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BACKGROUND: Self-efficacy is one of the most likely determinants of glucose self-management and self-monitoring by diabetic patients. Also, social capital is one of the effective social factors that may affect health behaviors. The aim of this study was to evaluate the relationship between social capital and selfefficacy in women with gestational diabetes mellitus (GDM).METHODS: This descriptive- analytical cross-sectional study was conducted on 212 women with GDM in two diabetes center in Mazandaran, north of Iran, from April to July 2019. Patients' social capital and self-efficacy levels were measured using the Social Capital Questionnaire (SCQ) and Confidence in Diabetes Self-Care Scale questionnaire, respectively.RESULTS: Among eight dimensions of social capital, the highest and the lowest mean scores were related to proactivity (21.3) and tolerance of diversity (5) dimensions. The mean (standard deviation=SD) of self-efficacy total score was 40.7(18.2), indicating moderate self-efficacy. Pearson correlation coefficient indicated that there was significant positive relationship between all dimensions of social capital and self-efficacy (p˂0.05). In addition, the results of multiple regression analysis indicated that community participation, neighborhood connections, family and friends' connections, tolerance of diversity and work connections, explained 55% of the variance in self-efficacy in women with GDM (p˂0.05).CONCLUSION: The results highlighted a significant positive relationship between social capital and self-efficacy in women with GDM. Improving women’s social capital may enhance their self-efficacy in controlling GDM.

Objectives: This study was conducted aiming at exploring strategies for reducing cesarean section (C-section) in Iranian and foreign studies. Materials and Methods: The present study was carried out using a matrix approach and searching keywords including "Cesarean", "Effective Intervention", and "Cesarean Section Reduction Strategy" to find studies (2000-2019) in databases such as PubMed, SID, Science Direct, Google Scholar, and WHO. Results: CS reduction strategies were classified into 3 categories of psychological, clinical, and structural-policy interventions. The first category supports women throughout labor and childbirth by the midwife, doula, coping skills with fear and pain of labor, changes in the attitudes of service providers and pregnant women. Clinical interventions include vaginal birth after CS, vaginal breech delivery, external cephalic version (ECV) for breech presentation, encouragement of service providers into intermittent auscultation for the fetal heart rate instead of continuous electronic fetal monitoring (EFM), and training of service providers, pregnant woman, and her family. The last category encompassed managing insurance and financial services, receiving one-to-one care and midwifery care throughout active labor, and updating policy of labor induction in post-term pregnancy, as well as women’s admission policy with cervical dilatation of more than 4 cm with regular uterine contractions, active team care in labor, and auditing and feedback. Conclusions: It seems that multi-dimensional interventions are required to reduce the CS rate. Concerning some of the strategies (e.g., ECV), it is suggested that further research should be performed by addressing the limitations and drawbacks of previous studies before applying clinical procedures due to contradictory results.

The emerging Coronavirus (COVID-19) is a new infectious disease and the definitive gold standard for its diagnosis in pregnancy has not yet been established. Therefore, this study was conducted with the aim of reviewing the diagnostic methods and clinical, laboratory and radiological symptoms of COVID-19 disease in pregnant women. The present study is a Narrative review. To do so, the keywords were searched in the Scopus, Google scholar, PubMed, Embase, Science Direct, WHO databases from April 1, 2020 to May 9, 2020. 34 articles were obtained and finally 6 articles were used to write this study. Evidence related to the purpose of this study was identified in three categories. The first category examines clinical findings (fever and cough), the second category examines laboratory findings (leukocytosis and lymphopenia), and a third category examines chest radiographic findings (Pure ground-glass opacity). Since infection is one of the most important causes of death in pregnant women and is one of the preventable and controllable factors, so by identifying the correct diagnostic methods of this infection, at-risk pregnant women will be identified and Prevent the consequences of this infection.

Objectives: Gestational diabetes mellitus (GDM) is one of the most important medical conditions in high-risk pregnancies. Social capital is one of the essential factors affecting the prevention and control of diabetes and the blood glucose level. The purpose of this study was to investigate the level of social capital and its related factors in GDM in the north of Iran. Materials and Methods: This cross-sectional study was conducted on 212 GDM women who referred to diabetes centers at Razi hospital in Ghaemshahr and Imam Khomeini hospital in Sari in 2019. The women were selected through the convenience sampling method. The data collection tools included Medical-Demographics Information Form and Onyx-Bullen’s Social Capital Questionnaire. Finally, data were analyzed by SPSS (version 25) using descriptive and inferential statistics (multiple regression analysis). Results: The results of this study showed that the mean (standard deviation, SD) of age for GDM women was 29.28 (±5.75). The majority of women (58%) had an academic education. The mean (SD) of social capital was 96.46 (±21.17). Based on the results, a positive and significant correlation was observed between spouse’s education (lower than high school, P=0.001 and academic education, P=0.001), wife’s occupation (employee, P=0.015), spouse’s occupation (employee, P=0.027), and fasting blood sugar (FBS) (P=0.048), as well as a significant negative correlation with 2-hour FBS (P=0.048), 1-hour postprandial glucose level (P=0.001), economic status (dissatisfied, P=0.42), overweight (P=0.009), and obesity (P=0.020). Conclusions: The social capital of GDM women is influenced by various socio-economic factors. According to the findings of this study, women who are economically disadvantaged, overweight, obese, and at high blood sugar levels are at greater risk of rejecting treatment due to low social capital, resulting in poor blood sugar control. Therefore, interventions related to promoting social capital in these groups should be pursued more vigorously, and strengthening of social capital and its influencing factors should be considered as one of the main approaches of health promotion.