Papers by elham manoochehri
HIV & AIDS Review, May 14, 2024
Iranian journal of nursing and midwifery research., 2024
Pain management nursing, Mar 1, 2024
BMC pediatrics, Feb 10, 2024
Background Preterm labor (PTL) is a common and serious pregnancy disorder that can cause long-ter... more Background Preterm labor (PTL) is a common and serious pregnancy disorder that can cause long-term neurological issues in the infant. There are conflicting studies concerning whether sildenafil citrate (SC) reduces preterm labor complications. Therefore, the meta-analysis aimed to examine the clinical outcomes in women with threatened PTL who received nifedipine plus SC therapy versus only nifedipine. Methods For the original articles, six databases were searched using relevant keywords without restriction on time or language until January 13, 2024. The Cochrane risk-of-bias tool for randomized trials (RoB) and the Risk of Bias Assessment Tool for Nonrandomized Studies (RoBANS) were both used to assess the risk of bias in randomized and non-randomized studies, and GRADE determined the quality of our evidence. Meta-analysis of all data was carried out using Review Manager (RevMan) version 5.1. Results Seven studies with mixed quality were included in the meta-analysis. The study found that combining nifedipine and SC resulted in more prolongation of pregnancy (MD = 6.99, 95% CI: 5.32, 8.65, p < 0.00001), a lower rate of delivery in the 1st to 3rd days after hospitalization (RR = 0.62, 95% CI: 0.50, 0.76, p < 0.00001), a higher birth weight (252.48 g vs. nifedipine alone, p = 0.02), and the risk ratio of admission to the neonatal intensive care unit (NICU) was significantly lower (RR = 0.62, 95% CI: 0.50, 0.76, p < 0.00001) compared to nifidepine alone. The evidence was high for prolongation of pregnancy, delivery rate 24-72 h after admission, and NICU admission, but low for newborn birth weight. Conclusions Given the effectiveness of SC plus nifedipine in increased prolongation of pregnancy and birth weight, lower delivery in the 1st to 3rd days after hospitalization, and NICU admission, Gynecologists and obstetricians are suggested to consider this strategy for PTL management, although additional article rigor is required to improve the quality of the evidence.
BMC women's health, Feb 16, 2024
Background Patients with rheumatic diseases (RDs) have a lower desire to have children, fewer chi... more Background Patients with rheumatic diseases (RDs) have a lower desire to have children, fewer children, and a longer interval between their pregnancies, which can be due to the patient's personal choice, the physician's advice, changes in sexual activity, changes in fertility, and pregnancy failure. This study aimed to explore the understanding and experience of women with RDs regarding pregnancy intention. Method In Mashhad, Northeast Iran, between December 2022 and March 2023, this qualitative inquiry was carried out. Purposive sampling was used to select thirty women with RDs. Semi-structured interviews were used to collect the data. Graneheim and Lundman's conventional content analysis method was used to analyze the data. The data organization was done using MAXQDA 12 software. Credibility, dependability, confirmability, and transferability have been considered as elements of trustworthiness. Results The participants' data analysis revealed the following main theme: "duality of desire and fear in childbearing". Five main categories were identified, including "Individual health concerns following pregnancy", "motherhood and womanhood perceptions", "concerns about child harm", "contradictory beliefs and attitudes of significant family members and clinicians about pregnancy", and "lack of social support for fertility". Conclusion In order to improve the outcomes of pregnancy for women with RDs, the medical professionals who manage them must actively and frequently inquire about their intentions to childbearing and offer them individualized guidance on how to be in the best possible health at the time of conception. Rheumatologists, gynecologists, and reproductive health specialists can better address the sexual and reproductive health needs of this population by enhancing their collaboration in the care of women with RDs.
Current Women's Health Reviews, Aug 15, 2023
DOAJ (DOAJ: Directory of Open Access Journals), 2022
Background: Breast cancer (BC) is the most frequent cancer in Iranian females. Due to the changes... more Background: Breast cancer (BC) is the most frequent cancer in Iranian females. Due to the changes in lifestyle and reproductive risk factors, the BC incidence rate has been rapidly increasing. Knowing risk factors of BC could significantly contribute to improve preventive behaviors. To investigate the relationship between menstrual and reproductive factors and BC in Iranian female population. Methods: Web of Science, PubMed, Scopus, and SID as well as references of included studies were searched. Among relevant published observational studies, 27 studies met the inclusion criteria. Pooled risk estimates for the risk factors were determined using random-effects models due to the presence of substantial heterogeneity (P < 0.05). Results: All of the selected studies had case–control design. There was a positive relationship between maternal age at first pregnancy and risk of BC (OR = 1.79 95% CI: 1.36–2.35). Also, menopausal status was associated with higher risk of BC (OR = 1.60 95% CI: 1.18–2.17), whereas, there was no association between menarche age and increased risk of BC (OR = 0.55 95% CI: 0.29–1.03). History of abortion (OR = 1.21 95% CI: 0.97–1.5), nulliparity (OR = 1.43 95% CI: 0.89–2.31), and breastfeeding history (OR = 0.68 95% CI: 0.42–1.09) were not associated with BC risk. Conclusions: Our findings suggest that age at the first pregnancy and menopausal status were significantly associated with BC risk among Iranian women, whereas menarche age, nulliparity, and history of breastfeeding were not. In regard to the history of abortion, our findings revealed no association with BC, but in high-quality studies, this relationship was significant.
DOAJ (DOAJ: Directory of Open Access Journals), Oct 1, 2022
Reproductive Health
Evidence suggests that COVID-19 may impair access to sexual and reproductive health services and ... more Evidence suggests that COVID-19 may impair access to sexual and reproductive health services and safe abortion. The purpose of this systematic review was investigating the changes of abortion services in the COVID-19 pandemic era. We searched PubMed, Web of Science and Scopus for relevant studies published as of August 2021, using relevant keywords. RCT and non-original studies were excluded from the analysis and 17 studies of 151 included in our review. Requests to access medication abortion by telemedicine and demand for self-managed abortion were the main findings of identified studies. Women requested an abortion earlier in their pregnancy, and were satisfied with tele-abortion care due to its flexibility, and ongoing telephone support. Presenting telemedicine services without ultrasound has also been reported. Visits to clinics were reduced based on the severity of the restrictions, and abortion clinics had less revenue, more costs, and more changes in the work style of their h...
Current Womens Health Reviews
Background: The COVID-19 pandemic affected both the maternity care and services provided by healt... more Background: The COVID-19 pandemic affected both the maternity care and services provided by healthcare providers. Midwives are among the health professionals who are fighting on the frontlines of the COVID-19 pandemic. background: The COVID-19 pandemic has affected both maternity care and the services provided by healthcare providers. Midwives are among health professionals who are fighting on the frontlines of the COVID-19 pandemic. Objective: This study aimed to explore Iranian midwives' perceptions and experiences of the COVID19 pandemic. objective: This study aimed to explore midwives'' perceptions and experiences of the COVID-19 pandemic. Methods: This qualitative description was carried out between March and May 2020 in Mashhad, Northeast Iran. Through purposive sampling, 15 midwives were selected from Corona Centers. Semistructured face-to-face interviews were used for data collection. Graneheim & Lundman's conventional content analysis approach was used to an...
Current Women s Health Reviews
Background: Clinical practices vary significantly between countries, so healthcare providers must... more Background: Clinical practices vary significantly between countries, so healthcare providers must be aware of the differences in recommendations among guidelines to give the best care possible. It is up to the clinician to decide whether and to what extent to follow guidelines, based on each patient's special situation. Objective: This study aimed to review the updated evidence regarding practical aspects required for midwives to do postpartum care for mothers and newborns during COVID-19. Methods: The relevant guidelines in English were searched through databases including Cochrane Library, PubMed, EBSCO, and Scopus , from December 2019 to May 17, 2022, using keywords of ‘puerperium ‘, ‘newborn ‘, ‘2019-nCoV’ ‘SARS-CoV-2‘, ‘coronavirus ‘, and ‘guideline‘. Recommendation reports of WHO, FIGO, RCOG, UNFPA, CDC, and APA were also searched. Out of the 40 guidelines retrieved, 15 met the inclusion criteria. Result: Postnatal care is divided into two general categories: maternal and ...
BMC Women's Health
Following the publication of the original article [1], the author name 'R. Latifnejad Roudsari' h... more Following the publication of the original article [1], the author name 'R. Latifnejad Roudsari' has been misspelled as 'R. Latifnejad Roudsarii'. The original article has been corrected.
Background: Breast cancer is the most frequent cancer in Iran. Understanding the coping strategie... more Background: Breast cancer is the most frequent cancer in Iran. Understanding the coping strategies employed by cancer survivors can provide valuable information for designing interventions to help them adapt to their problems produced by cancer and its treatment. This study aimed to explore the coping strategies of BC survivors in Iran.Methods: This qualitative study was conducted in Mashhad, Northeast of Iran, between April to December 2021. 14 breast cancer survivors were selected through purposive sampling method. The data were collected using semi-structured interviews. Data were analyzed using conventional content analysis adopted by Graneheim & Lundman. MAXQDA 12 software, was used for data organization. Components of trustworthiness including credibility, dependability, confirmability and transferability were considered.Results: The main themes which emerged from participants' data analysis were "behavioral coping strategies" and "emotional coping strategie...
BMC Women's Health
Background Breast cancer is the most frequent cancer in Iran. Understanding the coping strategies... more Background Breast cancer is the most frequent cancer in Iran. Understanding the coping strategies employed by cancer survivors can provide valuable information for designing interventions to help them adapt to the problems produced by cancer and its treatment. This study aimed to explore the coping strategies of BC survivors in Iran. Methods This qualitative study was conducted in Mashhad, Northeast Iran, between April and December 2021. Fourteen BC survivors were selected through purposive sampling. The data were collected using semi-structured interviews. Data were analyzed using conventional content analysis adopted by Graneheim and Lundman. MAXQDA 12 software was used for data organization. Components of trustworthiness, including credibility, dependability, confirmability, and transferability, were considered. Results The main categories that emerged from the participants' data analysis were “behavioral coping strategies” and “emotional coping strategies.” Behavioral coping...
BMC Women's Health
Introduction Violence against women is a significant health and legal problem and has been declar... more Introduction Violence against women is a significant health and legal problem and has been declared as a health priority by the World Health Organization. The most common type of violence against women is domestic violence, more prevalent against women with disabilities than other women. Multiple sclerosis (MS) is a debilitating neurological disease and has experienced sudden growth in Iran. This study aimed to investigate the prevalence of domestic violence and its various types (psychological, economic, physical, and sexual) experienced by women with MS. Methods In this cross-sectional study, 275 married women with MS were selected using convenience sampling. After obtaining informed consent and reviewing the inclusion and exclusion criteria, the Domestic Violence against Women Questionnaire developed by Mohseni Tabrizi et al. was completed by the participants on a self-report basis. The results were analyzed using SPSS software version 16. To analyze data, statistical tests inclu...
HIV & AIDS Review
Introduction: Decades of research on human immunodeficiency virus (HIV) prevention have created n... more Introduction: Decades of research on human immunodeficiency virus (HIV) prevention have created new challenges in behavior change that require new approaches of communication. Scholars suggest that these new approaches should go beyond the simplicity of ABC. This study aimed to review the evi dence related to ABC complementary approaches for prevention of HIV/acquired immunodeficiency syndrome (AIDS). Material and methods: A narrative review was carried out based on Scale for the Assessment of Nar rative Review Articles (SANRA) in order to get a comprehensive perspective on HIV/AIDS preventive approaches. Literature search was performed through English databases of PubMed, Web of Science, and Scopus as well as Persian databases, including Magiran and SID. In addition, UNAIDS, CDC, and WHO reports were examined. This search was conducted until May 11, 2021. Publication year and type of study design were not restricted. All studies, guidelines, and documents providing evidence regarding preventive approaches in HIV/AIDS were included in the review. Results: We obtained information about various approaches in five guidelines, one policy analysis, and one policy brief. Also, out of 92 articles retrieved from the databases, six articles met eligible criteria for using these approaches. Findings obtained from approaches were categorized into six approaches including ABCDE, ABCDs, two types of ABCD, SAVE, and GEM. Conclusions: GEM approach that goes beyond ABC, provides a stronger central platform for advanc ing national and regional efforts to reduce the risks of HIV transmission. Also, it can be considered a comprehensive approach to fighting AIDS in women, because it reflects women's challenges regard ing gender and inequality in the process of prevention.
HIV & AIDS Review
Introduction: Decades of research on human immunodeficiency virus (HIV) prevention have created n... more Introduction: Decades of research on human immunodeficiency virus (HIV) prevention have created new challenges in behavior change that require new approaches of communication. Scholars suggest that these new approaches should go beyond the simplicity of ABC. This study aimed to review the evi dence related to ABC complementary approaches for prevention of HIV/acquired immunodeficiency syndrome (AIDS). Material and methods: A narrative review was carried out based on Scale for the Assessment of Nar rative Review Articles (SANRA) in order to get a comprehensive perspective on HIV/AIDS preventive approaches. Literature search was performed through English databases of PubMed, Web of Science, and Scopus as well as Persian databases, including Magiran and SID. In addition, UNAIDS, CDC, and WHO reports were examined. This search was conducted until May 11, 2021. Publication year and type of study design were not restricted. All studies, guidelines, and documents providing evidence regarding preventive approaches in HIV/AIDS were included in the review. Results: We obtained information about various approaches in five guidelines, one policy analysis, and one policy brief. Also, out of 92 articles retrieved from the databases, six articles met eligible criteria for using these approaches. Findings obtained from approaches were categorized into six approaches including ABCDE, ABCDs, two types of ABCD, SAVE, and GEM. Conclusions: GEM approach that goes beyond ABC, provides a stronger central platform for advanc ing national and regional efforts to reduce the risks of HIV transmission. Also, it can be considered a comprehensive approach to fighting AIDS in women, because it reflects women's challenges regard ing gender and inequality in the process of prevention.
American Journal of Epidemiology, 2004
Several recent studies have suggested a potential role of menstrual and reproductive factors in t... more Several recent studies have suggested a potential role of menstrual and reproductive factors in the risk of non-Hodgkin's lymphoma. To further examine the relation, the authors analyzed data from a population-based casecontrol study of non-Hodgkin's lymphoma in Connecticut women between 1996 and 2000. A total of 601 histologically confirmed cases and 717 randomly selected population-based controls were included in this study. An in-person interview was conducted using a standardized and structured questionnaire to collect information on menstrual and reproductive factors and potential confounding factors. Compared with nulliparous women, women who had four or more pregnancies during their lifetime were found to have a significantly reduced risk of non-Hodgkin's lymphoma (odds ratio (OR) = 0.6, 95% confidence interval (CI): 0.4, 0.9). Risk appeared to decrease with increasing number of pregnancies (p trend = 0.03). The authors also observed an increased risk of non-Hodgkin's lymphoma overall (OR = 1.5, 95% CI: 1.0, 2.2) and of diffuse non-Hodgkin's lymphoma (OR = 1.7, 95% CI: 1.1, 2.7) for women who started their first menstrual period at age 15 or more years compared with those who started their first menstrual period before age 12 years. These findings support a reduced risk of non-Hodgkin's lymphoma associated with multiple pregnancies and an increased risk of non-Hodgkin's lymphoma associated with later age at menarche.
BMC Cancer, Mar 23, 2022
Background: Women's perception and knowledge of breast cancer signs, symptoms, and risk factors c... more Background: Women's perception and knowledge of breast cancer signs, symptoms, and risk factors could be conducive to breast cancer risk management and interventions. The present study aimed to explore Iranian laywomen perceptions and expert opinions regarding breast cancer risk factors. Methods: This qualitative study was conducted from March to November 2019 in Mashhad, northeast of Iran. Through purposive sampling, 24 laywomen (women with and without BC) and 10 experts of different fields including oncology, surgery, gynecology and reproductive health were selected. Data collection was carried out using semi-structured interviews, which was mainly focused on the participants' understanding and perception of BC risk factors. The data was analyzed utilizing conventional content analysis developed by Graneheim & Lundman. Components of trustworthiness, including credibility, dependability, confirmability, and transferability were considered. Results: The main category of risk factors, which emerged from the lay participants' data analysis, were "unhealthy lifestyle and habits" , "hormonal influences", "environmental exposures", "Individual susceptibility "and "belief in supernatural powers". The experts had similar perspectives for certain risk factors, yet not for all. The category of "Individual history of disease" was emerged only from experts' interviews. Conclusion: In the present study, the lay participants' perception concerning BC risk factors was found to be a mixture of cultural beliefs and the scientific knowledge dispersed by the media, internet, and health services. Primary prevention approaches, including awareness of breast cancer risk factors, are required for women to make improved health-related choices.
Journal of midwifery and reproductive health, 2021
Background & aim: Low birth weight is one of the most important reasons for neonatal mortality. I... more Background & aim: Low birth weight is one of the most important reasons for neonatal mortality. Increased rate of low birth weight over the past five years in Kashmar has highlighted the importance of controlling and preventing this condition to reduce its incidence. This study was conducted to measure the frequency of some maternal factors affecting the incidence of neonatal low birth weight. Methods: This cross-sectional study was carried out on all mothers who gave birth to neonates weighing less than 2,500g from 2015 to 2016 in Kashmar (n=327). To collect the data a self-structured and valid and reliable questionnaire using closed-ended interview questions was employed. The collected data were analyzed in SPSS software (version 11) using descriptive and analytical statistics. Results: Based on the results, neonatal weight had a relationship with maternal factors including history of hypertension, preeclampsia, infertility, the use of assisted reproductive techniques, and self-me...
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Papers by elham manoochehri