study of waiting time to first pregnancy in the south of Iran: a parametric frailty model approach

Background: Time to first pregnancy [TTFP] has never been studied in an Iranian setting. Lifestyle, occupational and environmental factors have been suggested to affect the female reproduction

Objective: This study was conducted to measure TTFP in the south of Iran and survey the effects of several similar factors on TTFP by frailty models

Materials and Methods: The data on TTFP were available for 882 women who were randomly selected from the rural population [the south of Iran]. Only the first and the planned pregnancies of every woman were included. The data were collected retrospectively by using self-administered questionnaires. Frailty and shared frailty models were used to determine which factors had the highest impact on TTFP

Results: The median TTFP was 6.4 months and several factors were surveyed. However, only the age of marriage, height, maternal education and regularity of menstruation prior to conception were selected in the multivariable models

Conclusion: Among the several factors which were included in the study, the result of frailty model showed that the height, age of marriage and regular menstruation seemed more notable predictors of TTFP

Prognostic Factors of Breast Cancer Survival in the Islamic Republic of Iran: an Additive Empirical Bayesian Approach

Breast cancer is a public health challenge in the Islamic Republic of Iran. Relatively few studies have dealt with large dataset and advanced statistical methods. Therefore, we aimed to investigate the role of prognostic factors on breast cancer survival using Additive Empirical Bayesian model with large data set. Breast cancer data set included 1574 women diagnosed with breast cancer from 2002 to 2012 that registered from Cancer Registry in Fars Province, Islamic Republic of Iran. Overall survival rates at 2, 3, 5 and 10 years were 0.98, 0.94, 0.87 and 0.76, respectively. Five years survival at stages 1, 2 and 3 were 0.94, 0.92 and 0.74, respectively. The younger patients with characteristics such as zero involved nodes, negative progesterone receptor, free skin and good prognostic level had a higher survival chance than others. The 5-year survival probability by stage in Fars Province was nearly the same as that reported by the American Cancer Society. The Nottingham prognostic index [NPI] related to nodal status, tumour size and nuclear grade was the main indicator of breast cancer mortality

Investigation of breastfeeding training based on BASNEF model on the intensity of postpartum blues

Postpartum blues is a major risk factor for the incidence of postpartum depression and disruption of breastfeeding. This semi-experimental study investigated the effect of breastfeeding training based on the BASNEF model on severity of postpartum blues in 2012. Four educational sessions based on the BASNEF model were held separately for pregnant women and their mothers, mothers-in-law and spouses. The control group received routine care at the clinic. After delivery, women's knowledge of and attitude towards postpartum blues were evaluated using the Zung Self Rating Depression Scale. There were significant differences between the groups regarding mean scores of knowledge, mothers' evaluation of behaviour outcomes, attitude, and enabling factors. Also, the mean score for postpartum blues was significantly lower in the intervention group compared to the control group. In conclusion, training based on the BASNEF model had a positive effect on maternal knowledge and attitude and, consequently, the intensity of postpartum blues. Further studies are required to determine the reliability and effectiveness of this method

Beat-to-beat variability during auditory music in fetus and mother: a clinical trial

Background: Non-stress test is the most widely used test to assess fetal status. The presence of beat-to-beat variability is reassuring while its absence is not reassuring

Methods: In this single-blind clinical trial, 213 pregnant women with gestational age of 37 - 41 weeks were randomly allocated into three groups [auditory intervention for mother, auditory intervention for fetus, and control], each containing 71 subjects. The data were analyzed using one-way ANOVA followed by Tukey HSD test and Kruskal-Wallis test. In addition, paired t-test was used to compare each group before and after the intervention

Results: The results showed a significant difference among the three groups regarding beat-to-beat variability of fetal heart rate in the second 10 minutes of the test [P = 0.006]. Besides, the results of Tukey HSD test indicated that this difference was significant between the control group and auditory intervention for mother group [P = 0.004]. Moreover, the results of t-test showed a significant difference in beat-to-beat variability of fetal heart rate between the first and the second 10 minutes of the test in both groups of auditory intervention for mother [P < 0.001] and for fetus [P < 0.001]

Conclusions: Since beat-to-beat variability of the fetal heart rate is indicator of fetal health, music intervention can be used to increase the number of accelerations and reduce false positive results in NST

Effect of educational-spiritual intervention on the burnout of the parents of school age children with Cancer: a randomized controlled clinical trial

Background: Parents of children with cancer experience high levels of stress and discomfort. Religious beliefs are important sources of comfort and support for many cancer patients and their families. The present study aimed to assess the effect of educational-spiritual intervention on burnout of the parents of the children with cancer

Methods: In this randomized clinical trial, 135 parents of children with cancer were randomly assigned into intervention and control groups. Data were collected through SMBQ [Shirom and Melamed Burnout Questionnaire] from both groups, before, immediately after and one month after the intervention. Educational-spiritual programs were held for six weeks, one session every week. The data were analyzed by SPSS using independent t-test, and repeated measure ANOVA

Results: The results showed that the mean burnout score before the intervention in the intervention group was 4.28+/-0.61 and in the control group it was 4.23+/-0.50; most of the parents reported moderate to high burnout. But, there was a significant difference between the intervention and control groups immediately after and one month after the intervention [t=10.16, P<0.0001]. The mean burnout score in the intervention group was less than the control group. Results also showed that there was a significant difference between the two groups in terms of parental burnout in three times of measurements [F=58.62, P<0.0001]

Conclusion: This study indicated that educational-spiritual intervention was effective on reduction of the burnout of the parents of the children with cancer. Due to high burnout of most of the parents, offering such a program could be beneficial for them. More studies in this regard are recommended

Comparison of the effect of dry cupping therapy and acupressure at Bl23 point on intensity of postpartum perineal pain based on the short form of McGill pain questionnaire

Background: Perineal pain is a major morbidity in the first few days after delivery. This study aimed to investigate the effect of dry cupping therapy and acupressure at BL23 point on the intensity of postpartum perineal pain based on the short-form of McGill pain questionnaire [SMPQ]

Methods: The present clinical trial was conducted on 150 subjects in 3 groups of 50 cases. After at least 4-8 hr of delivery, cupping therapy was performed for 15-20 min up to 3 times a week [once a day] and acupressure was performed for 15-20 min based on clockwise model. The short-form of McGill pain questionnaire was completed both before and after the intervention. The SPSS statistical software was used to analyze the data using repeated measures ANOVA. Besides, p<0.05 was considered statistically significant

Results: In the cupping therapy group, mean of the perineal pain intensity reduced from 37.5 +/- 6.8 before the intervention to 11.1 +/- 6.1, 6.9 +/- 4.7, and 3.8 +/- 3.6 immediately, 24 hr, and 2 weeks after the intervention, respectively. The results of study showed that the differences between the intervention and control groups were statistically significant [p<0.01]. Mean difference of the perineal pain intensity in the acupressure group reached from 35.6 +/- 8.1 before the intervention to 10.4 +/- 5.5 two weeks after the intervention, so the variation between intervention and control groups was statistically significant

Conclusion: The study findings showed that cupping therapy and acupressure reduced perineal pain. Therefore, they may be considered as effective treatments for reducing pain intensity of allowing delivery

Comparison of the temperament and character of patients referred to cosmetic nasal surgeon in Shiraz hospitals, 2015

Background: Rhinoplasty is the most common cosmetic surgery which has been dramatically increasing in Iran. Currently, Iran is ranked the first in the world in rhinoplasty. In the present study, we aimed to assess the character and temperament traits of the applicants referred to rhinoplasty surgeons in Shiraz, southwest Iran in 2015

Methods: In this cross-sectional study, we recruited 500 participants among rhinoplasty applicants for case and among students and clerks residing in Shiraz by convenience sampling method in 2015. The two groups were matched regarding the gender, age and educational level. Data were collected using a demographic questionnaire and temperament and character inventory to assess the four dimensions of temperament [including novelty seeking; harm avoidance; reward dependence; persistence] and the three dimensions of character [including self-directedness; cooperativeness; self-transcendence]. Data were analyzed using SPSS software, version 20. Chi- square and t-test were used as appropriated

Results: The mean +/- SD age of the participants was 27.43 +/- 6.6. The results showed a significant difference between the case and control groups with respect to the temperaments of novelty [9.47 +/- 2.80], harm avoidance [9.12 +/- 3.3], persistence [2.69 +/- 1.04], the characters of cooperativeness [15.38 +/- 4.02], and self-transcendence [9.48 +/- 3.41]

Conclusion: Evaluating character and temperament traits in rhinoplasty applicants will be so helpful in identifying and predicting good candidates for such cosmetic surgery. Selecting the ideal patients can not only reduce the costs resulting from rhinoplasty imposed on families and society but also enhance the satisfaction of the patients and the surgeons

effect of yoga on the quality of life in the children and adolescents with haemophilia

The problems caused by haemophilia lead to impairments of the quality of life in patients with haemophilia. This study aimed to investigate the effects of yoga on quality of life in the children and adolescents with haemophilia in Shiraz, Iran. This semi-experimental study with pre- and post-test design was performed on 27 boys between 8 and 16 years old who suffered from haemophilia. The patients were divided into two groups. The number of bleedings, absences from school, and referrals to the clinic was evaluated. The demographic data were collected through interviews and using the patients' records in the haemophilia center. Besides, the quality of life was assessed through the Haemo-QoL questionnaire. Then, the yoga intervention was performed for 14 weeks and the data were collected in three stages. The collected data were entered into the SPSS statistical software, version 18 and were analyzed using non-parametric Friedman test. After the intervention, significant differences were observed in the mean scores of quality of life dimensions and the number of bleedings, school absences, and referrals to the haemophilia clinic [P<0.001]. Thus, yoga may improve the haemophilia children's and adolescents' perception of quality of life without the risk of injury. This intervention also seemed to be effective in reducing the number of bleedings, referrals to the haemophilia clinic, and absences from school

[Comparison of the effect of dry cupping therapy and acupressure at bl23 point on the primiparous women's intensity of postpartum perineal pain: a randomized clinical trial]

Postpartum Perineal Pain [PPP] is one of the most common problems within the puerperium period particularly among the primiparous women. This study aimed to evaluate the effects of dry cupping therapy and acupressure on acupoint BL23 on postpartum perineal pain severity among the primiparous subjects referring tothe selected educational center affiliated to Shiraz University of Medical Sciences, Shiraz, Iran. This clinical trial was conducted on 150 cases in 2012. Cupping therapy was done every other day consecutively 4 times taking 15-20 minutes. Besides, acupressure was applied according to the circular model for 20 minutes. Both interventions were performed max. 8 hours after labor. The patients filled out the VAS questionnaire. Then, the data were analyzed using Chi-square tests.The significance level was considered p<0.05. In the cupping group, the mean difference of postpartum perineal pain intensity reached from 9.0 +/- 1.4 before the intervention to 4.8 +/- 1.6, 2.4 +/- 1.6, and 1.3 +/- 1.2 immediately, 24 hours, and 2 weeks after the intervention, respectively and the results of repeated measures ANOVA showed a significant difference between the three follow-up periods [p<0.05]. On the other hand, this measure reached from 8.5 +/- 1.8 before the intervention to 6.6 +/- 1.6, 4.6 +/- 1.8, and 3.1 +/- 1.4 immediately, 24 hours, and 2 weeks after the intervention, respectively in the acupressure group, however, the reduction was not significant [p> 0.05]. The results of this study showed that the mentioned techniques led to pain relief. Therefore, given the significant reduction in pain in cupping therapy group, this intervention can be applied as an effective treatment for reducing perineal pain

prevalence of dyspepsia symptoms and its correlation with the quality of life among Qashqai Turkish migrating nomads in Fars Province, Southern Iran

To determine the prevalence of dyspepsia and its correlation with quality of life in Fars Qashqai Turkish migrating nomads from Southern Iran. During 2010 we enrolled 397 Qashqai migrating nomads from Southern Iran who were 25 years of age or older. Participants completed a questionnaire that consisted of demographic factors, lifestyle data, gastrointestinal symptoms, and the Short-Form 36 Health Survey [SF-36] questionnaire. There was a 48% prevalence of dyspepsia symptoms among participants. The prevalence was higher among females, those less than 35 years of age, married participants, and those with a low body mass index [BMI]. The correlation between dyspepsia and quality of life was significant. Dyspeptic patients were classified into ulcer-like [27.9%], dysmotility-like [26.2%], and unspecified [45.9%] groups. A significant correlation existed between dyspepsia symptoms and consumption of dairy products, drinking water and tea before and after meals, smoking, dysphagia, reflux, heartburn, and use of non-steroid anti-inflammatory drugs and acetaminophen. The high prevalence of dyspepsia in Qashqai nomads necessitates educational health programs for the migrating tribes in order to decrease prevalence of this disease

effect of maternal relaxation training on reactivity of non-stress test, basal fetal heart rate, and number of fetal heart accelerations: a randomized controlled trial

Relaxation-training, as an anxiety-reducer intervention, plays an important role in fetal health. The present study aimed to analyze the effect of maternal relaxation on stress test [NST], basal fetal heart rate, and number of fetal heart accelerations. In this randomized controlled trial, 84 pregnant women were randomly divided into two groups of teaching relaxation and control groups in 2012. In the intervention group, 60-90 minute classes were held every week lasting for 4 weeks. Besides, home practice charts were given to the mothers and researchers controlled the home practices by phone calls every week. The control group received routine prenatal care. In the 4[th] week, NST was performed in the intervention group 30 minutes before and after the 4[th] session. In the control group, NST was done in the 4[th] week. The quantitative variables in the two groups were compared through ANOVA and Chi-square test. The results of paired t-test showed that relaxation could improve the NST results [P=0.01]. Mean and standard deviation of basal fetal heart rate was 138.95 +/- 8.18 before the intervention and 133.07 +/- 6.9 after the intervention. Paired t-test also showed that relaxation reduced the basal fetal heart rate [P=0.001]. Mean and standard deviation of the number of fetal heart accelerations was 1.5 +/- 0.8 before the intervention and 2.2 +/- 0.9 after it. The results of paired t-test also showed that relaxation increased the number of fetal heart accelerations [P=0.001]. Relaxation could improve the NST results, reduce the basal fetal heart rate, and increase the number of fetal heart accelerations. Therefore, relaxation is recommended during pregnancy

General health in the elderly and younger adults of rural areas in Fars province, Iran

There are critical gaps in assessment and research on health among the elderly living in rural communities. The state of aging and health in rural areas provides a snapshot of our older adults's need to necessary public health measures .The aim of this study was to determine the self-rated general health of adults residing in rural areas and compare the general health of the elderly with younger adults. In this population based study using multistage random sampling, 2259 adults aged [>/= 15 years old] were selected from rural areas of Shiraz, southern Iran. The participants were divided into three age groups: young adults [15-39 years old n=1574], middle aged adults [40-59 years old, n=530], and the elderly [>/= 60 years of age, n=155]. Data were gathered using a translated version of the general health questionnaire [GHQ-28] and analyzed using Chi-square, one-way ANOVA, Kruskal-Wallis tests and ANCOVA analysis. SPSS software, version 16, was used for analysis. 34.8%, 31.6%, 52.3% and 7.7% of the elderly had a probable mental disorder in the somatization, anxiety, social dysfunction and depression categories, respectively. Moreover, 9.7, 7.1, 3.9 and 4.5% of the elderly had a severe mental disorder in the four mentioned subscales, respectively. Compared with younger adults, the elderly showed a significantly higher disorder in all subscales except for anxiety. Our findings showed that chronic disease had a great effect on general health. Screening programs and prevention of chronic disease by the newly established family physician in rural districts can improve the overall community health

Effect of coping strategies training on its use by thalassemia major adolescents: a randomized controlled clinical trial

Thalassemia is a chronic disease with serious clinical and psychological challenges. The incidence of thalassemia in a family member may cause a psychological crisis in all family members and in this case coping strategies are required. This clinical trial study aimed to determine the impact of training coping strategies on their use by major thalassemic adolescents referred to Dastgheib Hospital in Shiraz. In this randomized clinical trial, 87 adolescents with major thalassemia who were randomly assigned to two groups of experiment and control were enrolled. Then the experiment group attended six sessions of coping strategies training program in isolation, each lasting for one and half hour. In order to examine the coping strategies, Jalowice's coping strategy questionnaire was used in three periods including pre-intervention period and one month and two months after the intervention. The collected data were analyzed using independent t-test and Chi-square. Mean scores of problem-focused coping strategies in the experiment group increased in one month and two months after the intervention from 45 +/- 12.7 to 54.8 +/- 7.3 and 55.7 +/- 7.2, respectively. Also, the difference in mean scores of problem-focused coping strategies was significant in the two groups [P<0.001]. Furthermore, the difference in mean scores of emotion-focused coping strategies was significantly different between the two groups in two months after the intervention [P=0.007]. Based on the obtained results, teaching coping strategies has improved the use of problem-focused coping strategies and also effective coping with stress and disease problems in patients with thalassemia major. Therefore, it is recommended that authorities should consider this as a part of treatment program

effect of fathers' training regarding attachment skills on maternal-fetal attachments among primigravida women: a randomized controlled trial

Fathers' cooperation has been less taken into account in the process of pregnancy. The present study aimed to investigate the effect of training the fathers regarding attachment skills on maternal-fetal attachment in primigravida women in 2013. This randomized controlled trial was performed on 150 qualified pregnant women's husbands. The intervention group took part in four 90-minute sessions of maternal-fetal attachment training held once a week. On the other hand, the control group received the routine pregnancy care. Both groups completed Spielberger's anxiety scale and Cranley's questionnaire before and after the intervention. Then, the data were analyzed using paired and independent t-test. Besides, P<0.05 was considered as statistically significant. The intervention group's mean score of attachment was 55.98 +/- 6.99 and 61.90 +/- 5.41 before and after the intervention, respectively. The results of paired t-test revealed a significant difference between the intervention and the control group regarding their mean scores of attachment before and one month after the intervention [P<0.001]. Additionally, the results of independent t-test showed a significant difference between the two groups regarding the five dimensions of the questionnaire, namely interaction with the baby [P<0.001], acceptance of maternal role [P<0.001], differentiation between oneself and the baby [P<0.001], attribution of some features to the baby [P=0.01], and self-devotion [P=0.01]. Training the fathers regarding the attachment behaviors and skills led to an increase in the maternal-fetal attachment scores. Thus, paternal training should be considered in pregnancy care programs

Unmet need for prevention of unwanted pregnancy in Shiraz

Background: Prevention of unwanted pregnancy is a key strategy to improve the women's health through spacing of birth and avoiding pregnancy at high-risk maternal ages. Unmet need by definition is the percentage of fecund married women who are not using contraceptives while they do not want to get pregnant. They do this due to unavailable quality services, limited choice of methods, lack of information, safety concerns or side-effects and partner disapproval. The present study aimed to assess the magnitude of unmet need for prevention of unwanted pregnancy in Shiraz

Methods: In this descriptive cross-sectional study, 2000 married women of childbearing age [10-49 years] were selected randomly in a survey in Shiraz. Data collection was done using a researcher-made questionnaire and the results were reported using descriptive statistical methods

Results: In the present study, 85.6% of the women used a contraceptive method. 58.7% of them used modern methods of contraception. Reported reasons for not using contraceptives included recent delivery [25%], intention to have more children [20.6%], lack of awareness about contraceptive methods or where such services were offered [6.3%] and irregular sexual intercourse with husband [4.5%]. Interrupted intercourse ranked the highest among the methods used. Finally, the unmet need for prevention of unwanted pregnancy in this study was reported to be 4.3 percent

Conclusion: Women in Shiraz had a relatively lower level of unmet need. Counseling is recommended for higher risk women with unmet need in order to keep the descending trend of unmet need for prevention of unwanted pregnancy in Shiraz

Prognostic factors of first birth interval using the parametric survival models

In recent years, the study of birth intervals has been a main determinant of the levels of fertility in the populations, as it is associated with rates of fertility and population growth. The purpose of this study was to firstly apply survival analysis for modeling of first birth interval and secondly to explore its determinants. In a cross sectional study, the fertility history of 858 women was collected in rural areas of Shiraz [southern Iran] in 2008. We used the survival analysis such as cox regression and alternative parametric models to evaluate the prognostic factors of first birth interval. Among the explanatory variables of interest, age at marriage, level of women's education, and menstrual status had highly significant effects on the duration of birth interval after marriage [p<0.01]. It is concluded that the suitable parametric models would be a useful tool for fitting to first birth interval, the fact that has been less paid attention to in researches

Effect of orem self-care program on the life quality of burn patients referred to ghotbal-din-e-Shirazi burn center, Shiraz, Iran: a randomized controlled trial

Advances in treatment and critical care have largely improved the survival following burns; therefore, the importance of quality of life in burn patients is an issue beyond question. The aim of this study was to determine the effects of Orem self-care program on Quality of Life of burn patients. A randomized clinical trial study was conducted on 110 eligible burn patients who were selected using easy sampling method and allocated randomly into two groups of experiment and control. The instrument for data collection was a questionnaire, containing demographic and burn information and burn-specific health scale-brief [BSHS-B] questionnaire. For the experiment group, 5 sessions of theoretical training and 75-90 minutes of practical training were accomplished. The quality of life of the patients with burns was assessed in three phases by the BSHS-B questionnaire. The data were analyzed in SPSS-17 using Chi-square test, Fisher's exact test, Independent t-test and repeated measurement multivariate test. After one month and two months of the use of self-care model, the quality of life of the cases improved from 73.33% to 83.78% and 98.12%, respectively [P<0.001]. But the changes in the quality of life of the patients in the control group were not statistically significant [P>0.05]. Based on the obtained results of this study, designing and implementing a self-care program based on Orem's model and the needs of burn patients will improve their quality of life. Therefore, it is recommended that this program should be considered as a part of treatment program for these patients.

effect of educational program on the quality of life and self-efficacy of the mothers of the infants with congenital heart disease: a randomized controlled trial

Congenital heart disease causes large expenditures as well as mental pressures for the parents and, consequently, endangers the mothers' quality of life and self efficacy. Thus, the present study aimed to determine the effect of educational program on the quality of life and self efficacy of the mothers of the infants with congenital heart disease. The present randomized controlled trial was conducted on 56 mothers who had children with congenital heart disease [28 in the control and 28 in the intervention group] in Imam Reza Clinic, Shiraz, Iran in 2012. The mothers' quality of life and self-efficacy were assessed using SF-36 and Sherer's general self efficacy questionnaires before, immediately and 2 months after the training. The training was performed through four 90-minute sessions in 4 weeks. The data were analyzed using the SPSS statistical software and independent t-test, chi-square, and repeated measure analysis of variance. A significant differences was observed between the intervention and control groups regarding the mean of quality of life across the three study periods [F=59.91, P<0.0001]. A significant difference was also found between the two groups concerning the mean of self efficacy at these times [F=114.11, P<0.0001]. According to the results, providing appropriate training for the mothers of the infants with congenital heart disease increased their quality of life as well as self-efficacy.

effect dry cupping therapy at acupoint BL23 on the intensity of postpartum low back pain in primiparous women based on two types of questionnaires, 2012; a randomized clinical trial

Continuous low back pain is obviously related to the symptoms of the pregnancy period. In spite of the spontaneous improvement of the pain in less than 6 months after the delivery, some women experience chronic problems. Thus, the present study aimed to investigate the effect of dry cupping therapy at the BL23 point on the intensity of low back pain in the primiparous using visual analogue scale and short-form McGill pain questionnaire. In the present clinical trial, 100 samples were randomly allocated randomly to either the cupping therapy or the control group. Cupping therapy was performed for 15-20 minutes every other day up to 4 consecutive times. Visual analogue scale and short-form McGill pain questionnaire were completed by the two groups before the intervention and immediately, 24 hours, and 2 weeks after that. Then, the data were entered into the SPSS statistical software [v. 16] and analyzed using chi-square test and repeated measures ANOVA. According to the visual analogue scale, the mean intensity of low back pain in the cupping therapy group decreased from 7.8+2.7 before the intervention to 3.7+1.8, 2.5+1.7, and 1.4+1.4 immediately, 24 hours, and 2 weeks after the intervention, respectively. Besides, these measures were respectively obtained as 31.8+10.8, 9.0+6.7, 7.5+6.6, and 3.6+4.1 in the short-form McGill pain questionnaire. According to repeated measures ANOVA, a significant difference was observed among the various stages of follow-up [P=0.01] The study results showed cupping therapy to be effective in sedation of pain. Thus, it can be used as an effective treatment for reducing the low back pain

effects of decreasing maternal anxiety on fetal oxygenation and nucleated red blood cells count in the cord blood

Vasoconstriction during anxiety reduces fetal oxygenation and leads to hypoxia. Hypoxia in turn results in increase of the number of nucleated red blood cells [NRBCs] in the cord blood. The present study aimed to assess the effect of decreasing maternal anxiety on fetal oxygenation and NRBCs count in the cord blood. In this study, 150 women were randomly divided into two intervention groups [supportive care and acupressure in BL32 [bladder] acupoint] and a control group [hospital routine care]. The infants' cord blood was investigated regarding the number of NRBCs and the intensity of hypoxia after birth. Then, the data were entered into the SPSS statistical software [v. 16] and analyzed using ANOVA, Chi-square test, and logistic regression analysis. The significant difference was found between the two groups regarding the number of NRBCs counted in the peripheral blood smear [P<0.001]. Besides, a significant relationship was observed between the length of the first and second stages of labor and the number of NRBCs in the cord blood [P=0.01]. Also, a significant association was observed between the type of delivery and the number of NRBCs in the cord blood in both intervention [P<0.001] and control groups [P=0.03]. Doula supportive care and acupressure at BL32 point reduced the length of labor stages as well as the anxiety level. Also, nucleated red blood cells were less in the 2 groups of intervention than in control group. Regarding the fact that nucleated red blood cells cannot be the only factor for hypoxia predicting, for affirmation of this theory study with higher sample size and survey of mothers at high risk are needed