Obstetrics and Gynecology
Sedigheh Abdollahpour; Talat Khadivzadeh; Robab Latifnejad Roudsari
Volume 5, Issue 3 , November 2020, , Pages 93-102
Abstract
Background & objective: Clinical trials are studies that can provide the most reliable evidence to investigate the impact of various interventions in health research. Due to the importance of these studies in producing valid scientific evidence, this study was conducted to critically evaluate ...
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Background & objective: Clinical trials are studies that can provide the most reliable evidence to investigate the impact of various interventions in health research. Due to the importance of these studies in producing valid scientific evidence, this study was conducted to critically evaluate the published clinical trials regarding the effectiveness of midwife-based interventions on preventing post-traumatic stress disorder after childbirth.Materials & Methods: In this critical evaluation, we searched for randomized clinical trial articles related to midwife-led interventions in preventing post-traumatic stress in reputable databases using the keywords "traumatic childbirth", "post-traumatic stress", "intervention", "counseling", "midwife", "clinical trial" and their equivalent in English, without time limit. Out of 18581 retrieved articles, 12 articles were evaluated using CONSORT-2018. This checklist consisted of 26 sections and 42 items. Each item was scored based on the report or non-report in the article under review. The tool scores ranged from zero to 42. Data were analyzed using SPSS 21.Results: The overall compliance of the quality of the reviewed articles with the checklist criteria was estimated at 60.1%. The mean overall quality was 25.1±3.6 and therefore the articles were of moderate quality. Randomization and blinding methods require more careful attention so as not to reduce the methodological accuracy of the articles. On the other hand, the title and abstract sections, background, goals, and interpretation of the results were of high quality, and the discussion section and other information were of low quality.Conclusion: In order to use the results of clinical trials in evidence-based care related to the effectiveness of midwifery-based interventions on reducing postpartum stress, improving the quality of articles is essential, and using a standard checklist should be on the agenda of authors and reviewers of journals.
Sedigheh Abdollahpour; Talat Khadivzadeh
Volume 4, Issue 3 , September and October 2019, , Pages 86-92
Abstract
Background & Objective: Traumatic childbirth, followed by postpartum stress, imposes many psychological consequences on women and their families. Therefore, this study was conducted to determine the prevalence of traumatic childbirth and postpartum post-traumatic stress in Iran using a systematic ...
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Background & Objective: Traumatic childbirth, followed by postpartum stress, imposes many psychological consequences on women and their families. Therefore, this study was conducted to determine the prevalence of traumatic childbirth and postpartum post-traumatic stress in Iran using a systematic review.
Materials & Methods: In this review, ISI, PubMed, Scopus, SID, Iranmedex, IranDoc, Magiran, and Google Scholar databases were searched to find relevant studies, by looking for the following keywords, i.e., prevalence, traumatic childbirth, post-traumatic stress, post-traumatic stress disorder, delivery or birth, Iran, and their English equivalents, in Persian and English-language journals published from 1981 to November 2018. Data were analyzed by the meta-analysis method using a random-effects model and the studies’ heterogeneity was calculated by the I2 index.
Results: Of a total of 1420 studies, 8 descriptive studies carried out from 2010 to 2017 were finally included after applying the inclusion and exclusion criteria. Among the 800 samples studied, the overall prevalence of traumatic childbirth was 51.3% and the overall prevalence of post-traumatic stress was 29.1% among the total of 2687 samples studied.
Conclusion: The prevalence of traumatic childbirth and post-traumatic stress is high in Iran; hence, it is necessary to carry out further studies to understand this important issue, so that more attention can be paid to mothers’ psychological problems to plan and make policies to maintain and improve their health in the postpartum period.