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Article ; Online: Pregnancy and COVID-19 Infection

Shalaleh Aghaei / Roghaye Mohammadirad / Azita Fathnezhad-Kazemi

Women’s Health Bulletin, Vol 10, Iss 1, Pp 67-

A Study of 24 Cases

2023 Volume 76

Abstract: Introduction: There is scarce information about the effects of SARS‐CoV‐2 infection in pregnant women. The present study aimed to evaluate pregnancy’s clinical characteristics and outcomes in women with COVID-19 and their babies.Case Presentation: We ... ...

Abstract	Introduction: There is scarce information about the effects of SARS‐CoV‐2 infection in pregnant women. The present study aimed to evaluate pregnancy’s clinical characteristics and outcomes in women with COVID-19 and their babies.Case Presentation: We conducted a case series study, from April 15 to May 30, 2021, including 24 cases with COVID-19 infection and their babies with a 30-day follow-up after delivery. The patients’ mean (SD) age of was 31.50 (5.69) years, and all the deliveries were in the third trimester. Fever and myalgia were the most prevalent clinical symptoms in women. Positive RTPCR test results [in 20 pateints (83.33%)], and CT scan findings [in four patients (16.67%)] confirmed the diagnosis. Moreover, 66.66% of pregnant women with COVID-19 underwent Cesarean section. Performing a Cesarean section was mostly due to obstetric indications or the mother’s request. None of the babies were positive PCR. Out of eight preterm infants, seven were admitted to the intensive care unit (NICU) for reasons other than COVID-19.Conclusion: The most common obstetric outcomes were high rates of premature delivery and Cesarean section. Additionally, the most prevalent neonatal consequences were prematurity and low birth weight. There was; however, no evidence of intrauterine vertical transmission.
Keywords	coronavirus disease ; gestation ; prenatal ; patient outcome ; baby ; Medicine (General) ; R5-920
Subject code	610
Language	English
Publishing date	2023-01-01T00:00:00Z
Publisher	Shiraz University of Medical Sciences
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Factors affecting quality of life in women with breast cancer

Farnaz Faroughi / Azita Fathnezhad-Kazemi / Parvin Sarbakhsh

BMC Women's Health, Vol 23, Iss 1, Pp 1-

a path analysis

2023 Volume 9

Abstract: Abstract Background Breast cancer may negatively affect people’s quality of life. We investigated the predictors of quality of life in women with breast cancer with the mediating role of resilience. Method In a cross-sectional design, 218 patients ... ...

Abstract	Abstract Background Breast cancer may negatively affect people’s quality of life. We investigated the predictors of quality of life in women with breast cancer with the mediating role of resilience. Method In a cross-sectional design, 218 patients completed a survey referring to the Valiasr International Hospital Oncology Center in Tabriz, Iran. Four validated self-report measures assessed HRQoL as measured by the SF-12, Resilience, Hope, and Perceived Social Support (MSPs). The mediating roles of resilience between HRQoL and the fitness of the proposed model were investigated using path analysis. SPSS version 24 software and Lisrel 8.8 software were used for data analysis. Results The results of path analysis showed that the final model had a good fit to the data (Chi-Square/ degrees of freedom (Normed Chi2) = 2.08, RMSEA = 0.014, goodness fit index = 0.99, both comparative fit index = 0.99 both CFI = 0.99 and IFI = 1). In this model, age and psychosocial factors predicted health-related quality of life. Conclusions Age and psychosocial factors especially social support are important components in predicting health-related quality of life among those suffering from breast cancer.
Keywords	Resilience ; Quality of life ; Hope ; Support ; Breast cancer ; Gynecology and obstetrics ; RG1-991 ; Public aspects of medicine ; RA1-1270
Subject code	300
Language	English
Publishing date	2023-11-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Explaining Challenges Experienced and Evaluation of the Working Condition of Midwives

Azita Fathnezhad-Kazemi / Nasibeh Sharifi / Anvar-Sadat Nayebinia

International Journal of Qualitative Methods, Vol

A Mixed-Method Study Protocol

2022 Volume 21

Abstract: The present study aims to: (a) explain challenges experienced by midwives; (b) evaluate the working condition in midwifery working settings. This exploratory sequential mixed-methods study is conducted in three stages (qualitative, quantitative, and ... ...

Abstract	The present study aims to: (a) explain challenges experienced by midwives; (b) evaluate the working condition in midwifery working settings. This exploratory sequential mixed-methods study is conducted in three stages (qualitative, quantitative, and nominal group), in Tabriz and Ilam. A qualitative study will be carried out to explain challenges experienced by midwives and the subjects selected through purposive sampling; moreover, in-depth individual interviewing will be used for data collection. The quantitative phase will be used a cross-sectional approach for evaluating the working condition in midwifery working settings. Finally, using findings of the two phases and nominal group technique some strategies will be given to reduce challenges of the midwifery working settings. The results can be used to develop strategies for creating suitable working conditions. It is hoped that the strategy proposed in the current study could lead to improvements in midwives’ satisfaction and health care services.
Keywords	Social sciences (General) ; H1-99
Subject code	360
Language	English
Publishing date	2022-06-01T00:00:00Z
Publisher	SAGE Publishing
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Association between Perceived Social Support and Health-Promoting lifestyle in Pregnant Women

Azita Fathnezhad-Kazemi / Armin Aslani / Sepideh Hajian

Journal of Caring Sciences, Vol 10, Iss 2, Pp 96-

A Cross-Sectional Study

2021 Volume 102

Abstract: Abstract Introduction: Adopting health-promoting lifestyle might be affected by a variety of factors. The existing evidence suggests that social support can improve health by fulfilling physical and mental needs. This study aimed to investigate the ... ...

Abstract	Abstract Introduction: Adopting health-promoting lifestyle might be affected by a variety of factors. The existing evidence suggests that social support can improve health by fulfilling physical and mental needs. This study aimed to investigate the association between social support and health-promoting lifestyle in Pregnancy. Methods: Using multistage cluster sampling method, this cross-sectional study was conducted on 360 pregnant women. Data were collected using three questionnaires, including a self-reported demographic and obstetric, health-promoting lifestyle profile and perceived social support questionnaires. Data were analyzed using a t-test, repeated measures ANOVA, and multivariate linear regression model with SPSS software ver. 21 with. Results: The mean (SD) of health-promoting behaviors was 135.21(20.03). Amongst the different dimensions of health-promoting behaviors, the highest mean was detected in spiritual growth 26.84 (4.90) and nutrition 26.17 (4.22), respectively. Meanwhile, the lowest scores were detected in sub-domains of stress management 19.80 (3.78) and physical activity 16.71(4.14), respectively. The mean (SD) of perceived social support was 60.31 (14.75), and 51.7% of the participants had intermediate social support. Results indicated a significant difference between the mean score of Health-Promoting Lifestyle at different levels of social support. There was a direct and significant association between the scores of social support and health-promoting behavior (r=0.36; P<0.001). Conclusion: Pregnant women with better perception of social support had a better performance in adopting health-promoting Lifestyle. However, the status of health behaviors and social support was not favorable. Thus, there is a need to intervene and design programs to help pregnant women and improve their health.
Keywords	health-promotion ; lifestyle ; social support ; pregnancy ; Medicine (General) ; R5-920 ; General works ; R5-130.5
Language	English
Publishing date	2021-05-01T00:00:00Z
Publisher	Tabriz University of Medical Sciences
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Relationship between Self-Care in Pregnancy with Perceived Social Support and Stress among Pregnant Women in 29 Bahman Hospital in Tabriz

Somayyeh Naghizadeh / Azita Fathnezhad-Kazemi / Tayebeh Gavidel

Salāmat-i ijtimā̒ī, Vol 6, Iss 1, Pp 99-

2019 Volume 107

Abstract: Background and Objective: Although pregnancy and giving birth are natural occurrences in the women’s lives, they are stressful experiences with emotional, physical and social changes. The objective of this study was to investigate the relationship ... ...

Abstract	Background and Objective: Although pregnancy and giving birth are natural occurrences in the women’s lives, they are stressful experiences with emotional, physical and social changes. The objective of this study was to investigate the relationship between self-care in pregnancy with social support and perceived stress among pregnant women. Materials and Methods: This cross-sectional, comparative-descriptive study was conducted with participation of 400 pregnant women referred to the midwifery clinic of 29 Bahman Hospital in the city of Tabriz in 2017. Convenience sampling method was used for participants’ selection. Data were collected using a 4-part questionnaire including social demographic characteristics and midwifery history, pregnancy self- care, perceived social support and stress. Data were analyzed using SPSS software (version 21) by descriptive statistics as well as Pearson correlation coefficients and p<0.05 was considered significant. Results: The mean (SD) age of participants was 29.5 (2.6). The mean (SD) score of self-care was 43.4 (5.1), perceived social support 67.3 (12.2), and perceived stress 37 (7.2). Increased perceived social support during pregnancy increased self-care among pregnant women (P=0.001). In addition, increased perceived stress decreaseed self- care during pregnancy (P=0.001). Conclusion: The study showed that increased perceived social support during pregnancy increased self-care among pregnant women. In addition, increased perceived stress decreaseed self- care during pregnancy.
Keywords	Self- care ; Social support ; Perceived Stress ; Pregnancy ; Public aspects of medicine ; RA1-1270
Language	Persian
Publishing date	2019-02-01T00:00:00Z
Publisher	Shahid Beheshti University of Medical Sciences
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Explaining the experience of prenatal care and investigating the association between psychological factors with self-care in pregnant women during COVID-19 pandemic

Marzieh Masjoudi / Armin Aslani / Somayyeh Khazaeian / Azita Fathnezhad-Kazemi

Reproductive Health, Vol 17, Iss 1, Pp 1-

a mixed method study protocol

2020 Volume 7

Abstract: Abstract Background Coronavirus disease 2019 (COVID-19) is a novel global public health emergency. Prenatal care (PNC) providing institutes should identify the needs and demands of pregnant women by optimizing the means of PNC services during the COVID- ... ...

Abstract	Abstract Background Coronavirus disease 2019 (COVID-19) is a novel global public health emergency. Prenatal care (PNC) providing institutes should identify the needs and demands of pregnant women by optimizing the means of PNC services during the COVID-19 pandemic. The present study aims to: a) explain prenatal care experiences; b) assess the factors affecting self-care, and c) present a prenatal care guideline and Strategies to improve the PNC. Methods This mixed-methods study with a sequential explanatory design consists of three phases. The first phase is a qualitative study exploring the prenatal care experiences among pregnant women. In this phase, the subjects will be selected through purposive sampling; moreover, in-depth individual interviewing will be used for data collection. Finally, the conventional content analysis approach will be employed for data analysis. The second phase is quantitative and will be used as a cross-sectional approach for assessing the association between psychological factors of self-care. In this regard, a multistage cluster sampling method will be used to select 215 subjects who will be visited in health care centers of Tabriz, Iran. The third phase will be focusing on developing a prenatal care guideline and Strategies, using the qualitative and quantitative results of the previous phases, a review of the related literature, and the nominal group technique will be performed among experts. Discussion The present research is the first study to investigate the prenatal care experiences and factors influencing self-care among pregnant women during COVID-19 pandemic. For the purposes of the study, a mixed-methods approach will be used which aims to develop strategies for improving health care services. It is hoped that the strategy proposed in the current study could lead to improvements in this regard. Ethical code IR.TBZMED.REC.1399.003.
Keywords	Experiences ; Prenatal care ; COVID-19 ; Self-care ; Fear ; Anxiety ; Gynecology and obstetrics ; RG1-991 ; covid19
Subject code	360
Language	English
Publishing date	2020-06-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: The association between social support and psychological factors with health-promoting behaviours in pregnant women

Nasrin Rashan / Nasibeh Sharifi / Azita Fathnezhad-Kazemi / Khadijeh Golnazari / Safoura Taheri

Journal of Education and Health Promotion, Vol 10, Iss 1, Pp 9-

A cross-sectional study

2021 Volume 9

Abstract: INTRODUCTION: Health promotion is one of the most important aspects in pregnancy, and health-promoting behaviors are one of the major determinants of health under the influence of various factors. This study aimed to determine the association between ... ...

Abstract	INTRODUCTION: Health promotion is one of the most important aspects in pregnancy, and health-promoting behaviors are one of the major determinants of health under the influence of various factors. This study aimed to determine the association between social support and psychological factors with health-promoting behaviors in pregnant women. MATERIALS And METHODS: This cross-sectional was performed on 375 pregnant women when they had 24–28 weeks in Ilam, October 2018 to May 2019. Two-stage cluster sampling was performed after checking the inclusion criteria. Data collection tools consisted of four questionnaires that were completed in self-report form. The collected data were analyzed by the descriptive and inferential tests with the SPSS software version 19. RESULTS: The mean score of health-promoting behaviors was 139.87 (21.26) and self-healing and physical activity had the highest and the lowest mean 27.67 (4.84) and 16.29 (4.84), respectively. Linear regression analysis showed a significant difference between different level of stress, anxiety, depression, and social support with health-promoting behaviors (P < 0.001). The results showed that one-point increase in the score of stress, anxiety, and depression led to the 2.2%, 6.1%, and 24.1% reduction of health-promoting behaviors, respectively, and one-point score increase in social support resulted in 40% increase in health-promoting behaviors (P < 0.001). CONCLUSION: A negative association was found between psychological factors and a positive relationship with health-promoting behaviors. Although perceived moderate health promotion behaviors and perceived social support were moderate, they did not have a good status in terms of psychological factors. Given awareness of the issues under study in each region is essential and planning to improve stress, anxiety, and depression, as well as promoting and correcting inappropriate behaviors through planned interventions are required.
Keywords	anxiety ; depression ; health promotion ; pregnancy ; social support ; stress ; Special aspects of education ; LC8-6691 ; Public aspects of medicine ; RA1-1270
Subject code	796
Language	English
Publishing date	2021-01-01T00:00:00Z
Publisher	Wolters Kluwer Medknow Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Death of a neonate with suspected coronavirus disease 2019 born to a mother with coronavirus disease 2019 in Iran

Tayebeh Rashidian / Nasibeh Sharifi / Azita Fathnezhad-Kazemi / Fatemeh Mirzamrajani / Sajad Nourollahi / Abas Ghaysouri

Journal of Medical Case Reports, Vol 14, Iss 1, Pp 1-

a case report

2020 Volume 5

Abstract: Abstract Introduction A novel coronavirus named severe acute respiratory syndrome coronavirus 2, was first reported in Wuhan, China, in December 2019. The virus, known as COVID-19, is recognized as a potentially life-threatening disease by causing severe ...

Abstract	Abstract Introduction A novel coronavirus named severe acute respiratory syndrome coronavirus 2, was first reported in Wuhan, China, in December 2019. The virus, known as COVID-19, is recognized as a potentially life-threatening disease by causing severe respiratory disease. Since this virus has not previously been detected in humans, there is a paucity of information regarding its effects on humans. In addition, only limited or no information exists about its impact during pregnancy. Case presentation In the present case study, we report the death of a neonate born to a 32-year-old mother with coronavirus disease 2019 in Ilam, Iran, with Kurdish ethnicity. We report the infection and death of a neonate in Iran with a chest X-ray (CXR) marked abnormality 2 hours after birth demonstrating coronavirus disease 2019 disease. The neonate was born by elective cesarean section, the fetal health was assessed using fetal heart rate and a non-stress test before the birth, and there was no evidence of fetal distress. All the above-mentioned facts and radiographic abnormalities suggested that coronavirus disease 2019 is involved. Conclusions In this case study, we report the death of a neonate born to a mother with coronavirus disease 2019, 11 hours after birth. There is a paucity of data on the vertical transmission and the adverse maternal-fetal consequences of this disease, so vertical transmission from mother to child remains to be confirmed.
Keywords	Coronavirus 19 ; Novel coronavirus ; Infant death ; Mother-to-child transmissions ; Medicine ; R ; covid19
Subject code	610
Language	English
Publishing date	2020-10-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: A review on different aspects of men\'s participation in antenatal care

Azita Fathnezhad Kazemi / Nasibe Sharifi / Masoomeh Simbar

Jorjani Biomedicine Journal, Vol 5, Iss 1, Pp 13-

2017 Volume 1

Abstract: Background & Objective: Nowadays, the participation of men in prenatal care is emphasized by international institutions to improve the health and reduce mortality of mothers and children. The purpose of this study was to review the various aspects of men ...

Abstract	Background & Objective: Nowadays, the participation of men in prenatal care is emphasized by international institutions to improve the health and reduce mortality of mothers and children. The purpose of this study was to review the various aspects of men participation in prenatal care. Methods: All of the articles published since 2005 to 2016 containing full texts which were archived in SID, Medlib, Magiran, IranMedex, Google Scholar and Pubmed were searched with the keywords of “Men” and “the empowerment of women with prenatal care” in both Persian and English languages. After the initial investigation and search on the basis of sources, a total of 7 Persian and 28 English articles were included in this study. Results: The results showed that the participation of men in prenatal care exerts positive effects on mother-infant outcomes. Increasing the expectations of women and core families are of the most important reasons showing the necessity of men participation in prenatal care. However, despite the positive attitude of couples towards men's participation, barriers such as lack of awareness among men and their undefined role in the field of prenatal care, economic and cultural issues and health system problems are the obstacles for men to cooperate in prenatal care. Conclusion: Considering the important role of men in different areas of women's life and the positive effects of their participation in reproductive health of women, different strategies should be used to promote men's participation in order to introduce them to different aspects of fertility. Therefore, further research in this field seems necessary.
Keywords	Men’s involvement ; prenatal care ; pregnant women ; Medicine ; R ; Biology (General) ; QH301-705.5
Subject code	360
Language	English
Publishing date	2017-09-01T00:00:00Z
Publisher	Golestan University of Medical Sciences
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Evaluation of Psychometric Properties of the Persian Version of Brief Male Sexual Function Inventory

Nazanin Rezaei, MSc / Nasibeh Sharifi, PhD / Azita Fathnezhad-Kazemi, PhD / Elham Shafiei, PhD

Sexual Medicine, Vol 9, Iss 5, Pp 100409- (2021)

A Cross-Sectional Study

2021

Abstract: Introduction: Male sexual dysfunction is a common problem, and there are many self‐report questionnaires for measuring sexual function among men; however, the Brief Male Sexual Function Inventory (BSFI) is a tool that has 5 subscales, which is more ... ...

Abstract	Introduction: Male sexual dysfunction is a common problem, and there are many self‐report questionnaires for measuring sexual function among men; however, the Brief Male Sexual Function Inventory (BSFI) is a tool that has 5 subscales, which is more complete than others. a validated self‐report questionnaire, in the local language with modest expressions is required for men. Aim: To determine the validity and reliability of the Persian version of the BSFI among men. Methods: This cross-sectional study was conducted on 200 males. The sampling process was performed in several stages from health centers. After the accomplishment of the standard process of back-translating the questionnaire from English to Persian, its face, content, and construct validity were evaluated. The collected data were analyzed using confirmatory factor analysis, multivariate analysis of variance, and Pearson correlation coefficient. To determine the reliability of the instrument, the test-retest method was used with 2 weeks interval and the Cronbach's alpha coefficient method was applied to check the internal homogeneity. Main Outcome Measures: Reliability (internal consistency and test-retest) and validity were assessed Results: According to the research findings, confirmatory factor analysis had an acceptable fit. By modifying the measurement model and fitting the final model, the fitting indices were obtained as the following: Chi-square statistic = 21.63, NPAR = 36, P = .001 > 0.05; Tucker-Lewis index = 0.956; comparative fit indices = 0.976; Normed Fit Index = 0.952; and root mean square error of approximation = 0.068. These values indicated that the obtained model had a good fit for the data. Moreover, Cronbach's alpha and intra-cluster correlation coefficients of the whole questionnaire were calculated at 0.893 and 0.893, respectively (confidence interval between 0.811–0.950), showing the internal consistency of the items in the whole questionnaire and domain. Conclusion: The BSFI questionnaire showed a 5-factor structure similar ...
Keywords	Sexual function ; Men ; Validity ; Reliability ; Medicine ; R ; Other systems of medicine ; RZ201-999
Subject code	310
Language	English
Publishing date	2021-10-01T00:00:00Z
Publisher	Elsevier
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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