فراوانی علل بارداری پرخطر در مادران باردار شهرستان سنقر (1390)

نوع مقاله: اصیل پژوهشی

نویسنده

استادیار گروه پزشکی اجتماعی، دانشکده پزشکی، دانشگاه علوم پزشکی و خدمات بهداشتی درمانی کرمانشاه، کرمانشاه، ایران.

چکیده

مقدمه: مهم ترین راهکار برای کاهش میزان‌های ابتلاء و میرایی در جنین و مادر، پیش بینی عوارض بارداری و پیشگیری از آن است. مطالعه حاضر با هدف تعیین فراوانی علل بارداری‌های پرخطر در زنان باردار شهرستان سنقر انجام شد.
روش کار: این مطالعه توصیفی در سال 1390 با استفاده از داد‌ه‌های مربوط به 3157 نفر از مادران باردار مراجعه کننده به پایگاه بهداشتی مادران باردار شهرستان سنقر انجام گرفت. داده‌ های ثبت شده در دفاتر مراقبت‌های مادران باردار شامل اطلاعات مربوط به بارداری زمان مراجعه، بارداری‌های قبلی و بیماری‌های زمینه‌ای مادر بود. به منظور توصیف داده‌ها برای متغیرهای کمی از میانگین و انحراف معیار و برای متغیرهای کیفی از درصد فراوانی استفاده شد. تجزیه و تحلیل داده ها با استفاده از نرم افزار آماریSPSS  (نسخه 20) و آزمون کای دو انجام شد. مقدار معناداری p کمتر از 05/0 در نظر گرفته شد.
یافته‌ها: از مجموع 3157 مادر باردار، 1256 نفر (8/39%) بارداری پرخطر داشتند. عفونت ادراری (8/5%)، سابقه سقط (02/4%)، سن بالای 35 سال مادر (8/3%)، سن زیر 18 سال مادر (7/2%)، وزن گیری نامناسب (کم وزنی) (41/2%)، آنمی (38/2%)، کاهش حرکات جنین (34/2%)، جفت سرراهی (31/2%) و فشارخون بالای بارداری (74/1%) بیش ترین علل بارداری پرخطر بودند. توزیع فراوانی عوامل خطر بارداری در گروه‌های سنی مادران باردار پرخطر و همچنین بر حسب گراویدیتی، تفاوت آماری معنی‌داری داشت (001/0=p).
نتیجه گیری: مهم ترین عوامل خطر در مادران باردار شهرستان سنقر عفونت ادراری (8/5%)، سابقه سقط (02/4%)، سن بالای 35 سال (8/3%) و سن کمتر از 18سال (7/2%) بودند. شیوع جفت سرراهی بیشتر از یافته‌های سایر مطالعات بود اما شیوع دیابت بارداری و پرفشاری خون کمتر از نتایج سایر مطالعات گزارش شد.

کلیدواژه‌ها


عنوان مقاله [English]

The prevalence of the causes of high-risk pregnancies in pregnant women of Sonqor city, 2011

نویسنده [English]

  • ali Azizi
Assistant Professor, Department of Community Medicine, School of Medicine, Kermanshah University of Medical Sciences and Health Services, Kermanshah, Iran.
چکیده [English]

Introduction: Prediction of pregnancy complications and its prevention are the most important strategy for reducing morbidity and mortality rates in the fetus and the mother. This study was conducted with aim to determine the prevalence of high-risk pregnancies in pregnant women of Sonqor city.
Methods: This descriptive study was conducted using data related to 3157 cases of pregnant women referring to health bases of pregnant mothers in Sonqor city in 2011. Data recorded in the booklets of maternal care included the data of pregnancy, previous pregnancies and underlying diseases of mother. To describe data, the mean and standard deviation for quantitative variables and frequency percentage for qualitative variables were used. Data were analyzed by SPSS software (version 20) and chi-square test. PResults: Among a total of 3157 pregnant mothers, 1256 mothers (39.8%) had high risk pregnancy. Urinary tract infection (5.8%), history of abortion (4.02%), maternal age over 35 age (3.8%) and under 18 years (2.7%), poor weight gain (2/41%), anemia (2.38%), decreased fetal movements (2.34%), placenta previa (2.31%) and high blood pressure (1.74%) were the most common causes of high risk pregnancy. Frequency distribution of the causes of high-risk pregnancy had significant difference in age groups of pregnant women based on gravidity (P=0.001).
Conclusion: The most important risk factors in pregnant women of Sonqor city included urinary tract infection (5.8%), history of abortion (4.02%), age over 35 years (3.8%) and younger than 18 years (2.7%). Prevalence of placenta previa was higher than other studies, but the prevalence of gestational diabetes and hypertension was lower than the results of other studies.

کلیدواژه‌ها [English]

  • High-Risk
  • pregnancy
  • Pregnant Women
  • Women
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