Quality of Life among Iranian Infertile Women in Postmenopausal Period: A Cross-sectional Study

OBJECTIVES: Infertility has a significant impact on a women's quality of life (QOL). Infertile women face with physical and mental challenges during their postmenopausal period. Therefore, the present study aimed to evaluate the QOL among Iranian infertile women in the postmenopausal period using a valid and reliable instrument. METHODS: In this cross-sectional study both snowball and social networking methods were used for sampling. Two demographic and QOL questionnaire were used for data collection. The QOL questionnaire includes 41 items which measure the QOL in five dimensions: socioeconomic, mental health, religiousness, physical health and future imagining. Data analyzed was carried out in IBM SPSS ver. 20.0 using descriptive statistic, χ2 test, and Fisher test. A P value of 0.01 or less was considered significant. RESULTS: Overall 211 eligible participants were studied. Some participants obtained full score on socioeconomic, religiousness, physical health and future imagining dimensions of QOL but none on the mental health dimension of the QOL. Only, 6.6% of study participants have a good QOL. There was a significant relationship between age and financial provider whit status of QOL. CONCLUSION: Most Iranian infertile women in the postmenopausal period have poor or moderate QOL. Therefore, improving the QOL among these women should be considered.

Prevalence and Risk Factors of Domestic Violence against Iranian Women: A Cross-Sectional Study / 가정의학회지

BACKGROUND: Violence against women in families is the most common form of violence against them. The purpose of this study was to determine the prevalence of domestic violence and its effects on married women of Ilam. METHODS: In this descriptive-sectional research, 334 married women referred to medical health centers in Ilam were selected to participate using a random sampling method. After obtaining their consent to participate in the study, participants responded to a 46 items questionnaire and responses were analyzed using IBM SPSS for Windows ver. 20.0 (IBM Co., Armonk, NY, USA). RESULTS: The majority of the participants reported experiencing domestic violence and emotional violence was more prevalent than other kinds of violence. Logistic regression analysis showed that lower education level, marriage at a younger age, shorter duration of marriage, fewer children, being a housewife, and husband's unemployment had a significant relationship with domestic violence against women. CONCLUSION: The high prevalence of wife abuse in Ilam especially emotional violence due to lower education levels and marriage at younger age could be a serious threat for women's health as well as for other members of the family. This could be a grounding factor for other social harms such as suicide and this issue must be studied from legal, religious, and cultural standpoints.

Prevalence and Predictive Factors of Sexual Dysfunction in Iranian Women: Univariate and Multivariate Logistic Regression Analyses / 가정의학회지

BACKGROUND: Female sexual dysfunction, which can occur during any stage of a normal sexual activity, is a serious condition for individuals and couples. The present study aimed to determine the prevalence and predictive factors of female sexual dysfunction in women referred to health centers in Ilam, the Western Iran, in 2014. METHODS: In the present cross-sectional study, 444 women who attended health centers in Ilam were enrolled from May to September 2014. Participants were selected according to the simple random sampling method. Univariate and multivariate logistic regression analyses were used to predict the risk factors of female sexual dysfunction. Diffe rences with an alpha error of 0.05 were regarded as statistically significant. RESULTS: Overall, 75.9% of the study population exhibited sexual dysfunction. Univariate logistic regression analysis demonstrated that there was a significant association between female sexual dysfunction and age, menarche age, gravidity, parity, and education (P<0.05). Multivariate logistic regression analysis indicated that, menarche age (odds ratio, 1.26), education level (odds ratio, 1.71), and gravida (odds ratio, 1.59) were independent predictive variables for female sexual dysfunction. CONCLUSION: The majority of Iranian women suffer from sexual dysfunction. A lack of awareness of Iranian women's sexual pleasure and formal training on sexual function and its influencing factors, such as menarche age, gravida, and level of education, may lead to a high prevalence of female sexual dysfunction.

The trend of infertility in Iran, an original review and meta-analysis

Worldwide prevalence of infertility has been reported to be 3-7% of all couples. There are varieties among the results of studies conducted on the prevalence of infertility in Iran. The present study aimed to evaluate the trend of infertility using meta-analysis method in Iran. We systematically reviewed all published papers in Medline database of the National Library of Medicine and their Persian equivalents [2001-2011]. Findings which met the inclusion criteria were included. Random effects meta-analysis was applied to the data of 13 selected populations. Data manipulation and statistical analyses were performed using STATA. Overall, 13 studies met our inclusion criteria. The pooled prevalence of infertility was 13.2% [95% CI: 8-18.3]. The pooled prevalence of primary and secondary infertility were reported to be 5.2% [95% CI: 3.7 - 6.6] and 3.2% [95%CI: 2 - 4.4], respectively. The lowest and highest frequency of lifetime prevalence of infertility was 2.8% in 2001 and 24.9% in 2010, respectively. Meta- regression scatter plot showed an increasing trend in the prevalence of infertility during 2001- 2011 [P = 0.58]. Meta-regression did not indicate a significant correlation between the sample sizes and the prevalence of infertility [P = 0.64]. The pooled infertility prevalence in Iran is higher than its mean worldwide, and lifetime infertility is increasing in recent years compared to the past in Iran

[Effect of increased intravenous hydration on duration of labor and outcome of pregnancy among nulliparous women: a randomized controlled trial]

Limitation of fluid intake in parturient can affect uterine contractions. Several studies have been conducted on the effect of hydration in labor progress and reported different results. In the present study, we evaluated the effect of over IV hydration on duration of labor arid outcome of pregnancy in parturient women. In this randomized clinical trial, 120 nulliparous women admitted to Ilam Mustafa Hospital were selected from February 2010 to December 2010. All participants had non-complicated singleton pregnancies and were randomly assigned in four groups. The first group received usual care; while the second to fourth groups received lactated ringers at 60, 120 and 240 ml per hour [IV fluid groups], respectively throughout active labor phase. All women had unrestrictedly access to oral fluids. The analysis was done using the ANOVA and Chi-squared tests in the SPSS-16. The p-value less than 0.05 were considered to be statistically significant. Key variables known to affect labor outcomes were statistically similar in all groups. The mean duration of active phase of labor was lower in the intervention groups in comparison with the control group. All groups had significant differences in the duration of second stage of labor, Oxytocin augmentation, and prolonged labor. There was a trend toward a lower frequency of the Cesarean deliveries in the 240 ml group; however it was not significant. There was no significant difference in the Apgar scores between groups. Over IV hydration reduced duration of labor. There were no reports of poor outcomes for mother and infants

[Factors affecting patients' satisfaction with nursing management and health care system]

New and effective health care needs a cooperation between doctor and patient. patients' satisfaction is necessany for a good Doctor-patient relationship, this study evaluate factors affecting patients content. A descriptive- analytical survey was performed from November to December 2010. The study sample consisted of 100 patients hospitalized in the emergency wards of Imam Khomeini and Mustafa Hospitals in Ilam- Iran. Subjects were selected by simple random sampling method. Data were collected by questionnaire and it's reliability was checked using Cronbach alpha coefficient. Factorial analysis technique was used to find the most important factors affecting patients' satisfaction. Normal distribution for factor scores was assessed using the Kolmogorov-Smimov test. Data were analyzed using the Mann-Whitney test and Spearman correlation coefficient. P< 0.05 was considered significant. Explanatory factor analysis showed that the patient's satisfaction is affected by six factors including: satisfaction of physician, nursing staff, presence of students, method of reception and discharge, deciding for cure and knowing the position of therapist. According to the results of factorial analysis, role and patient's satisfaction of physician was the most important issue. There was an statistically significant relationship between occurrence time with patients' satisfaction [r=0.23, P=0.027], number of visit and satisfaction [r=0.27, P=0.00], and occurrence time with number of visit [r=0.36, P=0.000], and time of visits and satisfaction of physician [X2=1013, P=0.016]. since there is a direct relationship between number and time of physician visit with patient's satisfaction, therefore it recommended to aware physician about this issue