Training and internship periods play important roles in shaping basic skills and professional abilities of midwifery students and problems such as stress can influence the efficiency of the clinical training. The aim of this study was to investigate the stressful experiences of midwifery students during clinical education in the labor room. Methods: In this descriptive cross-sectional study 71 midwifery students who had internship or apprenticeship experience were selected by census method surveyed about stressful factors in the delivery room at Shahroud University of Medical Sciences. For gathering data a questionnaire consisted of individual variables and stressors of clinical training in six domains was used. Validity and reliability of the questionnaire was confirmed by content validity and test re-test respectively and Pearson correlation coefficient with (0.8) was performed. The collected data were analyzed using SPSS V.18, Chi-square, t-test and Pearson's correlation coefficient. Results:The mean and standard deviation of total stress was 2.84 ± 0.64 and moderate. The mean scores of stressfulness including unpleasant emotions (3.2±0.75), instructor training method (3.01 ± 0.79), clinical experience (2.94 ± 0.86), educational planning (2.86 ± 0.65), clinical education environment (2.63 ± 0.7) and interpersonal communication(2.06 ±0.74) respectively, had higher levels of stress. There was a significant relationship between the total stress level perceived with the educational level (p =0.003), academic term (p =0.009), age (p =0.001), and native (p =0.004) . Interest in the field of study, marital status, economic problems, anxious personality and stress control skills with mean of perceived stress was not significant. Conclusion:The stress level of students is moderate and very influenced by the educational level, term, age and native. The most stressful factors related to the conditions that lead to the emergence of unpleasant feelings during clinical education, as well as the method of teaching and communication with the student. Considering Students' emotional feelings and students' preservation for improving the current situation can be effective.

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Background:A major problem of the first moments of childbirth, especially in “prolonged labor,” is perinatal asphyxia which necessitates neonatal resuscitation. This study aimed at evaluating the alert line of the partogram in recognizing the need for neonatal resuscitation 20–30 s after delivery.Materials and Methods:140 full-term pregnant women were kept under surveillance through using a partogram. In order to decide on the onset of resuscitation, the three indicators of fetal respiration, heart rate, and skin color were used 20–30 s after delivery. The findings from the evaluation of fetal conditions were compared to the position of the ultimate cervical dilatation graph to the alert line of the partogram, and through using appropriate statistical procedures, sensitivity, specificity, and positive and negative prediction values of the alert line to recognize the need for neonatal resuscitation were computed.Results:There was a significant relationship between the need for neonatal resuscitation within 20–30 seconds after delivery and the graph of the cervical dilatations on the partogram (P = 0.001). The indices of the alert line for predicting the need for resuscitation 20–30 s after birth had a sensitivity of 97.5%, specificity of 80.2%, positive prediction value of 97.2%, and negative prediction value of 98.7%.Conclusions:In mothers who had normal vaginal delivery, with normal fetal heart rate, and with no oxytocin administration or omniotomy, the alert line showed appropriate sensitivity, specificity, and negative prediction value. So, it can assist in predicting the necessity of action for neonatal resuscitation 20–30 s after delivery.

Background and purpose: Sufficient nutrition is the appropriate proportions of food required for physical development and maintenance as well as supplying energy to the body. This study aimed at assessing the nutritional status and its related factors among Iranian University Students. Materials and Methods: As a cross-sectional research, the present study was conducted with the participation of 1031 students in Shahroud, Iran. The relevant information was obtained through a 24-hour diet recall questionnaire. Also, the anthropometric measurements were taken for these students. Results: The students' mean BMI and energy intakes were 22.01±3.57 and 1974±750.35Kcal, respectively. Majority of the students (73.91%) were of normal Body Mass Index (BMI), but some cases of malnutrition including both underweight and overweight were also observed among the students. The findings showed that the mean daily intakes of fiber, phosphorous, calcium, iron, vitamins A, B6, and B12 were less than the RDA (Recommended Dietary Allowances) values. Hence, a significant relationship was observed between BMI and food consumption at each meal, type of snack, eating breakfast, number of snacks taken per day, speed of food consumption, adding butter or oil to the prepared food, the duration of daily activities, working with computer, and watching television (p<0.001). Conclusion:The results obtained through the methods of nutritional status revealed that due to BMI categories, some cases of malnutrition including both underweight and overweight were observed among the studied students. Examining the consumed food indicated qualitative and quantitative deficiencies as compared with standard recommendations, so that students were affected by hidden hunger resulting from micronutrients deficiency.

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