Document Type : Original Article

Authors

1 Mother and Child Welfare Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran

2 Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3 Department of Biostatistics, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

BACKGROUND: The World Health Organization recommendation requires the development and use
of effective, brief, clear, and evidence‑based education packages to improve health‑care outcomes.
No comprehensive sexual health improvement package exists for the pregnancy period in the Iranian
health system. This study aimed to develop a package to promote sexual health in pregnancy.
MATERIALS AND METHODS: The present study is a qualitative study, which was conducted
in 2019 in Tehran, Iran. Sexual health package during pregnancy was developed based on the
National Institute for Health and Clinical Excellence (NICE) steps. The first step included reviewing of
international guidelines, strategies, handbooks, education packages, and articles in this regard. The
package was developed in the second step. In the third step, quality assessment was performed using
expert opinion with the Appraisal of Guidelines for Research and Evaluation Instrument II (AGREE
II) tool, and validation was performed using Delphi method.
RESULTS: Package content was designed in two sections: for midwives and health‑care providers
and for pregnant mothers in three sessions (in each trimester of pregnancy). The quality assessment
using the AGREE II guidelines revealed excellent quality (>89%). The package was validated based
on expert opinion (>95%).
CONCLUSION: The sexual health promotion package during pregnancy was designed with high
quality and validity based on NICE steps. It is recommended, midwives be performed this designed
and validated package in routine pregnancy care to promote the couple’s sexual health.

Keywords

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