بررسی برخی عوامل مرتبط باحاملگی ناخواسته در زنان مراجعه کننده به مراکز بهداشتی درمانی شهر ایرانشهر-1386

نوع مقاله: اصیل پژوهشی

نویسندگان

1 کارشناس ارشد پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی زاهدان، زاهدان، ایران

2 کارشناس ارشد پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی زاهدان، زاهدان، ایران.

3 دانشجوی Ph.D.، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی زاهدان، زاهدان، ایران.

4 کارشناس پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی زاهدان، زاهدان، ایران

5 مربی و مشاور آمار، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی زاهدان، زاهدان، ایران.

چکیده

مقدمه: حاملگی ناخواسته یک مشکل عمومی و جهانی است که بر زنان، خانواده‌ها و جامعه تاثیر می‌گذارد. عدم توجه به علل حاملگی ناخواسته و اثرات منفی آن می‌تواند سلامت جامعه را تهدید نماید. مطالعه حاضر به‌منظور بررسی علل حاملگی ناخواسته در شهر ایرانشهر درسال 1386 انجام شد.
 
روش کار: این مطالعه تحلیلی مورد شاهدی در سال 1386 روی960 زن باردار ایرانی مراجعه‌کننده به مراکز بهداشتی- درمانی ایرانشهر که با نمونه‌گیری در دسترس انتخاب شده بودند، انجام شد. ابزار گردآوری اطلاعات پرسشنامه پژوهشگر ساخته بود و داده‌ها شامل مشخصات فردی، رفتار باروری و عملکرد پیشگیری از بارداری با مصاحبه حضوری جمع‌آوری و با نرم‌افزارSPSS(نسخه 11) و آزمون‌های کای دو و آزمون تی مسقل تحلیل شد.
 
یافته‌ها: بیشترین حاملگی ناخواسته در زنان با سن بالاتر از 35 سال، بی‌سواد و با تحصیلات ابتدایی رخ‌داده‌بود و بین متغیرهای فوق و نوع حاملگی ارتباط معنی‌دار وجود داشت (001/0 =p). 
81 درصد زنان با حاملگی ناخواسته قبل از حاملگی اخیر از یک روش پیشگیری استفاده می‌کردند که 3/39% آنان قبل از بارداری روش مورد استفاده را قطع و 7/60% در حین استفاده از آن حامله شده بودند. بیشرین بارداری ناخواسته در مصرف‌کنندگان قرص (1/61%)، کاندوم (8/25%) و روش منقطع (6/10%) اتفاق افتاده بود.
نتیجه‌گیری: جهت ارتقاء کیفیت ارائه خدمات تنظیم خانواده لازم است برنامه‌های گسترده‌ای در خصوص آموزش روشهای پیشگیری از بارداری و مضرات بارداری ناخواسته، به‌ویژه در بین خانم‌های با سنین بالاتر و تحصیلات پایین‌تر اجرا شود.

کلیدواژه‌ها


عنوان مقاله [English]

The survey of factors associated with unwanted pregnancy among women referringto health care centers of Iranshahr in 2007

نویسندگان [English]

  • Hasan Robabi 1
  • Hamed Sarani 2
  • Fatemeh Azarkish 3
  • Zahra Dastfan 4
  • Alireza Dashipoor 5
1 M.Sc. of Nursing, Faculty of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran.
2 M.Sc. of Nursing, Faculty of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran.
3 Ph.d. Student, Faculty of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran.
4 B.Sc. of Nursing, Faculty of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran.
5 M.Sc. of Statistics, Faculty of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran.
چکیده [English]

Introduction: Unwanted pregnancy is a global public health concern that affects women, their families and the society Lack of interest in the causes of unwanted pregnancy and its negative effects can result in serious consequences for public health. The purpose of this study was to examine some of the factors related to unwanted pregnancy among women referring to health care centers of Iranshahr in 2007.
 
Methods: This study analytic case-control study was performed on 960Iranian pregnant women who referred to the health care centers of Iranshahr and were chosen by available sampling method. Data was collected using a researcher-made questionnaire containing individual characteristics, fertility behaviors and the method of contraception by interview. Data was analyzed by SPSS (11), using Chi-Square and In depended t-test.
 
Results: Most unwanted pregnancy occurred in women who were above 35 years old, illiterate or with primary school education. There was also a significant relationship between these variables and pregnancy type (p=0.001). 81% of women with unwanted pregnancy applied a contraceptive method before current pregnancy that 39.3% had stopped prevention method before current pregnancy and 60.7% became pregnant while using a contraceptive method.. Most unwanted pregnancy occurred in women who took oral contraceptive pills (61.1%), condom (25.8%) and withdrawals (10.6%), respectively.
 
Conclusion: for improving the quality of family planning services to be necessary holding extensive educational programs about contraceptive methods and the disadvantages of unwanted pregnancy especially for older and illiterate women seem to be necessary.

کلیدواژه‌ها [English]

  • Unwanted pregnancy
  • Fertility behaviors
  • Family Planning
  • Contraceptive methods
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