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تقييم الخطوره على الحوامل اللاتي تراجع رعاية الحامل في المراكز الصحيه في مدينة الناصريه للعام 2018\1440 == Risk assessment among pregnant women attending antenatal care in the primary health care centers in Al - Nasiriya city in 2018 / 1440
Author name:
زينب حيدر عبد الجبار
Supervisor name:
الاء حسين علي الناصر | مسلم ناهي سعيد محاضر
General topic:
Medicine
Specific topic:
Community Medicine
Degree:
Higher Diploma
University:
University of Thi-Qar - Faculty Of Medicine
Language:
English
University location:
Dhi Qar
Key words:
- prevalence
- pregnant women
- antenatal care
- Modified Coopland score
- cross sectional study
- laboratory results
First pages:
19T1658 - p.pdf
Abstract:
دراسه مقطعيه وصفيه وبائيه تدرس ٥٨٦ من الحوامل في محافظة ذي قار في مركز الناصريه على المراكز الصحيه ، امتدت الدراسه من الاسبوع الثالث لشهر كانون الثاني ٢٠١٨ حتى نهاية شهر اب ٢٠١٨ ، لدراسة تقييميه للحوامل اللاتي تراجع المراكز الصحيه لاخذ رعاية الحوامل وخدمات للحوامل ودراسة تاثير عوامل الخطوره على الحامل وما هو العامل الاكثر انتشارا بين الحوامل وكم نسبة باقي عوامل الخطوره على الحوامل وعلاقة هذه العوامل على الحاله الاجتماعيه كالعمر والمهنه ودرجة التعليم والحاله الماديه ، كانت الدراسه على ٩ مراكز صحيه من مراكز المدينه : ٦ مراكز صحيه من القطاع الثاني و٣ مراكز صحيه من القطاع الاول حيث اختيرت عشوائيا ، واخذت جميع الحوامل المراجعات التي تنتمي لذلك المركز بالاعتماد على الرقعه الجغرافيه يوميا ولمدة تقريبا ٣ اشهر ونص في تجميع العينه يوميا من السبت للخميس من الساعه ٨ ونصف صباحا حتى الساعه ١ ظهرا عدا ايام الجمعه والعطل الرسميه ، وكانت نتيجة الدراسه كالتالي : منخفضة الخطوره ٦٠,٦% ، عالية الخطوره ٢٠,٦% ، جدا عالية الخطوره ١٨,٨% واما بالنسبه اكثر عامل خطوره هو التهاب المسالك البوليه بنسبة ٢٨,٩% ويليه فقر الدم بنسبة ٢٧,٨% واكثر فتره وجدت فيها عوامل الخطوره مرتفعه هي الفتره الثانيه من الحمل من الشهر الرابع حتى نهاية الشهر السادس ، وهناك علاقه مع الحاله الاجتماعيه لهذا كانت ضمن التوصيات للدراسه زيادة ثقافة وعي الحامل قبل الحمل وخلال الحمل | Background : Antenatal care services is particularly definitive for enhancing effectiveness of services for childbirth and introduce best pregnant women’s needs of antenatal care services and consequentially improve the outcome of both mothers and infants.Objectives : To assess of antenatal care in pregnant women's to identify the level of antenatal care, prevalence of risk factor according to the score among pregnant women attendens primary health care centers for antenatal care.Subjects and methods : A descriptive cross sectional study started from 15th of January 2018 to the end of august 2018 on 586 pregnant women attending nine Primary Health Care centers for antenatal care in Al Nasyria city. These nine PHCCs were located in two health Sectors, data collection continued for three months and a half.The questionnaire was prepared after a through literature review to include all potential risk factors in addition to possible related demographic and other related factors (educational level, socioeconomic level and occupation).Antenatal risks were calculated according to modified Coopland score.The data were analyzed by using the Statistical Package for Social Sciences version 23 (SPSS - 23).Result : according to Coopland score the distribution of the sample showed that : - Low risk : 355 women (60.6%) of the sample - High risk : 121 women (20.6%) of the sample - Extremely high risk : 110 women (18.8%) of the sampleThe high risk and extremely high risk cases occurred mostly in 2nd trimester. Urinary tract infection represented the prvelant risk factor (28.9%).Conclusion : the prevalence of risky pregnancy was high. Although low risk factors were found in about two thirds of the sample, high and very high risky pregnancy was found in two fifths of the sample. These findings indicated the urgent need for more facilities to improve antenatal services in the primary health care centers and to encourage women to utilize these services. Special emphasis need to be centered on high and extremely high risk groups through providing specialized care during antenatal care and put a plan for them to decrease both complication and death on both fetus and mother sides. Recommendation : the study results mandate more facilities like ultrasound to obtain more information that encourage pregnant women to visit primary health care centers and put plan for high risk pregnancy for specialized care
