No abstract

Effective communication and emotional support of parturient women improve the outcome of childbirth. Reduction in Duration of labor, cesarean rate, use of anesthesia, and 5 minute Apgar Score less than 7 can achieve. This study was a part of a large mixed method study during 2013-2014. In this qualitative study, in-depth interviews were conducted with 32 participants (16 mother and 16 midwife), using semi-structured interviews. Participants were recruited by purposive sampling with maximum diversity in terms of age, occupation, education and etc. Educational hospital of Arak University of Medical Sciences was considered as the setting. Each interview was conducted at a private and convenient location and took about 30 to 45 minutes. Interviews were audio taped and transcribed verbatim. Conventional content analysis was done for data analysis. Interviews continued until data saturation was obtained. Data were coded in MAXQDA software (version 11). The main category emerged as "outcome" of midwife-mother relationship. Facilitating childbirth, positive experience, mental health promotion and improvement in quality of life were derived as subcategories. Good midwife-mother relationship could promote positive outcome in labour. Results could assist midwives in providing holistic quality care to mothers during labour, thus providing positive consequence in child birth. Also, results could provide a framework and guidance for policymakers to create appropriate context for the midwife-mother relationship in maternity care.

Objectives: The present study aimed to investigate the effect of acceptance and commitment therapy (ACT) on the quality of life of infertile women during the treatment. Materials and Methods: This study was a randomized clinical trial that was conducted on 40 infertile women admitted to the clinics of Arak, Iran. They were selected through a convenience sampling technique and were randomly assigned to intervention (n=20) and control (n=20) groups. The Fertility Quality of Life (FertiQoL) Questionnaire was used as a data collection tool, which was completed before and one month after the intervention. The counseling group was provided with eleven 90-minute sessions of ACT twice a week. Then, the data were analyzed using SPSS 23 through the chi-square test and independent samples test. Results: Based on the results, there was a statistically significant difference between the mean scores of the quality of life in ACT and control groups before and one month after the intervention (P<0.05). Conclusions: In general, it seems that ACT improves the infertile women’s quality of life and this treatment can be used for alleviating the quality of life of these women taking into account the high incidence of infertility.

Midwives have different aspects of responsibility in terms of the normal and high-risk pregnancy in delivery room. Thus, this study aimed to develop a scale for evaluating the midwife-mother relationship in delivery room. This study was conducted from August 2014 and October 2015 in Arak, Iran. The present mixed-methods sequential exploratory (quantitative-qualitative) study used the content analysis method to design an initial Scale through a review of the literature. The validity of the Scale was ensured by assessing the face validity, content validity and construct validity (exploratory factor analysis with 480 mothers who hospitalized at post-partum ward in hospitals of Arak province), and its reliability was ensured by assessing its internal consistency (using Cronbach's alpha) and by assessing its stability through the test-retest method. The qualitative stage of the study resulted in a 71-item Scale with four domains. Those with impact item index over 1.5, CVR over 0.42, and CVI over 0.79 were considered as valid; while the rest were eliminated resulting in a 48-item scale. After Performing the content and face analysis, a factor analysis was performed on 48 items of the scale, yielding a 43-item questionnaire with four domains, including "outcome", "expectations" "effective factors on care" and "therapeutic alliance" which explained 60.4% of the variance. The reliability of the scale was confirmed with a Cronbach's alpha of 0.93 and its stability was confirmed by an Interclass Correlation Coefficient (ICC) of 0.90. MMRS was a valid and reliable instrument for measuring midwife-mother relationship in delivery room. It is easy to use scale and contains the most significant features of midwife-mother relationship.

Background and aims: Premature birth, asphyxia, pre-natal infections and congenital anomalies-principal causes of infantile death rate in Kazakhstan.