[Quality of midwifery care provided to women admitted for delivery in selected hospitals of Yazd]

The World Health Organization emphasizes the evaluation of health services to improve quality of care. Because the main purpose of quality measurement is to identify the weaknesses of a program, this study aims to assess the quality of midwifery care provided to women admitted for delivery in selected hospitals of Yazd medical science university. A total number of 100 women randomly selected and were included in a cross-sectional study conducted in Yazd, Iran. Data were collected in the labor and delivery wards of Shaheed Sadoughi and Afshar hospitals, between September 2010 and February 2011. A valid and reliable observation check list was used for data collection. The validity of check list was accessed by content validity and the reliability was approved by computing spearman coefficient [0. 93]. The check list included 247 items covered the 26 dimension of care across labor process. Observation was done by a midwife who was not practicing at the study sites, and was especially trained in study method. Data were analyzed using SPSS 16. The mean age of subjects was 24 / 43 +/- 5/4 years. The Number of pregnancies of was 1 to 2, in 64 percent of participants in the study. The results showed that the overall quality of midwifery care provided in different stages of labor, was not desirable. The highest scores of quality was related to midwife- mother communication and perennial repair, and the poorest score was related to vital sign control. it is essential that the authorities plan to control the services provided by staff, Installation and implementation of treatment protocols of ministry of health, informing personnel duties and holding workshops to take steps to eliminate the existing shortcomings. The protocols should be translated into action with an enhanced collaboration among midwives, obstetrics and reproductive health programmers

[ effect of teaching breast self-examination based on health belief model in teachers in Zahedan]

Health Belief Model is a comprehensive model in helping prevent diseases. According to this method, individuals who get sensitive to breast cancer are more motivated for a regular self-breast examination. Considering the 24% of breast cancer in Iran placing the third leading cause of death in women, the present study was carried out to investigate the impact of teaching two methods of self-examination, based on health belief model, on knowledge, attitude and performance of school teachers in Zahedan. In this quasi -experimental study, the impact of two education methods [lecture and simulation] was investigated on knowledge, attitude [HBM] and performance as pretest and posttest on 100 school teachers in a multi-stage random sampling with inclusion criteria of at least 25 years of age, without a family history of breast cancer, and majoring in fields unrelated to medicine on Zahedan school teachers in 2008-2009'. Data were collected via standardized Champion questionnaire designed based on Health Belief Model and, then, analyzed applying SPSS V.15 and T paired, T students, correlation Pearson and, linear regression tests. Changes of knowledge, attitude [HBM] and performance mean scores obtained by paired T- test was significant in the both groups. However, between the two groups, only the performance mean score of the two groups was significantly different. Perceived severity Structures and self-efficacy showed a direct association with performance, while perceived barriers were inversely associated with performance. The only predictive variable of effective learning based on linear regression was health motivation. The current study confirmed efficacy of health belief model on promotion behavior of self-breast examination. Therefore, this model can eliminate barriers which lower self-efficacy in breast cancer and self-breast examination. It also provides a motivation in learning self-breast examination.

[ effect of oral aloe vera gel on the intensity of primary dysmenorrhea]

Primary dysmenorrhea is a common gynecologic problem in teenage girls and women of reproductive age that has an adverse impact on women's quality of life. The aim of the present study was to determine the effects of oral Aloe vera gel on the intensity of primary dysmenorrhea in students of Zahedan University of Medical Sciences. This study was double - blind clinical trial it was conducted over 80 students who suffered from primary dysmenorrhea. The subjects were matched in terms of dysmenorrhea severity. Then they were randomly divided into 2 groups of 40 subjects each. They were similar in age, menarche, body mass index, and length, and duration of bleeding. The subjects in the intervention group were given a bottle containing 120 cc Aloe vera gels for every cycle, and control group were given a bottle containing 120 cc placebos for every cycle, each. Subjects took one tablespoon of the given medicine every day, starting two days before menstruation until the first 3 days after the onset menstrual cycle for two successive cycles. Drug effects on dysmenorrheal severity were evaluated via verbal multidimensional scoring system. Data were analyzed using SPSS software and descriptive and inferential statistical testes. Findings showed that there was a significant difference between aloe vera and placebo groups concerning the intensity of pain, number of Analgesics and amount of bleeding [P<0/05], but no significant difference was observed regarding the side effects [P>0/05]. Aloe vera seems to reduce the severity of dysmenorrhea so it can be a replacement to non-steroid anti-inflammatory tablets.