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ORIGINAL RESEARCH Effect of husband participation on mental health during antenatal care: a randomised clinical trial


Soheila Rabiepoor

Associate Professor at Reproductive Health Research Centre and Midwifery Department, Urmia University of Medical Sciences, Iran

Alireza Khodaei

Graduate Nursing Master at Urmia University of Medical Sciences, Iran

Moloud Radfar

Psychiatric and Mental Health Nursing Specialist at Urmia University of Medical Sciences, Iran

Shiva Jabbari

GP, graduate of School of Medicine, Urmia University of Medical Sciences, Iran

Aida Sefidani Forough

Pharmacist, graduate of School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran

 (September 2017)


This study evaluated the effect of husband participation on pregnant women's mental health during 2014. A randomised clinical trial was adopted. By randomised sampling, the data of 66 participants were collected among women who regularly attended health centres for antenatal care in Iran. Couples participated in two two-hour sessions with four weeks between. The control group received the normal routine antenatal care. Women's mental health was assessed by using Goldberg's mental health questionnaire. Data were analysed applying descriptive statistics, t-tests, k-squared test. P-values less than 0.01 were considered significant. The mean mental health scores before intervention were 44.12 ± 9.26, 42.45 ± 8.54, and post-intervention scores were 33.73 ± 9.64, 44.39 ± 7.48 for the intervention and control groups, respectively, which indicated a significant statistical difference (P < 0.001). Key finding: We noticed husband participation improved the mental health of pregnant women.
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ORIGINAL RESEARCH A prospective chart review on the management of postpartum acute perineal pain


Samantha Moroney

Clinical Midwife Tutor at National University of Ireland Galway School of Nursing and Midwifery

Laserina O'Connor

Professor of Clinical Nursing at University College Dublin School of Nursing, Midwifery and Health Systems

Mary Casey

Lecturer/Associate Professor at University College Dublin School of Nursing, Midwifery and Health Systems

2017;20(8): ePub September 2017

 (September 2017)


Postpartum acute perineal pain can cause a significant impact on maternal morbidity (Dahlen and Homer 2008). The purpose of this article is to enhance midwives' understanding and knowledge regarding the management of postpartum perineal pain following perineal lacerations sustained during vaginal birth.
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Factors associated with postpartum shivering: a cross-sectional study


Ugo Indraccolo

Doctor in the Complex Operative Unit of Obstetrics and Gynaecology at Alto Tevere Hospital of Città di Castello, Umbria

Silvia Scilimati

Midwife. Silvia collected the data at the San Pietro Fatebenefratelli Hospital Rome for this study

Romolo di Iorio

Obstetrics and Gynaecology Lecturer at Sapienza University Rome

Marco Bonito

Head of the Complex Operative Unit of Obstetrics and Gynaecology at the San Pietro Fatebenefratelli Hospital, Rome

Salvatore Renato Indraccolo

Obstetrics and Gynaecology Lecturer at Sapienza University Rome

 (November 2016)


The objective of this study was to investigate the postpartum shivering phenomenon. We carried out a cross-sectional study on a sample of 597 pregnant women. Logistic regression analyses were built. Independent variables were: parity, labour induction with prostaglandin agonist, oxytocin infusion during labour, amniotomy, epidural anaesthesia, premature rupture of membranes (PROM), postpartum fever, gestational age, mode of birth. Dependent variables were: mild shivering, severe shivering (severity of shivering) and duration of shivering: less than 30 minutes; between 30 minutes and one hour; more than one hour. We found that both severity and duration of postpartum shivering phenomenon were associated with rupture of membranes (spontaneous or artificial), fever, caesarean section and oxytocin infusion. The conclusion reached was that those associations could be logically explained by already-known causes of chills. Further studies should assess those causes after birth.
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Women's experience of post-term pregnancy


Rikke Damkjær Maimburg

Director of Research Centre and Associated Professor of Midwifery at Aarhus University Hospital, Skejby, Denmark

 (June 2016)


In recent years, induction of labour has become increasingly common in many countries and has moved towards an earlier gestational age. The aim of this study was to describe how low-risk pregnant women experienced post-term pregnancy in a large university hospital in Denmark. Qualitative interviews were carried out with 31 low-risk pregnant women. Pregnant women passing their estimated time of birth date experienced their last days of pregnancy as a countdown to induction, not as their last days of pregnancy. Categorisation of the women's pregnancy based on medical statistics, and a focus on medical issues caused the women to feel less involved, and contributed to them being willing to negotiate an earlier induction of labour to avoid being stigmatised as pathological patients.
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