بررسی فراوانی و علل شایع مراجعه زنان به کلینیک‌های تخصصی زنان شهر اهواز در سال 1402

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشیار گروه زنان و زایمان، دانشکده پزشکی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

2 استادیار، مرکز تحقیقات باروری و ناباروری و سلامت جنین، دانشکده پزشکی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

3 پزشک عمومی، کمیته تحقیقات دانشجویی، دانشکده پزشکی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

4 استادیار، مرکز تحقیقات باروری و ناباروری و سلامت جنین، دانشکده پزشکی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران. استادیار زیست‌شناسی، واحد توسعه تحقیقات بالینی، دانشکده پزشکی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

چکیده

مقدمه: سلامت زنان به‌عنوان محوری اساسی در سلامت خانواده و جامعه شناخته می‌شود. مطالعه حاضر با هدف بررسی علل شایع مراجعه زنان به کلینیک‌های تخصصی زنان شهر اهواز انجام شد.
روش‌کار: این مطالعه مقطعی- گذشته‌نگر بر روی ۲۵۲ زن مراجعه‌کننده به کلینیک‌های تخصصی زنان در اهواز انجام شد. داده‌ها به روش سرشماری از پرونده‌های پزشکی در بازه مهر تا اسفند ۱۴۰۲ جمع‌آوری شد. اطلاعات دموگرافیک، سوابق پزشکی و علل مراجعه با رعایت کامل موازین اخلاقی بررسی گردید. نمونه‌گیری به‌صورت تصادفی ساده از بین ۱۶۰۰ پرونده و با رعایت معیارهای ورود و خروج انجام شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 26) و آزمون کای دو انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته ­ها: در این مطالعه 21 نفر (3/8%) دارای سابقه ناباروری بودند و 231 نفر (6/91%) هیچ سابقه‌ای از ناباروری گزارش نکرده بودند. 64 نفر (4/25%) سابقه حداقل یک بار سقط جنین را گزارش کرده و 41 نفر (2/16%) با مشکل خونریزی‌های نامنظم قاعدگی مواجه بودند. سندرم تخمدان پلی‌کیستیک با 27 مورد (7/10%)، عفونت‌های واژینال با 17 مورد (7/6%) و دردهای مزمن لگنی با 15 مورد (9/5%) به‌ترتیب بیشترین فراوانی را داشتند. 5 نفر (0/2%) از زنان مبتلا به ناباروری اولیه و 11 نفر (3/4%) دارای ناباروری ثانویه بودند. مشکلات انکولوژیک با 3 مورد (2/1%) و زگیل تناسلی با 1 مورد (4/0%) کمترین میزان شیوع را در بین مراجعین داشتند. مراقبت‌های بارداری با 140 مورد (5/55%) شایع‌ترین دلیل مراجعه زنان به بیمارستان بود (05/0>p).
نتیجه ­گیری: مراقبت‌های بارداری، محور اصلی مراجعات را تشکیل می‌دهد، در حالی که توجه به غربالگری‌های پیشگیرانه و مدیریت مشکلات شایعی مانند چاقی، سقط و سندرم تخمدان پلی‌کیستیک در جمعیت مورد مطالعه نیازمند تقویت است.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Frequency and Causes of Women's Referral to the Specialized Health Services in Ahvaz, 2023

نویسندگان [English]

  • Razieh Mohammad Jafari 1
  • Abdollah Amiri Bakhtiari 2
  • Mojgan Barati 3
  • Maryam Farzaneh 4
1 Associate Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
2 Assistant Professor, Fertility, Infertility and Fetal Health Research Center, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
3 General Physician, Student Research Committee, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
4 Assistant Professor, Fertility, Infertility and Fetal Health Research Center, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. Assistant Professor of Biology, Clinical Research Development Unit, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
چکیده [English]

Introduction: Women's health is recognized as a fundamental axis in family and community health. This study was conducted with aim to investigate the common reasons for women's referral to the specialized women's clinics in Ahvaz.
Methods: This cross-sectional retrospective study was conducted on 252 women referring to the specialized women's clinics in Ahvaz. Data were collected by census method from medical records between Oct 2023 and Mar 2024. Demographic information, medical history, and reasons for referral were reviewed in full compliance with ethical standards. Simple random sampling was performed from 1600 records and considering the inclusion and exclusion criteria. Data analysis was performed by SPSS software (version 26) and Chi-square test. P<0.05 was considered significant.
Results: In this study, 21 (8.3%) had a history of infertility and 231 (91.6%) reported no history of infertility. Also, 64 (25.4%) reported a history of at least one miscarriage and 41 (16.2%) had irregular menstrual bleeding. Polycystic ovary syndrome (PCOS) was the most common with 27 cases (10.7%), and then vaginal infections with 17 cases (6.7%) and chronic pelvic pain with 15 cases (5.9%). Moreover, 5 (2.0%) of the women had primary infertility and 11 (4.3%) had secondary infertility. Oncological problems with 3 cases (1.2%) and genital warts with 1 case (0.4%) had the lowest prevalence among the patients. Pregnancy care with 140 cases (55.5%) was the most common reason for women to visit the hospital (P<0.05).
Conclusion: Prenatal care was the main focus of referrals, while attention to preventive screenings and management of common problems such as obesity, miscarriage, and polycystic ovary syndrome in the study population needs to be strengthened.

کلیدواژه‌ها [English]

  • Miscarriage
  • Obesity
  • Pregnancy
  • Screening
  • Women

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مجله زنان، مامایی و نازایی ایران
دوره 28، شماره 11
بهمن 1404
صفحه 1-10

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