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sjsph 2023, 21(1): 17-32 |
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Azizi Mianaii Z, Sadeghi R, Shariat M, Tol A, Rahimi Foroushani A, Jalahi H et al . Comparison of the Adverse Pregnancy Outcomes Among Women with or without a History of Covid-19 in the Pregnancy and Postpartum Stages Covered by the Babol University of Medical Sciences, Babol, Iran: A Virtual Training Package. sjsph 2023; 21 (1) :17-32
URL: http://sjsph.tums.ac.ir/article-1-6212-en.html
URL: http://sjsph.tums.ac.ir/article-1-6212-en.html
Zeinab Azizi Mianaii1 
, Roya Sadeghi * 2, Mamak Shariat3 , Azar Tol4 , Abbas Rahimi Foroushani5 , Hossein Jalahi6 , Yaser Tedadi7
, Roya Sadeghi * 2, Mamak Shariat3 , Azar Tol4 , Abbas Rahimi Foroushani5 , Hossein Jalahi6 , Yaser Tedadi7
1- MSc. Student, Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
2- Ph.D. Professor, Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran ,sadeghir@tums.ac.ir
3- Ph.D. Professor, Maternal, Fetal and Neonatal Research Center Family Health Research Institute, Tehran University of Medical Sciences, Tehran, Iran
4- Ph.D. MPH. Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
5- Ph.D. Professor, Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
6- Ph.D. Assistant Professor, Educational Development Center, Mazandaran University of Medical Sciences, Sari, Iran
7- Ph.D. Assistant Professor, Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
2- Ph.D. Professor, Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran ,
3- Ph.D. Professor, Maternal, Fetal and Neonatal Research Center Family Health Research Institute, Tehran University of Medical Sciences, Tehran, Iran
4- Ph.D. MPH. Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
5- Ph.D. Professor, Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
6- Ph.D. Assistant Professor, Educational Development Center, Mazandaran University of Medical Sciences, Sari, Iran
7- Ph.D. Assistant Professor, Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Abstract: (665 Views)
Background and Aim: Considering the quality of prenatal care services, indentification of the avoidable and inevitable maternal factors and proper promotion of the knowledge and skills of health care service providers is vital for providing suitable preventive and interventional services with the aim of ensuring a successful pregnancy and proper management in the health care system. This study was conducted to compare the adverse pregnancy outcomes among women with or without a history of Covid-19 in the pregnancy and postpartum stages covered by the Babol University of Medical Sciences, Babol, Iran.
Materials and Methods: This was a descriptive-analytical cross-sectional study including 4124 women, either pregnant or after a recent childbirth (with or without Covid-19) between 20.2.2020 and 29.3.2022, registered in the Sib electronic system (hereinafter Sib) of Babol University of Medical Sciences, Babol, Iran. Using a checklist developed and validated by an expert panel data were collected on the prevalence of maternal and neonatal outcomes in mothers with or without a history of Covid-19 and compared. The data collected were analyzed with SPSS 24 using descriptive tests such as chi-square and Fisher's exact test and STATA version 22, and the adverse outcomes with high frequencies following Covid-19 were determined.
Results: Analysis of the data showed the following to be the most common outcomes among mothers with a history of Covid-19: 1. obstetric complications and maternal disorders/diseases (hypertension, type-2 diabetes mellitus, at least one case of bleeding during pregnancy, premature/delayed birth and premature rupture of the amniotic sac, n= 457, 27.8%); 2. medical and surgical problems (unhealthy pregnancy weight gain and thromboembolic events, n=206, 12.5%). In addition, there was a statistically significant difference between the two groups of pregnant mothers with and without a Covid-19 infection as regards medical and surgical problems (P=0.001) and obstetric complications and maternal diseases (p=0.002). As regards the adverse neonatal outcomes in pregnant mothers with and without a history of Covid-19, there was a statistically significant difference between the two groups in terms of Apgar score at minutes 1 and 5 (p≥0.001) and exclusive breastfeeding (P=0.001) and the presence of Covid-19 symptoms in the baby (p<0.001).
Conclusion: Based on the findings of this study it seems that Covid-19 infection during pregnancy is associated with a higher risk of some of the undesirable maternal and neonatal outcomes. Therefore, it is essential to plan and implement programs for health education, creation of a sound attitude towards better management, enhancement of the skills and capabilities of the health-care providers and, finally, promotion of the knowledge of service recipients.
Materials and Methods: This was a descriptive-analytical cross-sectional study including 4124 women, either pregnant or after a recent childbirth (with or without Covid-19) between 20.2.2020 and 29.3.2022, registered in the Sib electronic system (hereinafter Sib) of Babol University of Medical Sciences, Babol, Iran. Using a checklist developed and validated by an expert panel data were collected on the prevalence of maternal and neonatal outcomes in mothers with or without a history of Covid-19 and compared. The data collected were analyzed with SPSS 24 using descriptive tests such as chi-square and Fisher's exact test and STATA version 22, and the adverse outcomes with high frequencies following Covid-19 were determined.
Results: Analysis of the data showed the following to be the most common outcomes among mothers with a history of Covid-19: 1. obstetric complications and maternal disorders/diseases (hypertension, type-2 diabetes mellitus, at least one case of bleeding during pregnancy, premature/delayed birth and premature rupture of the amniotic sac, n= 457, 27.8%); 2. medical and surgical problems (unhealthy pregnancy weight gain and thromboembolic events, n=206, 12.5%). In addition, there was a statistically significant difference between the two groups of pregnant mothers with and without a Covid-19 infection as regards medical and surgical problems (P=0.001) and obstetric complications and maternal diseases (p=0.002). As regards the adverse neonatal outcomes in pregnant mothers with and without a history of Covid-19, there was a statistically significant difference between the two groups in terms of Apgar score at minutes 1 and 5 (p≥0.001) and exclusive breastfeeding (P=0.001) and the presence of Covid-19 symptoms in the baby (p<0.001).
Conclusion: Based on the findings of this study it seems that Covid-19 infection during pregnancy is associated with a higher risk of some of the undesirable maternal and neonatal outcomes. Therefore, it is essential to plan and implement programs for health education, creation of a sound attitude towards better management, enhancement of the skills and capabilities of the health-care providers and, finally, promotion of the knowledge of service recipients.
Keywords: Covid-19, Pregnancy, Childbirth, Pregnant Women, Maternal and Neonatal Outcomes, Virtual Educational Package
Type of Study: Research |
Subject:
Public Health
Received: 2023/10/24 | Accepted: 2023/10/23 | Published: 2023/10/23
Received: 2023/10/24 | Accepted: 2023/10/23 | Published: 2023/10/23
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