Factors Affecting Adequacy of Prenatal Care in Suburban Women of Southeast Iran: A Cross-sectional Study

Journal of Clinical and Diagnostic Research

卷:12

Mahrokh Dolatian¹  Amir Kasaeian²  Zohreh Mahmoodi³  Hamed Fanaei⁴  Ali Navidian⁵  Samira Khayat⁶ 

[1] Assistant Professor, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.;

[2] Assistant Professor, Hematology-Oncology and Stem Cell Transplantation Research Center, Tehran University of Medical Sciences, Tehran, Iran.;

[3] Assistant Professor, Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran.;

[4] Assistant Professor, Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.;

[5] Associate Professor, Department of Nursing, Community Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.;

[6] PhD Student, Student Research Committee, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.;

关键词: delivery;    obstetric;    prenatal care;    reproductive health;    suburban population;   

DOI  :  10.7860/JCDR/2018/32795.11381

来源: DOAJ

【 摘 要 】

Introduction: Prenatal and delivery care should be considered as a priority for women and society's health. Residents of the suburbs are among the groups who do not have enough access to such services. Aim: The present study aimed to determine the pregnancy care as well as factors affecting adequacy of prenatal care for suburban women in Southeast Iran. Materials and Methods: This cross-sectional study was conducted from July 2016 to December 2016. A total of 384 women were evaluated by a single stage cluster random sampling. Inclusion criteria included women living in Zahedan suburbs areas and women in their reproductive ages who gave birth. Exclusion criteria was the history of diseases affecting pregnancy and multiple pregnancies. Safe motherhood questionnaire was completed by face to face interview in order to gather data. The questionnaire includes items for assessing prenatal and delivery care. Descriptive, chi-square and Spearman's correlation coefficient tests were used to analyse data. SPSS version 20.0 software was used for analyses. A p-value <0.05 was considered significant. Results: A total of 372 (96.9%) of subjects received prenatal care however 189 (50.8%) of them received inadequate care. There was a statistically significant relationship between adequate care and women’s education level (p-value=0.009), marriage age (p-value ≤0.001), husband's education (p-value=0.05), husband’s employment status (p=0.01), age in the first pregnancy (p-value=0.003), the time intervals among pregnancies (p-value=0.04), place of receiving care (p-value=0.004) and health care provider (p-value=0.006). Conclusion: We found that most of suburban women did not receive adequate prenatal care, although, free health services were available for these mothers. Individual, familial features, care provider and place of receiving services were found effective for the quality and productivity of such services.

【 授权许可】

Unknown