Volume 13, Issue 3 (12-2015)                   sjsph 2015, 13(3): 19-36 | Back to browse issues page


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Hajizadeh S, Ramezani Tehrani F, Simbar M, Farzadfar F. Factors affecting pregnancy, postpartum and neonatal complications in rural areas of Kurdistan Province, Iran. sjsph. 2015; 13 (3) :19-36
URL: http://sjsph.tums.ac.ir/article-1-5299-en.html

1- Ph.D. Student, Midwifery and Reproductive Health Department, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Ph.D. Professor, Gynecology Department, Reproductive Endocrinology Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran , frtehrani@yahoo.com
3- Ph.D. Associate Professor, Midwifery and Reproductive Health Department, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4- Ph.D. Assistant Professor, Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
Abstract:   (2152 Views)

Background and Aim: Prenatal and neonatal care provides an opportunity for counseling, resulting in reduction of pregnancy-related and neonatal complications. It is expected that such care would result in promoting the health status of these vulnerable groups and improving the relevant indicators.

Materials and Methods: This was a cross-sectional survey including 668 mothers and 2-month-old children. Data were collected using questionnaires and structured interviews.

Results: On the whole, 35.9%, 21.0% and 5.1% of the mothers reported, at least, one pregnancy, one complication, and one neonatal complication, respectively. Results of the logistic regression model showed that the odds ratio of reporting at least one of the pregnancy complications increased by more than double in women who had a medical history or a high-risk pregnancy, increase decreased by 63% in those who had continuous care during pregnancy, decreased by 40% in those who had received thorough prenatal care, and increased by 0.05% for every unit increase in age. The odds ratio of reporting at least one postpartum complication increased by 70% per unit of in the density of health workers. Moreover, the odds ratio of reporting at least one neonatal complication decreased by 48% in women who had received full neonatal care and by 50% per every unit of increase in the density of health workers.

Conclusion: The findings of this study show the important role of behvarzes (community health workers) in detecting postpartum and neonatal complications, as well as the importance of antenatal care and quality of antenatal care as regards detecting at-risk women and neonates and prevention of pregnancy and antenatal complications.

Full-Text [PDF 238 kb]   (802 Downloads)    
Type of Study: Research | Subject: Public Health
Received: 2015/12/21 | Accepted: 2015/12/21 | Published: 2015/12/21

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