---

Introduction: Postpartum depression is the most common postpartum mood disorder. Medical complications during pregnancy may predispose the person to postpartum depression. Determining the risk factors for postpartum depression can help identify high-risk women. Thus, we aimed to determine the relationship between gestational diabetes mellitus and postpartum depression in women visiting health care centers in Zabol, Iran, during 2015.
Materials and Methods: This prospective study was conducted among 105 pregnant women with definitive diagnosis of gestational diabetes and 157 healthy pregnant women selected using the multistage cluster sampling method. Data were collected by using a demographic characteristics form, Beck Depression Inventory, Vinfild and Tighmen’s social support scale, ENRICH marital satisfaction scale, and Edinburgh Postnatal Depression Scale. To analyze the data, t-test, Chi-squared test, Mann-Whitney U test, and relative-risk test were run in SPSS, version 21. P-value less than 0.05 was considered statistically significant.
Results: Chi-squared test reflected a significant relationship between gestational diabetes mellitus and postpartum depression (P=0.001). The results of this study signified that women with gestational diabetes were 1.88 times more likely to suffer from postpartum depression than non-diabetic women were (CI=1.53-2.22).
Conclusion: Gestational diabetes can be a potential risk factor for postpartum depression, therefore, taking preventive measures and timely treatment of the disease are recommended to reduce the level of postpartum depression.

---

Introduction: Diabetes mellitus is a chronic systemic disorder, in which the metabolisms of carbohydrates, proteins, and fats is impaired due to a complete or partial deficiency of insulin hormone. One of the main problems of diabetic patients is sexual dysfunction, which can be improved through effective training. One of the educational methods of distance learning is that it has a positive and significant impact on learners. Therefore, the present study aimed to investigate the effect of distance education on the sexual function of patients with type II diabetes.
Materials and Methods: The present experimental study was conducted on the population of all diabetic patients referred to a diabetes clinic in Zabol, Iran. In this study, 60 diabetic patients were selected using simple random sampling method and randomly divided into intervention and control groups. The data gathering tool consisted of two parts, namely personal characteristics questionnaire and standard sex function questionnaire of Rosen women. First, the researcher gathered information from the samples through referring to the research environment and distributing the questionnaires. In the next step, a training package was given to each individual in the intervention group. Afterwards, they were given 4 weeks to practice what they had learned in the training sessions. The participants in the control group only received routine care. After a month, the sexual function questionnaire was completed again by the patients. Data analysis was performed using SPSS software (version 22).
Results: The comparison of pre-test and post-test showed that in the intervention group, the mean of general sexual performance increased from 19.19 (21.3) to 92.20 (88.2), which was statistically significant (P=0.002). However, the means of overall sexual performance before and after the intervention were respectively 11.16 (72.2) and 34.18 (55.2) in the control group. Accordingly, there was no significant increase in the sexual functionality in the control group (P=0.26).
Conclusion: Regarding the high prevalence of sexual dysfunction, distance education can be used as an effective method for improving the sexual function of women with type II diabetes.

---

Introduction: The first month after childbirth is the most critical time for mothers and is associated with increased postpartum stress such as stress, disturbed psychological and social balance, rejection of the role of mother and negative physical changes and lack of social support.  Medical problems such as gestational diabetes may lead to postpartum stress. The present study was conducted to determine the relationship between gestational diabetes and postpartum stress in patients referred to Zabol health centers.
Materials and Methods: In this descriptive-analytical study in 2009-2010 on 50 pregnant women with a definite diagnosis of diabetes and 50 healthy pregnant women referred to health centers in Zabol.  Research data were collected using the Midwifery Demographic Questionnaire and the Hyung Postpartum Stress Questionnaire, which include three areas of maternal duties and responsibilities, social and interpersonal problems, and negative physical changes.  Data analysis was performed using SPSS statistical software (version 21) and t-test.  P value less than 0/05 Was considered significant.
Results: Statistical and midwifery variables were similar between the two groups.  Mean postpartum stress score related to achieving maternal role in gestational diabetes group was 110/64±15/46 and control group was 57/76 ± 11/11, mean postpartum stress score associated with negative physical changes in the group.  Gestational diabetes was determined to be 47/05 ± 6/50 and in the control group was 26/32 ± 6/70, the mean score of postpartum stress related to lack of social support in women in the gestational diabetes group was 57/79 ± 8/17and in  The control group was identified as 32/28 ± 4/67. Independent t-test showed that the mean score of postpartum stress related to motherhood, negative physical changes and lack of social support in the two groups of gestational diabetes and control were significantly different. P=  (0/0001)
Conclusion: Gestational diabetes can be a potential risk factor for postpartum stress and tensions. Women in the gestational diabetes group experience more perceived stress.
Therefore, in addition to controlling blood sugar, pregnant women with diabetes should pay more attention to their mental and emotional state and the presence of symptoms of postpartum stress in these patients to prevent its complications.