Sevil Hakimi

• PhD. Professor
• Professor (Full) at Ege University

Background Obstetric violence (OBV), defined as mistreatment or abuse during childbirth, is a pervasive global issue, albeit with regional differences, affecting women's physical and emotional well‐being. Objectives The purpose of this systematic review and meta‐analysis is to assess the prevalence of OBV to identify risk factors associated with O...

Ovarian cancer is a major cause of cancer-related deaths among women. This study aims to describe the trend of ovarian cancer in women over 55 years old from 2010- 2019 by socio-demographic index (SDI) and geographical regions. We collected data on ovarian cancer annually between 2010 and 2019 from the 2019 Global Burden of Disease (GBD) study to a...

BACKGROUND Fear of childbirth (FOC) leads to the perception of more pain and a negative childbirth experience. Negative childbirth experience is related to postpartum depression. This study aimed to compare the effect of haptonomy and cognitive-behavioral therapy (CBT) on the childbirth experience and postpartum depression of women with high FOC....

Background Haptonomy is considered one of the non-pharmacological interventions in reducing Fear of Childbirth (FOC) and increasing Maternal Fetal Attachment (MFA). No review study has been conducted for an evidence-based conclusion in this regard. Objective This study aimed to evaluate the pooled effect of haptonomy on FOC and MFA. Methods A sys...

Background: Despite the availability of treatments such as surgery and hormonal therapy, women with endometriosis often endure chronic problems. This review aims to evaluate the effectiveness and safety of neuropelveology. Methods: In a systematic review with a meta-analysis, we searched three electronic databases: MEDLINE (PubMed), Scopus, Embase,...

Background: Prematurely born, low birth weight, or sick infants are vulnerable and often do not receive enough breast milk from their mothers. In such cases, donated breast milk from other mothers can be safely stored in a milk bank. However, some Muslim countries have been hesitant to establish milk banks due to religious and ethical concerns. Des...

Background: Diabetes Mellitus is the most prevalent metabolic disorder worldwide. Effective diabetes self-management and keeping the Glycosylated hemoglobin level within the normal range could decrease the burden on the health system by reducing hospital admissions and diabetic complications, lowering the financial strain on the health system. Obje...

Introduction Migrant women might be cannot benefit from health services sufficiently. The unmet need for family planning is among the pivotal indicators for measuring progress toward improving maternal and child health. The aim of this study was to identify the unmet need for family planning (UMNFP) among Syrian migrant women living in Mardin and i...

Background Sexual and marital satisfaction is considered one of the important factors in happiness and life satisfaction of couples. COVID-19 pandemic results in psychological effects, such as increased anxiety levels which can affect sexual and marital satisfaction. This study aimed to investigate the impact of positive psychology on women’s sexua...

Background. Sexual assertiveness is defined as a psychosocial feeling about an individual’s interpretation of how to express her/her feelings in marital relationships. The present study aimed at investigating the effect of sexual assertiveness training on marital satisfaction and happiness of women referring to Tabriz health centers in 2021. Method...

This policy brief aims to provide a comprehensive framework with key policy recommendations and actions that highlight the critical importance of addressing the health challenges faced by migrants and refugees in host countries. By addressing facilitators, barriers, frontline worker experiences, system integration, and specific healthcare needs, th...

Background. Quarantine and social distancing due to COVID 19 has led to anxiety, anger, stress, and anger in people and has had a negative impact on physical and mental health and the quality of marital relationships. Due to the lack of sufficient studies and also the fact that no study was found in the literature review that compared this approach...

Background Considering the role of fear of childbirth (FOC) in the enhancement of unnecessary cesarean sections (CS), the present study aimed at evaluating the effect of Cognitive-Behavioral Therapy (CBT) and haptonomy on the FOC (as primary outcome) and intended birth method and final birth method (as secondary outcomes) among primigravida women....

Objective: Positron emission tomography with 2-deoxy-2-[fluorine-18] fluoro- D-glucose integrated with computed tomography (18F-FDG PET/CT) or magnetic resonance imaging (18F-FDG PET/MRI) has emerged as a promising tool for managing various types of cancer. This review study was conducted to investigate the role of 18F- FDG PET/CT and FDG PET/MRI i...

Background: Maternal anxiety has been accompanied by many unfavorable effects on breastfeeding in the postpartum period. We aimed to provide scientific evidence in identifying effective interventions for anxiety and breastfeeding self-efficacy (BSE) in a systematic review and meta-analysis. Methods: All published studies with inclusion criteria...

Background Maternal anxiety during pregnancy is sometimes considered a normal mechanism to overcome the mother’s mental preoccupation with having a child. However, stress and anxiety might become a medical condition, becoming so severe as to affect the mother’s mental health. Therefore, the present study aimed to investigate factors related to mate...

Background Probiotics increase the defense power of immune system and accelerate the wound healing process by anti-inflammatory mechanisms at the wound site. The present study aimed at evaluating the effect of Lactobacillus casei oral supplementation on episiotomy wound healing among primiparous women. Methods This triple-blind randomized clinical...

Background This study describes the launching of a unit for continuous kangaroo mother care (KMC) in a teaching hospital (Taleghani) in Iran. Methods We used a participatory three-stage action research approach to establish a unit for continuous KMC: design (needs identification and planning for change); implementation (and reflection); and evalua...

Introduction: Contradictory results regarding the safety of human papillomavirus (HPV) vaccination during pregnancy have been obtained, which has cast doubt on the use of this method. This review and meta-analysis were conducted to evaluate the safety of HPV vaccination during pregnancy. Methods: Complying with the inclusion and exclusion criter...

Objectives: The purpose of this study was to determine the effect of debriefing intervention on post-traumatic stress disorder (PTSD) following traumatic childbirth. Methods: This was a randomized clinical trial conducted on 70 postpartum women who experienced traumatic childbirth and referred to health centers of Tabriz, Iran. The participants wer...

Background: Sexual and marital satisfaction play an important role in the stability of couples' relationships, so it is necessary to take a proper approach to promote them. This study aimed to identify and categorize psychological interventions affecting sexual satisfaction and marital satisfaction of women in Iran. Methods: An electronic system...

Background: Successful breastfeeding is related to the psychosocial conditions of the mother. Covid19 pandemic resulted in psychological consequences in women during postpartum period. Maternal anxiety and distress reduce the chances of exclusive breastfeeding. The present study aimed to investigate the effect of counseling with stress management...

Background. During pregnancy, it is crucial to minimize maternal anxiety to maintain the mental and physical health of both the mother and fetus, especially in high-risk pregnancies. This study aimed to investigate the effect of family support on decreasing depressive and anxiety symptoms in women hospitalized with high-risk pregnancies in their th...

Objective: The human papillomavirus (HPV) vaccine is regarded as one of the most effective ways of preventing cervical cancer. Despite the massive burden of this disease, only two countries in the Eastern Mediterranean Region (EMR) have implemented a national HPV vaccination program. The aim of the present study was to assess the main barriers to...

Background The oral nutrition is big challenge for preterm neonates. Since the best oral feeding method for preterm neonates is not yet known, the present study aimed to evaluate the effect of cup, syringe, and finger feeding methods on reaching the time of full oral feeding and weight gain among preterm neonates. Method This randomized clinical t...

BACKGROUND: Mother–child attachment is formed from early stages of pregnancy and peaks in the second trimester and continues until after childbirth. The fetal or neonatal death as a tragic event could lead to the grief experience among parents, especially mothers. The present study aimed to determine the effect of a coping program on mothers' grief...

Objectives: Depression is highly prevalent during pregnancy and after childbirth, and many factors, including the type of delivery, can contribute to developing this condition. Considering the increased use of remifentanil in painless labor and the need for conducting more studies on the consequences of this method this study aimed to determine the...

Background Female breast cancer (FBC) is the most common type of cancer and is associated with a considerable disease burden as well as significant mortality rates. The present study aimed to provide an update on the incidence, mortality, and burden of FBC in 2019, based on the Global Burden of Disease (GBD) Study. Materials The incidence, death r...

Background: Performing appropriate and regular screening can effectively reduce cervical cancer and mortality rate, however, the available evidence suggests that women's participation in cervical cancer screening remains low in middle- and low-income countries, and that it is necessary to identify appropriate intervention methods to change behavio...

Background: Maternal anxiety during pregnancy is sometimes considered a normal mechanism to overcome the mother’s mental preoccupation with having a child. However, stress and anxiety might become a medical condition, becoming so severe as to affect the mother’s mental health. Therefore, the present study aimed to investigate factors related to mat...

Background The aim of this study was to investigate the effect of kangaroo mother care (KMC) by mother and her surrogate on nutritional behavior and physiological function of preterm neonates. Method This study was a randomized, controlled clinical trial conducted on 70 preterm infants admitted to the NICU. For the neonates of the intervention gro...

Objectives: The present study systematically reviewed the literature on the effects of menopausal symptom management aids on knowledge, decision conflict, and satisfaction about menopause-related symptom management. Methods: All clinical trial and quasi-experimental studies published in English-language from 1990 to 2021 were searched in CINAHL, PR...

Objectives: Women’s experience during childbirth can affect various aspects (psychological and physical), which has not yet been done accurately. The current study aimed to compare experiences of parturient women with remifentanil analgesia and elective cesarean section (C-section) and provide improver strategies for women living in Tabriz, Iran. M...

Background: Breast cancer is the most widespread cancer type, with more than half of the afflicted women suffering from sleep disorders and fatigue, as common complications of the treatment. This study aimed to evaluate the effects of acupressure and aerobic exercises on such women's sleep disorders. Materials and Methods: This study was carried o...

Background: Genital self-image could express an individual's attitudes towards her feelings-thoughts and changes in her behavior in a variety of conditions positively or negatively. This study aimed to determine the relationship between socio-demographic characteristics with the genital self-image in women referred to Health Care Centers. Methods:...

Background: Having regular screening tests largely depends on motivational factors. Motivational interviewing (MI) facilitates the movement through the stages of the transtheoretical model of change. Objective: The aim of this study was to compare the effect of face-to-face and phone call MI on cervical cancer screening. Methods: This experime...

Objective One of the important and common problems of mothers after giving birth is insufficient milk production. To increase it, due to the side effects of chemical drugs that increase milk, medicinal plants have become more popular. In recent years, with the clarification of the need for evidence-based clinical practice, quality and appropriate i...

Objective The macronutrients of human milk are considered as essential nutritional sources in the first few months of a newborn’s life. The present study aimed to investigate the effect of delivery mode on the macronutrients of human milk. Methods This retrospective cohort study was conducted on 102 women who gave birth by cesarean section or vagi...

Women experienced traumatic childbirth talk about the lack of opportunity to express their worries and stresses. However, providing psychological support to reduce the long-term and severe consequences is essential. The present study aimed to determine the effect of supportive counseling on mother psychological reactions and mother-infant bonding f...

Introduction Infant hospitalization in Neonatal Intensive Care Unit (NICU) causes the separation of mother from her infant. Kangaroo Care (KC) is a bio-care method for preterm newborns. This study was conducted with the aim of investigating the experiences of mothers that could be helpful for the further development and expansion of continuous kang...

Background Given the importance of screening pregnant women’s distress, it was intended to investigate the psychometric properties of the Persian version of the Tilburg Pregnancy Distress Scale (TPDS-P) for screening pregnancy distress. Methods This methodological psychometric study was conducted with participation of 360 pregnant women. The TPDS...

Background: The present study was designed to determine the effect of decision-aid-based counseling on changing cervical cancer screening behavior among women. Methods: This quasi-experimental study was conducted on 154 women aged 21-59 with no pap smear history during the past three years. The participants were assigned to the intervention and con...

Objectives: This study was conducted to determine factors related to childbirth satisfaction in women who experienced psychological traumatic childbirth. Materials and Methods: This cross-sectional study was conducted to examine 375 postpartum women who had experienced psychological traumatic childbirth according to criterion A of the fifth edition...

Introduction: Worry about cancer recurrence is identified as the most common psychological burdens experienced by cancer patients and survivors. The present study aimed to determine the predictors of worry about cancer recurrence among women with breast cancer. Materials and methods: This cross-sectional study was conducted on 166 women with breast...

Introduction: Kangaroo mother care (KMC), as a complement to incubator care, is one of the ten recommendations of the World Health Organization (WHO) for the care of preterm infants. The KMC stabilizes the heart rate, improves oxygen saturation, makes weight gain better, and reduces crying in the infant. In order to launch KMC unit, the barriers fo...

Background Identifying methods that can effectively and safely improve the childbirth experience and are tailored to mothers' needs are of crucial importance. The current study aimed to compare experiences of parturient women with remifentanil analgesia and elective cesarean section and providing improver strategies for women living in the city of...

Background The efficacy of continuous kangaroo mother care (C-KMC) in reducing neonatal mortality and morbidity among low birthweight and premature infants has been confirmed. Despite the recommendations of the World Health Organization, UNICEF, and the Ministry of Health of Iran to use C-KMC for eligible hospitalized neonates, this type of care is...

Background: Internet dependency has become one of the 21st century dilemmas affecting different aspects of married life such as sexual relationships. Considering the importance of family in the Iranian society, this study aimed to determine how internet dependency is related to sexual desires and satisfaction among married clients of healthcare ce...

Background: Internet dependency has become one of the 21stcentury dilemmas affecting different aspects of married life such as sexual relationships. Considering the importance of family in the Iranian society, this study aimed to determine how internet dependency is related to sexual desires and satisfaction among married clients of healthcare cent...

Background Given the importance of screening pregnant women’s distress, it was intended to investigate the psychometric properties of the Persian version of the Tilburg Pregnancy Distress Scale (TPDS-P) for screening pregnancy distress. Methods This methodological study was conducted with participation of 360 pregnant women. The TPDS was translated...

Background The efficacy of continuous kangaroo mother care (C-KMC) in reducing neonatal mortality and morbidity among low birth weight and premature infants has been confirmed. Despite the recommendations of the World Health Organization, UNICEF, and the Ministry of Health of Iran to use C-KMC for eligible hospitalized neonates, this type of care i...

Background The efficacy of continuous kangaroo mother care (C-KMC) in reducing neonatal mortality and morbidity among low birth weight and premature infants has been confirmed. Despite the recommendations of the World Health Organization, UNICEF, and the Ministry of Health of Iran to use C-KMC for eligible hospitalized neonates, this type of care i...

Background The efficacy of continuous kangaroo mother care (C-KMC) in reducing neonatal mortality and morbidity among low birth weight and premature infants has been confirmed. Despite the recommendations of the World Health Organization, UNICEF, and the Ministry of Health of Iran to use C-KMC for eligible hospitalized neonates, this type of care i...

Background Identifying methods that are effective and safe while also compatible with maternal needs and improving the delivery experience is important. Since pharmacological interventions provide better pain alleviation for women during labor when compared to nonpharmacological interventions, in case the former also improves women satisfaction wit...

Introduction: Postpartum anxiety may be associated with depression, postpartum blues, and maternal mood disorders. This systematic review investigated the effects of music therapy on postpartum anxiety and pain levels. Methods: English databases including Cochrane, Medline, Embase, Web of Science, Scopus, and PubMed and Persian databases including...

Objective The study aimed to determine the effect of motivational interviewing on the change of breast cancer screening behaviors among rural Iranian women. Methods This Randomized controlled trial (RCT) was performed on 120 Iranian rural women selected through cluster random sampling method. Out of all 20 rural health centers of Abish Ahmad Distr...

Introduction Atrophic vaginitis is a common problem in postmenopausal women and results from decreased levels of blood estrogen. It is associated with symptoms of itching, burning, dyspareunia, and postmenopausal bleeding. The present study evaluated effects of fenugreek extract on atrophic vaginitis. Materials and Methods This randomized controll...

Objectives: Urinary incontinence (UI) and anal incontinence (AI) cause concern, social exclusion, and ultimately reduced quality of life in women. The aim of present study was to assess the prevalence and related risk factors of UI, AI, and pelvic organ prolapse (POP). Methods: The present study recruited 340 menopausal women living in Tabriz in...

Background: Pain and distress are two common complications of cesarean section. Among complementary therapies, Eremostachys was introduced as a pain mitigator. This study aimed at investigating the effect of Eremostachys laciniata on cesarean section pain and distress. Materials and methods: This randomized clinical trial was conducted on 86 women...

Background: The purpose of the present study was to determine psychometric properties of the Persian version of Postpartum Distress Measure Scale (PDM Scale). Methods: In this psychometric explorative study, the data were collected using a questionnaire containing demographic information, PDM Scale, and Depression and Anxiety Stress Scale-21 (DA...

Background Cesarean section trend has been rising steadily at an alarming rate worldwide, from 6.7 in 1990 to 19.1 in 2014. Objective The aim of this study was to reduce the high prevalence of Cesarean Section in Iran including North West of country. Method This study was conducted, using special package provided by the ministry of health (MOH) t...

Some of the authors of this publication are also working on these related projects: Assessment of self care among menopausal women View project Effect of abdominal binder on pain, hemrrhage and percieved stress after cesarean section. View project Abstract Introduction: Doings self-care activitiesincrease people's awareness, self-confidenceand impr...

Introduction: Doings self-care activitiesincrease people's awareness, self-confidenceand improve their self-efficacy.Social factors such as place, culture, available resource, social support and economic status are affected health status.We hypnotized that self-care behavior between women lived in urban and rural setting is different, so, the study...

Objectives Although hormonal changes during menopause are inevitable in this period, the severity of the menopausal symptoms can be controlled. Accepting menopause and having a positive attitude toward it can also help. Given the results of previous studies, and since environmental factors affect the pattern of menopausal symptoms the present study...

Kangaroo Mother Care (KMC) is an alternative to incubator care for preterm babies. The main purpose of this study was to explore adaptation and barriers in the implementation of home based KMC in Low Birth Weight and Very Low Birth Weight neonates. Material and methods Participants were the mothers of premature neonates, discharged from NICU. For a...

Background: Overactive bladder syndrome is a common and annoying complication worldwide that could negatively affect the quality of life of afflicted individuals. We aimed to determine the prevalence and risk factors of overactive bladder syndrome and its relation to sexual function in healthy menopausal women. Methods: This cross-sectional stud...

PurposeBacterial vaginosis is a change in the normal vaginal bacterial flora that leads to loss of hydrogen peroxide producing lactobacilli and overgrowth of predominantly anaerobic bacteria. The present study was conducted to compare the effects of prebiotic vaginal gel with oral metronidazole tablet and metronidazole tablet alone on treatment and...

Menopause is not a disease; however the somatic and psychological symptoms that accompany it affect the life of women. Women health questionnaire (WHQ) is a self-administered questionnaire that measures the physical and mental health of women ages 40 to 65 years. The purpose of this study is to provide psychometric documentation details of the tran...

Background: Overactive bladder syndrome is a common and annoying complication worldwide that could negatively affect the quality of life of afflicted individuals. We aimed to determine the prevalence and risk factors of overactive bladder syndrome and its relation to sexual function in healthy menopausal women. Methods: This cross-sectional stud...

Introduction: Women’s quality of life following menopause is influenced not only by physical and psychosocial factors, but also by menopause-related concerns, their feelings and attitude and adjustment to menopause. The aim of the present study was to assess women’s experiences after menopause and its related factors. Materials and Methods: This de...

Background: More than half of sexual problems, which cause destruction of life and marital relations is due to insufficient knowledge and wrong health beliefs regarding sexuality. Genital self-image plays an important role in sexual health, genital appearance, and sexual function. Objectives: This study aimed to determine the effect of training pac...

Objectives: Bacterial vaginosis (BV) is the most common vaginitis, which is derived from a reduction in vaginal lactobacilli and an increased growth of other anaerobic species of bacteria. Vitamin C can be effective in treatment of BV through the production of lactic acid. The aim of the present study was to determine the efficacy of adding vitamin...

This study was done to evaluate the validity and reliability of women’s reproductive history questionnaire which will be used in Azar Cohort study; a cohort that is conducted by Tabriz University of Medical Science in Shabestar county for identifying risk factors of no communicable diseases. Content and face validity were evaluated by ten experts i...

Objectives: Quality of life is a sense of physical and psychological well-being and a concept affected by various factors such as place of residence. The present study was conducted with the aim to explore quality of life of postmenopausal women in urban and rural areas of Tabriz, Iran. Materials and Methods: The present cross-sectional study was c...

Objective: To assess the effect of using abdominal binders on pain, distress, and postpartum hemorrhage after cesarean delivery. Methods: The present prospective randomized controlled trial enrolled patients undergoing non-emergency cesarean deliveries in Gonbad-e Kavus, Golestan Province, Iran, between January 22 and October 23, 2015. Patients...

Background and aims The Pelvic Floor Distress Inventory (PFDI) was developed and validated to measure symptom distress and impact on Health related quality of life (RQOL), focusing on pelvic organ pelvic organ prolapse (POP), urinary incontinence (UI) and fecal incontinence (FI). The purpose of this study was assessment of translation, cultural ada...

Background: Wound complications and pain are major causes of morbidity after cesarean section (CS). Although medications are safe for use by mothers after CS, many females prefer non-pharmaceutical methods. An abdominal binder is a complementary therapy, commonly used post-major abdominal surgery. Objectives: There is limited evidence about the eff...

Introduction: Women’s quality of life following menopause is influenced not only by physical and psychosocial factors, but also by menopause-related concerns, their feelings and attitude and adjustment to menopause. The aim of the present study was to assess women’s experiences after menopause and its related factors. Materials and Methods: This de...

Background and aims Overactive bladder (OAB) especially OAB with incontinence, influences an individual's lifestyle behavior and impairs quality of life and interfere with daily activities. Since the OAB is diagnosed based on subjective symptoms, the patients reports, is used in the assessment and management of patients with OAB. Therefore it needs...