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In this regard, ethical principles on four major concerns were explored, including participant injury, dishonesty, violation of privacy, and lack of informed permission. Jami University\u2019s Institutional Review Board also authorized this investigation (J.2021.1.27.1). In addition, the necessary permissions were obtained from the Herat Public Health Department and the Herat Midwifery Hospital to conduct the research, ensuring compliance with all relevant regulations and guidelines. 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