Sexual dysfunction and related factors in pregnancy and postpartum: a systematic review and meta-analysis protocol.

BACKGROUND: Sexual dysfunction refers to a chain of psychiatric, individual, and couple's experiences that manifests itself as a dysfunction in sexual desire, sexual arousal, orgasm, and pain during intercourse. The aim of this systematic review will be to assess the sexual dysfunction and determine the relevant factors to sexual dysfunction during pregnancy and postpartum. METHODS AND ANALYSIS: All observational studies, including descriptive, descriptive-analytic, case-control, and cohort studies published between 1990 and 2019, will be included in the study. Review articles, case studies, case reports, letter to editors, pilot studies, and editorial will be excluded from the study. The search will be conducted in the Cochrane Central Register, MEDLINE, Google Scholar, EMBASE, ProQuest, Scopus, WOS, and CINAHL databases. Eligible studies should assess at least one of the sexual dysfunction symptoms in pregnant women or in the first year postpartum. Quality assessment of studies will be performed by two authors independently based on the NOS checklist. This checklist is designed to assess the quality of observational studies. Data will be analyzed using Stata software ver. 11. Considering that the index investigated in the present study will be the level of sexual disorder, standard error will be calculated for each study using binomial distribution. The heterogeneity level will be investigated using Cochran's Q statistic and I2 index in a chi-square test at a significance level of 1.1. Predictable limitations of this study included a small number and unacceptable quality of studies. DISCUSSION: This systematic review addresses the factors associated with sexual dysfunction during pregnancy and postpartum. Considering the high prevalence of sexual dysfunction among women, the treatment of this problem has been highly sought after by the World Health Organization in recent years. The results of this study can help discover new strategies by introducing factors affecting women's sexual dysfunction, thereby eliminating or diminishing these factors, and play an important role in improving the quality of life of women during pregnancy and postpartum periods. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42018083554.

Prevalence of domestic violence on pregnant women and maternal and neonatal outcomes in Bandar Abbas, Iran.

BACKGROUND: Pregnancy by itself, imposes great physical and psychological pressures on a person and consequently, coupled with other stressors such as violence, can have adverse effects on the fetus and mother. OBJECTIVE: To assess the prevalence of domestic violence in pregnant women and maternal and infants' outcomes. METHODS: This is a descriptive study using a questionnaire. Data were collected from 725 women who delivered their babies at Shariati Hospital in Bandar Abbas in the summer and autumn of 2013. The questionnaire consisted of four parts: demographic characteristics, factors affecting violence, areas of violence (physical, emotional, sexual) and maternal and fetal outcomes. Data analysis was performed by SPSS 18 using descriptive statistics, t-test, Chi-square, and logistic regression. RESULTS: The prevalence of physical, sexual and psychological violence were 6.5, 14.8 and 9.9 %, respectively. The variables of age, duration of marriage, previous marriage experience and the husband's addiction, had a significant relationship with applying physical violence of the husband. There was significant correlation between physical violence and maternal outcomes (p<0.000). There was a statistically significant association between physical violence and low birth weight and growth delay in the uterus (p=0.033). CONCLUSION: Due to the relatively high violence in pregnancy, and its impact on maternal and neonatal outcomes, it is suggested that violence screening programs in the health system and educating health professionals and women at risk and also the implementation of programs to protect these women, can be effective in reducing the cycle of violence and its negative consequences.

Factors associated with preterm labor in Hormozgan province in 2013.

INTRODUCTION: Preterm labor is the main cause of infants' death, and the main reason for undesirable consequences of pregnancy which still occur in some births, despite all of the interventions in this regard. The aim of this study was to evaluate every preterm birth and determine its maternal risk factors in Hormozgan province in 2013. METHODS: This case-control study was conducted in 2013 on the health and hospital records of 735 pregnant mothers with preterm labor (20-37 weeks) which were located in Bandar Abbas in southeast Iran. The sampling method would be multi-stage cluster sampling. The data collecting tool was a valid questionnaire by the Iran Ministry of Health and Medical Education, which included 5 components (demographic information, checking the current pregnancy of the mother, the maternal factors related to preterm labor in the previous pregnancy, evaluating the fetal factors associated with preterm labor in the current pregnancy and other additional information related to the factors associated with prematurity). Data were analyzed using descriptive statistics, regression and Chi-square tests. RESULTS: The prevalence of preterm labor in Hormozgan province in 2013 was 5.5%. In our study and among the effective factors on preterm labor, revealed genital-urinary tract infections during pregnancy were (35.8%), PROM (30.3%), history of abortion (19.9%) and unplanned pregnancy (18.1%) in between pregnant women with preterm labor. Our study showed that most mothers had delivered in 33 to 37 weeks among the mothers who had preterm labor in 2013 (75%) and the statistic of very preterm labor (less than 32 weeks) in Hormozgan was 5%. CONCLUSION: Identification of the prevalence and associated factors with preterm labor can reduce the mortality rate and infants' complications of it in addition to help find a way to prevent this problem.