Fathers' Educational Needs for Perinatal Care in Urban Iran: A Qualitative Approach

Simbar, Masoumeh; Nahidi, Fatemeh; Tehran, Fahimeh Ramezani; Ramezankhani, Ali

doi:10.1017/s0021932010000167

Cited by 39 publications

(65 citation statements)

References 7 publications

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“…Mothers are seen as the main caregivers and also do the bulk of this task in Iran, which does make them an obvious first choice for studying parenting. Nevertheless, fathers in Iran do increasingly play a role in parenting, especially in urban areas (Simbar, Nahidi, & Ramezankhani, 2010), and non-parental caregivers such as siblings, grandparents, and aunts can also play prominent roles in childrearing. Finally, the videos were only coded by a Western coder who used translations.…”

Section: Discussionmentioning

confidence: 99%

Video observations of maternal sensitivity in urban and rural Iran

Asanjarani

Abadi²,

Ghomi

et al. 2018

Attachment & Human Development

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There is evidence that rural versus urban residence is a salient factor in predicting parenting practices. In what is most likely the very first video-observation study of parenting ever to come out of Iran, mothers and their 18-60-month-old children were observed for 30 min of free interaction at their homes in urban (n = 11) and rural (n = 15) Iran. None of the mothers made any comments about being filmed, none expressed insecurities about what to do, and only four mothers looked at the camera more than once or twice. Compared to rural mothers, urban mothers showed significantly higher levels of verbal expression, warmth, and doing chores as an activity during the observations. However, this did not translate to significant group differences mothers in sensitivity, non-interference, and general involvement with the child. The discussion focuses on different modalities of expressing sensitivity in urban versus rural mothers in Iran.

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Section: Discussionmentioning

confidence: 99%

Video observations of maternal sensitivity in urban and rural Iran

Asanjarani

Abadi²,

Ghomi

et al. 2018

Attachment & Human Development

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“…The participants believed that a spouse should empathize with her wife and understands her during the perinatal period, emotionally and cognitively. In several studies, the necessity of loving and empathetic attention has been regarded as the most important aspect of a spouse's participation in perinatal care [26,27,2]. The empathy -described as the ability to supportively communicate a sensitive awareness and respect another person's feelings-helps the development of mutual trust shared understandings and, in turn, the development of a fundamental quality in any helping relationship [29].…”

Section: Discussionmentioning

confidence: 99%

“…It differs from the responsibility that is an intrinsic obligation and commitment of the individual to perform all the activities assigned to him/her [32]. The participants believed that a spouse should be accountable to [27,33]. However, despite the distinct Islamic recommendations emphasizing the spouse task in supporting his wife, men are not allowed to be present in the delivery room due to some cultural beliefs, negative attitudes of staffs, inadequate personnel, heavy workload, and management structures of most hospitals, especially in public centers.…”

Section: Discussionmentioning

confidence: 99%

Spouse’s participation in perinatal care: a qualitative study

Mehran

Hajian²,

Simbar

et al. 2020

Preprint

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Background: Pregnancy is one of the most important and sensitive periods for any woman that in the case of the support of her relatives, especially her spouse, feels more ability to tolerate it’s difficulties and gives them good memory. However, there are very few studies about the participation of spouses/partners in perinatal period in Iran. Therefore, the present study aimed to explain the concept of spouses' participation in perinatal care. Methods: This is a qualitative study that was carried out in Qom, Iran in 2018. Purposive sampling was done from pregnant or postpartum women, spouses, midwifery care providers and key informants according to study inclusion criteria. Semi-structured in-depth interviews were carried out until data saturation. Data analysis was done based on conventional content analysis approach according to Graneheim & Lundman steps and using MaxQDA software (v.10). To ensure the trustworthiness of data, the five Guba and Lincoln criteria were used. Also, COREQ checklist was used for reporting this qualitative research. Results: fifty-three final codes were classified into 18 sub-categories, 7 main categories and 3 themes include of empathy (emotional understanding, cognitive understanding), accountability (supporting, position management, compassion) and consequences (help improve family function, improve maternal-neonatal health). Conclusion: since, spouses’ participatory behaviors in perinatal period can lead to improve maternal and neonatal health and family function, it is necessary to be considered in family-based health promotion policies and programming based on these policies such as improving the public culture of spouse participation in the process of child-rearing. Key words: spouse, partner, participation, perinatal care

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“…Thus, we recommend to consider multi-faceted strategies to change payment system from fee-for-service method to capitation (15,25), prescribe base on clinical guidelines (29,32,35,36,42), develop a policy to establish a certain number of patient visits per week (31), control and establish stricter rules, regulations and policies for prescription (16,35,36,38,41), evaluate the legitimacy of a follow-up visit (32), remove perverse economics incentives (17,36), improve surveillance (17,38), prescribe based on essential drug lists (35,36), and finance medicine policies (38).…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review of Main Factors leading to Irrational Prescription of Medicine

Mohamadloo

Ramezankhani

Zarein-Dolab

et al. 2017

Iran J Psychiatry Behav Sci

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Context: One of the serious global problems is the irrational prescribing of medicines that can be regarded as harmful or wasteful. Inappropriate use and overuse of medicines, waste resources and therefore lead to health and economic consequences in patients. The goal of this systematic review was to identify factors associated with irrational prescriptions of medicine.Evidence Acquisition: We searched the Cochrane database of systematic reviews (via Cochrane library), PubMed, Medline, Scopus, Science Direct, BMC, Scholar Google, and SID from 1980 up to October of 2016. Results:Of the 594 papers, 26 papers were finally included. The combined results of the 26 papers indicated 24 factors for unnecessary prescriptions of medicine. Factors related to the patient were expectations, demand to prescribe, and poor medical knowledge. Factors related to the physician were inaccurate diagnosis, inadequate awareness and knowledge, low experience, information asymmetry, poor medical education, and the physician's attitude. Factors related to the institutional and political issues were fee-for-service, out-of-pocket payment, financial incentives, insurance reimbursements, insurance coverage, medicine subside, medicine advertisement, ineffective monitoring programs, regulation on prescription, prescription supervision, clinical guidance, and medicines near-expiry dates or expired. Conclusions:It can be concluded that the irrational/unnecessary prescription of medicine was influenced by many different factors, such as patient, physician, and institution. Thus to prevent irrational/unnecessary prescription, one needs to consider all the involved factors.Keywords: Drug Prescriptions, Prescriptions, Physician-Patient Relations ContextDifferent forms of irrational prescription include misuse, abuse, overuse, and polypharmacy. One of the serious global problems is irrational prescribing of medicines that can be considered as harmful and/or wasteful (1). While patients have the choice to select their doctors, doctors have the choice to decide on the kind of diagnosis and the quantity of health services patients consume. In other words, the doctor is the first gate to medicine use (2, 3). However, because of the patient's inadequate information about medicine, the physician has the possibility to influence both the kind of diagnosis and the number of health services provided, as well as possibly the number of visits (4-8). Physician-induced demand clearly implies an effort to persuade patients to overuse services (4, 9-12). According to WHO reports, more than 50% of all medicines are inappropriately prescribed or sold, and nearly half of the patients do not take them appropriately (13). The report shows that patients are treated better in public sectors than private ones based on standard clinical guidelines (1). Ramezankhani et al. in a study on assessing the medicine prescriptions of health care centers, found out that prescription of medicine in the private sector was more than that of the public sector due to better monit...

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Fathers' Educational Needs for Perinatal Care in Urban Iran: A Qualitative Approach

Cited by 39 publications

References 7 publications

Video observations of maternal sensitivity in urban and rural Iran

Video observations of maternal sensitivity in urban and rural Iran

Spouse’s participation in perinatal care: a qualitative study

A Systematic Review of Main Factors leading to Irrational Prescription of Medicine

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