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Zakour Khadari M, Zainal H, Athirah Daud NA, Sha'aban A. Health-Related Quality of Life in Pregnant Women With Gestational Hypertension: A Systematic Review. Cureus 2024; 16:e61340. [PMID: 38947727 PMCID: PMC11214066 DOI: 10.7759/cureus.61340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/29/2024] [Indexed: 07/02/2024] Open
Abstract
This review seeks to evaluate the levels of health-related quality of life (HRQoL) among pregnant women experiencing pregnancy-induced hypertension (PIH). It also aims to identify the specific aspects of HRQoL most impacted by PIH during pregnancy and determine the existence of effective interventions to enhance the HRQoL of these pregnant women. A systematic literature search was conducted in the following databases: PUBMED, SCOPUS, Google Scholar, and EMBASE using the following keywords: Health-related quality of life; pregnancy; pregnancy-induced hypertension; quality of life; gestational hypertension. Among the 32 studies assessed, only eight met the criteria for inclusion, exhibiting a good quality based on assessment with both AXIS (Appraisal Tool for Cross-Sectional Studies) and CASP (Critical Appraisal Skills Programme) checklists. The findings indicate a decline in HRQoL among pregnant women with gestational hypertension, notably affecting both physical and mental dimensions. Furthermore, some studies provided recommendations for interventions that healthcare professionals could employ to improve poor HRQoL levels. Limited research has focused on the HRQoL in pregnant women with PIH. Compared to their healthy counterparts, pregnant women experiencing PIH exhibit a decrease in their HRQoL. It's crucial for healthcare practitioners to proactively address the HRQoL of these pregnant women using effective strategies to mitigate this decline. This approach aims to safeguard both pregnant women and their fetuses from potential complications associated with lower HRQoL levels.
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Hu Y, Sun M, Fei J, Meng C, Yuan T, Lv J, Guo X, Kong Y, Zhang H, Mei S, Wu F. Health-Related Quality of Life Among Chinese Pregnant Women in the Third Trimester Based on Theory of Unpleasant Symptoms: A Complex Network Analysis. Clin Nurs Res 2023; 32:549-559. [PMID: 36633263 DOI: 10.1177/10547738221146052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
Health-related quality of life (HRQOL) is the result of complex interactions between many different factors. But few studies to date have explored the structure of HRQOL. This study aimed to investigate the complex inter-relationship between HRQOL and influencing factors using network analysis. In all, 624 Chinese pregnant women in third trimester were recruited through recruiting sampling. We used regularized network analysis to create a complex network. The relationship with mother-in-law was the most central node followed by relationship with partner. We found the comorbidity of anxiety and depressive symptoms using network analysis. Physical- and mental-related quality of life were a "bridge node" connecting psychological factors with physiologic factors. The present network analysis highlights the strong link between relationship with mother-in-law or partner and HRQOL, which is also a unique phenomenon under Chinese culture. This analysis provides key variables for future intervention or improvement of pregnant women' HRQOL.
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Affiliation(s)
- Yueyang Hu
- School of Public Health of Jilin University, Changchun, China
| | - Mengzi Sun
- School of Public Health of Jilin University, Changchun, China
| | - Junsong Fei
- School of Public Health of Jilin University, Changchun, China
| | - Cuicui Meng
- School of Public Health of Jilin University, Changchun, China
| | - Tongshuang Yuan
- School of Public Health of Jilin University, Changchun, China
| | - Jianping Lv
- School of Public Health of Jilin University, Changchun, China
| | - Xinmeng Guo
- School of Public Health of Jilin University, Changchun, China
| | - Yixi Kong
- Early Childhood Development Center, Changchun Obstetrics-Gynecology Hospital, Changchun, China
| | - Han Zhang
- School of Education, Linyi University, Shandong Province, China
| | - Songli Mei
- School of Public Health of Jilin University, Changchun, China
| | - Fuju Wu
- The Second Hospital of Jilin University, Changchun, China
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Brekke M, Berg RC, Amro A, Glavin K, Haugland T. Quality of Life instruments and their psychometric properties for use in parents during pregnancy and the postpartum period: a systematic scoping review. Health Qual Life Outcomes 2022; 20:107. [PMID: 35810315 PMCID: PMC9271249 DOI: 10.1186/s12955-022-02011-y] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Accepted: 06/26/2022] [Indexed: 11/23/2022] Open
Abstract
Purpose To identify instruments used to measure parents’ Quality of Life (QoL) during pregnancy and the postpartum period, and to describe their characteristics and psychometric properties. Methods For this scoping review we conducted systematic literature searches in MEDLINE, EMBASE, PsychINFO, CINAHL and HaPI in mid-December 2020, to identify studies evaluating psychometric properties. The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) were used to define and categorize psychometric properties. Two reviewers screened the studies independently, and customized screening questions were used to assess eligibility against inclusion criteria. Data were systematically extracted into a predesigned data charting matrix, and descriptively analyzed. Results The searches identified 5671 studies, of which 53 studies met the inclusion criteria. In total, there were 19 QoL instruments: 12 generic and seven period specific. The most reported instruments were SF-36, SF-12 and WHOQOL-BREF, and the most evaluated instruments were SF-12, WHOQOL-BREF, QOL-GRAV, and PQOL. We found that none of the identified instruments had been evaluated for all nine psychometric properties recommended by the COSMIN. The most reported psychometric properties were internal consistency and structural validity. The instruments were primarily assessed in parents residing in Asia (50%), and 83% of the studies were conducted from 2010 to 2020. Only three studies included psychometric measures assessed on fathers. Conclusion Our review shows there is extensive evidence on the internal consistency and structural validity of QoL instruments used on parents during pregnancy and the postpartum period, but that the evidence on other psychometric properties is sparse. Validation studies and primary studies are needed to provide evidence on the reliability, validity, responsiveness, and interpretability of QoL instruments for this target group, in particular for fathers and partners. Supplementary Information The online version contains supplementary material available at 10.1186/s12955-022-02011-y.
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Affiliation(s)
| | - Rigmor C Berg
- Norwegian Institute of Public Health, Oslo, Norway.,The University of Tromsø, Tromsö, Norway
| | - Amin Amro
- VID Specialized University, Oslo, Norway
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Relationship of fear of COVID-19 and pregnancy-related quality of life during the COVID-19 pandemic. Arch Psychiatr Nurs 2021; 35:364-368. [PMID: 34176577 PMCID: PMC8126518 DOI: 10.1016/j.apnu.2021.05.006] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/12/2020] [Revised: 03/06/2021] [Accepted: 05/08/2021] [Indexed: 12/20/2022]
Abstract
AIM The aim of this study was to determine the relationship between fear of COVID-19 and quality of life in Iranian pregnant women during the COVID-19 pandemic. METHODS This cross-sectional study was carried out on 250 Iranian pregnant women. Data was collected through questionnaires including demographic and obstetric characteristics, fear of COVID-19 and quality of life. An adjusted general linear model was used to determine the relationship between variables. RESULTS There was a negatively significant relationship between fear of COVID-19 and quality of life (P < 0.001). Based on the adjusted general linear model, it was expected that if COVID-19 fear score increased, the quality of life score would decrease significantly (B = -0.21, 95%CI: -0.34 to -0.09, P = 0.001). CONCLUSION This study indicated a reverse correlation between fears of COVID-19 and quality of life. Therefore, developing appropriate interventions in order to overcome the fear caused by COVID-19 are recommended to improve pregnant women's quality of life.
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Golshani F, Hasanpour S, Mirghafourvand M, Esmaeilpour K. Effect of cognitive behavioral therapy-based counseling on perceived stress in pregnant women with history of primary infertility: a controlled randomized clinical trial. BMC Psychiatry 2021; 21:278. [PMID: 34059016 PMCID: PMC8167953 DOI: 10.1186/s12888-021-03283-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/07/2021] [Accepted: 05/12/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Given the prevalence of infertility and consequences of stress, anxiety, and depression during pregnancy and after childbirth, this study aimed to determine the effect of group cognitive behavioral therapy (CBT)-based counseling on perceived stress (primary outcome), anxiety, depression, and quality of life (QoL) of pregnant women with a history of primary infertility. METHOD This controlled randomized clinical trial was conducted on 56 pregnant women with a history of primary infertility referred to Infertility Clinic of Al-Zahra Teaching Hospital of Tabriz. The participants were divided into the intervention (n = 28) and control (n = 28) groups using block randomization. The intervention group received group CBT-based counseling after the 14th week of the pregnancy: six in-person sessions and two telephone sessions once per week. The control group received routine care. The Perceived Stress Scale (PSS), Edinburgh Postnatal Depression Scale (EPDS), Van den Bergh's Pregnancy-Related Anxiety Questionnaire (PRAQ), and Quality of Life in Pregnancy (Gravidarum) (QOL-GRAV) were completed through interviews before and 4 weeks after the intervention by the researcher. RESULTS There was not any between-group difference in socio-demographic characteristics, except the gestational age and husband educational level (p > 0.05). Both of these variables were adjusted in ANCOVA. After the intervention, the mean scores of perceived stress (mean difference: - 7.3; confidence interval: 95%, from - 0.9 to - 5.6; p < 0.001) and anxiety (mean difference:-14.7; confidence interval: 95%. from - 20.6 to - 8.8; p < 0.001) were significantly lower in the intervention group. The mean depression score in the intervention group was lower than the control; however, this between-group difference was not significant (mean difference: - 1.95; confidence interval: 95% from - 3.9 to 0.2; p = 0.052). The mean score of quality of life in pregnancy was significantly higher in the intervention group than the control (mean difference: - 5.4; confidence interval: 95% from 3.4 to 7.4; p < 0.001). CONCLUSION CBT counseling can affect the perceived stress, anxiety, and quality of life of pregnant women with a history of primary infertility. As a result, this counseling approach is recommended along with other counseling approaches to improve the mental health of pregnant women with a history of infertility. TRIAL REGISTRATION IRCT Registration Number: IRCT20111219008459N12 , registered on 10/11/ 2018.
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Affiliation(s)
- Farideh Golshani
- Student Research Committee Department of Midwifery, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Shirin Hasanpour
- Women’s Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mojgan Mirghafourvand
- Midwifery Department, Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
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Estebsari F, Kandi ZRK, Bahabadi FJ, Filabadi ZR, Estebsari K, Mostafaei D. Health-related quality of life and related factors among pregnant women. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2020; 9:299. [PMID: 33426103 PMCID: PMC7774626 DOI: 10.4103/jehp.jehp_307_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/04/2020] [Accepted: 05/13/2020] [Indexed: 06/12/2023]
Abstract
CONTEXT Quality of life is significant in all stages of life, including within pregnancy. The hormonal, emotional, psychological, and physical factors specific to pregnancy can affect and threaten the quality of life of pregnant mothers. AIMS This study sought to investigate the health-related quality of life (HRQoL) and related factors among pregnant women. SETTINGS AND DESIGN This cross-sectional study was performed on 300 pregnant women who were in the second and third trimesters of pregnancy without any risk of high-risk pregnancy covered by a community health center in Yazd, Iran, between 2018 and 2019. SUBJECTS AND METHODS The required data were collected using demographic questionnaire and HRQoL (SF-12v2) questionnaire. STATISTICAL ANALYSIS USED Data were analyzed using SPSS 18 software and ANOVA statistical tests (P < 0.05). RESULTS Physical dimension of quality of life of pregnant women had the mean and standard deviation of 43.7 ± 7.3 and that psychological dimension had the mean and standard deviation of 31.5 ± 11.8. Physical dimension of quality of life was significantly correlated with maternal age, gestational age, body mass index before 12 weeks of pregnancy, mother's education and job as well as spouse's level of education (P < 0.05). Furthermore, the psychological dimension of quality of life was significantly correlated with gestational age, mother's education and occupation as well as spouse's level of education (P < 0.05). CONCLUSIONS According to the findings, attention to physical and psychological aspects of quality of life of pregnant women and demographic factors affecting it is essential for improving maternal and child health during and after pregnancy.
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Affiliation(s)
- Fatemeh Estebsari
- Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | | | - Farideh Jalili Bahabadi
- Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Zahra Raiesi Filabadi
- Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Kimia Estebsari
- Azna Health Network, Azna Health Center, Lorestan University of Medical Sciences, Khorramabad, Iran
| | - Davoud Mostafaei
- PHd Health Services Management, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Salehi F, Ahmadi A. The Investigation of Psychometric Properties (Validity and Reliability Reassessment) of WHO QOL-BREF Questionnaire in Shahrekord Cohort Study. INTERNATIONAL JOURNAL OF EPIDEMIOLOGIC RESEARCH 2019. [DOI: 10.15171/ijer.2019.32] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Background and aims: The purpose of this study was to revalidate the Persian version of the WHO quality of life (WHOQOL-BREF) instrument to determine the quality of life status in the Shahrekord Cohort Study (SCS) in the southwest of Iran. This study was designed to serve as one of the sources of the Prospective Epidemiological Research Studies in Iran. Materials and Methods: In this cross-sectional study, 2000 people were randomly selected from the study population of the SCS. The reliability and internal consistency of the WHOQOL-BREF were measured using Cronbach alpha coefficient and Pearson’s correlation. construct validity and factors measured using Pearson’s correlation matrices with each of its domains. To measure the face, content, and construct validities, the views of the panel of experts and exploratory factor analysis were used. In addition, the validity of the questionnaire was evaluated using linear regression. Results: All domains of the questionnaire met the minimum reliability standards (Cronbach alpha and intra-class correlation >0.7), except for social relationships. The results of comparison analysis indicated that the questionnaire discriminated well between subgroups of the study samples differing in their health status. Regarding validity, the Kaiser-Meyer-Olkin (KMO) value was 0.94 and the value of Bartlett’s test was 1699.01 (P≤0.001). Conclusion: The findings suggested that WHOQOL-BREF is a reliable and valid measure of healthrelated quality of life among SCS population.
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Affiliation(s)
- Fatemeh Salehi
- Modeling in Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
| | - Ali Ahmadi
- Modeling in Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
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Jakubauskiene L, Jakubauskas M, Mainelis A, Buzinskiene D, Drasutiene G, Ramasauskaite D, Poskus T. Factors Influencing Quality of Life during the First Trimester of Pregnancy: A Prospective Cohort Study. ACTA ACUST UNITED AC 2019; 55:medicina55100666. [PMID: 31581510 PMCID: PMC6843533 DOI: 10.3390/medicina55100666] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2019] [Revised: 09/19/2019] [Accepted: 09/23/2019] [Indexed: 01/21/2023]
Abstract
Introduction: Pregnancy, delivery and postpartum periods are associated with fast changes leading to decreased self-confidence, anxiety, stress or even maternal depression impairing their quality of life (QOL). Although considered important, QOL of women during pregnancy is poorly understood. The aim of our study was to assess factors influencing QOL during first trimester of pregnancy. The secondary goal of our study was to evaluate whether QOL during first trimester of pregnancy is associated with newborn weight. Materials and methods: A prospective cohort study was performed including pregnant women during the first trimester visit. Our questionnaire consisted of the SF-36 QOL questionnaire, Wexner fecal incontinence scale, and other additional information. The SF-36 questionnaire mental (MCS) and physical (PCS) health scores were used in order to evaluate QOL of women during first trimester of pregnancy. Two multiple logistic regression models were created in order to determine independent variables that influence the QOL. Results: 440 pregnant women were included in the study. The two main domains that were used in the study were MCS and PCS, their medians were 50.0 (25.0; 50.0) and 50.1 (39.4; 59.0) points respectively. From the two logistic regression models we determined several independent factors that influence QOL of women during the first trimester of pregnancy. Additionally, we determined that women who reported worse QOL tended to give birth to newborns large for their gestational age. Conclusions: We found several significant variables that influence QOL of women during the first trimester of pregnancy. We also found that that lower MCS and PCS scores during the first trimester are associated with newborns large for gestational age.
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Affiliation(s)
- Lina Jakubauskiene
- Faculty of Medicine, Vilnius University, 03101 Vilnius, Lithuania; (L.J.); (M.J.); (A.M.); (D.B.); (G.D.); (D.R.)
- Clinic of Obstetrics and Gynecology, Vilnius University Hospital “Santaros Klinikos”, 08410 Vilnius, Lithuania
| | - Matas Jakubauskas
- Faculty of Medicine, Vilnius University, 03101 Vilnius, Lithuania; (L.J.); (M.J.); (A.M.); (D.B.); (G.D.); (D.R.)
- Center of Abdominal Surgery, Vilnius University Hospital “Santaros Klinikos”, 08410 Vilnius, Lithuania
| | - Antanas Mainelis
- Faculty of Medicine, Vilnius University, 03101 Vilnius, Lithuania; (L.J.); (M.J.); (A.M.); (D.B.); (G.D.); (D.R.)
- Faculty of Mathematics and Informatics, Vilnius University, 03225 Vilnius, Lithuania
| | - Diana Buzinskiene
- Faculty of Medicine, Vilnius University, 03101 Vilnius, Lithuania; (L.J.); (M.J.); (A.M.); (D.B.); (G.D.); (D.R.)
- Clinic of Obstetrics and Gynecology, Vilnius University Hospital “Santaros Klinikos”, 08410 Vilnius, Lithuania
| | - Grazina Drasutiene
- Faculty of Medicine, Vilnius University, 03101 Vilnius, Lithuania; (L.J.); (M.J.); (A.M.); (D.B.); (G.D.); (D.R.)
- Clinic of Obstetrics and Gynecology, Vilnius University Hospital “Santaros Klinikos”, 08410 Vilnius, Lithuania
| | - Diana Ramasauskaite
- Faculty of Medicine, Vilnius University, 03101 Vilnius, Lithuania; (L.J.); (M.J.); (A.M.); (D.B.); (G.D.); (D.R.)
- Clinic of Obstetrics and Gynecology, Vilnius University Hospital “Santaros Klinikos”, 08410 Vilnius, Lithuania
| | - Tomas Poskus
- Faculty of Medicine, Vilnius University, 03101 Vilnius, Lithuania; (L.J.); (M.J.); (A.M.); (D.B.); (G.D.); (D.R.)
- Center of Abdominal Surgery, Vilnius University Hospital “Santaros Klinikos”, 08410 Vilnius, Lithuania
- Correspondence: ; Tel.: +370-6867-8893
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Effect of Educational Package on Self-care Behavior, Quality of Life, and Blood Glucose Levels in Pregnant Women with Gestational Diabetes: A Randomized Controlled Trial. IRANIAN RED CRESCENT MEDICAL JOURNAL 2017. [DOI: 10.5812/ircmj.44317] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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Effati- Daryani F, Mirghafourvand M, Mohammad-Alizadeh-Charandabi S, Shiri-Sarand F, Zarei S. Sleep quality and its relationship with quality of life in Iranian pregnant women. Int J Nurs Pract 2017; 23. [DOI: 10.1111/ijn.12518] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2016] [Revised: 10/02/2016] [Accepted: 12/04/2016] [Indexed: 12/01/2022]
Affiliation(s)
| | - Mojgan Mirghafourvand
- Faculty of Nursing and Midwifery; Tabriz University of Medical Sciences; Tabriz Iran
| | | | - Fatemeh Shiri-Sarand
- Research Committee, Faculty of Nursing and Midwifery; Tabriz University of Medical Sciences; Aras International Branch; Tabriz Iran
| | - Somayeh Zarei
- Faculty of Nursing and Midwifery; Tabriz University of Medical Sciences; Tabriz Iran
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Saadati F, Sehhatiei Shafaei F, Mirghafourvand M. Sleep quality and its relationship with quality of life among high-risk pregnant women (gestational diabetes and hypertension). J Matern Fetal Neonatal Med 2017; 31:150-157. [DOI: 10.1080/14767058.2016.1277704] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Affiliation(s)
- Fatemeh Saadati
- Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Fahimeh Sehhatiei Shafaei
- Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mozhgan Mirghafourvand
- Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
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