3rd International Conference on Nursing & Midwifery May 23-24, 2018 New York, USA

Biography:

Julie Tupler is a Registered Nurse, Certified Childbirth Educator and Certified Personal Trainer. She has developed the Maternal Fitness® Program in 1990 and for over 25 years has been teaching and developing the Tupler Technique® Program for treatment of diastasis recti for women, men and children and also preparing clients for abdominal surgery and pregnant women for labor. She is an expert on treating diastasis recti. New York Magazine calls her the guru for pregnant women. She has been featured on many national television programs such as the Today Show, Regis & Kelly as well as in fitness, medical, and women's health magazines.

Abstract:

Learning how to push in labor is one of the most important skills a pregnant woman can learn during her pregnancy. Yet, it is not routinely taught by medical professionals or childbirth educators. It is a skill that needs to be practiced during pregnancy, so it can become second nature when pushing in the second stage of labor. You cannot teach someone a new skill when they are in pain in labor. It takes at least 21 days to learn and practice a new skill. The best-case scenario for learning how to push in labor is with the Tupler Technique®, is in the second trimester. The art of pushing is all about developing transverse muscle strength and awareness so in labor a pregnant woman can push with her strengthened transverse muscle while relaxing her pelvic floor muscles. Tightening the pelvic floor muscles while pushing without using the transverse muscle can put a lot of force on the pelvic floor putting a woman at risk for prolapses, urinary incontinence and hemorrhoids. The transverse muscle is the inner most abdominal muscle and the one that is used in pushing. Pregnancy creates a condition called diastasis recti which is a separation of the outermost abdominal recti muscles. If a woman has a diastasis before she gets pregnant, diastasis recti will get even larger during pregnancy from expanding uterus. A large diastasis will not only put a pregnant woman at risk for a C-section but it will make pushing much more difficult. The muscles need to be close together to move in the right direction to push effectively. This direction is front to back. When they are separated they move in a sideways direction. Thus, it is important to make a pregnant woman’s diastasis smaller during pregnancy with the Tupler Technique® Program. The Tupler Technique® makes a diastasis smaller by healing connective tissue by approximating both the abdominal muscles and the connective tissue, protecting the connective tissue from getting stretched and strengthening both the abdominal muscles and connective tissue with the Tupler Technique® exercises. The 4 step Tupler Technique Program is: (1) Exercises: Elevator, contracting and head lifts; (2) Wearing the diastasis rehab splint and holding a splint starting in week 4 of the program; (3) Transverse awareness: Using the transverse muscle with activities of daily living; (4) Getting up and down from seated to back lying and back lying to seated and seated to standing. When doing the seated exercises, it is important to work the abdominal exercises “separately” from the pelvic floor muscles. So, in labor a pregnant woman can then push with her strengthened abdominal muscles and relax her pelvic floor muscles. Practicing the skill of pushing while having a bowel movement is important so it is second nature for her to work her abdominal muscles separately from her pelvic floor muscles when pushing in labor to be able to get the baby out faster while protecting her pelvic floor! Holding or wearing a splint in labor helps keep the muscles close together. Learning how to push before labor can make a pregnant woman’s pregnancy, labor and recovery a more rewarding experience.

Biography:

Susanne N Richterich is currently serving as an Army Nurse Corps Recruiter and Officer In Charge of the Army Healthcare Recruiting Center in Fort Hamilton, NY. She has joined the Army as a combat medic in 2003. She has commissioned as an Army Nurse Corps Officer in 2009. She has deployed in support of Operation Katrina as a combat medic in 2005 and she has deployed in 2012/13 in support of Operation Enduring Freedom/Afghanistan. In her most recent deployment to Kuwait in 2015/16, she has supported Operation Spartan Shield as the Brigade Nurse of 2nd BDE, 1ID. She is currently pursuing her Master’s Degree in Human Resources with an emphasis on Management.

Abstract:

The relevance of violence against nurses has become in the past two decades more emergent (Ditmer, 2011, p. 18). In fact, work violence has become a problem of pandemic proportions, and nurses compared to other professionals are exposed three times higher to violence at the workplace (Ditmer, 2011, p. 18). The authors Atabay, Cangarli, Gunay, & Katrinli (2010) produced evidence from using a mixed method research that work violence stems from both, individual and organizational behavior. Discerning which organizational political, and individual factors subscribe to different peer bullying behaviors, can guide the prevention of this behavior in the future (Atabay, et al., 2010, p. 618). The authors Brown, Ferris, Lian, & Morrison (2014) researched the co-depend relationship of supervisors and subordinates. The study revealed a reciprocal behavior pattern, which showcases that the source of violent behavior is not always easy to identify (Brown, et al., 2014, p. 661). Beck & Blum (2015) propose a solution by implementing collective responsibility to minimize aggressive behavior. The three-step program is a pro-active approach, where the aggressor becomes part of the solution instead of the problem (Beck & Blum, 2015, p.88).

Biography:

Eli Marie Wiig is a Registered Nurse, pursuing her PhD Degree. She is an experienced Clinical Nurse, Teacher and Manager. She works as a special advisor at a resource-center in the addiction field in Norway. Her passion is to improve health and wellbeing conditions for disadvantaged children, especially children in families with substance-abusing parents.  Her research with substance-dependent mothers has provided qualitative knowledge useful for providing improved treatment and support for such families.  Her research includes a study on pregnant substance-abusing women in involuntary treatment. Since Norway is the only country with this kind of legislation, results from this treatment may be particularly interesting for an international audience.

Abstract:

Background: Children born to substance-dependent mothers who themselves had an upbringing disturbed by parental substance-abuse problems, are at particular high risk of adverse childhood experiences, dysfunctional family life, and to develop psychological problems, including substance dependence. There is a need to develop more knowledge on helpful interventions for these vulnerable pregnant women and families. In Norway, use of coercion against pregnant substance-abusing women to prevent drug exposure for the unborn child, was legalized in 1996. Despite promising experiences no other country has adopted a similar Act.

Aims: 1) To explore how substance-dependent mothers describe the association between childhood experiences with substance-abusing parents and their own role as caregivers. 2) To explore the social support available for these families 3) How do the professionals at this family-ward describe the aims and interventions in the treatment and their therapeutic roles? 4) How does coercion influence pregnant women’s attachment to the unborn child?

Methods: Using purposeful sampling, 17 pregnant women and mothers, admitted to in-patient substance abuse treatment, were in-depth interviewed, eight of them in involuntary treatment. Nine of the mothers’ significant, others were interviewed to explore the characteristics of the social support available. Then focus-group interviews with 15 professionals were included. Data were analyzed using systematic text condensation and thematic analysis. 

Findings: The substance-dependent pregnant women were satisfied with being incarcerated and expressed that this helped them stay abstinent and start an attachment process. Mothers from families with substance abuse described having lived their whole lives on ‘the edge of society’, and were facing a complex rehabilitation process. All mothers worked to abstain from substances, process traumatic experiences, build supportive social networks and to establish safe family environments for themselves and their children. The significant others’ relationships with the mothers were close, consistent and reliable although they were themselves exposed to adverse experiences and cumulative psychosocial and socioeconomic risk factors. Dual treatment of families with parental substance dependence appeared to be complex and challenging, but in-patient treatment was described as well suited for using present-moment situations therapeutically. Some professionals found it challenging to embrace the whole family and concentrated their attention mainly on the parent, or on the well-being of the child. This work seemed to be an area of low prestige, and some professionals had problems staying emotionally balanced. Consequently they needed to take care of their own emotion regulation and time to improve cooperation and support each other.

Biography:

Sushila Shrestha has obtained her Masters’ in Community Health Nursing and enjoys sharing her knowledge and skills. She is competent in research and published original research articles in national and international journals. Currently, she is working as a Faculty of Community Health Nursing in Kathmandu University School of Medical Sciences. She worked as a Coordinator of BSc Nursing second year students for 3 years. She has supervised more than 20 theses as an advisor. She has been an organizing member of first and second international nursing conference held in Kathmandu University School of Medical Sciences, Dhulikhel, Nepal.

Abstract:

Background: Health facility delivery is considered as critical strategy to improve maternal health. The Government of Nepal is promoting institutional delivery through different incentive programmes and the establishment of birthing centers.

Objective: The objective of this study was to identify utilization of institutional delivery and its associated factors.

Methods: A descriptive cross-sectional study was carried out among the mothers of less than five children in Dhungkharka, Kavre District, Nepal. Pre-tested questionnaire was administered to 170 mothers between 15-45 years of age group. Household survey was done by using purposive sampling technique and face to face interview technique was used to collect the data from 1^st July to 30^th December 2014. Data was analyzed using simple descriptive statistic with SPSS version 16. Association with institutional delivery was assessed by using chi-square test.

Results: Among the total participants, 90.0% of them had institutional delivery. The higher proportions of institutional delivery were found in both literate mothers (p=0.001) and literate husband (p=0.023).The proportion of institutional delivery among the mothers decided by their relatives (husband, father/mother-in-laws and other family members) for institutional delivery had higher portion (p=0.048) of institutional delivery than participants who decide themselves. But the study was not able to find out the significant association between institutional delivery and age of mothers, husband’s occupation and number of children, number of ANC visits and distance to nearest health facility for delivery.

Conclusion: Utilization of institutional delivery was much higher than national figure. Institutional delivery was associated with both educational status of mothers and their husband. Decision made by husband, mother in-law, father in-law and other family members were also associated with institutional delivery. So, to increase institutional delivery, family members need to be encouraged for safe motherhood programme.

Biography:

Salwa Obeisat Associate professor in the Maternal and Child Health Department at the Faculty of Nursing, Jordan University of Science and Technology, Jordan. She obtained her Doctorate in Nursing Science from the Catholic University of America in 1999. She was the Dean of Nursing at the Hashemite University in Jordan, between the years 2003-2006. She served as a temporary consultant for national and international organizations including WHO, Jordanian Nursing Council, and Higher Population Council. She is currently a member of several university committees, her research publications in the area of women's health, adolescence, and infertility.

Abstract:

Statement of the problem: Obesity had become a global issue and a major public health concern, because of its impact on the public health. Obstetric and midwifery evidences reported that maternal obesity an important issue, because of its associated complications like: obstructed labors, infections and hemorrhage. People who are obese are often stigmatized and blamed for their weight. Nurses and midwives are not immune to obesity-related stigmatization and the literature features evidences of their negative attitudes towards obese patients. In Jordan, limited numbers of studies were conducted to investigate obesity–related issues. The purposes of this study were to assess nurses and midwives attitudes toward overweight and obese women during the childbirth in the North of Jordan, and to investigate the relationships between nurses and midwives selected socio-demographic characteristics and their attitudes.

Methodology: A descriptive, cross-sectional design was utilized. A convenient sample of 95 midwives and 30 nurses, who were working in the childbirth unit were recruited. A self-administered questionnaire consisted of three sections: demographical data, Arabic version of Fat Phobia Scale (FPS), and the Arabic version of Nurse's Attitudes toward Obesity and Obese Patients Scale (NATOOPS).

Findings: Majority Jordanian nurses and midwives held negative attitudes toward overweight and obese women during childbirth. Midwives held less negative attitudes than did nurse. The majority of participants were perceived the overweight and obese pregnant women during childbirth as overate people, shapeless, slow and unattractive. Age, specialty, education and years of experience were found to be associated with nurses and midwives attitudes.

Conclusion & Significance: Nurses and midwives negative attitudes toward overweight and obese pregnant women are a cause for concern. Therefore, maternal obesity was needed to be more adequately addressed in basic education courses, and in the continuing professional education classes of practicing nurses and midwives.

Biography:

Hossein Fallahi is working in Azad University in Iran. His research interest includes oncology nursing and psychology.

Abstract:

In this research which is selected in a clear remedy naming biofeedback has been done toward anxiety reduction. In this method a simple random sampling has been used. To start this research, 200 nurses who work in oncology section in Tehran hospital has been selected, after a Cattell anxiety test performance, about 36 people whose test result was significantly selected, and they were categorized randomly in three experimental, placebo and control groups. After 12 treatment session (using biofeedback (GFR) device), Cattle anxiety test is performed as a posttest. Considering nature of grading scale which was distance type and also sampling method which was based on experimental research branch of pretest-posttest with control group, for data evaluation Covariance resulting was used. Considering performed evaluation, came to the conclusion comparing performance of three groups in latest anxiety result of fluctuation there were severe differences. Main point indicates that an average grading of testing group was lower than other 2 selected groups. Finally considering achieved result can come to the conclusion and result is that treatment and remedy with biofeedback method can be more effective in anxiety reduction.

Biography:

John Ray Broussard was born on 10-04-1970 and raised in Lafayette, Louisiana. Mr. Broussard was born to be lecturing on Midwife Nurses. While in College, he studied, Mass Communications & Psychology with a minor in Theater obtaining his BFA.  During his studies he was a member of the Louisiana National Guard, a Deseret Storm Veteran, receiving 2 Army Accommodation Medals for innovation, now enjoying full VA benefits. He holds 3 separate Patents for the Oil and Gas Industry which aide in performance and safety.  Dr. Broussard enjoys serving as a Chaplin at the Lafayette parish correctional facility every other Thursday evening and has a few different retirement communities he serves as Chaplin as well.  Currently working with his local Police Chief supplying EDMR Therapy as a tool for actual live debriefing of officers who we catch in advance to prevent PTSD, as well as Working with Evangeline Oaks Retirement community and Our Lady of Lourdes Medical center.  Have worked with the College of Nursing at the University of Louisiana, Lafayette.  Now known as a thought and emotional control coach.

Abstract:

At the young age of 19, My Mission has been to “Inspire others to happiness with in and Peace of mind”. The Material being presented contains the inner - workings and its outer effects under the heat of battle while in the line of duty. Resulting with several different ways to temporarily suppress disruptive emotions along with any traumatic scene that could cause PTSD.  Developing the awareness to tame the amygdala during all emergency deliveries. Teaching - several options and proper ways one could debrief thyself at will.  Apply the EMDR process for, reliving the short time repressed emotions and processing them out for good.  At end of day same day is best time.  The memory of event will not be forgotten; however the different physical pains will disappear, leaving no feeling for the emotion.  You will leave this session with beautiful Gold nuggets of key information to have the ability to stay calm allowing full focus and attention to detail, Learning the ability to know the difference between Empathy and doing a job that needs to be done in a very confident way as they should bring comfort to every new mother and others welcomed in the birthing room.  You will learn how to instantly identify, every person in a setting and an know who’s who! You know, that person that will be in charge no matter what, but most important, knowing how to handle each individual in the room including the doctor.  I am constantly coming up with several practices to bamboozle the Amygdala to allow for total emotional thought control during the heat of battle, being 100% on the job at hand. Taking into account the reality of the situation, knowing that the patient is not in any way related to one another, giving away more professional & scientific approach from the start.  The key is keeping the chatter down in your head  as those disruptive thoughts come to you, now you will have a way to catch them and turn them to gold as I create a very visual image throughout the talk, as the nuggets of my talk become embedded into the brain of the listener.

Biography:

Alfonso Rosales is Maternal and Child Senior Advisor of WVUS’ International Program Division, where he is focused on program design and evaluation research for maternal and child health, with special emphasis on community case management and obstetric emergencies management at the community level. Before joining WVUS in 2012, he worked at various international non-governmental organizations such as child fund international, catholic relief services and international rescue committee. He has worked at field level in several African, Asian and Latin American countries, including complex emergency posts, as well as headquarters positions. For the last 20 years, he has been focused on Facility and Community IMCI, providing technical assistance to country programs in Honduras, El Salvador, Nicaragua, Philippines, Cambodia, Indonesia, South Sudan, Somalia and Kenya.  In the same topic, he has authored one manual on C-IMCI for Community Health Workers, as well as several publications, and participated in several international conferences on the topic. Since 2005, he has also been working in the development of maternal and neonatal interventions for hard to reach communities in rural settings and in fragile state context. In this topic he has led the development of tools for improving resolution capacity for identification and community case management of obstetric and neonatal emergencies, as well as referral systems. He has published and presented several studies on strengthening health systems to provide essential health coverage among hard to reach populations of women and children, including fragile state context. He served on the Board of Directors of CORE Group. Currently, he is the Chair Person of the Health System Strengthening Working Group.

Abstract:

Background: Indonesia’s progress on reducing maternal and newborn mortality rates has slowed in recent years, predominantly in rural areas. To reduce maternal and newborn mortality, access to quality and skilled care, particularly at the facility level, is crucial. Yet, accessing such care is often delayed when maternal and newborn complications arise. Using the “Three Delays” model originated by Thaddeus and Maine (1994), investigation into reasons for delaying the decision to seek care, delaying arrival at a health facility, and delaying the receiving of adequate care, may help in establishing more focused interventions to improve maternal and newborn health in this region.

Methods: This qualitative study focused on identifying, analyzing and describing illness recognition and care-seeking patterns related to maternal and newborn complications in the Jayawijaya district of Papua province, Indonesia. Group interviews were conducted with families and other caregivers from within 15 villages of Jayawijaya who had either experienced a maternal or newborn illness or maternal or newborn death.

Results: For maternal cases, excessive bleeding after delivery was recognized as a danger sign, and the process to decide to seek care was relatively quick. The decision-making process was mostly dominated by the husband. Most care was started at home by birth attendants, but the majority sought care outside of the home within the public health system. For newborn cases, most of the caregivers could not easily recognize newborn danger signs. Parents acted as the main decision-makers for seeking care. Decisions to seek care from a facility, such as the clinic or hospital, were only made when healthcare workers could not handle the case within the home. All newborn deaths were associated with delays in seeking care due to caretaker limitations in danger sign identification, whereas all maternal deaths were associated with delays in receiving appropriate care at facility level.

Conclusions: For maternal health, emphasis needs to be placed on supply side solutions, and for newborn health, emphasis needs to be placed on demand and supply side solutions, probably including community-based interventions. Contextualized information for the design of programs aimed to affect maternal and newborn health is a prerequisite.

Biography:

Anne Margolis is a Licensed Certified Nurse Midwife, OB/GYN Nurse Practitioner, Certified Yoga Teacher and Clarity Breath work Practitioner. She is a 3rd generation guide to mommas birthing babies in her family. She has helped thousands of families in her 20+ year midwifery practice and has personally ushered the births of over 1000 healthy babies into the world. Through her online childbirth course 'Love Your Birth', her online and in-person midwifery for pregnancy and postpartum support consultations, and her holistic gynecology offerings she infuses wisdom, compassion, inspiration, and joy into the entire process of women’s wellness from mama-hood to menopause. Her work, insights and advice have been seen on TV shows and movies including 4 episodes of “A Baby Story” on TLC and the Discovery Channel, and the award winning feature documentary, 'Orgasmic Birth.' She is featured on the upcoming documentary, “The Human Longevity Project” to be released on 5/18. She has been interviewed for local and national radio programs and podcasts. She has also been a featured speaker and expert panelist at distinguished events for Weil-Cornell School of Medicine, the University of Pennsylvania School of Nursing, RCC State University of New York School of Nursing, and BirthNet Association of Childbirth Professionals and Hudson Valley Birth Network to name a few. She has midwifed mommas and babies for over two decades, with clients describing her as “passionate, sensitive, big hearted, and a playful ball of light.”

Abstract:

Workshop will include:

• Brief intro of Anne Margolis own story and why she is  passionate about sharing this with people and their health care practitioners, 
• This revolutionary, transformative and healing modality to all those who have baggage, inner stress, emotional pain and past trauma - as part of being human 
• What is Clarity Breath Work?
• How it works on many levels to Unlock and Release Trapped Energy of Trauma, Inner Stress and Emotional Pain
• What is root cause of most modern day chronic physical and emotional dis-ease, contributing factors? 
• How animals and babies/toddlers handle stress/emotions, changes with conditioning
• Setting Boundaries and Safe Space for Practice and Group Sharing
• Dance/movement if time to move emotion
• Common sensations/resistance, ideal mind set for breath work sessions
• Demonstration and Breath work Practice
• Integration 

Biography:

Acharya Pandey Radha has completed her Master degree in Adult Nursing from Institute of Medicine, Nepal. She is an Assistant Professor of Kathmandu University School of Medical Sciences. She published more than 15 papers in reputed journals and she served as a Reviewer for a number of journals in her related field and earned certificate for quality review. She has presented paper at international and national conferences and organized conference, workshop in related areas.

Abstract:

This research entitled “Quality of Life of Patients Undergoing Cancer Treatment in B.P. Koirala Memorial Cancer Hospital, Bharatpur, Chitwan. It was conducted to assess the quality of life of cancer patients. It was carried out among patients attending B. P. Koirala Memorial Cancer Hospital, Bharatpur, Chitwan.

Background: In patients with different type of cancers and the quality of life (QoL) improvement is the main goal, since survival can be prolonged marginally. A diagnosis is very stressful for people, affecting all aspects of their being and quality of life. Up to date, knowledge on QoL impairments throughout the entire treatment process, often including several treatment modalities is scarce. One objective of this study was to assess the quality of life of cancer patient undergoing cancer treatment.

Methods: A quantitative, cross-sectional, descriptive, design was adapted. The total of 200 and 45 cancer patients met the inclusion criteria and were enrolled in the studies who were attending the hospital for cancer treatment during August-September, 2013. The data was collected by interview, using modified, structured scale of European Organization for Research and Treatment of Cancer Quality of life Questionnaire (EORTC QLQ- C30), prepared by the EORTC group. Information about the patient’s disease condition and treatment were obtained from the patient’s medical records. The collected data was analyzed by using SPSS version 16. Descriptive and inferential statistics were used to describe the respondent’s quality of life (QoL) scores and to identify the factors affecting it respectively.

Results: The study findings revealed the quality of life of cancer patients to be influenced by many factors such as: site of cancer, stage of cancer, time elapsed since diagnosis and Eastern Co-operative Oncology Group (ECOG) performance status. The average QoL scores (out of 100) for different scales were 85.54 (global health/QoL), 77.03 (functional), and 16.14 (symptom). Loss of appetite was the most frequent complaint (mean=20.27) and was present in almost all the patients. As the overall, QoL of the patients was significantly correlated with different QoL scales as, cognitive, emotional, physical, social, role functioning, pain, fatigue, dyspnoea, loss of appetite and nausea/vomiting and financial problem.

Conclusion: Hence, in average, the quality of life of cancer patients was found to be relatively better, although there were higher ratings for some (as: cognitive, physical, role and emotional functioning) and lower for others (like social functioning). Additional research should be done in this area for improving the quality of life of specific type of cancer patients in Nepal, though the findings of this study are expected to provide the baseline knowledge regarding it.

Biography:

Julie Tupler is a Registered Nurse, Certified Childbirth Educator and Certified Personal Trainer. She has developed the Maternal Fitness® Program in 1990 and for over 25 years has been teaching and developing the Tupler Technique® Program for treatment of diastasis recti for women, men and children and also preparing clients for abdominal surgery and pregnant women for labor. Dr. Oz calls her an expert on treating diastasis recti. New York Magazine calls her the guru for pregnant women. She has been featured on many national television programs such as the Today Show, Regis & Kelly as well as in fitness, medical, and women's health magazines.

Abstract:

Since it is common for diastasis recti (separation of the outermost abdominal muscles) to go undiagnosed by the medical professionals, patients may seek out medical treatment for the musculoskeletal or neuromuscular side effects they may be experiencing from diastasis recti. Side effects include low back pain, GI problems (bloating or constipation), pelvic floor dysfunction and abdominal hernias. Because of the lack of education and scarcity of research regarding the effects of diastasis on the body as well as treatment of diastasis recti, a common protocol for medical professionals does not exist. It is therefore important for midwives to check their patients for a diastasis as part of their medical evaluation and use the Tupler Technique® as part of their treatment plan to support them in their pregnancy and birth. The result shows, a smaller diastasis to prevent a C-section. In the article, Diastasis Recti Abdominis: “A survey of women’s health specialists for current physical therapy clinical practice for postpartum women” in the Journal of Women’s Health Physical Therapy, written in 2012, it states physical therapy has been identified in research as the chosen conservative treatment for DRA-but the specifics of PT treatment are not well defined. In this article when PT's were asked which therapeutic exercise technique they used, 29.4% of the therapists interviewed stated they used the Tupler Technique® to treat diastasis recti. The Tupler Technique® is the only research and evidenced based program that can make a diastasis 55% smaller in six weeks after pregnancy. During pregnancy women can still make their diastasis smaller doing the Tupler Technique® and this is important to keep the cervix lined up with the vaginal canal for a vaginal birth. The Tupler Technique® makes a diastasis smaller by healing connective tissue. The program heals connective tissue in three ways: (1) Positioning the muscles and connective tissue; (2) Protecting the connective tissue from getting stretched in a forwards or sideways direction; (3) Strengthening both the abdominal muscles and connective tissue with the Tupler Technique® Exercises. The 4 steps of the Tupler Technique® Program are: (1) Tupler Technique® Exercises; (2) Approximating the muscles and connective tissue with the Diastasis Rehab Splint® and Together Tape™; (3) Developing transverse muscle awareness with activities of daily living; (4) Getting up and down correctly from a back lying position to seat position and a seated to standing position. Diastasis is a medical condition that has been ignored by the medical community and a condition that only gets worse with each pregnancy and with age. Diastasis Recti needs to be taken seriously by the medical community.

Biography:

Leyla Fallahi has obtained her PhD Degree in Health Psychology from Azad University. She is a Psychologist in the cancer section in Shohadaye Tajrish Hospital. She has held more than 40 workshops about cancer and palliative care. She has been a Board member of clinical psychology community, also a member of specialized psycho-oncology committee. She has written a number of books in the field of cancer and health psychology. She has actively been engaged to teach in university, cancer patients. Her research interests are spirituality, reality therapy and sex therapy.

Abstract:

History & Objective: According to the evidence collected so far, the relationship between psychological, social and spiritual issues plays a significant role on the biological systems of the patients, including the immune system. Breast cancer patients usually face the psychological problems such as a recurrence, progression of disease and death. These conditions on one hand, affect their disease and their immune system by increasing the anxiety levels and the effect on cytokine secretion and on the other hand, the anxiety makes their immune system have defective function by the mutual influence on sex hormones.

Aim: The aim of this study is to examine the effectiveness of spiritual group therapy on serum levels of cytokine interleukin 10 among patients (women) with breast cancer.

Analysis method: According to a semi-experimental study, 11 patients with breast cancer of Shohadaye Tajrish Hospital in Tehran, were purposefully selected and randomly divided into two groups: an experimental group and a control group. The experimental group received 12 sessions of spiritual therapy and then the serum levels of Cytokine interleukin-10 were measured by the kits for measuring cytokines (made in France by Daya Clone) in both groups before and after the test.

Findings: According to the results and variables derived from the test, it is concluded that, the spiritual therapy can be effective in reducing serum levels of cytokine interleukin-10 in women suffering from the breast cancer.

Conclusion: It seems that using the spiritual therapy in the treatment of patients with breast cancer can be useful in recovery of them by reducing the serum levels of cytokine interleukin-10 and therefore reducing the levels of anxiety.