Background: Hysterectomy is one of the most common gynecological surgeries that affect women's mental health and quality of life. Objective: This study aimed to investigate the correlation between the quality of life and post-traumatic stress in hysterectomized postmenopausal and non-menopausal women. Materials and Methods: This cross-sectional analytical study was conducted from August to December 2019 on hysterectomized postmenopausal and non-menopausal women. There were 77 subjects in each group with a mean age of 52.55±1.098. They were selected via convenience sampling at Hazrat Zeinab (PBUH) and Shahid Dr. Faghihi Hospitals in Shiraz. They were evaluated in a two-month follow-up using the Impact of Event Scale-Revised (Weiss & Marmar, 1997) and WHO Quality of Life-BREF (WHOQOL-BREF) questionnaires. Data were analyzed in SPSS-16 software using descriptive and inferential statistics (independent t-test, paired t-test, and Pearson or Spearman correlation coefficients). Results: Unlike the first stage of the study (before and a week after the surgery, P=0.289), there was a significant negative relationship in the quality of life and post-traumatic stress between postmenopausal and non-menopausal women (P=0.001) in the second stage (two months after the surgery). Hysterectomy increased the mean score of post-traumatic stress in postmenopausal and non-menopausal women after the surgery (P=0.179), while quality of life improved and stress decreased two months later (P=0.0001). Conclusion: Hysterectomy improved the quality of life in postmenopausal and significantly in non-menopausal women. Hence, due to the correlation and significant negative relationship between post-traumatic stress and quality of life, midwives, families, and the society need to pay attention to women’s quality of life.
Aims: The aim of the study is to investigate the relationship between the body image and body mass index (BMI) of pregnant women with newborn growth indicators in selected hospitals of Shiraz University of Medical Sciences. Methods: A cross-sectional study was conducted on 420 pregnant women over 17 years old, who were selected by consumptive sampling method, in the hospitals affiliated to Shiraz University of Medical Sciences. The research questionnaire was conducted through the multidimensional questionnaire of a person's attitude towards her body image (MBSRQ). Due to the large number of sample size, Pearson's inferential test was used and P<0.05 was considered statistically significant. Results: The mean age of the women was 29.52±6.04 year, mean BMI was 24.66±3.96 kg/m2, and mean score of body image was 249.86±22.27. The body image score was not significantly associated with newborn growth indicators (birthweight p=0.222, length p=0.534, head circumference p=0.537). Also, the women’s BMI was not significantly related to the newborn growth indicators (birthweight p=0.180, length p=0.577, head circumference p=0.720). The BMI was inversely related to satisfaction with different body parts (p<0.001), individual's attitude towards weight (p<0.001) and total score of women's body image (p<0.001). Conclusions: the body image in pregnancy had a significant relationship with the women's BMI. However, more comprehensive prospective studies are recommended to carefully examine the effects of pregnant women's body image on newborns growth (both term and preterm), because studies in this area are very limited.
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