{"title":"Domestic Violence against women and COVID-19 quarantine: A Systematic review study","authors":"P. Mirabi, S. Alamolhoda, E. Zare, M. Doulabi","doi":"10.2174/1573404820666230221141754","DOIUrl":"https://doi.org/10.2174/1573404820666230221141754","url":null,"abstract":"\u0000\u0000Domestic violence against women is defined as physical, sexual, and emotional abuse, that women experience. During the COVID-19 quarantine, homes have become very dangerous places for domestic violence against women.\u0000\u0000\u0000\u0000Following PRISMA guidelines, Medline, Scopus, Embase, Google scholar, and web of science were searched. Two independent authors screened all identified titles, abstracts, and relevant full texts for inclusion in the systematic review. 7 primary studies that were published between December 2019 and March 2021 were examined. The risk of bias in the retrieved articles was assessed by the Newcastle–Ottawa Scale.\u0000\u0000\u0000\u0000: During the COVID-19 lockdown, people have experienced different situations that lead to increasing aggressive behavior with possible trauma and violence, especially against women.\u0000\u0000\u0000\u0000During the quarantine of the COVID-19 pandemic around the world, we need programs aimed at preventing acts of domestic violence against women, such as trained multi-disciplinary staff, including psychologists, sexologists, and clinical psychiatrists.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"58 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89694403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. L. Roudsari, M. Larki, Farangis Sharifi, E. Manouchehri
{"title":"Everything Midwives Need to Know about Postpartum women's Health Care During the COVID-19 Pandemic: An Updated Evidence Review and Practical Guide","authors":"R. L. Roudsari, M. Larki, Farangis Sharifi, E. Manouchehri","doi":"10.2174/1573404820666230217115141","DOIUrl":"https://doi.org/10.2174/1573404820666230217115141","url":null,"abstract":"\u0000\u0000Clinical 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.\u0000\u0000\u0000\u0000This study aimed to review the updated evidence regarding practical aspects required for midwives to do postpartum care for mothers and newborns during COVID-19.\u0000\u0000\u0000\u0000The 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 neonatal care. The principles of postpartum care for maternal consisted of maternal assessment, venous thromboembolism prophylaxis, postnatal visits schedule, visitor restriction, vaccination, and postnatal mental support. Also, care for the neonatal included newborn assessment, visitation in the neonatal intensive-care units, breastfeeding, vaccination, circumcision, the decision for location and the separation of the newborn and mother, and discharge.\u0000\u0000\u0000\u0000During the COVID-19 pandemic, midwives and other maternal care professionals faced issues due to discrepancies between the guidelines of various global organizations. By obtaining recommendations and guidance and keeping up with the latest data, midwives can help women and their newborns get the best care possible.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"453 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85538229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Masoumi, A. Shayan, H. Parsapour, Mehrnoosh Hosseinpoor, F. Kazemi, S. Moradkhani, Seyed Mohammad Hossein Oliaei, Zeinab Assareh, Mohammad Kazem Rashidi
{"title":"Comparison of the effect of honey, olive, propolis combined vaginal cream with OCP in the treatment of functional ovarian cysts in women of reproductive age referring to health centers, Hamadan, Iran 2020-2021","authors":"S. Masoumi, A. Shayan, H. Parsapour, Mehrnoosh Hosseinpoor, F. Kazemi, S. Moradkhani, Seyed Mohammad Hossein Oliaei, Zeinab Assareh, Mohammad Kazem Rashidi","doi":"10.2174/1573404819666230209104204","DOIUrl":"https://doi.org/10.2174/1573404819666230209104204","url":null,"abstract":"\u0000\u0000The prevalence of functional ovarian cysts in women is high, and choosing an appropriate, and uncomplicated treatment is necessary.\u0000\u0000\u0000\u0000Compare the effectiveness of honey, olive, and propolis combined vaginal cream with OCP in the treatment of functional ovarian cysts in women of reproductive age in Iran.\u0000\u0000\u0000\u0000This randomized clinical trial study was performed on 40 women of reproductive age referred to Hamadan health centers in 2020. Patients were randomized into two groups, A and B. Group A received oral contraception pills for two consecutive cycles from the seventh day of the menstrual cycle tablets for 21 days after the end of menstruation until the beginning of the next menstruation. Group B received honey, olive, propolis combined vaginal cream. In both groups, the treatment continued for two consecutive cycles. Data was collected through a checklist that included clinical symptoms and ultrasound results. The results were analyzed by Stata-13 and the significance level cut-off was considered less than 0.05\u0000\u0000\u0000\u0000Intra-group comparisons showed that there was a statistically significant (P<0.05) decrease in cyst size after the intervention in both groups. Intergroup differences were not statistically significant (P ˃0.05).\u0000\u0000\u0000\u0000Honey, olive, propolis combined vaginal cream (Nika) can be effective like oral contraceptive pills in reducing the size of ovarian cysts. It can be recommended for the treatment of functional ovarian cysts.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"22 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88619813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Screening for Gestational Diabetes; Can Apelin Help?","authors":"Wassan Nori, D. Salman, Z. Hussein, Taif Emad","doi":"10.2174/1573404819666230206102810","DOIUrl":"https://doi.org/10.2174/1573404819666230206102810","url":null,"abstract":"\u0000\u0000Gestational diabetes (GDM) is a pregnancy-related endocrinopathy. Its etiology is not well understood. Obesity and insulin resistance coexist in GDM. Apelin is an adipocytokine secreted by fatty cells and expressed in many organs; it can modulate blood glucose. According to research, apelin levels are higher in obese and type 2 diabetes patients. We aimed to examine the value of serum apelin as a reliable marker for GDM at 24-28 weeks of pregnancy.\u0000\u0000\u0000\u0000A case-control study recruited 120 pregnant women in an age range of 20–40 years with a singleton pregnancy at 24-28 weeks of pregnancy; all were matched in BMI and gestational age. They are divided into 2 groups: 60/120 GDM cases based on the International Association of Diabetes and Pregnancy and 60/120 matched controls at a gestational age of 24-28 weeks at Al-Yarmouk Teaching Hospital. Demographics data, serum biochemical permeates including HbA1c, fasting blood sugar (FBS), fasting insulin level, 1 h plasma glucose, and 2 h plasma glucose, following a 75-gram glucose loading, and a fasting insulin level were recorded.\u0000\u0000\u0000\u0000None of the demographic criteria were significant between the two groups at P<0.05. FBS, fasting insulin, OGTT-1 and 2 hours, HbA1c, and serum apelin were significantly higher in GDM cases with P<0.0001. Pearson's correlations show that Apelin has a statistically significant correlation with BMI, FBS, fasting insulin, OGTT-1 and 2 hours, and HbA1c, with r = (0.34, 0.71, 0.65, 0.72, and 0.63) and P<0.0001. ANOVA confirmed an insignificant effect of BMI centile on serum apelin, P<0.072. ROC estimated the apelin cut-off at >11.3 (ng/l), associated with 84% sensitivity and 100% specificity, P<0.001.\u0000\u0000\u0000\u0000Strong and significant apelin correlations with parameters for screening GDM make it a valuable marker, especially when its levels are unaffected by body mass index. Further studies are recommended to unveil therapeutic avenues for apelin.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"362 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76499305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kunnikar Chaisitsa-nguan, Puangpaka Kongwattananon, Dawn Hawthrone
{"title":"The Effectiveness of an Integrated Symptom-related Fatigue Management Program (ISFMP) on Pain, Anxiety, Fatigue Score and Lactate Levels in Low-risk Pregnant Woman during Childbirth","authors":"Kunnikar Chaisitsa-nguan, Puangpaka Kongwattananon, Dawn Hawthrone","doi":"10.2174/1573404819666230203144039","DOIUrl":"https://doi.org/10.2174/1573404819666230203144039","url":null,"abstract":"\u0000\u0000Fatigue accumulates throughout the labor period and often occurs in conjunction with pain and anxiety during childbirth, resulting in negative effects on laboring women.\u0000\u0000\u0000\u0000The purpose of this study is to investigate the effectiveness of an integrated symptom-related fatigue management program (ISFMP) on pain, anxiety, fatigue score and lactate levels in a low-risk pregnant woman during childbirth.\u0000\u0000\u0000\u0000This quasi-experimental study was conducted from August of 2021 to March of 2022 at Prachuap Khiri Khan Hospital. Sixty-five low-risk pregnant women with 32–41+6 weeks gestation were selected by the stratified random-sampling and matching techniques. They were then randomly assigned to either comparison or intervention groups. Data were collected using a demographic questionnaire and a visual analogue scale for pain, anxiety and fatigue. Lactate Pro 2 was used to evaluate lactate levels. Data were analyzed through statistical software (SPSS-26) using independent t-test, chi-square, repeated measure ANOVA and repeated measure multivariate analysis of variance (MANOVA). The significance level was set at p <.05.\u0000\u0000\u0000\u0000The participants in the comparison and experimental groups had varying pain, anxiety, fatigue scores and lactate levels throughout their progression of labor. Pain, anxiety and fatigue in the experimental group were significantly lower than in the comparison group (p < 0.001). There were no statistically significant differences in lactate levels between the two groups.\u0000\u0000\u0000\u0000The ISFMP was shown to be effective in lowering the symptoms of pain, anxiety and fatigue in women in labor. Midwives should apply the ISFMP in their clinical practice when caring for low-risk pregnant women.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"1 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89317723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Sepahvand, M. Sattari, B. Samari, Rezvanehsadat Beheshti, M. Farhadian, A. Tiznobaik
{"title":"Maternal, fetal, and neonatal outcomes in pregnant women with COVID-19: a case-control study","authors":"S. Sepahvand, M. Sattari, B. Samari, Rezvanehsadat Beheshti, M. Farhadian, A. Tiznobaik","doi":"10.2174/1573404819666230202114101","DOIUrl":"https://doi.org/10.2174/1573404819666230202114101","url":null,"abstract":"\u0000\u0000COVID-19 is an emerging, highly contagious disease caused by the SARS-CoV-2 virus. Pregnant women appear to be at greater risk for COVID-19 infection and complications. Considering the importance of maternal and fetal healthcare, this study aims to evaluate some of the maternal, fetal, and neonatal outcomes in pregnant women with COVID-19.\u0000\u0000\u0000\u0000Pregnant women at the gestational age of 20 weeks or more were recruited and divided into two groups: cases (those with COVID-19 infection) and controls (those without the infection). Maternal complications during the current pregnancy, delivery factors, and fetal/neonatal complications were recorded and compared between the groups.\u0000\u0000\u0000\u0000Maternal COVID-19 infection was highly associated with the need for emergency cesarean surgery (p=0.005), preterm labor (p=0.017), and the need for NICU admission for newborns (OR=0.05, p=0.000). Also, high rates of vertical transmission of the infection were observed in the cases.\u0000\u0000\u0000\u0000Maternal COVID-19 disease could be associated with a range of complications for both the mother and her newborn. The vertical transmission rate was also observed to be higher than previously reported in the literature. Further studies are required to evaluate this phenomenon.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"93 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74349605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Soha Albeitawi, R. Obeidat, L. Al-Mehaisen, Q. Shehab, Garavaglia Elisabetta, Almu’atasim Khamees
{"title":"The impact of hookah smoking on AMH levels in women: a pilot study","authors":"Soha Albeitawi, R. Obeidat, L. Al-Mehaisen, Q. Shehab, Garavaglia Elisabetta, Almu’atasim Khamees","doi":"10.2174/1573404819666230201085749","DOIUrl":"https://doi.org/10.2174/1573404819666230201085749","url":null,"abstract":"\u0000\u0000Hookah (water pipe) smoking, an ancient tobacco smoking method, is gaining widespread popularity worldwide. Although research in this field is still lacking, its harmful effect on human health through the increased risk of cardiovascular disease, infection, and cancer has been proven. Cigarette smoking has been found to have a detrimental effect on reproductive function. However, no data about the effect of hookah smoking on human fertility or reproductive outcomes are available. In this study, we aimed to determine if smoking hookah has a harmful effect on the human ovarian reserve test, anti-Mullerian hormone levels, and cycle regularity.\u0000\u0000\u0000\u0000A total of 100 healthy non-cigarette smoking women in the 25-35 age range undergoing laboratory investigations were randomly chosen to participate. After obtaining consent, they completed a questionnaire about smoking habits and menstrual data. Blood samples were withdrawn for anti-Mullerian hormone testing. The anti-Mullerian hormone levels of 50 women hookah-only smokers were compared to 50 non-smoking women.\u0000\u0000\u0000\u0000There were no significant differences in mean anti-Mullerian hormone levels and cycle regularity between hookah smokers and non-smokers. However, period pain was significantly associated with hookah smokers relative to non-smokers (p=0.036). According to the generalized linear model of Log10 AMH response, the Log10 smoking index had no significant effect (p-value=0.094). Moreover, binary logistic regression for cycle regularity showed that hookah smoking was associated with an increase in the likelihood of having an irregular cycle, but the effect was not significant (p=0.514) for hookah smoking .\u0000\u0000\u0000\u0000Under the conditions of this study, no significant association between hookah smoking and neither AMH levels nor cycle regularity could be observed.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"4 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82096413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Vakilian, Mehrnoosh Ghaemmaghami, Narges Sheikhganbari, F. Shabani, Masoomeh Vahedi
{"title":"The Effect of Auriculotherapy during Active Phase and the Use of Oxytocin during Labor in Nulliparous Women-A randomized clinical trial","authors":"K. Vakilian, Mehrnoosh Ghaemmaghami, Narges Sheikhganbari, F. Shabani, Masoomeh Vahedi","doi":"10.2174/1573404819666230131153938","DOIUrl":"https://doi.org/10.2174/1573404819666230131153938","url":null,"abstract":"\u0000\u0000Since there was no study on the effect of auriculotherapy on reducing the use of oxytocin and labor length, the present study is aimed to investigate this issue.\u0000\u0000\u0000\u0000The present study was a randomized clinical trial with two parallel arms, without blinding, which was performed on 93 nulliparous women. Setting this study was done in one of the referral hospitals in Qom, Iran. The samples were randomly assigned to two groups: oxytocin (n=47) or auriculotherapy and oxytocin (n=46). After hospitalization of mothers in the active phase, in one group, 10-unit oxytocin was administered for augmentation, and in the second intervention group, the auriculotherapy technique, in addition to oxytocin, was performed. the master points zero, Shenmen, endocrine, thalamic, uterine, prostaglandin points, vagina on the earlobe area. The points were stimulated with the Pointer Plus electric device for 30 seconds, and 60 minutes later, the other ear was stimulated. The results were analyzed by SPSS 22, T-test statistical analysis, and Chi-square test.\u0000\u0000\u0000\u0000Regarding the main purpose of the study, the results showed that the length of the active phase indicated a significant decrease in the auriculotherapy group compared to the oxytocin group (244.86± 64.19 vs. 284± 62.75, p=0.01). The other purpose of the study showed that the mean of oxytocin consumption significantly decreased in the auriculotherapy group.\u0000\u0000\u0000\u0000It seems that auriculotherapy is an appropriate alternative method for labor augmentation.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"20 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78608238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Characteristics of pregnant women satisfying the universal two-child policy requirements in China: a retrospective cohort study","authors":"Chunrong Li, Lina Tang, Tong-Yong Luo, Yonghong Lin, Wei Song, Zhiqiang Wang, Qingfu Lan, Shiji Qin","doi":"10.2174/1573404819666230127102711","DOIUrl":"https://doi.org/10.2174/1573404819666230127102711","url":null,"abstract":"\u0000\u0000China officially launched the universal two-child policy in January 2016. No studies in China have examined the characteristics of pregnant women since the implementation of the new family planning policy.\u0000\u0000\u0000\u0000We conducted a retrospective cohort study in Chengdu, China, to examine pregnant women's sociodemographic and obstetric characteristics satisfying the new policy requirements. Two thousand pregnant women were enrolled in the case group, 2016-2017. The comparison group included 2,000 pregnant women from the same institutions. Maternal and clinical information was extracted from medical records.\u0000\u0000\u0000\u0000Compared to comparisons, the case group tended to have a higher household income and work in a non-state-owned enterprise/institution. Additionally, cases were more likely to be older (OR=1.36; 95% CI 1.09-1.70), have a history of cesarean section (OR=31.68; 95% CI 24.76-40.54), and suffer from gestational hypertension (OR=3.35; 95% CI 1.56-7.19), gestational diabetes mellitus (OR=1.61; 95% CI 1.24-2.10) and placenta previa (OR=4.45; 95% CI 2.70-7.34) than comparisons.\u0000\u0000\u0000\u0000We suggest emphasizing the importance of reproductive counseling and assessment, particularly targeting those satisfying the universal two-child policy requirements.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"1 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80880119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Why do Pregnant Mothers prefer to give Birth at Home after they attended Antenatal Care Visits in southern Ethiopia? A Phenomenological Study Design","authors":"Zerihun Figa, T. Temesgen","doi":"10.2174/1573404819666230120122906","DOIUrl":"https://doi.org/10.2174/1573404819666230120122906","url":null,"abstract":"\u0000\u0000This study aimed to explore why pregnant mothers prefer to deliver at home after antenatal care follow-up in South Ethiopia.\u0000\u0000\u0000\u0000Common causes of maternal deaths are direct obstetric complications that can be managed by healthcare providers in health facilities. Women giving birth in the home has a higher contribution to maternal mortality and morbidity as well as poor fetal outcome.\u0000\u0000\u0000\u0000To explore why pregnant mothers preferred delivery at home after antenatal care follow-up in South Ethiopia.\u0000\u0000\u0000\u0000The phenomenological study design was used to explore the factors that push women home delivery despite antenatal care provided. A purposive technique was used to recruit the twenty pregnant mothers for the focused group discussion and ten healthcare providers for an in-depth interview. The data saturation approach determined the sample size. A focused group discussion was commenced with women who has ANC follow-ups during pregnancy gave birth at home and come for immunization services in health facilities. The in-depth interview was done with physicians, midwives, health officers, and traditional birth attendants. Data was translated into English by a bilingual translator and analyzed thematically using Open Code software.\u0000\u0000\u0000\u0000Result: The study includes a total of 20 women for FGDs, seven health professionals, and three traditional birth attendants from selected health facilities. The age of most FGD participants was 25 -35 years. The ideas of the participants were grouped into five themes and subthemes. Fear of health professionals’ disrespect and abuse, a family decision on place of delivery, lack of transport and money, traditional birth attendants’ acceptability by the community, and sociocultural influences were commonly raised as barriers to institutional delivery.\u0000\u0000\u0000\u0000Conclusion: Most of the barriers are related to behavioral issues, and effort should be made to change the behavior of the community in general. Improving the quality of the antenatal care service and adequate counseling may be an appropriate intervention to increase health facilities delivery.\u0000\u0000\u0000\u0000no\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"37 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78625258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}