بررسی شیوع حاملگی ناخواسته و رابطه آن با کیفیت زندگی مرتبط با سلامت زنان باردار شهرستان ثلاث (استان کرمانشاه)- 1385

نوع مقاله: اصیل پژوهشی

نویسندگان

1 استادیار گروه پزشکی اجتماعی، دانشکده پزشکی، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران.

2 پزشک عمومی، مرکز بهداشت شهرستان ثلاث، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران

3 کارشناس ارشد آموزش بهداشت. مرکز بهداشت شهرستان ثلاث، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران.

4 پزشک عمومی. مرکز بهداشت شهرستان ثلاث، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران.

چکیده

مقدمه: حاملگی‌های ناخواسته از جمله عوامل موثر بر مرگ و میر مادران است که می‌تواند کیفیت زندگی زنان را متأثر سازد. این مطالعه با هدف بررسی شیوع حاملگی ناخواسته و ارتباط آن با کیفیت زندگی مرتبط با سلامت در زنان باردار انجام شد.
 
روش‌کار: این مطالعه توصیفی-تحلیلی روی زنان باردارکه به منظور انجام مراقبت‌های معمول دوران بارداری در فاصله بهمن تا اسفند ماه سال 1385 به مرکز بهداشتی درمانی شهر ثلاث باباجانی مراجعه کرده بودند انجام شد. با توجه به هدف مطالعه؛ دو پرسشنامه برای هر مادر باردار تکمیل گردید: پرسشنامه بررسی نوع حاملگی و پرسشنامه SF36 که جهت اندازه گیری کیفیت زندگی مرتبط با سلامت به کار می‌رود. داده‌ها پس از جمع آوری توسط نرم افزار آماری SPSS (نسخه 5/11) و با استفاده از آزمون آماری T-test، مورد تجزیه و تحلیل قرار گرفت.
 
یافته‌ها: از زنان مورد مطالعه 2/40% حاملگی ناخواسته داشتند؛ که از این تعداد 7/15% ناخواسته زن، 8/7% ناخواسته شوهر و 7/16% ناخواسته هر دو بود. با استفاده از آزمون تی تست بین میانگین نمره کیفیت زندگی مرتبط با سلامت با نوع حاملگی را ارتباط معناداری مشاهده شد (0001/0<p). میانگین نمره کیفیت زندگی در خرده مقیاس روانی و جسمانی در مادران با حاملگی ناخواسته، کمتر از مادران دارای حاملگی خواسته بود (0001/0<p).
 
نتیجه‌گیری: کاهش شیوع حاملگی‌های ناخواسته در شهر ثلاث کیفیت زندگی مادران را ارتقاء خواهد بخشید.

کلیدواژه‌ها


عنوان مقاله [English]

Prevalence of unwanted Pregnancy and its Relationship with Health-related quality of Life for Pregnant Women’s in Salas city, Kermanshah- Iran. 2007

نویسندگان [English]

  • Ali Azizi 1
  • Farhad Amirian 2
  • Tahereh pashaei 3
  • Marzieh Amirian 4
1 Assistant professor of Community Medicine Specialist, Faculty of Medicine, Kermanshah University of Medical Science, Kermanshah, Iran.
2 M.D, Health Center of Salas City, Kermanshah University of Medical Science, Kermanshah, Iran.
3 M.Sc. of Health Education, Health Center of Salas City, Kermanshah University of Medical Science, Kermanshah, Iran.
4 M.D, Health Center of Salas City, Kermanshah University of Medical Science, Kermanshah, Iran.
چکیده [English]

Introduction: Unwanted pregnancies are among factors causing maternal mortality that can affect women's quality of life. This study was done to show the incidence of unwanted pregnancy and its relationship with health-related quality of life in pregnant women.
Methods: This descriptive cross-sectional study enrolled all pregnant women who referred to health centers of Tazehabad urban _ rural health center during for routine prenatal care two month of January and February of 2007. According to the research aim, two questionnaires were completed for every pregnant woman: a questionnaire of pregnancy type and SF36 questionnaire to measure health-related quality of life. Data were analyzed with software of SPSS11.5 by using descriptive statistics and statistical analysis of T-test.
Results: In our study 40.2٪ women had unwanted pregnancy. In 15.7٪ pregnancy was unwanted by the couple, 7.8٪ unwanted pregnancy by husband and 16.7٪ unwanted pregnancy by the wife. T-test showed the relationship between the average scores of health-related quality of life and type of pregnancy was significant (p = 0.0001). Average scores of quality of life in mental and physical subscales of unwanted pregnancies were less than mothers with desired pregnancy (p=0.0001).
 
Conclusion: The decreased incidences of unwanted pregnancies would promote health-related quality of life in pregnant women.

کلیدواژه‌ها [English]

  • Unwanted pregnancy
  • Quality of life
  • pregnancy
  • women’s health
1. Noroozi A, Khoramrodi R, Sharifi S, Tahmasbi R. [Prevalence of unwanted pregnancy and its related
factors in the women covered by health centers in Bushehr province in 200]. Iran South Med J
2004;8(1):83-9. [In Persian].
2. Asfya A. Application of health Belief Model in the prevention of unwanted pregnancies in women's
health study covered the area south of Tehran 2001-2002 (thesis). Tehran:Tehran University of Medical
Sciences;2003. [In Persian].
3. Naghavi M, Akbari MS, Kazem M, Delavar A. Office of the Deputy of Health and Population Ministry
of Health of Iran. Report of the research project population and health check features (DHS) in Iran in
2000-2001. 1th ed. Iranian Ministry of Health Publications.Tehran, 2003:234- 245.
4. Bashardoost N, Eftekhar H, Zamani F, Allameh Z. How to treat with unwanted pregnancies? Med Res J
Esfahan Univi Med Sci 2000;5(10): 27-30. [In Persian].
5. Rakhshani F, Ansari Moghaddam AR, Tehrani H. Prevalence of unwanted pregnancy and associated
factors in Zahedan, 1999. Med Res J Esfahan Univ Med Sci 2003;8(3):40-3. [In Persian].
 
6. Zamani F, Eftekhar Ardebili H, Bashar Doost N, Marashi T, Naghibi AH. The behavior of women
confronted with unwanted pregnancies. J Health Facult Health Res Instit 2003;6(2):55-62. [In Persian].
7. Kasmaei P. Study of prevalence and some correlative factors with unwanted pregnancies. J Med Facult
Gilan Univ Med Sci 2003;48(12):61-6. [In Persian].
8. Fallah Zadeh H. Survey on unplanned pregnancies in pregnant women in Yazd. J Shahid Sadoghi Univ
Med Sci Health Serv 2001;4(9):98-102. [In Persian].
9. Hajian K. The prevalence of unwanted children and its affecting factors in Babol. J Mazandaran Univ
Med Sci 2004;45(14):35-42. [In Persian].
10. Abazari F, Arab M, Abbasszadeh A. Relationship of unwanted pregnancy and fertility behavior in
pregnant women who visited maternity wards of Kerman hospitals. Med J Rerod Infertil 2002;4(1):39-
46. [In Persian].
11. Abbasi Shavazi MJ, Hosseini Chavoshi M. Unwanted pregnancies and its determinants in Iran. Med J
Reprod Infertil 2003;1(5):62-76. [In Persian]
12. Delaram M, Sereshti M. The causes of unwanted pregnancy in oral contraceptive pills users.
Shahrekord Univ Med Sci J 2004;3(6):55-62. [In Persian].
13. Jahanfar S, Ramazani Tehrani F, Sadat Hashemi M. The prevalence of unwanted pregnancy and it
effective factors in10 cities Iran, 2000. Tehran Facult Med J 2002;60(4):334-40. [In Persian].
14. Kazemi SA, Kousha A, Tadayyon P, Mousavi Nasab N. A survey of causes and rate of unwanted
pregnancy in 500 pregnant women of maternity hospitals in Zanjan, 2000. Zanjan Univ Med Sci J
2001;37(9):39-45. [In Persian].
15. Golmohamadloo S, Broomand F, Asadi Afshar M. Causes of unintended pregnancy in Urmia Kosar
Hospital,1999. J Med Council of Islamic Repub Iran 2004;22(4):323-9. {IN Persian].
16. Donald A. What is quality of life: clinical lecture in epidemiology University College London?
London:Epidemiology University College;2001.
17. Schwarz EB, Smith R, Steinauer J, Reeves MF, Caughey AB. Measuring the effects of unintended
pregnancy on women's quality of life. Contraception 2008 Sep;78(3):204-10.
18. Bond SC. Effects of Unintended Pregnancy on Women's Quality of Life are varied, but more precision
and Consistency Needed in Measurement. J Midwifery & Women's Health 2009;54(1):90.
19. Sable MR, Washington CC, Schwartz LR, Jorgenson M. Social well-being in pregnant women:
intended versus unintended pregnancies. J Psychosoc Nurs Ment Health Serv 2007 Dec;45(12):24-31.
20. Saydnozadi M, Shakeri MT, Hami M. Survey on unwanted pregnancy in relation to contraception
methods and fertility behavior. Med J Mashhad Univ Med Sci 2000;69(43):82-7. [In Persian].
21. Montazeri A, Goshtasb A, Vhdany MS. Reliability and validity of such set Farsi questionnaire SF-36.
Payesh J 2005;5(1):49-56. [In Persin].
22. Asghari Moghaddam MA, Faghihi S. validity and reliability of the health survey questionnaire (short
form 36 questions) in two samples, Iran J Behav Daneshvar 2003;10(1):1-10. [In Persian[.
23. Oye-Adeniran BA , Adewole IF, Umoh AV, Ekanem EE, Gbadegesin A, Iwere N. Community-based
survey of unwanted pregnancy in southwestern Nigeria. Afr J Reprod Health 2004 Dec; 8(3):103-15.
24. Singh S, Prada E, Kestler E. Induced abortion and unintended pregnancy in Guatemala. Int Fam Plan
Perspect 2006 Sep;32(3):136-45.
25. Iranfar S, Shakeri J, Ranjbar M, NazhadJafar P, Razaie M. Is unintended pregnancy a risk factor for
depression in Iranian women? East Mediterr Health J 2005 Jul;11(4):618-24.
26. Matteson KA, Peipert JF, Allsworth J, Phipps MG, Redding CA. Unplanned pregnancy: does past
experience influence the use of a contraceptive method? Obstet Gynecol 2006 Jan;107(1):121-7.
27. Schmiege S, Russo NF. Depression and unwanted first pregnancy: longitudinal cohort study. BMJ 2005
Dec 3;331(7528):1303.
28. Kaiser LL, Allen L. Position of the American Dietetic Association: nutrition and lifestyle for a healthy
pregnancy outcome. J Am Die Assoc 2000 Oct;102(10):1479-90.
29. Mansour ME, Kotagal U, Rose B, Ho M, Brewer D, Roy-Chaudhury A, et al. Healthy-related quality of
life in urban elementary school children. Pediatrics 2003 Jun;111(6Pt 1):1372-81.