Background The present study aimed at investigating the effect of sexual health education and cognitive-behavioral therapy (CBT) on sexual assertiveness (primary outcome) and sexual satisfaction (secondary outcome) of newly married women. Method This RCT was conducted on 66 newly married women with cases in pre-marriage counseling centers in Tabriz, Iran. Participants were assigned into three groups using block randomization. Eight group sessions of CBT were held for one of the intervention groups (n = 22) and 5–7 sessions of sexual health education for other intervention group (n = 22). The control group (n = 22) received neither education nor counseling during the research. The data were collected using the demographic and obstetric characteristics, Hulbert sexual assertiveness index, and Larson sexual satisfaction questionnaires, and analyzed using ANOVA and ANCOVA tests. Results The mean (standard deviation: SD) score of the sexual assertiveness and sexual satisfaction in the CBT group enhanced from 48.77 (13.94) and 73.13 (13.53) before the intervention to 69.37 (7.28) and 86.57 (7.5) after the intervention, respectively. The mean (SD) score of the sexual assertiveness and sexual satisfaction in the sexual health education group increased from 48.9(11.39) and 74.95 (8.30) before the intervention to 66. 94 (7.42) and 84.93 (6.34) after the intervention, respectively. The mean (SD) score of the sexual assertiveness and sexual satisfaction in the control group changed from 45.04 (15.87) and 69.04 (10.75) before the intervention to 42.74 (14.11) and 66.44 (10.11) after the intervention, respectively. Eight weeks after the intervention, the mean scores of sexual assertiveness and sexual satisfaction in two intervention groups were more than that in the control group (P < 0.001), However, there was no significant difference between the two intervention groups (P > 0.05). Conclusion The results of this research indicated that CBT and sexual health education are effective in improving women’s sexual assertiveness and sexual satisfaction. Considering that sexual health education, does not require complex counseling skills compared to CBT, it can be used as a preferred intervention in promoting sexual assertiveness and satisfaction of newly married women. Trial registration Iranian Registry of Clinical Trials: IRCT20170506033834N8. Date of registration: 11.09.2021. URL: http://en.irct.ir.
Background: Adolescent pregnancy is considered as a global health problem and adolescent mothers need to receive comprehensive support during labor and delivery. Objective: The present study aimed to evaluate the effect of doula companion on the childbirth experience of adolescent mothers. Methods: This trial study was conducted on 54 primigravid women under the age of 19 years referred to Taleghani educational-treatment center affiliated to Tabriz University of Medical Sciences, Iran from April to September 2020. Participants were randomly assigned to the intervention (doula accompaniment) and control groups through block randomization using Random Allocation Software with a block size of 4 and 6. The data were collected using the demographic and obstetric characteristics, Support and Control in Birth Questionnaire, Labor Agentry Scale and the information in the labor progress record. The data were analyzed using SPSS 24. Independent t-test, and ANCOVA were used. Results: The mean score of support and control in birth was 121. 14.55 in the intervention group and 96.44 ± 15.8 in the control group (p <0.001). After intervention and adjusting the effect of support and control in birth, no significant difference in childbirth experience was observed between the two groups (AMD: 1.40, 95% CI: -2.25 to 5.07, p = 0.44). Conclusion: Considering the effectiveness of the doula companion in improving the support and control in birth of adolescent mothers, it is suggested to consider the doula support during labor and childbirth as one of the interventions to improve the quality of maternal health care among adolescents.
Aim The study aimed at evaluating the effect of posture correction and stretching movements on lordosis and lumbar pain in pregnant women. Background An increased lumbar lordosis during pregnancy is considered one of the most common causes of lumbar pain. Methods This quasi‐experimental study was performed on 66 pregnant women referred to health centers in Tabriz, Iran, from November 2020 to June 2021. The participants were randomly assigned to the intervention and control groups. The intervention group received training of posture correction movements and stretching exercises during pregnancy from 16 to 18 to 35–37 weeks of pregnancy in six sessions for 45–60 min. The data were collected using a flexible ruler and a visual analog scale. Independent t‐tests, repeated measures ANOVA, and ANCOVA tests were used. Results The mean (standard deviation: SD) of lumbar lordosis increased from 45.12 (2.07) to 54.97 (2.20) in the intervention group at 35–37 weeks and changed from 44.28 (2.03) to 55.54 (3.39) in the control group at 35–37 weeks (adjusted mean difference: −1.24, 95% confidence interval: −2.48 to −0.005, P = 0.04). The mean (SD) of lumbar pain at 28–30 weeks was 2.80 (1.72) in the intervention group and 3.74 (2.23) in the control group (P = 0.09). However, the mean (SD) of lumbar pain at 35–37 weeks in the intervention group 4.38 (2.45) was significantly lower than that in the control group 5.83 (2.96) (P = 0.04). Conclusion This study provides evidence for the potential health benefits of training posture correction and stretching movements on controlling lumbar lordosis and reducing lumbar pain during pregnancy.
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