شیوع برخی عوامل خطرساز در زنان باردار استان کرمانشاه در سال 1389

نوع مقاله: اصیل پژوهشی

نویسندگان

1 . استادیار گروه علوم تغذیه، دانشکده بهداشت، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران

2 کارشناس تغذیه، مرکز بهداشت استان کرمانشاه، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران

3 استادیار گروه رادیولوژی، دانشکده پیراپزشکی، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران

4 دانشجوی دکترای اپیدمیولوژی، دانشکده بهداشت، دانشگاه علوم پزشکی کرمان، کرمان، ایران.

5 کارشناس بهداشت عمومی، دانشکده بهداشت، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران.

6 کارشناس ارشد جمعیت شناسی،معاونت بهداشتی، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران.

7 کارشناس بهداشت عمومی، دانشکده بهداشت، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران

چکیده

مقدمه: زنان باردار از گروه های آسیب پذیر جامعه هستند، بنابراین ارزیابی و پایش سلامت در حین بارداری برای مادر
و نوزاد اهمیت زیادی دارد. مطالعه حاضر با هدف بررسی وضعیت سلامت مادران باردار استان کرمانشاه در سال 1389
انجام شد.
روشکار: این مطالعه توصیفی- تحلیلی در سال 1389 در سطح استان کرمانشاه انجام شد. داده های مربوط به سلامت
مادران شامل اطلاعات فردی، تن سنجی و خون شناسی از "نظام مراقبت مادر باردار" و از کلیه شهرستان های تابعه
استان کرمانشاه گرفته شد. داده ها پس از گردآوری با استفاده از نرم افزار آماری SPSS (نسخه 16) و روش های آمار
توصیفی، آزمون همبستگی پیرسون و آزمون Z مورد تجزیه و تحلیل قرار گرفت. میزان p کمتر از 0/05 معنی دار در
نظر گرفته شد.
یافتهها: تعداد کل بارداری ها در سال 1389 در استان کرمانشاه، 32450 نفر بود. میزان شیوع اضافه وزن 22/9%، کم
وزنی 5/7%، کم خونی 3/6%، فشار خون بالا 1/4%، دیابت بارداری 1/2% و مشکلات دهان و دندان 11/7% بود. بین میزان
شیوع دیابت (p=0/023)، کم خونی (p=0/001)، اضافه وزن (p=0/020) و کم وزنی (p=0/022) در شهرستان های
مختلف استان کرمانشاه تفاوت آماری معنی داری وجود داشت. میزان شیوع سقط 4/7%، مرده زایی 0/64% و زایمان
زودرس 2% بود. بیشترین شیوع کم خونی، اضافه وزن و دیابت به ترتیب در شهرستان های صحنه، پاوه و دالاهو و
کمترین میزان آن در کنگاور، ثلاث باباجانی و گیلانغرب مشاهده شد. شیوع بارداری ناخواسته در استان 4/6% و سزارین
42% بود که بیشترین میزان آن در قصر شیرین با حدود 50% گزارش شد.
 نتیجهگیری: شیوع اضافه وزن و کم وزنی در مادران باردار استان کرمانشاه بالا می باشد. 

کلیدواژه‌ها


عنوان مقاله [English]

Prevalence of Some Risk Factors in Pregnant Women

نویسندگان [English]

  • Yahya Pasdar 1
  • Niloufar Heidari 2
  • Yahya Safari 3
  • Roya Safari Faramani 4
  • Neda Izadi 5
  • Mehrangiz Jamshidpour 6
  • Mitra Darbandi 7
1 Assistant professor of Nutrition sciences, Faculty of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.
2 B.Sc. of Nutrition, Health Center of Kermanshah, Kermanshah University of Medical Sciences, Kermanshah, Iran.
3 Assistant professor of Radiology, Faculty of Paramedical, Kermanshah University of Medical Sciences, Kermanshah, Iran.
4 Ph.D. Student of Epidemiology, Faculty of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.
5 B.Sc. of Public Health, Faculty of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.
6 M.Sc. of Demography, Deputy of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
7 B.Sc. of Public Health, Faculty of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.
چکیده [English]

Introduction: Pregnant women are so vulnerable in each society; therefore, assessing and monitoring the health of the mother and her neonate during pregnancy is very important. The present study is aimed to assess pregnant women’s health status in Kermanshah in 2010.
Methods: This crass-sectional study was conducted in Kermanshah province, Western Iran in 2010. Data related to maternal health information including demographic, anthropometric and hematological of "prenatal care" were gathered from all regional cities of Kermanshah province. Collected data were analysed by using the statistical software SPSS version 16, descriptive statistics, Correlation test, and Z-test. P value less than 0.05 was considered statistically significant.
Results: A total of 32450 pregnancies were recorded during the study. The prevalence of overweight was %22.9, underweight (%5.7), high blood pressure (%1.4), anemia (%3.6), diabetics %1.2 and teeth problem was %11.7. There was significant difference in prevalence of diabetes (p=0.023), anemia (p=0.001), overweight and underweight (p=0.02) between different regions of province. Abortion rate, stillbirth and premature delivery were %4.7, %0.64 and %2 respectively. The highest prevalence of anemia, overweight and diabetes was reported in Sahneh, Paveh and Dalahoo cities and the lowest in Kanghavar, Salase Babajani and Ghilane Gharb cities. The regional prevalence of unexpected pregnancy and caesarean were 4.6% and 42% respectively. The maximum rate of which (50%) was reported in Ghasre Shirin.
Conclusion: Prevalence of overweight and underweight in Kermanshah province was high.

کلیدواژه‌ها [English]

  • Abortion
  • Anemia
  • Caesarean
  • Diabetes
  • Gestational Age
  • Overweight
  • Preterm Labor
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