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Introduction: The spouse has a special role in promoting the health of mothers and infants during pregnancy, childbirth, and postpartum. Women's health during pregnancy requires the participation and cooperation of their spouses. Therefore, this study was conducted to determine the effect of face-to-face and virtual prenatal care training of spouses on the pregnancy experience and fear of childbirth of primiparous women. Methods: This is a quasi-experimental clinical trial that was conducted on primiparous pregnant women referring to three prenatal clinics in Tehran, Iran. Sampling was done by available method and pregnant women were divided into three groups of face-to-face training (n = 35), virtual training (n = 35), and control (n = 33). The content of training program in the virtual and face-to-face groups was similar and included; nutrition during pregnancy, emotional support, fetal growth and development, advantages and disadvantages of vaginal delivery, planning for delivery, infant care, and danger signs for infants, which were presented in four sessions. The samples in the control group did not receive any training. In the 18th and 20th weeks of pregnancy, the demographic information form, pregnancy experience scale, and version A of the Wijma delivery expectancy/experience questionnaires were completed, and once again in the 37th and 38th weeks of pregnancy, the pregnancy experience scale and version A of the Wijma delivery expectancy/experience questionnaires were completed. Results: There was a statistically significant difference in the mean score of pregnancy experience after the intervention between the face-to-face training and control groups (p = 0.001). There was a statistically significant difference in the mean score of uplifts between the two groups of face-to-face training and control (p = 0.01), and also between virtual training and control groups (p = 0.02). There was a statistically significant difference between the two groups of face-to-face training and control in terms of and hassles score after the intervention (p = 0.04). There was a statistically significant difference between the two groups of face-to-face training and control (p = 0.02) and also between virtual training and control (p = 0.04) in terms of the mean score of fear of childbirth after the intervention. Conclusion: The results of this study showed that teaching prenatal care to spouses of primiparous women by face-to-face and virtual methods can be a useful intervention in improving the pregnancy experience and reducing the fear of childbirth among primiparous women. [ABSTRACT FROM AUTHOR]

Background: Infertility is recognized as a stressful and critical experience worldwide and across cultures and disrupts individual, marital, family, and social stability. Religion serves as a source of support in dealing with health-related problems. This study investigates the relationship between religious coping mechanisms and health-promoting lifestyle (HPL) among Iranian infertile women. Methods: A cross-sectional correlational study was conducted on 177 infertile women referring to the Sarem Sub-specialized Infertility Treatment and Research Center in Tehran City, Iran, 2019. The subjects were recruited by continuous sampling. The data in this study were collected using a demographic information form, the Iranian religious coping scale (IRCS), and the healthpromoting lifestyle profile-II (HPLP-II). Statistical analyses, including the independent t-test, one-way ANOVA, and Pearson correlation coefficient, were performed using SPSS software, version 22. The significance level was set at P<0.05. Results: The highest mean was related to active religious coping (7.86±2.39), while passive religious coping (2.89±1.76) and negative feelings towards God (3.95±2.07) had the lowest mean scores. The Mean±SD score of health-promoting lifestyle was 128.34±13.46; the score range was 52-208, lower than the median score of the scale. A weak but significant inverse relationship was observed between negative feelings towards God and HPL (r=-0.19; P=0.013) and its three subscales: Physical activity (r=-0.18; P=0.019), nutrition (r=-0.21; P=0.011), and interpersonal relationships (r=-0.21; P=0.01). Also, a weak yet statistically significant inverse association was observed between passive religious coping and interpersonal relations (r=-0.18; P=0.029). Conclusion: Considering that the mean HPL score of infertile women was lower than the median score of the scale, community-oriented education and care programs are recommended to improve HPL in infertile women. Teaching and strengthening positive/active religious coping strategies to improve HPL are also advised. [ABSTRACT FROM AUTHOR]

Background: Vaginal examination is the essential part of obstetric care in women’s life. Although the assessment of women’s perceptions of vaginal examination is important, no appropriate instrument in Farsi is available. Therefore, the present study was conducted to evaluate validity and reliability of the Farsi version of the women’s perceptions of vaginal examination during labor questionnaire. Materials and Methods: This cross‑sectional study was carried out with 350 women who had vaginal childbirth between December 2016 and May 2017. The women were asked to fill out the demographic characteristics’ form and the women’s perceptions of vaginal examination during labor questionnaire. Construct validity, internal consistency, and stability of the questionnaires were evaluated using confirmatory factor analysis, calculation of the Cronbach’s alpha coefficient, and Spearman– Brown correlation coefficient, respectively. The SPSS (Statistical Package for the Social Sciences) v. 21 and LISREL (linear structural relations) 8.80 were used for the data analysis. Results: Confirmatory factor analysis indicated that the Farsi version of the women’s perceptions of vaginal examination during labor questionnaire had appropriate structure. The Cronbach’s alpha coefficient of the questionnaire was reported as 0.76. The Spearman–Brown correlation coefficient also showed an appropriate test–retest reliability. Conclusion: Validity and reliability of this questionnaire can appropriately measure the women’s perceptions of vaginal examination during labor among Iranian women. [ABSTRACT FROM AUTHOR]