prevalence, subtypes and obstetric risk factors of urinary incontinence in reproductive age women referred to community health care centers of Dezful, Iran- 2015

Background: Urinary incontinence [UI] is a common health problem and has a profound effect on the quality of life and psychosocial aspects of the affected women. The aim of this study was to investigate the prevalence and risk factors of UI in reproductive age women

Methods: This cross-sectional study was conducted on 2000 reproductive age women from February to June 2015. The women were selected from all of the primary health care centers of Dezful, using easy access sampling method. Body mass index [BMI] was measured and data were collected by demographic, detailed information regarding obstetric and International Consultation on Incontinence Questionnaire- Urinary incontinence - Short Form[ICIQ-SF] ICIQ-SF questionnaires

Results: The women's mean age was 33.6 +/- 8, and 57.7% [1154] of them reported UI. The prevalence of UI subtypes was recorded in 38.2% [441] stress UI [SUI], 44.9% [518] mixed UI, and 16.9% [195] urge UI. There was a significant association between the mean of pregnancies, mean of deliveries, mode of delivery, abortion, neonate>4 kg, irregular menstruation and UI [P<0.05]. Multiple logistic regression analysis showed that age, irregular menstruation and vaginal delivery increased the risk of UI in this age group

Conclusion: The findings suggest that a significant proportion of reproductive age women were undiagnosed with UI and MUI was the most common type of UI in this age group. Regular menstruation was a protective factor but older age and vaginal delivery were risk factors for UI in this study

The effect of the SNAPPS (summarize, narrow, analyze, probe, plan, and select) method versus teacher-centered education on the clinical gynecology skills of midwifery students in Iran / 보건의료교육평가

This study aimed to determine the effect of the SNAPPS (summarize, narrow, analyze, probe, plan, and select) method versus teacher-centered education on the clinical skills of midwifery students in Iran. In this clinical trial, 36 midwifery students in their 4th year of education in 2015 were enrolled and divided into 6 groups, 3 groups for teacher-centered education and 3 groups for the SNAPPS method, with each group spending 10 days in the outpatient gynecology clinic. A questionnaire and a checklist were used to gather data. An independent t-test and chi-square test were used to analyze the data. Ability to gain the trust of the patient, verbal and nonverbal communication skills, history taking, preparation of the patient for gynecological examination, and diagnosis and treatment of common diseases were significantly better in the SNAPPS group compared to the teacher-centered education group (P<0.05). The SNAPPS education method can significantly improve the clinical skills of midwifery students in gynecology, in particular history taking, differential diagnosis, and treatment of common diseases.

Prevalence of unmet need and its related factors for family planning in Khuzestan Province, Iran: an epidemiologic study

Background: Women with unmet need are those who are sexually active in the reproductive age, but do not use any method of contraception despite they do not want more children. These women are at risk of unwanted pregnancies and abortions that can lead to maternal morbidity and mortality. The aim of this study was to evaluate the prevalence and related factors to unmet need for family planning among reproductive aged women in Khuzestan province, Iran, 2012-2013

Methods: Samples were selected randomly from nine cities in the province. Data was collected using a questionnaire which was completed by interview. A 46 item questionnaire was designed to collect data about unmet need in family planning. Data were analysed using SPSS ver19. Descriptive statistics, Independent t-test, chi-square, and logistic regression tests were utilized for analyzing data

Results: Unmet need was 80 [3.42] for limiting and 288 [9.59] for spacing, The prevalence of unmet need in Khuzestan Province was 13%. The unmet need group had more pregnancies and live children compared to the met need group [P<0.05]. The women with her husband with primary education compared to illiterate ones, women with university education compared to illiterate ones, women with good knowledge about contraceptive methods compared to those with poor knowledge, were less likely to have unmet need

Conclusion: The unmet need for family planning in the Khuzestan province is rather high compare to some statistics from other cities as well as in the whole country. Improving awareness about family planning can help women to decide about safer and more reliable contraceptive methods