1. References

2. ICPD, Guidelines on reproductive health. http://www.un.org/popin/unfpa/taskforce/guide/iatfreph.gdl.html.1995; Accessed: 13Jan.2023.

3. Hatami. H, Razavi. S. M, Eftekhar Ardebili. H , Majlesi. F, Sayed Nozadi.M and Parizadeh.S.MJ. Text Book of Public Health. Second edition.. Arjmand Publication; 2013.pp:1590-1666. [Persian]

4. Mirkhani M. Principles of Rehabilitation . Third edition, University of Social Welfare and Rehabilitation, 2011.[Persian]

5. Cramp JD, Courtois FJ, Ditor DS. Sexuality for Women with Spinal Cord Injury. Journal of sex & marital therapy. 2015; 41(3):238-53. [DOI:10.1080/0092623X.2013.869777]

6. Parker MG, Yau MK. Sexuality, Identity and Women with Spinal Cord Injury. Sexuality and Disability. 2012;30(1):15-27. [DOI:10.1007/s11195-011-9222-8]

7. National Spinal Cord Injury Statistical Center. 2016. Spinal cord injury facts and figures at a glance.https://www.nscisc.uab.edu/Public/Facts%202016.pdf . Accessed: 4Feb.2023.

8. Golestani A, Shobeiri P, Sadeghi Naini M, Jazayeri SB, Maroufi SF, Ghodsi Z et al. Epidemiology of Traumatic Spinal Cord Injury in Developing Countries from 2009 to 2020: A Systematic Review and Meta-Analysis. Neuroepidemiology, 2022; 56 (4): 219-239. 8-Jazayeri SB, Ataeepour M, Rabiee H, Motevalian SA, Saadat S,Vaccaro AR, Rahimi Movaghar V. Prevalence of Spinal Cord Injury in Iran. Neuroepidemiology. 2015; 45 (1): 28-33. [DOI:10.1159/000435785]

9. Becker H, Stuifbergen A, Tinkle M. Reproductive Health Care Experiences of Women with Physical Disabilities: A Qualitative Study. Archives of Physical Medicine and Rehabilitation. 1997 ;78(12):S26-33. [DOI:10.1016/S0003-9993(97)90218-5]

10. Dillaway HE, Lysack CL. "Most of them are Amateurs": Women with Spinal Cord Injury Experience the Lack of Education and Training among Medical Providers while Seeking Gynecological care. Disability Studies Quarterly. 2015;35(3). [DOI:10.18061/dsq.v35i3.4934]

11. 11 - Bremer K, Cockburn L, Ruth A. Reproductive Health Experiences among Women with Physical Disabilities in the Northwest Region of Cameron. International Journal of Gynecology and Obstetrics. 2010; 108:211-213. [DOI:10.1016/j.ijgo.2009.10.008]

12. 12 - Karbalaei esmaeili S, Modirian E, Mousavi B, Parvaneh M . Participation and Satisfaction after Spinal Cord Injury: Results of a vocational, Marriage and Leisure Outcome Study in Victim Females after Spinal Cord Injury. Iran J War Public Health.2009; 1(2):65-72.

13. 13 -Drew JA, Short SE . Disability and Pap Smear Receipt among U.S. Women, 2000 and 2005. Perspect Sex Reprod Health.2010; 42(4): 258-66. [DOI:10.1363/4225810]

14. 14 -Stillman MD, Frost KL, Smalley C, Bertocci G, Williams S. Health Care Utilization and Barriers Experienced by Individuals with Spinal Cord Injury. Archives of Physical Medicine and Rehabilitation. 2014;95:1114-26. [DOI:10.1016/j.apmr.2014.02.005]

15. 15 -Gibson B E, Mykitiuk R. Health care access and support for disabled women in Canada: falling short of the UN Convention on the Rights of Persons with Disabilities: A Qualitative Study. Womens Health Issues.2012; 22(1):111-8. [DOI:10.1016/j.whi.2011.07.011]

16. 16 -Vannmala Sunder H. Experiences of Middle-Aged Adults with Physical Disabilities in Medicaid Managed Care, University of Pennsylvania. ProQuest Dissertations Publishing. 2002.

17. 17 - Lawthers AG, Pransky GS, Peterson LE, Himmelstein JH. Rethinking Quality in the Context of Persons with Disability. International Journal for Quality in Health Care.2003; 15(4): 287-299. [DOI:10.1093/intqhc/mzg048]

18. 18 -Walsh-Gallagher D, Mc Conkey R, Sinclair M and Clarke R . Normalising Birth for Women with a Disability: the Challenges Facing Practitioners. Midwifery.2013; 29(4): 294-9. [DOI:10.1016/j.midw.2011.10.007]

19. 19 -Babmohammadi H, Negarandeh R, Dehghan N. Barriers to and Facilitators of Coping with Spinal Cord Injury for Patients:A Qualititave Study. Nursing and Health Sciences. 2011;13:207-215. [DOI:10.1111/j.1442-2018.2011.00602.x]

20. 20 -Simbar M, Alizadeh Sh and Hajifoghaha M. Review of Adolescents' Educational Needs for Sexual and Reproductive Health. Journal of Isfahan Medical School.2017;34(412):1563-1572.

21. 21 -Zare E, Simbar M and Shahhoseini Z. Explaining Sexual Health Needs among Adolescent Boys in Iranian Society. Trends in Life Science.2015; 4(4):2319-2322.

22. 22 -Bostani Khalesi Z, Simbar M, Azin A. Explaining Sexual Health Education Needs of Pre-Marriage Couples: A Qualitative Study Journal of qualitative Research in Health Sciences. 2015; 4 (3) :290-303.

23. 23 -Shahhosseini Z, Simbar M, Ramezankhani A . Female Adolescents' Reproductive Health Needs: A Qualitative Study. Payesh.2012; 11(6):815-823.

24. 24 -Adib Haj Baqeri M, Parvizi S, Salsali M. Qualitative Research Methods. Tehran,Boshra, 2014 .[Persian]

25. 25 -Graneheim UH, Lundman B. Qualitative Content Analysis in Nursing Research: Concepts, Procedures and Measures to Achieve Trustworthiness. Nurse Education Today.2004;24(2): z 105-112 . [DOI:10.1016/j.nedt.2003.10.001]

26. 26 - Abedi S, Haji Kazemi ES, Jahdi F, Hoseini F. Disabled Women and Reproductive Health Care Services. Iranian Journal Nursing. 2004; 17: 30-40 .[Persian]

27. 27 -Redshaw M, Malouf R, Gao H ,Gray R. Women with Disability: the Experience of Maternity Care during Pregnancy, Labour and Birth and the Postnatal Period. BMC Pregnancy Childbirth. 2013; 13, 174. [DOI:10.1186/1471-2393-13-174]

28. 28 -Lezzoni LI, Yu J, Wint AJ, Smeltzer SC, Ecker JL . Prevalence of Current Pregnancy among US Women with and without Chronic Physical Disabilities. Med Care.2013; 51(6): 555-62. [DOI:10.1097/MLR.0b013e318290218d]

29. 29 -Nosek MA. The John Stanley Coulter lecture. Overcoming the odds: the Health of Women with Physical Disabilities in the United States. Arch Phys Med Rehabil.2000; 81(2): 135-8. [DOI:10.1053/apmr.2000.0810135]

30. Rassem M, Siddiqui M, Wunder Sh, Ganshorn K, Kraushaar j. Sexual Health Counselling in Patients with Spinal Cord Injury: Health Care Professionals' Perspectives. The Journal of Spinal Cord Medicine.2022;45(2):280-286. [DOI:10.1080/10790268.2020.1786322]

31. 31 -Cheng MM, Udry JR. Sexual Behaviors of Physically Disabled Adolescents in the United States. J Adolesc Health.2002; 31(1): 48-58. [DOI:10.1016/S1054-139X(01)00400-1]

32. Biering-SI, Hansen RB, Biering-SF. Sexual Function in a Traumatic Spinal Cord Injured Population 10-45 Years after Injury. J Rehabil Med.2012; 44:926-931. [DOI:10.2340/16501977-1057]

33. Fritz HA, Dillaway H, Lysack CL. "Don't Think Paralysis Takes Away Your Womanhood": Sexual Intimacy After Spinal Cord Injury. American Journal of Occupational Therapy. 2015;69(2):6902260030p1-0. [DOI:10.5014/ajot.2015.015040]

34. 34 -Rahmanian F, Simbar M, Ramezankhani A, Zayeri F. Gender sensitive STIs/HIV/AIDS Prevention Policies: A Qualitative Study. Health.2014; 6, 1246-1254 . [DOI:10.4236/health.2014.611153]

35. 35 -Walter LJ, Nosek MA, Langdon K. Understanding of Sexuality and Reproductive Health among Women with and Without Physical Disabilities. Sexuality and Disability. 2001;19 (3): 167-176. [DOI:10.1023/A:1013100513919]

36. 36 -Tebbet M, Kennedy P. The Experience of Childbirth for Women with Spinal Cord injuries: an Interpretative Phenomenology Analysis Study. Disabil Rehabil. 2012;34(9):762-9. [DOI:10.3109/09638288.2011.619619]

37. 37 - Bailey KA, Gammage KL, Van Ingen C, Ditor DS . Managing the Stigma: Exploring Body Image Experiences and Self-Presentation among People with Spinal Cord Injury. Health Psychol Open.2016;3(1):1-10. [DOI:10.1177/2055102916650094]

38. 38 -Lee JS, Kim SW, Jee SH, Kim JC, Choi JB, Cho SY, Kim JH . Factors Affecting Quality of Life among Spinal Cord Injury Patients in Korea. Int Neurourol J.2016;20(4):316-320. [DOI:10.5213/inj.1630540.270]

39. 39 - Wang C, Wei Y, Zhang X, Zhang Y, Xu Q, Sun Y et al. A Randomized Clinical Trial of Exercise during Pregnancy to Prevent Gestational Diabetes Mellitus and Improve Pregnancy Outcome in Overweight and Obese Pregnant Women. American Journal of Obstetrics and Gynecology.2017;216(4):340-351. [DOI:10.1016/j.ajog.2017.01.037]

40. 40 -Dyck DG, Weeks DL, Gross S, Smith CL, Lott HA, Wallace AJ,et al. Comparison of two Psycho-Educational Family Group Interventions for Improving Psycho-Social Outcomes in Persons with Spinal Cord Injury and their Caregivers: A Randomized-Controlled Trial of Multi-Family Group Intervention Versus an Active Education Control Condition. BMC Psychol.2016; 4: 40. [DOI:10.1186/s40359-016-0145-0]

41. 41 -Chen HY, Wu TJ, Lin CC. Improving Self-Perception and Self-Efficacy in Patients with Spinal Cord Injury: The Efficacy of DVD-Based Instructions. J Clin Nurs.2015;24(11-12):1666-75. [DOI:10.1111/jocn.12768]

42. 42 -Lawler D, Lalor J , Begley C. Access to Maternity Services for Women With Physical Disability A Systematic Review of the Literature.International Journal of Childbirth. 2013;3(4):203-218. [DOI:10.1891/2156-5287.3.4.203]

43. Ministry of Health and Medical Education(2010). http://cgme.behdasht.gov.ir/index.aspx?fkeyid=&siteid=264&pageid=22758.

44. Ministry of Health and Medical Education(2015). http://hcmep.behdasht.gov.ir/index.aspx?siteid=369&pageid=59284.

45. 45 -Akhavan Amjadi M, Simbar M, Hosseini S A. Sexual and Reproductive Health Challenges in Women with Physicai-Motor Problems and their Solutions. Rehabilitation.2016;17(3):260-275. [DOI:10.21859/jrehab-1703260]