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Background. Marital adjustment is an evolutionary process between a husband and wife that is created, strengthened or weakened in life. Mental health and healthy and pleasant sexual functioning seem to be important in promoting it. Objectives. The aim of this study was to determine any correlations of marital adaptation with stress, anxiety, depression or sexual function and its components. Material and methods. This cross-sectional study was done on 514 women of reproductive age who were referred to health centers in Shiraz and were chosen by random sampling. The Spinner marital adaptation questionnaire, the Female Sexual Function Index (FSFI) and the Depression, Anxiety and Stress Scale (Dass-21) were the study tools. The statistical tests applied for data analysis were the t-test, Fisher’s, chi-squared and Pearson’s coefficient correlation. Results. Marital conflict was reported in 54.7% of women. The average score of sexual function was significantly less in maladaptive patients than in adaptive ones (22.32 ± 7.05 versus 26.53 ± 5.01). There was a significant link between marital adaption and components of sexual function (p < 0.05). The mean scores of stress, anxiety and depression in the maladaptive group were 9.14 ± 4.74, 6.60 ± 4.56 and 7.75 ± 4.79 versus 6.53 ± 4.62, 4.48 ± 3.93 and 4.06 ± 4.21, respectively, which was statistically significant (p < 0.05). Conclusions. As to data analysis, sexual function, stress, anxiety and depression affect marital adaptation. Therefore, providing the necessary relevant education can improve the family health, couples intimacy and marital satisfaction.
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common risk factors for high risk pregnancies and spontaneous or therapeutic abortions. Objectives. To investigate the legal abortion caused by heart disease, blood disorders, diabetes and hypertension as referred to forensic medicine centers in Fars Province from 2007 to 2013. Material and methods. In a retrospective, cross-sectional study, samples consisted of all documents of people referred to forensic medicine centers in Shiraz since 2007 to 2013, comprising of 1664 files. Data collection tools included a demographic forum and the checklist of abortion causes. SPSS.16.0 was applied to analyze the data through descriptive statistical analysis. Results. The most frequent age group was 25–29 years at 31.5% (n = 522) and the lowest was over 40 years old at 4.15% (n = 70). The statistical report of the reasons for legal abortion permission were 19% (n = 63), 24.4% (n = 81), 10.54% (n = 35), and 8.13% (n = 27) due to heart problems, blood disorders, hypertension, and diabetes mellitus, respectively. Most frequent legal abortion permits by forensic medicine due to maternal causes were between the years of 2011–2012 at 17.8–28% (n = 59–93). The relationship between legal abortion permission at The Forensic Medicine Center at different years and maternal ages was statistically significant (p < 0.00001). Conclusions. The most common prevalent reason of abortion was Blood Disorder – 81 patients (24.4%) and heart disease – 63 cases (19%). It is essential that family education and prevention of repeated pregnancies be done with high-risk women. Also, initiation of pregnancy care at lower gestational age in identifying risky pregnancies and timely control of complications must also be undertaken
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