بررسی عوامل خطر مادری زایمان زودرس در بیمارستان قائم مشهد از سال 99-1390

نوع مقاله : اصیل پژوهشی

نویسندگان

1 استاد گروه کودکان، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

2 استادیار گروه مامایی، دانشکده علوم پزشکی، واحد تنکابن، دانشگاه آزاد اسلامی، تنکابن، ایران.

چکیده

مقدمه: نارسی، شایع‌ترین ریسک فاکتور مرگ‌و‌میر نوزادی می‌باشد و عوامل خطر مادری مختلفی برای نارسی مطرح شده است، لذا مطالعه حاضر با هدف تعیین عوامل خطر مادری زایمان زودرس انجام شد.
روش‌کار: در این مطالعه مقطعی از سال 99-1390، وضعیت 981 مادر نوزادان نارس که در بخش نوزادان بیمارستان قائم (عج) مشهد بستری شده بودند، مورد بررسی قرار گرفت. اطلاعات مربوط به مطالعه از طریق چک‌لیست پژوهشگر ساخته در دو بخش طراحی گردید. بخش اول شامل اطلاعات فردی مادر (سن حاملگی، سن مادر، نوع زایمان، پاریتی، مشکلات مامایی مادر، بیماری‌های زمینه‌ای، عوارض بارداری، مشکلات جفت و پرده‌ها) و بخش دوم شامل اطلاعات مربوط به نوزاد (سن، نمره آپگار دقایق اول و پنجم) بود. تجزیه و تحلیل داده­ها با استفاده از نرم­افزار آماری SPSS (نسخه 22) و آزمون‌های تی تست و کای دو انجام شد.
یافته­ها: در مطالعه حاضر، 187 مادر (6/19%) وضعیت طبیعی در بارداری و 765 مادر (4/80%) مشکلات بارداری داشتند. شایع‌ترین مشکل مادر در بررسی شرح‌حال، سابقه سقط (67 مورد، 82/6%)، مشکل جفت و بندناف پارگی زودرس کیسه آب (89 مورد، 07/9%)، عارضه بارداری، پره‌اکلامپسی (256 مورد، 09/26%) و بیماری زمینه‌ای مادر هیپرتانسیون (173 مورد، 63/17%) بود.
نتیجه­گیری: بر اساس نتایج این مطالعه، بیماری‌های زمینه‌ای مادر به‌ترتیب شامل: عوارض حین بارداری، سابقه بد مامایی و مشکلات جفت و پرده‌ها از شایع‌ترین مشکلات مادران نوزادان نارس بود، لذا یک از راه‌های مهم کنترل زایمان نارس و مشکلات متعدد آنها پیشگیری، کنترل، تشخیص زودرس و درمان مناسب مشکلات و بیماری‌های مادر قبل و حین حاملگی و زایمان می‌باشد.

کلیدواژه‌ها

عنوان مقاله [English]

Maternal risk factors for preterm delivery in Ghaem Hospital of Mashhad; 2011-2020

نویسندگان [English]

  • Hassan Boskabadi 1
  • Maryam Zakerihamidi 2
1 Professor, Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
2 Assistant professor, Department of Midwifery, School of Medical Sciences, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran.
چکیده [English]

Introduction: Prematurity is the most common risk factor for neonatal mortality, and various maternal risk factors have been identified for prematurity. Therefore, this study was conducted with aim to investigate the maternal risk factors for preterm delivery.
Methods: In this cross-sectional study from 2011 to 2020, the status of 981 mothers of premature infants who were admitted to the neonatal ward in Ghaem Hospital of Mashhad was examined. The information related to the study was designed through a researcher-made checklist in two sections. The first part included personal information about the mother (gestational age, maternal age, type of delivery, parity, maternal midwifery problems, underlying diseases, pregnancy complications, placental and membranes problems), the second part included information about the infant (age, first and fifth minutes Apgar score). Data were analyzed using SPSS software (version 22) and T-Test and Chi-square tests.
Results: In the present study, 187 mothers (19.6%) had normal pregnancy status and 765 mothers (80.4%) had pregnancy problems. The most common maternal problems in the history was abortion (67 cases, 6.82%), placenta and umbilical cord was premature rupture of membranes (89 cases, 9.07%), complication of pregnancy was preeclampsia (256 cases, 26.09) and the underlying disease was hypertension (173 cases, 17.63%).Conclusion: The results of this study showed that the most common problems for mothers of premature infants were maternal underlying diseases including complications of pregnancy, poor history of midwifery and placental and membranes problems. Therefore, one of the most important ways to control premature birth and its various problems is prevention, control, early diagnosis and appropriate treatment of problems and diseases of the mother before and during pregnancy and childbirth.

کلیدواژه‌ها [English]

  • Maternal problems
  • Neonates
  • Pregnancy complications
  • Premature rupture of membranes
  • Prematurity

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مجله زنان، مامایی و نازایی ایران
دوره 25، شماره 3
خرداد 1401
صفحه 9-16

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