead to psychological problems. The question arises whether religious attitudes can be restructured into women who experience induced and spontaneous abortions. In this regard, the present study aimed to investigate the relationship of post-traumatic stress disorder (PTSD) after therapeutic abortion (Induced and spontaneous) with the mother’s spiritual experiences. Materials and Methods: This cross-sectional study with a s le size of 104 people was conducted in 2018-2019 in the selected hospitals of Shiraz University of Medical Sciences. The convenience s ling method was used in 2018. Research tools including the Mississippi PTSD Scale questionnaire were implemented for measuring stress and religious attitudes and completed immediately and a month after abortion. Data were analyzed by SPSS software using one-way ANOVA, least significant difference post hoc test, and paired t-test or Wilcoxon test. Results: Based on the results, 68.7%, 71.8%, and 72.7% of the abortion group with forensic medical letter, other causes, and spontaneous abortion had a high level of religious attitudes, respectively. In addition, 78.1%, 69.2%, and 72.7% of those who had an abortion with a forensic medical letter, underwent abortion for other causes, and experienced a spontaneous abortion had moderate PTSD immediately after abortion, respectively. Further, 62.5%, 64.1%, and 66.7% of women having an abortion with forensic medical letter, undergoing abortion for other causes, and experiencing spontaneous abortion had moderate PTSD one month after abortion, respectively. The findings revealed no significant relationship between PTSD differences immediately and a month after the abortion in the subjects (P=0.175). Conclusions: The research community had a high religious attitude while having no association with PTSD reductions. More than half of the pregnancies were unwanted, which may be due to stress levels.
Publisher: Wiley
Date: 27-07-2019
DOI: 10.1111/BIRT.12385
Abstract: In-hospital feeding practices have been shown negatively to affect breastfeeding exclusivity and duration. The purpose of this study was to report the prevalence and determinants of delayed breastfeeding, provision of traditional prelacteal foods, and use of infant formula in hospital. Between June 2014 and March 2015, 700 women were recruited from three public and two private maternity hospitals in Shiraz, Iran. Data were collected at recruitment via face-to-face interviews and extracted from medical records. Multivariable logistic regression was used to explore the association of feeding practices with a variety of maternal characteristics and hospital practices. Only 32.2% of infants were breastfed within 1 hour of birth, with 40.8% receiving a traditional prelacteal food, and 34.9% given formula during their hospital stay. Compared with infants delivered vaginally, those delivered by cesarean were more likely to have experienced delayed breastfeeding and received formula, but less likely to have received traditional prelacteal foods. Infants who did not experience skin-to-skin contact were more likely to have experienced delayed breastfeeding and received traditional prelacteal foods and formula in hospital. Although four out of the five hospitals were designated as Baby-Friendly, several of the 10 Steps to Successful Breastfeeding were not adhered to. The high rate of cesarean delivery was a barrier to the early initiation of breastfeeding and the majority of infants did not experience early skin-to-skin contact. Maternity care practices should be reviewed and include a clear breastfeeding care plan for women who undergo a cesarean delivery.
Publisher: Bentham Science Publishers Ltd.
Date: 05-2023
DOI: 10.2174/1573404818666220505154823
Abstract: Hysterectomy is one of the most common gynecological surgeries that affect women's mental health and quality of life. This study aimed to investigate the correlation between the quality of life and posttraumatic stress in hysterectomized postmenopausal and non-menopausal women. This cross-sectional analytical study was conducted from August to December 2019 on hysterectomies postmenopausal and non-menopausal women. There were 77 subjects in each group with a mean age of 52.55 ± 1.098. They were selected via convenience s ling at Hazrat Zeinab (PBUH) and Shahid Dr. Faghihi Hospitals in Shiraz. They were evaluated in a two-month follow-up using the Impact of Event Scale-Revised (Weiss & Marmar, 1997) and WHO Quality of Life-BREF (WHOQOL-BREF) questionnaires. Data were analyzed in SPSS-16 software using descriptive and inferential statistics (independent t-test, paired t-test, and Pearson or Spearman correlation coefficients). Unlike the first stage of the study (before and a week after the surgery, P = 0.289), there was a significant negative relationship in the quality of life and post-traumatic stress between postmenopausal and non-menopausal women (P = 0.001) in the second stage (two months after the surgery). Hysterectomy increased the mean score of post-traumatic stress in postmenopausal and nonmenopausal women after the surgery (P = 0.179), while the quality of life improved and stress decreased two months later (P = 0.0001). Hysterectomy improved the quality of life in postmenopausal and significantly in nonmenopausal women. Hence, due to the correlation and significant negative relationship between post-traumatic stress and quality of life, midwives, families, and society need to pay attention to women’s quality of life.
Publisher: Wiley
Date: 24-01-2018
DOI: 10.1111/MCN.12583
Location: No location found
Location: Iran (Islamic Republic of)
Location: Iran (Islamic Republic of)
Location: Iran (Islamic Republic of)
No related grants have been discovered for mahnaz zarshenas.