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Background Providing high quality and respectful care during pregnancy and birth is one of the ways to reduce complications in women. Respectful care is a type of care that requires a valid instrument to measure. This study was conducted to determine the validity and reliability of the Persian version of the Respectful Maternity Care (RMC) questionnaire in 2018. Methods This study was performed with 150 women (in the first 48 h after birth), who were admitted in the postpartum wards of public hospitals from 1st January until 6th April 2018 in Zanjan city in Iran. Participants were selected randomly using the Poisson distribution (Time) sampling method. After receiving permission from the questionnaire’s author, the internal consistency of the tool was measured by Cronbach’s alpha coefficient after the Forward translation of the Persian version of the tool under expert supervision. The reliability of the modified questionnaire was assessed using a test-retest method in 10 eligible postpartum women, who completed the same questionnaire again after 72 h. The validity of the tool was confirmed by exploratory and confirmatory factor analysis using LISREL and SPSS software. Results The original RMC tool achieved an overall high internal reliability (α = 0.839). Confirmatory factor analysis of original RMC scores demonstrated poor fit indices. In LISREL proposed paths for the model, one item was excluded and a re-exploratory factor analysis was performed with the remaining 14 items. Four new subscales were defined for the revised tool including Abusive Care, Effective Care, Friendly Care, and Respectful Communication, which explained 60% of the variance. Conclusions The revised tool included four subscales of Abusive Care, Effective Care, Friendly Care, and Respectful Communication in 14 items which explained 60% of the variance. Given the importance of providing high quality maternity care, and the variety of cultures and birth services across different countries, further research is needed on this RMC tool to evaluate its use in other countries and regions.

10.30699/jambs.28.131.296 Background & Objective: Doulas can ease labor and delivery in a hospital);however, in Iran, few studies have been conducted on this topic because of the cultural and structural boundaries. Therefore, this study aimed to evaluate the impact of a doula's presence on anxiety and pain in pregnant women during the delivery process. Materials & Methods: This randomized clinical trial was conducted on 80 pregnant women referred to Ayatollah Musavi Hospital (Zanjan, Iran) in 2016. For women in the intervention group, the doula provided emotional and physical support. The mothers' pain severity and anxiety were measured by using a visual analog scale (VAS) and Spielberger questionnaire, respectively. Categorical and continuous variables were compared using chi-square and t tests, respectively. Results: We found that a higher proportion of patients had experienced mild anxiety about entering the postpartum period (47.5% vs 15%) and exiting it (80% vs 40%; P<0.05) compared to the control group. Also, the mean VAS score was significantly higher in the control group at 4-5 cm (86.5±11.39 vs 78.62±14.0; P=0.007) and 7-8 cm of cervical dilatation (99.0±4.41 vs 95.0±8.47; P=0.01) stages. Conclusion: The presence of a trained doula during labor can ease the mental consequences of delivery and decrease women's anxiety and pain during labor.

In a randomized clinical trial study, the effect of client needs counseling on the postpartum quality of life of 84 women were investigated. The data were collected using the Postpartum Quality of Life Questionnaire. The post-test mean total score of quality of life had a statistically significant difference between two groups (p = .001). There were significant differences between two groups in the post-test mean of mother's feelings toward herself, her husband and others, physical changes, satisfaction with birth method, and selection of the next method of birth areas (p < .05). Our findings indicated that providing two additional counseling sessions based on the client's needs can be effective in promoting the quality of life of low-risk women.