{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T04:07:30Z","timestamp":1765512450724,"version":"3.48.0"},"reference-count":32,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T00:00:00Z","timestamp":1761091200000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Purpose<\/jats:title>\n                    <jats:p>The postpartum period involves substantial physical, emotional, and social changes that can adversely affect the quality of life (QoL) and overall health status of mothers. This study aimed to assess the effect of health education sessions on mothers' QoL in the postpartum period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a clinical trial involving 112 first\u2010time mothers who had undergone vaginal delivery. Participants were recruited from healthcare centers in Hamadan, Iran. We selected case and control groups, using the cluster sampling method in two stages. We used two questionnaires: one to collect socio\u2010demographic data (e.g., mother's age, employment, education, housing, pregnancy planning, newborn's gender, abortion history), and another (Mother\u2010Generated Index) to assess postpartum QoL through 30 questions across 8 childbirth\u2010related dimensions, rated on a 5\u2010point Likert scale with total scores from 0 to 20. The health education for health promotion was provided to the interventional group throughout three sessions, held weekly. The aspects of the QoL of both groups were compared before and after health education.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      The findings revealed a notable association in the overall QoL scores of mothers, with the case group showing a significant improvement post\u2010health education sessions, compared to the control group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Only the case group exhibited significant changes in self\u2010perception scores pre\u2010 and post\u2010intervention (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Additionally, within the case group, there was a significant improvement in positive attitudes and comfort regarding postpartum sexual relations after the intervention compared to the control group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.007). Nonetheless, no notable correlations were found in other dimensions of QoL.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Health education sessions have the potential to improve the QoL scores of mothers in the postpartum period. Interventions focusing on the mother's self\u2010perception and feelings towards sexual relations have a greater impact on QoL. Therefore, counselors should prioritize these aspects during this period.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.71372","type":"journal-article","created":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T05:26:10Z","timestamp":1761197170000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Health Education Sessions on Mothers' Quality of Life in Postpartum Period: Results of a Multicenter Randomized Controlled Trial"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-7214-9491","authenticated-orcid":false,"given":"Nazli","family":"Alafchi","sequence":"first","affiliation":[{"name":"Hamadan University of Medicine and Health Sciences Hamadan Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3642-4265","authenticated-orcid":false,"given":"Mojtaba","family":"Norouzi","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Epidemiology, School of Public Health Kerman University of Medical Sciences Kerman Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8494-3740","authenticated-orcid":false,"given":"Mostafa","family":"Eghbalian","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Faculty of Public Health, Social Determinants of Health Research Center Gonabad University of Medical Sciences Gonabad Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,22]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/8542147"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2019.03.007"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.33808\/clinexphealthsci.731557"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0300118"},{"key":"e_1_2_11_6_1","first-page":"73","article-title":"Health\u2010Related Quality of Life and Primi\u2010Gravid: A Comparative Study of Natural Conception and Conception by Assisted Reproduction Technologies","volume":"9","author":"Ahmadi S.","year":"2015","journal-title":"International Journal of Fertility & Sterility"},{"issue":"3","key":"e_1_2_11_7_1","first-page":"119","article-title":"Effects of Home Visits and Planned Education on Mothers' Postpartum Depression and Quality of Life","volume":"9","author":"Tel H.","year":"2018","journal-title":"Journal of Clinical and Experimental Investigations"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-024-07109-3"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-024-11026-8"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-020-03118-0"},{"issue":"6","key":"e_1_2_11_11_1","first-page":"1389","article-title":"Evaluation of the Predictors of the Quality of Life in the Postpartum Period: A Cross\u2010Sectional Study","volume":"51","author":"Mokhtaryan\u2010Gilani T.","year":"2022","journal-title":"Iranian Journal of Public Health"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-023-03384-3"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18062988"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.5001\/omj.2022.68"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/8542147"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/03000605221147198"},{"issue":"1","key":"e_1_2_11_17_1","first-page":"85","article-title":"Postpartum Depression and Quality of Life: A Path Analysis","volume":"94","author":"Mousavi F.","year":"2021","journal-title":"Yale Journal of Biology and Medicine"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-022-04900-y"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-019-4176-0"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-020-00914-w"},{"issue":"3","key":"e_1_2_11_21_1","first-page":"275","article-title":"Frouzanfard. Type of Delivery and Quality of Life: A Follow\u2010Up Styudy","volume":"12","author":"Sadat Z.","year":"2013","journal-title":"Payesh (Health Monitor) Journal"},{"issue":"1","key":"e_1_2_11_22_1","first-page":"1","article-title":"Comparative Analysis of Life Quality in Mothers After Cesarean Section and Normal Vaginal Delivery","volume":"12","author":"Torkan B.","year":"2007","journal-title":"Iranian Journal of Nursing and Midwifery Research"},{"issue":"4","key":"e_1_2_11_23_1","first-page":"279","article-title":"The Effect of Education on Health\u2010Promoting Behaviors at the First Six Weeks Post\u2010Delivery on the Quality of Life of Primiparous Women","volume":"17","author":"Ghodsbin F.","year":"2012","journal-title":"Armaghane Danesh"},{"issue":"184","key":"e_1_2_11_24_1","first-page":"61","article-title":"Effect of Positive Psychology Group Counseling on Quality of Life of Pregnant Women","volume":"30","author":"Mostafaei M.","year":"2020","journal-title":"Journal of Mazandaran University of Medical Sciences"},{"issue":"2","key":"e_1_2_11_25_1","first-page":"37","article-title":"The Effect of a Supportive Health Promotion Program on the Quality of Life of Mothers of Premature Newborns","volume":"5","author":"Abdolalizadeh M.","year":"2015","journal-title":"Evidence Based Care"},{"key":"e_1_2_11_26_1","doi-asserted-by":"crossref","unstructured":"M.Haruna E.Watanabe M.Matsuzaki et al. 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