Papers by Katayon Vakilian
Introduction A vaginal delivery rate of about 50% has been reported in Iran. Statistics show that... more Introduction A vaginal delivery rate of about 50% has been reported in Iran. Statistics show that more than half of the pregnant women in Iran choose cesarean delivery (1). The mode of childbirth has been a strong predictor of childbirth satisfaction (2,3). A various study examined the factors affecting childbirth experiences and satisfaction in women and showed that fear (4), personal expectations, lack of support from care provider during childbirth, the quality of the relationship between the parturient and the care provider and lack of the mother’s involvement in the decisions, lack of support during labor and lack of attention to the use of painkiller during labor are factors affecting labor experience and satisfaction (5,6). Studies conducted to assess women’s experience of childbirth have encouraged researchers to develop tools for examining childbirth experiences so as to enable the identification of high-risk mothers in terms of mental health problems such as postpartum dep...
The Open Public Health Journal
Aim Breastfeeding Counseling in order to increasing Breastfeeding Performance. Background Exclusi... more Aim Breastfeeding Counseling in order to increasing Breastfeeding Performance. Background Exclusive breastfeeding (EBF) as a policy for increasing children's survival and decreasing the illnesses of children all over the world. Objectives The present study was designed to investigating the effect of Midwife-led Breastfeeding Counseling based on the Bandura's Model on Self-efficacy and Breastfeeding Performance. Methods The present study was an educational trial with a pretest-posttest design and a control group. 60 women in intervention group received 4 session group counseling program based on Bandura's theoretical structures during pregnancy. After that the second stage of study was conducted between 1-3 days and 10-15 days after childbirth using the face-to-face method to meet the needs and concerns of mothers about breastfeeding. The control group received no counseling program and only received routine health care. Results showed that the awareness means in the inte...
Exploring Present Challenges in Performing General Practitioner Dissertation: (From the View of G... more Exploring Present Challenges in Performing General Practitioner Dissertation: (From the View of GP Graduates – A Qualitative Study) Authors Mahbobeh Khorsandi ; Farzaneh Jahani* ; Katayon Vakilian ; Hajar Sadeghi Abstract Background and Objective: One of the main sources for research in Universities is dissertations. Performing research in different majors of medicine results in improvement and better implementing of student dissertation has a special place. Knowing the challenges of conducting GP dissertations and determining the administrative process problems can be helpful to modify learning program and improve the quality of education. The purpose of this study is to determine challenges in performing GP dissertation. Materials and Methods: This qualitative study was done through content analysis method in 2012, and for data collection, semi-structured and deep interviews were used. Sampling was done in purposive method and continued until data saturation. For analyzing the dat...
ongenital disorders are developmental errors of birth and are the main reason of infant mortality... more ongenital disorders are developmental errors of birth and are the main reason of infant mortality and important cause of morbidity and mortality in the first year of life [1]. Since the frequency of neonatal malformations has been studied in different cities of Iran and not performed yet in Shahrood, the researchers decided to evaluate the frequency of these disorders in this city. This research is a descriptive cross-sectional study that was performed retrospectively through a review of all files of mothers who were delivered in Fatemieh hospital during last 7 years (2001-2007). Sampling method was census. Cases of structural disorders (based on reference books classification) and self-made checklist with regard to pediatricians were the record criteria of anomalies. After collecting data, the results were obtained from SPSS-16 software and the test of mean and percentage. In total 20,751 files were studied and 220 abnormal newborns were detected. The frequency was 1.06 per 100 births. Anomalies of musculoskeletal system and clubfoot had the highest frequency of 28.2% followed by genitourinary system, nervous system, and cardiopulmonary system disorders with frequencies of 21.8, 11.8, and 1.3%, respectively. The study showed the frequency of abnormalities as 1.06 in every 100 births; in other cities such as Hamadan it was 2.8% in 1999 [2], and 1.17 cases in every 10,000 dead and alive births in 2001-2005 in Urmia [3]. Clubfoot (15.8%) was the most common musculoskeletal anomaly and more common in boys than girls (11.5% vs. 9.5%). Polydactyly (10%) and varus and valgus consisted 1.3% of all abnormal cases. 18.6% (43 persons) of boys and 1.7% (4 persons) of girls had urogenital malformations. Hypospadias (8.6%) was the most abundant anomaly of the genitourinary system. Hydrocephalus (5.2%) was the most common anomaly of the nervous system followed by meningocele (3%), hydrocele and myelomeningocele (2.1%), anencephalus (0.9%). In this study the main face anomaly was cleft lip and palate and the former was more. It seems that the rate of evident anomaly in this region is not more than other cities. Our study was retrospective and we were unable to study the demographic and genetic factors, so it is recommended to perform more studies in this field.
The Open Public Health Journal
Introduction: Vaginismus disorder is one of the most common sexual disorders in women, which is c... more Introduction: Vaginismus disorder is one of the most common sexual disorders in women, which is characterized by involuntary muscle spasm of the outer third of the vagina and interferes with vaginal intercourse. Objective: The present study aimed to assess self-esteem, sexual self-concept, and irrational beliefs in vaginismus women with other women who do not have sexual problems. Methods: This study was a cross-sectional analytical study, conducted on 60 married women aged 18 to 35 years old (vaginismus=30, control=30) by convenient sampling in 2020. The samples were selected from a sexual disorders’ clinic. The written informed consent forms were obtained. It took 30 to 40 minutes to complete the questionnaires The Multidimensional Sex Questionnaire (MSQ), The Sexual Self-esteem Inventory for Women (SSEI-W) and Jones' Irrational Beliefs Test (IBT-40). The data were analyzed using statistical methods at the levels of descriptive and inferential statistics of chi-square, and t-t...
Sexologies
Background: Multiple sclerosis (MS) is one of the world's most common neurologic disorders and th... more Background: Multiple sclerosis (MS) is one of the world's most common neurologic disorders and the leading cause of neurologic disability in young adults. This study aimed to investigate skill-based sexual enhancement counseling on Quality of Life (QLI) of women with Multiple Sclerosis. Methods: the present study is a quasi-experimental design with two groups. Forty-two patients with multiple sclerosis and their spouses (N=88) voluntarily participated in this study based on the inclusion and exclusion criteria. After obtaining the written consent forms, the couples were randomly assigned in two groups. The subjects in the intervention group (N=22 couples) received the skill-based sexual enhancement counseling program in six sessions (each for 90 minutes). The control group just received routine medical procedure during this period. Both groups completed three stages of pretest-posttest, and the standard MSQOL54 questionnaire 3 months later. Data were analyzed by SPSS-20 using descriptive and inferential statistics (repeated measures ANOVA, chi-square, Friedman and t-test). Results: The results showed that the participants' overall quality of life in the intervention group in pretest was 55.32±9.140 which increased to 73.89± 13.39 in posttest and to 92.59±20.45, 3 months later. Also, the physical quality of life showed a signi cant difference between the two groups 3 months after the intervention (P <0.05). There was a signi cant difference between the two groups in psychological quality of life, too. The subscales of physical and mental QLI such as sexual satisfaction, sexual function, emotional wellbeing, social function and energy in post-test and follow-up were signi cantly different (P<0.05). Conclusions: According to the ndings, skill-based sexual enhancement counseling program is effective in quality of life enhancement. Therefore, it is recommended to health care providers to use enhancement program alongside the other rehabilitation and medical services to improve the patients' quality of life.
International Journal of Healthcare Management
The Open Public Health Journal, 2021
Background: Unprotected sex, multi partnership, no or inconsistent use of the condom can be menti... more Background: Unprotected sex, multi partnership, no or inconsistent use of the condom can be mentioned as risk behaviors putting youth at high risk to Sexually Transmitted Diseases (STDs). The present study aimed to investigate the knowledge of sexually transmitted diseases in the university students of Shahroud in Iran. Methods: This cross-sectional study was conducted in Shahroud city of Iran. 1500 female and male students in the age bracket of 18-24 were included in the study. Multistage sampling was employed. After stating the objective of the study, the questionnaire was distributed to students during the end of lecture time upon the agreement of the education officials and collected after 15 minutes. To ensure that the information provided will be kept confidential, the students were asked not to write down their names and fields of study. Data were described using descriptive statistics by SPSS software, version 20. Results: The answers showed that the female and male students...
International Journal of Women's Health and Reproduction Sciences, 2020
Objectives: This study aimed to evaluate the effect of cognitive-behavioral therapy focused on se... more Objectives: This study aimed to evaluate the effect of cognitive-behavioral therapy focused on self-esteem (CBT-S) on fear of childbirth in nulliparous women. Materials and Methods: In this randomized clinical trial, 24 nulliparous women willing to cesarean section delivery referred to Milad hospital, Tehran, Iran, between July to August 2015 were enrolled with a convenient sampling method. Participants were assigned into two CBT-S and control groups (24 in each group) using randomized blocks of 4. Seven sessions were performed for the CBT-S group, but the control group received routine prenatal classes. FOC was assessed using Harman’s childbirth attitudes questionnaire. The Rosenberg self-esteem scale was used to assess self-esteem at the beginning of the study. Two weeks after the intervention, both groups filled out the FOC and self-esteem questionnaire. Results: The mean score of fear at the end of the study in the CBT-S and control group was significantly different (P=0.001). A...
The Open Public Health Journal, 2021
Although dissection is a usual method in anatomy education, it can be a stressful experience for ... more Although dissection is a usual method in anatomy education, it can be a stressful experience for medical students [1]. Anatomy refers to the knowledge of the different parts of the body and their structural relationships. Understanding human diseases requires a comprehensive knowledge of the body. Cadaver has long been the oldest and the most basic source of morphological details of human anatomy [2, 3]. Despite the computer-aided methods to train the MDs and surgeons [4], cadavers have remained the best educational method [5]. The establishment of values such as respect, responsibility, and appreciation can never be achieved by the use of computer-based tools [6]. The human cadavers should
Journal of Birjand University of Medical Sciences, 2020
Background and Aim: Pregnancy due to physiological and psychological changes can affect the menta... more Background and Aim: Pregnancy due to physiological and psychological changes can affect the mental health of mothers. This study aims to investigate the Approach of acceptance and commitment based on the fear of delivery pain. Materials and Methods: This study was a randomized educational trial with a commitment-based treatment approach that was performed on pregnant women in Arak in 2016-2017. After obtaining written consent forms, 42 subjects were selected through the available sampling method. Subjects were grouped in the intervention group (ACT) and in the control group. Eight 90-minute sessions were held for 8 consecutive weeks of counseling Fear of delivery pain at 10 and one month after the intervention was measured in 2 groups by the Likert scale of pain (1-7) score. Data analysis was performed through repeated measure ANOVA by using SPSS (Version 18). Results: Results showed that the mean pain immediately after the intervention was 2.52±2.20 in the intervention group and 4....
Family Medicine & Primary Care Review, 2019
Background. Child sexual abuse refers to the compulsory sexual stimulation of a child or adolesce... more Background. Child sexual abuse refers to the compulsory sexual stimulation of a child or adolescent by an adult or older adolescent and includes a wide range of behavior, such as exhibitionism, fondling, sexual intercourse and using children for pornography. Objectives. The present study used the crosswise model to investigate childhood sexual abuse among Iranian university students. Material and methods. This cross-sectional study used a multi-stage method to examine 1,500 subjects in the universities of Shahroud, Iran. The questionnaire consisted of a pair of questions evaluating sexual abuse based on the crosswise approach, one sensitive and the other non-sensitive. To ensure the confidentiality of information, the questionnaire was distributed anonymously among the 1,500 students of 6 universities, and the students’ field of study was not mentioned. The collected data was analyzed with descriptive tests (mean and percent) and inferential tests, (independent t-test, chi-squared a...
Journal of Babol University of Medical Sciences, 2015
BACKGROUND AND OBJECTIVE: Entonox is an odorless, tasteless gas and the first anesthesia agent us... more BACKGROUND AND OBJECTIVE: Entonox is an odorless, tasteless gas and the first anesthesia agent used in obstetrics. To date, no studies have evaluated the effects of Entonox on oxidative stress. This study aimed to investigate the association between infant oxidative stress indices in mothers exposed to Entonox gas during vaginal delivery. METHODS: This cohort study was conducted on 120 pregnant women undergoing natural labor. Subjects were divided into two groups of delivery with and without exposure to analgesic Entonox (N=60). After delivery, 5 ml of arterial blood was obtained from the umbilical cords of all infants, and indicators such as malondialdehyde, thiols and total antioxidant capacity were measured and evaluated in each group. FINDINGS: In this study, there were no significant differences in the indicators of oxidative stress between the study groups. Values obtained in groups with and without Entonox exposure were respectively as follows: total antioxidant capacity (1.3...
Journal of Babol University of Medical Sciences, 2008
نه و هدف: عزتنفس عامل نیرومند و مهم در ایجاد سالمت، رضایت خاطر و شادمانی و عامل مهم شناساییشده از... more نه و هدف: عزتنفس عامل نیرومند و مهم در ایجاد سالمت، رضایت خاطر و شادمانی و عامل مهم شناساییشده از توانمندیهای مقابلهای زنان حین لیبر و زایمان است. این پژوهش با هدف تعیین اثربخشی مشاوره گروهی با رویکرد شناختی- رفتاری بر عزتنفس در زنان باردار نخستزا انجام شد. روش بررسی: مطالعهی حاضر کارآزمایی بالینی تصادفی بود که در یکی از بیمارستانهای شهر تهران روی 46 زن باردار نخستزا انجام شد. زنان با اولین بارداری و با نمرهی عزتنفس صفر یا کمتر بعد از رضایتنامه کتبی وارد نمونهگیری شدند و سپس بهطور تصادفی در دو گروه مداخله و شاهد قرار گرفتند. در گروه مداخله 7 جلسهی مشاوره شناختی- رفتاری بهصورت گروهی انجام گرفت و در گروه شاهد فقط تحت مراقبتهای روتین بارداری قرارگرفتند. دو هفته بعد از پایان آخرین جلسه مجدد پرسشنامهی عزتنفس روزنبرگ توسط گروه مداخله و شاهد تکمیل گردید و نتایج با استفاده از آزمونهای آماری توصیفی درصد و میانگین و استنباطی )ویلکاکسون، من ویتنی- تیتست و کایدو با استفاده از SPSS مورد تجزیهوتحلیل قرار گرفت. یافتهها: نتایج نشان داد، میانگین سنی افراد شرکتکننده در گروه مداخله و کنترل بهترتیب 26/...
Background Dysmenorrhea is one of the most common pelvic pains in women, impairing their quality ... more Background Dysmenorrhea is one of the most common pelvic pains in women, impairing their quality of life.This study investigated the effects of chamomile sachet and mefenamic acid on primary dysmenorrhea, associated symptoms and bleeding. Methods In this randomized clinical trial, 200 female students with primary dysmenorrhea from Arak universities were randomly assigned to two groups. The group (A) received mefenamic acid (250 mg) and group (B) received chamomile (5000 mg) plus one teaspoonful of honey )as a flavoring( for two days before up to the first three days of menstruation, three times a day in two consecutive cycles. Pain severity, associated symptoms and bleeding were assessed using visual analog scale, Andersch-Milsom Verbal Scale and Higham chart, respectively. Data were analyzed by descriptive and inferential statistical tests by SPSS 21. Results Severe pain during two months after intervention was in 6 (6.3%) of group (B) and 6 (6.3%) in group (A) (p = 0.351, p = 0.33...
Background: Background: youth reproductive health programs, often tries to decrease high-risk beh... more Background: Background: youth reproductive health programs, often tries to decrease high-risk behavior that leads to sexually transmitted diseases such as AIDS. For planning the evaluation attitudes and sexual self-efficacy is a critical component of planning. This study aimed to evaluate the attitude and self-efficacy abstinence were conducted in youth sexual abstinence. Methods: 1500 male and female students using multistage sampling were included. Samples were taken from all the universities of the Shahroud city. World Health Organization questionnaire that was used previously was used by Muhammad and colleagues was included. Also, self-efficacy questionnaire was used after translation and back translation. For content validity 7 professors from different universities was used, that the content validity index of 0.71 was confirmed. 5 attitude question in Likert 5-point Likert scale in maximum of 25 points and 8 question of sexual efficacy abstinence in the same scale Likert were provided with a maximum of 40 points. For ultimate reliability alpha test was used that correlation coefficient 0.81was confirmed . Results: Most of the 798 girls (86.8%) and 317 boys (59.3%), low level of self-abstinence to sex that difference was statistically significant (0.001 = P). (21.2%) and 195 females (9.9%) and 53 boys had a poor attitude to sexual abstinence (13.1%) and 120 girls (29.0%), 155 of the boys had a good attitude to sexual restraint difference was significant (0.001 = P) Conclusion: Given that the attitude of the boys better than girls, but the self-efficacy abstinence in each 2 groups was poor .It seems to be giving training and counseling centers for young people and education and providing reproductive health messages in all programs is needed
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Papers by Katayon Vakilian