The relationship between lifestyle and metabolic evaluation in women with a history of gestational diabetes.

BACKGROUND: Gestational diabetes is one of the most common metabolic diseases during pregnancy. The risk of a lifestyle role in the prevention of metabolic syndrome in women with a history of gestational diabetes has now been identified. The present study was performed to investigate the relationship between lifestyle and metabolic syndrome in women with a history of gestational diabetes. MATERIALS AND METHODS: The present study was a retrospective case-control study that was performed on 90 women (45 women with a history of gestational diabetes and 45 women without a history of gestational diabetes) in Kerman health centers 5 years after delivery in 2020. Data were collected using a demographic questionnaire and a standardized Walker lifestyle Health promoting Lifestyle profile II questionnaire. The reference laboratory was also used to perform the experiments. SPSS21 software and Spearman's and Chi-square tests were used to analyze the data. RESULTS: The mean age was 35.67 in the case group and 34.27 in the control group (P = 0.230). Lifestyle did not show any difference between the two groups (P = 0.058). However, metabolic evaluation was different in the two groups (P = 0.030). Furthermore, the results of Spearman's test to examine the relationship between lifestyle and other variables studied showed that in the case group (P = 0.075) and in the control group (P = 0.819) there was no relationship between lifestyle and metabolic assessments 5 years after delivery. CONCLUSIONS: In case group women, it is possible to prevent the progression to type 2 diabetes and disturb the metabolic assessment by teaching a healthy lifestyle and timely follow-up after delivery. A history of gestational diabetes can be one of the causes of type 2 diabetes and metabolic syndrome. Getting training to change your lifestyle during pregnancy and postpartum can reduce the incidence of gestational diabetes and type 2 diabetes. Screening pregnant women during childbirth is a good opportunity to diagnose diabetes early and predict it in the coming years.

Assessing the status and recognizing the performance of various nongovernmental organizations in providing health-oriented services as opportunities in promoting community health.

BACKGROUND: nongovernmental organizations (NGOs( are the hidden system of promoting public health and the symbol and mediator of people's participation. The aim of the present research was to assess the status and recognize the performance of various NGOs in providing health-oriented services as opportunities in promoting community health. MATERIALS AND METHODS: The present study was a descriptive-analytical (cross-sectional) study, which was conducted on the position and function of all NGOs in Kerman from February 2014 to the end of January 2015. A researcher-made checklist was used to collect the data, which was designed based on the statutes of NGOs. The information was collected from a total of 150 NGOs. To analyze the data, in addition to descriptive statistical tests (frequency, percentage, mean, and standard deviation), other tests were also used (Chi-square test and Fisher's exact test). Moreover, all data analysis was done using SPSS (ver. 16). RESULTS: There was a significant relationship between the levels of prevention and field of activity and the objectives and methods of implementation of these objectives (P < 0.001). There was a significant relationship between health prevention levels in the target community of the NGO and initial assets (P = 0.02), licensing organization (P < 0.001), management type in terms of the board of trustees or membership availability (P < 0.001), relevance of members' major with organizational goals (P = 0.02), and activeness or inactiveness of the organization (P = 0.007). CONCLUSION: The results showed that there was a relationship between NGO's target population in terms of levels of prevention and the studied factors. The relationship between the services of these organizations and the levels of prevention is a very important and effective role in community health promotion.

Providing and promoting health-oriented services by nongovernmental organizations: A qualitative study.

BACKGROUND: Benefactors of nongovernmental organizations (NGOs) are the hidden public health promotion systems. These benefactors are the symbol and intermediary of people participation, which is one of the main arms of health promotion and reduction of poverty and injustice in the societies. The present study is aimed to identify the benefactors' experiences in NGOs in terms of providing and promoting health-oriented services. MATERIALS AND METHODS: This study was conducted with a qualitative approach. The total number of participants was 32, which consisted of 25 chief executive officers from active and inactive organizations. Active organizations refer to organizations that submitted their 6-month report at the time of the investigation and whose operating license was renewed and in operation and seven officials of the social deputy of governmental organizations related to NGOs. Data collection was performed by using semi-structured interviews and with purposive sampling and then continued until data saturation. Furthermore, the content analysis method was used for data analysis. MAXQDA software version 2007 was used to manage quality data. RESULTS: During the data analysis, the following four subcategories were obtained: "high effort in empathy with fellow human beings," "role of merit in the success of donors," "creating a platform for social attention for the client's spontaneity," and "respect of the client," which were the results of experience and dimensions. The performance of non-governmental organizations is in line with the confrontation and responsibility of non-governmental organizations with a focus on health-oriented services. CONCLUSION: Having benevolent motives, benefactors attempt to provide conditions, in which help seekers have more chance for living through establishing new, sustainable, and future-reassuring conditions.

Investigating the causes and type of violence against spouses in married men in Kerman.

BACKGROUND: Domestic violence against women is a global problem that can lead to many negative consequences on physical, mental, and social health that various sociocultural causes play a role in its occurrence in different societies. Therefore, this study was conducted to determine the causes and type of violence against spouses in married men in Kerman. MATERIALS AND METHODS: This cross-sectional study was performed in 2018. The study was conducted on 400 married men who experienced violence against their wives. Sampling was a multistage cluster sampling method. The data collection tool was a questionnaire on violence against women. Data were analyzed using descriptive statistics, one-way analysis of variance (ANOVA), and two-variate analysis. RESULTS: The results of the data showed that the highest rate of violence in the group of housewives was related to physical violence and in the group of women living in dormitories and pregnant women was related to verbal violence. The results of data analysis with a one-way ANOVA test showed that between the three groups, all dimensions of violence and the overall score of violence had significant changes (P < 0.05). The results of the two-variate analysis test showed that there was a significant relationship between the variables of age, duration of marriage, male education, spouse education, type of marriage, male job, and spouse job with the overall score of violence in all three groups (P < 0.05). CONCLUSION: According to the results of the present study, it seems that the empowerment of women in all dimensions to improve and promote health to deal with domestic violence is essential. As a result, the relevant measures should be taken by the support systems taking into account the circumstances of the individuals.

Relationship between fear of childbirth and the sense of cohesion with the attachment of pregnant mothers to the fetus.

INTRODUCTION: Maternal-fetal attachment is a term used to describe the emotional relationship that a pregnant woman has with her developing fetus. Mental care for pregnant women (fear of childbirth and a sense of cohesion of pregnant women) is one of the most important aspects of prenatal care that affects the mother's attachment to the fetus. If fear and anxiety are relieved, psychological and physical relaxation will be replaced. Therefore, the present study was conducted with the aim of determining the relationship between fear of childbirth and the sense of cohesion with the attachment of pregnant mothers to the fetus. METHODS: The present study is a descriptive study that was performed by multi-stage sampling method on 500 pregnant mothers who referred to health centers in Isfahan in 2017. The study participants completed the following questionnaires: fear of childbirth, sense of cohesion, and mother's attachment to the fetus. The data were analyzed by descriptive and analytical statistical methods (Pearson correlation) using SPSS software version 22. RESULTS: The results showed that there was a significant negative relationship between the overall score of maternal attachment to the fetus and fear of childbirth (r = -0.153, P = 0.001). However, there is a significant positive relationship between the overall score of maternal attachment to the fetus and the sense of cohesion (r = 0.112, P = 0.01). The results also showed a significant negative relationship between the fear of childbirth and the dimensions of maternal attachment to the fetus, including interaction with the fetus (P = 0.04), self-sacrifice (P = 0.04), and attributing characteristics to the fetus (P = 0.05). There was a positive and significant relationship between the sense of coherence and the subsequent acceptance of the maternal role of maternal attachment to the fetus (P = 0.004). CONCLUSION: More attention of prenatal care provider to the psychological issues of the pregnant mother and their fears and worries can lead to appropriate interventions in this field, and as a result, mothers' attachment to their fetus has increased so that they can take proper care during and after pregnancy.

Investigating the effect of health literacy level on improving the quality of care during pregnancy in pregnant women covered by health centers.

BACKGROUND: Health literacy is the capacity to acquire, process, and understand basic information and services necessary for appropriate health decisions. Given the importance of health literacy in women, the aim of the present study was to determine the effect of health literacy level on improving the quality of care during pregnancy in pregnant women. MATERIALS AND METHODS: The present study was a cross-sectional analytical study. In this study, 130 women referred to Yazd health centers were examined. Health literacy questionnaires and a researcher-made checklist of the quality of pregnancy care were used to gather information. The researcher-made checklist of the quality of pregnancy care was in accordance with the standard protocol of the Ministry of Health and Medical Education, entitled Integrated Health Care for Pregnant Mothers, which was validated and reliable. SPSS statistical software version 19 and t-test and ANOVA statistical tests were used to analyze the data. RESULTS: According to the findings, the average score of health literacy in pregnant women was 74.09, which showed that the level of health literacy was in the marginal or border range. People with higher health literacy received significantly more prenatal counseling than other women and had a planned pregnancy (P = 0.04). CONCLUSION: The level of health literacy in pregnant women is unfavorable. Given that the high level of health literacy in women in society can lead to an increase in the quality of pregnancy care, so to increase health literacy in women, it is recommended that regular training in society by health-care providers be given more attention.

Investigating the relationship between social support and self-compassion by improving the adequacy of prenatal care.

INTRODUCTION: Getting pregnant care is different due to the psychological problems of pregnant mothers. Self-compassion and social support are the important components of mental health. Women with higher self-compassion and social support can take full care of their pregnancies. The aim of this study was to determine the relationship between social support and self-compassion with adequate prenatal care. METHODS: The present study is a cross-sectional descriptive study that was performed in 2018 using the available sampling method on 500 pregnant mothers referred to Isfahan health centers. Individuals entered the study if they had entry criteria and no exit criteria, and completed social support, self-compassion, and adequacy of pregnancy care questionnaires. The data were coded and analyzed by SPSS software version 22 and Pearson's correlation statistical test. RESULTS: The results of data analysis with Pearson's correlation test showed a positive and statistically significant relationship with pregnancy care between the overall score of social support (P < 0.001) and the dimensions of social support such as family support (P < 0.002), support of friends (P < 0.004), and the support of other people (P < 0.001). The results also showed a positive and statistically significant relationship between self-compassion and prenatal care (P < 0.001). There was a significant positive relationship between the subscales of the self-empathy questionnaire, including kindness to oneself, human commonalities, mindfulness and increasing replication, and pregnancy care, but there was a significant negative relationship between subscales of isolation and self-judgment with pregnancy care. CONCLUSION: According to the results of the present study, social support and self-compassion as two components of mental health can affect the quality of services during pregnancy. For this reason, it is recommended that health-care providers pay attention to these two issues in order to increase the level of care during pregnancy and thus ensure maternal health during pregnancy and childbirth and the health of the fetus and baby.

Use of Medicinal Plants and Synthetic Medicines by Pregnant Women in Kerman, Iran.

BACKGROUND: Pregnant women take medicinal plants for various reasons, supposing that these plants are completely safe for their fetus and their own health. This study aims to identify all types of medicinal plants and synthetic medicines used by pregnant women in Kerman and to study factors related to their use. METHODS: In this cross-sectional study, 150 women who had received prenatal care at 12 health centers in Kerman in 2017 were interviewed. Chi-square, t test and logistic regression were applied to investigate factors such as age, gestational age, mother's education, mother's occupation, perception of safety related to the use of medicinal plants and synthetic medicine during pregnancy. RESULTS: In this study, the rate of taking medicinal plants was 71.3% in pregnant women. The most common used medicinal plants and synthetic medicines were mint water (30%) and vitamins (47.3%), respectively. The most important mentioned reason for taking these medicinal plants during pregnancy was digestive problems. 52% of people believed that medicinal plants don't have any side effects. The chance of taking medicinal plants in housewives was 4.4 times more than employed women. Thinking that these medicines are safe to use increased the possibility of taking medicinal plants and synthetic medicines 4.5 and 3.1 times, respectively. CONCLUSION: Due to the potential side effects of medicinal plants, development and implementation of training programs to increase pregnant women's knowledge and a plan for specialized training for midwives and physicians employed in health centers seems necessary.