بررسی عوارض مادری زلزله کرمانشاه سال 1396

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد مامایی، کمیته تحقیقات دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

2 مربی گروه مامایی، مرکز تحقیقات مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

3 دانشیار گروه مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

4 دانشیار گروه پزشکی قانونی، دانشکده پزشکی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

5 استادیار گروه آمار زیستی، دانشکده پیراپزشکی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

10.22038/ijogi.2022.20717

چکیده

مقدمه: سلامت مادران و نوزادان، از اهداف توسعه هزاره سوم می‌باشد. یکی از عوامل آسیب‌زای سلامت، بلایای طبیعی است. مطالعه حاضر با هدف تعیین عوارض مادری در زلزله کرمانشاه سال 1396 انجام شد.
روشکار: این مطالعه مقطعی در سال 1399 بر روی 850 زن زایمان کرده در بیمارستان امام خمینی اسلام‌آباد غرب انجام گرفت. گروه زلزله‌دیده، زنان زایمان کرده زلزله‌دیده در سال 1396 و گروه زلزله‌ندیده را زنان زایمان کرده در همان بیمارستان در سال 1395 تشکیل می‌دادند. تمام اطلاعات مربوط به زنان زایمان کرده از پرونده آنها اخذ شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 21) و آزمون‌های تی مستقل، من‌ویتنی، کای دو و تست دقیق فیشر انجام شد. میزان p‌ کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: از نظر میزان عوارض بارداری در زنان زلزله‌دیده، پره‌ترم لیبر در 99 نفر (3/22%)، پارگی پیش از موعد پرده‌ها در 30 نفر (05/7%)، سزارین در 179 نفر (1/42%)، خونریزی بعد از زایمان در 42 نفر (9/9%)، فشارخون بارداری در 24 نفر (6/5%) و سقط در 11 نفر (58/2%) و در زنان زایمان کرده در سال 1395 پره‌ترم لیبر در 51 نفر (11%)، پارگی پیش از موعد پرده‌ها در 12 نفر (8/2%)، سزارین در 153 نفر (36%)، خونریزی بعد از زایمان در 20 نفر (5%)، فشارخون بارداری در 9 نفر (1/2%) و سقط در 2 نفر (5 /0%) بود که در تمام موارد بین دو گروه تفاوت آماری معنی‌داری مشاهده شد (05/0>p).
نتیجه‌گیری: حوادث طبیعی مانند زلزله می‌توانند باعث افزایش عوارض مادری زایمان شوند، لذا تمهیدات لازم و مراقبت‌های بهداشتی در زمان وقوع بلایای طبیعی باید افزایش یابد.

کلیدواژه‌ها


عنوان مقاله [English]

The survey of maternal complications of Kermanshah earthquake in 2017

نویسندگان [English]

  • Zeinab Rezaei 1
  • Zohre Sheikhan 2
  • Giti Ozgoli 3
  • Mohammad Ali Emamhadi 4
  • Malihe Nasiri 5
1 M.Sc. student of Midwifery, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2 Instructor, Department of Midwifery, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
3 Associate Professor, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
4 Associate Professor, Department of Forensic Medicine, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
5 Assistant Professor, Department of Biostatics, School of Paramedicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
چکیده [English]

Introduction: One of the goals of the third millennium development is maternal and neonatal health. One of the harmful factors of health is natural disasters. This study was performed aimed to determine maternal complications in Kermanshah earthquake in 2017.
Methods: This cross-sectional study was conducted on 850 women who had delivery in Imam Khomeini hospital of Eslam Abad Gharb. The earthquake group included the women who had delivered in the earthquake of 2017 and the non-earthquake group included the women who were delivered in the same hospital in 2016. All data obtained from patients' records. Data were analyzed by SPSS software (version 21) and Independent t-test, and Mann-Whitney test, Chi-square and Fisher exact test. P<0.05 was considered statistically significant.
Results: In women who had delivered in an earthquake, prevalence of maternal complications included preterm labour in 99 (22.3%), premature rupture of membrane in 30 (7.05%), caesarean section in 179 (42.1%), postpartum hemorrhage in 42 (9.9%), gestational hypertension in 24 (5.6%) and abortion in 11 (2.58%). In women who had delivered in 2016, there were preterm labor in 51 (11%), premature rupture of membrane in 12 (2.8 %), caesarean section in 153 (36%), postpartum hemorrhage in 20 (5%), gestational hypertension in 9 (2.1%) and abortion in 2 (0.5%). There were significant differences between the two groups in all cases (P<0.05).
Conclusion: Natural disasters such as earthquakes can increase maternal complications. Therefore, necessary precautions and health care should be increased in the event of a natural disaster.

کلیدواژه‌ها [English]

  • Earthquake
  • Iran
  • Maternal Complications
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