بررسی حفظ وزن بعد از زایمان و ارتباط آن با وضعیت عملکرد مادری 6 ماه پس از زایمان

نوع مقاله: اصیل پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تبریز، تبریز، ایران.

2 استادیار گروه بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تبریز، تبریز، ایران.

3 دانشیار گروه بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تبریز، تبریز، ایران.

4 مربی گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تبریز، تبریز، ایران.

5 استاد گروه اپیدمیولوژی، دانشکده پزشکی، دانشگاه علوم پزشکی تبریز، تبریز، ایران.

چکیده

مقدمه: بارداری و زایمان با تغییراتی در وزن و وضعیت عملکرد مادری همراه است. با توجه به نتایج به دست آمده از پژوهش­ها مبنی بر کاهش فعالیت عملکردی در افراد چاق، مطالعه حاضر با هدف تعیین حفظ وزن و ارتباط آن با وضعیت عملکرد مادری در 6 ماه پس از زایمان انجام شد.
روش‌کار: این مطالعه مقطعی در سال 1395 بر روی 307 زن زایمان کرده در شهر اردبیل انجام گرفت. حفظ وزن به صورت تفاضل وزن ثبت شده در هفته 12-10 بارداری و وزن ثبت شده در 6 ماه پس از زایمان تعریف شد. ابزار گردآوری داده­ها شامل پرسشنامه مشخصات فردی اجتماعی و پرسشنامه وضعیت عملکرد پس از زایمان بود. تجزیه و تحلیل داده­ها با استفاده از نرم‌افزار آماری SPSS (نسخه 17) و آزمون‌های همبستگی پیرسون، مدل رگرسیون لوجستیک و مدل خطی عمومی با تعدیل متغیرهای پایه انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: میانگین حفظ وزن زنان 6 ماه بعد از زایمان 5/0±99/9 کیلوگرم بود. بر اساس نتایج آزمون همبستگی پیرسون، بین تمام زیر دامنه­ها شامل مسئولیت خانه (05/0=p)، فعالیت اجتماعی (042/0=p)، مراقبت از نوزاد (009/0=p) و مراقبت از خود (001/0>p) با حفظ وزن ارتباط معنی‌داری وجود داشت. تنها زیر دامنه‌ای از وضعیت عملکردی که با حفظ وزن ارتباط معنادار نداشت، زیر دامنه شغل بود (05/0<p).
نتیجه‌گیری: زنان حفظ وزن قابل قبولی 6 ماه بعد از زایمان داشتند و حفظ وزن بالا با وضعیت عملکردی مادری پایین همراه بود، بنابراین نیاز به ارزیابی دقیق‌تر وزن مادران پس از زایمان و توصیه­های مناسب تغذیه در دوران شیردهی می­باشد.

کلیدواژه‌ها


عنوان مقاله [English]

Assessment of postpartum weight maintenance and its association with maternal functional status during 6 months after childbirth

نویسندگان [English]

  • Elham Ghobadi Jamadi 1
  • Sevil Hakimi 2
  • Mojgan Mirghafourvand 3
  • Simin Seidi 4
  • Saeed Dastgiri 5
1 M.Sc. student of Midwifery, School of Nursing & Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
2 Assistant Professor, Department of Reproductive Health, School of Nursing & Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
3 Associate Professor, Department of Reproductive Health, School of Nursing & Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
4 Instructor, Department of Midwifery, School of Nursing & Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
5 Professor, Department of Epidemiology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
چکیده [English]

Introduction: Childbirth causes increasing weight between 0.4 to 1.8 kg according woman's age. Changes in life as a result of pregnancy and childbirth result in shifting in mothers operations and some can't handle taking care of their infant even in third month and don’t start housework and social activities. According to the results of researches about activity subtraction of fat people, aim of this study is to consider weight retentionand its relation with mothers' functional state in 6 months after childbirth.
Methods: This cross sectional research has been done 6 months after delivery on 307 in Ardabil, 2016. Weight retention was measured by minus weight in 10th-12th week of pregnancy and weight in 6 month after childbirth. Weighting process was done by a similar person in each time. Data gathering tools in this research were included socio demographic and functional status questionnaire.
Results: three hundred seven women participated in this study from May to August 2016. The mean (SD) Body Mass Index was 25.58(4.47). The mean (SD) weight retention 6 months after delivery was 0.5(9.99) kg. Out of job subdomain of functional status, others, including household activities (p=0.05), social and community activities (p=0.042), infant care activities (p= 0.009) and self-care activities (p<0.001) had significant correlation with weight retention.
Conclusion: Studied women had acceptable weight retention 6 months after delivery. In present study there is a significant and inverse correlation between all functional status subdomains (except job). In the way that more weight retention caused less points in each four subdomains.

کلیدواژه‌ها [English]

  • Obesity
  • weight retention
  • functional status
  • Delivery
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