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  1. Article ; Online: The Impact of Women’s Agency on Accessing and Using Maternal Healthcare Services

    Maryam Vizheh / Frances Rapport / Jeffrey Braithwaite / Yvonne Zurynski

    International Journal of Environmental Research and Public Health, Vol 20, Iss 3966, p

    A Systematic Review and Meta-Analysis

    2023  Volume 3966

    Abstract: Agency, defined as the ability to identify one’s goals and act upon them, has been recognized as a prominent strategy to access maternal healthcare services (MHS). The purpose of this study was to synthesize evidence of the association between women’s ... ...

    Abstract Agency, defined as the ability to identify one’s goals and act upon them, has been recognized as a prominent strategy to access maternal healthcare services (MHS). The purpose of this study was to synthesize evidence of the association between women’s agency and MHS utilization. A systematic review was performed on five academic databases, comprising Scopus, PubMed, Web of Science, Embase, and ProQuest. Meta-analysis was performed with a random-effects method using the STATA™ Version 17 software. A total of 82 studies were selected following the PRISMA guidelines. The meta-analysis demonstrated that an increase in women’s agency was associated with a 34% increase in the odds of receiving skilled antenatal care (ANC) (OR = 1.34, 95% CI = 1.18–1.52); 7% increase in the odds of initiating the first ANC visit during the first trimester of pregnancy (OR = 1.07, 95% CI = 1.01–1.12); 20% increase in the odds of receiving at least one ANC visit (OR = 1.20, 95% CI = 1.04–1.4); 16% increase in the odds of receiving more than four ANC visits during pregnancy (OR = 1.16, 95% CI = 1.12–1.21); 17% increase in the odds of receiving more than eight ANC visits (OR = 1.17, 95% CI = 1.04–1.32); 13% increase in the odds of facility-based delivery (OR = 1.13, 95% CI = 1.09–1.17); 16% increase in the odds of using skilled birth attendants (OR = 1.16, 95% CI = 1.13–1.19); and 13% increase in the odds of receiving postnatal care (OR = 1.13, 95% CI = 1.08–1.19) compared to low level of agency. Any efforts to improve MHS utilization and reduce maternal morbidity and mortality should include the promotion of women’s agency.
    Keywords maternal health services ; health services ; women’s agency ; empowerment ; systematic review ; meta-analysis ; Medicine ; R
    Language English
    Publishing date 2023-02-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Analysis of Maternal Coronavirus Infections and Neonates Born to Mothers with 2019-nCoV; a Systematic Review

    Salut Muhidin / Zahra Behboodi Moghadam / Maryam Vizheh

    Archives of Academic Emergency Medicine, Vol 8, Iss

    2020  Volume 1

    Abstract: Introduction: The emergence and fast spread of 2019 novel coronavirus (2019-nCoV) threatens the world as a new public health crisis. This study aimed to clarify the impact of novel coronavirus disease (COVID-19) on pregnant patients and maternal and ... ...

    Abstract Introduction: The emergence and fast spread of 2019 novel coronavirus (2019-nCoV) threatens the world as a new public health crisis. This study aimed to clarify the impact of novel coronavirus disease (COVID-19) on pregnant patients and maternal and neonatal outcomes.  Methods: A comprehensive literature search was conducted in databases including PubMed, Scopus, Embase, ProQuest, and Science Direct. All studies including original data; case reports, case series, descriptive and observational studies, and randomized controlled trials were searched from December 2019 until 19 March 2020. Results: The search identified 1472 results and 939 abstracts were screened. 928 articles were excluded because studies did not include pregnant women. Full texts of eleven relevant studies were reviewed and finally nine studies were included in this study. The characteristics of 89 pregnant women and their neonates were studied. Results revealed that low-grade fever and cough were the principal symptoms in all patients. The main reported laboratory findings were lymphopenia, elevated C-Reactive Protein (CRP), Amino alanine transferase (ALT), and Aspartate amino transferase (AST). In all symptomatic cases, chest Computerized Tomography (CT) scans were abnormal. Fetal distress, premature rupture of membranes and preterm labor were the main prenatal complications. Two women needed intensive care unit admission and mechanical ventilation, one of whom developed multi-organ dysfunction and was on Extracorporeal Membrane Oxygenation (ECMO). No case of maternal death was reported up to the time the studies were published. 79 mothers delivered their babies by cesarean section and five women had a vaginal delivery. No fetal infection through intrauterine vertical transmission was reported. Conclusions: Available data showed that pregnant patients in late pregnancy had clinical manifestations similar to non-pregnant adults. It appears that the risk of fetal distress, preterm delivery and prelabor rupture of membranes (PROM) rises with the onset of COVID-19 in the third trimester of pregnancy. There is also no evidence of intrauterine and transplacental transmission of COVID-19 to the fetus in the third trimester of pregnancies.
    Keywords COVID-19 ; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ; pregnancy outcome ; infectious disease transmission ; vertical ; infant ; Medical emergencies. Critical care. Intensive care. First aid ; RC86-88.9 ; covid19
    Subject code 610
    Language English
    Publishing date 2020-04-01T00:00:00Z
    Publisher Shahid Beheshti University of Medical Sciences
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Women empowerment in reproductive health

    Maryam Vizheh / Salut Muhidin / Zahra Behboodi Moghadam / Armin Zareiyan

    BMC Women's Health, Vol 21, Iss 1, Pp 1-

    a systematic review of measurement properties

    2021  Volume 13

    Abstract: Abstract Introduction There is a considerable dearth of official metrics for women empowerment, which is pivotal to observe universal progress towards Sustainable Development Goals 5, targeting "achieve gender equality and empower all women and girls.” ... ...

    Abstract Abstract Introduction There is a considerable dearth of official metrics for women empowerment, which is pivotal to observe universal progress towards Sustainable Development Goals 5, targeting "achieve gender equality and empower all women and girls.” This study aimed to introduce, critically appraise, and summarize the measurement properties of women empowerment scales in sexual and reproductive health. Methods A comprehensive systematic literature search through several international electronic databases, including PubMed, Scopus, Embase, ProQuest, and Science Direct was performed on September 2020, without a time limit. All studies aimed to develop and validate a measurement of women empowerment in sexual and reproductive health were included. The quality assessment was performed through a rating scale addressing the six criteria, including: a priori explicit theoretical framework, evaluating content validity, internal consistency, and factor analysis to assess structural validity. Results Of 5234 identified studies, fifteen were included. The majority of the studies were conducted in the United States. All studies but one used a standardized measure. Total items of each scale ranged from 8 to 23. The most common domains investigated were decision-making, freedom of coercion, and communication with the partner. Four studies did not use any conceptual framework. The individual agency followed by immediate relational agency were the main focus of included studies. Of the included studies, seven applied either literature review, expert panels, or empirical methods to develop the item pool. Cronbach's alpha coefficient reported in nine studies ranged from α = 0.56 to 0.87. Most of the studies but three lack reporting test–retest reliability ranging r = 0.69–0.87. Nine studies proved content validity. Six criteria were applied to scoring the scales, by which nine of fifteen articles were rated as medium quality, two rated as poor quality, and four rated as high quality. Conclusion Most scales assessed various ...
    Keywords Women empowerment ; Reproductive health ; Measurement ; Psychometrics ; Validity ; Reliability ; Gynecology and obstetrics ; RG1-991 ; Public aspects of medicine ; RA1-1270
    Subject code 150
    Language English
    Publishing date 2021-12-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Prevalence of post-traumatic stress disorder in HIV-positive women and its’ related factors in an Iranian setting

    Fatemeh Najafi / Maryam Vizheh / Zahra Behboodi Moghadam / Elham Rezaei / Sara Saeieh / Hamid Emadi Koochak

    HIV & AIDS Review. International Journal of HIV-Related Problems, Vol 21, Iss 3, Pp 222-

    2022  Volume 229

    Keywords post-traumatic stress disorder ; hiv-positive women ; iranian setting ; Medicine ; R
    Language English
    Publishing date 2022-06-01T00:00:00Z
    Publisher Termedia Publishing House
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: A massive stroke in a pregnant woman following COVID-19 infection

    Hatav Ghasemi-Tehrani / Maryam Allahdadian / Maryam Vizheh / Maryam Dehghan / Maryam Hashemi

    Journal of Multidisciplinary Care, Vol 11, Iss 4, Pp 206-

    A case report

    2022  Volume 208

    Abstract: Background and aims: COVID-19 infection increases the risk of pathological thrombotic events in venous and arterial circulation. COVID-19 patients are reported, a wide range of neurovascular symptoms is highlighted, such as cerebral vascular accidence. ... ...

    Abstract Background and aims: COVID-19 infection increases the risk of pathological thrombotic events in venous and arterial circulation. COVID-19 patients are reported, a wide range of neurovascular symptoms is highlighted, such as cerebral vascular accidence. This study aimed to report a massive stroke in a pregnant woman with COVID-19 infection. Case Report: We report a 41-year-old pregnant woman, gravid 5 para 2 living 2 abortion 2 at gestational age 22 weeks and 4 days with Covid-19 infection, which developed into a massive stroke in the Basilar artery despite receiving a therapeutic dosage of Enoxaparin Sodium. Conclusion: The possibility of thrombosis should be considered in COVID-19 patients with symptoms indicating an increase in intracranial pressure (ICP) such as decreased consciousness, strabismus, and agitation. Considering the higher risk of thrombotic events in COVID-19 patients, cerebral venous sinus thrombosis (CVST) could be a possible consequence. Thus, the precise observation of neurologic manifestations in covid-19 patients, especially in pregnant women, is recommended.
    Keywords pregnant ; covid-19 infection ; massive stroke ; Education ; L ; Medicine ; R
    Subject code 610
    Language English
    Publishing date 2022-12-01T00:00:00Z
    Publisher Shahrekord University of Medical Sciences
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Factors Associated with Domestic Violence Against Women in Tehran

    r s / Maryam Vizheh / Nasibeh Zanjari

    پژوهشنامه مددکاری اجتماعی, Vol 4, Iss 14, Pp 37-

    2017  Volume 66

    Abstract: Abstract The purpose of this article is to examine the prevalence and different types of domestic violence and its related factors among married young women in the city of Tehran. The data was gathered using a survey with a sample size of 405 married ... ...

    Abstract Abstract The purpose of this article is to examine the prevalence and different types of domestic violence and its related factors among married young women in the city of Tehran. The data was gathered using a survey with a sample size of 405 married women under the age of 30 in Tehran. Combined theories that emphasize the multidimensionality of violence and its determinants based on the interaction of individuals, the family and social forces were used. The results indicated that women have experienced five types of domestic violence, including physical, psychological, verbal, sexual, and economic violence. Verbal violence was the most prevalent and sexual violence was the least prevalent among the different types of domestic violence. A multivariate analysis revealed that prevalence of violence was significantly higher among couples with inappropriate (early or arranged) marriages, families with a non-cooperative power structure, low social class groups, and unemployed women. These factors have accounted about 40 percent of domestic violence prevalence. Marriage education for young people, communication skills training, women's access to resources and opportunities, and social support are recommended. Keywords: Domestic Violence, Arranged Marriage, Power Structure, Social Class, Social Structure.
    Keywords Social sciences (General) ; H1-99 ; Social pathology. Social and public welfare. Criminology ; HV1-9960
    Subject code 300 ; 360
    Language Persian
    Publishing date 2017-12-01T00:00:00Z
    Publisher Allameh Tabataba'i University Press
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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