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Showing 2 results for Prenatal Care

Mohammad Sarani , Zahra Shahraki , Mahboobeh Shirazi , Soleiman Saravani ,
Volume 72, Issue 9 (12-2014)
Abstract

Background: Maternal mortality is one of the most important indicators of women health standard in developing countries. This study aimed to determine the prevalence of risk factors and etiology of maternal mortality in a geographic region of Iran. Methods: This descriptive- analytic cross sectional study included all pregnant women who died during pregnancy and six weeks after delivery due to pregnancy related fac-tor. The study was done in Sistan region in the north of Sistan and Baluchestan Prov-ince of Iran from April 2002 to March 2014. The immigrant women were excluded. Data were collected using 3 parts questionnaire. The validity and reliability of ques-tioner were approved by experts in this field. Data were analyzed using the statistical software SPSS version 18, Chi-square test and ANOVA analysis were performed. Results: The total number of deliveries during this time period was 60496. The total number of maternal mortality was 57 patients which means 94.2 out of 100.000 live births. Most of the dead mothers had more than 35 years old (46.9%), gestational age was more than 22 weeks (77.2%), gravidity more than 4 (21.1%), pregnancy interval lower than two years (46.9%) and 75.4% of death was in post-partum. The main cause of mortality was post-partum hemorrhage (19.3%). Conclusion: Based on our findings, some factors including multiparity, pregnancy his-tory more than 4 times, short interval between pregnancies lower than 2 years and ma-ternal age more than 35 years were some risk factors for maternal death. Maternal mortality in the postpartum period was more than pre-delivery period. Bleeding was the main cause of maternal mortality. Therefore monitoring of vital signs in the post-partum period and the proper management of bleeding are very important. It is sug-gested that risk assessment should be done for pregnant women in delivery ward for detecting high risk pregnant women. Suitable management for these women especially for patients with postpartum hemorrhage plays an important role to decrease the ma-ternal mortality.
Emad Kouhestani, Mansoureh Yaraghi, Mirsaeed Yekaninejad, Ashraf Alyasin,
Volume 78, Issue 9 (12-2020)
Abstract

Background: The health of pregnant mothers is one of the most important health indicators of each country. The midwifery clinic is one of the first places in which pregnant mothers become familiar with at the time they arrive. Providing health services at a desirable level and improving the quality of services in the midwifery clinic require an accurate understanding of the situation and its complications. This study aimed to assess how well pregnant mothers were satisfied with the midwifery services that they have received at midwifery to improve their quality.
Methods: This cross-sectional study was performed on 364 pregnant women who were referred to the midwifery clinic of Shariati Hospital in Tehran in August and September in 2018. Data were collected using a validated, pre-designed questionnaire and were analyzed using chi-square and multivariate logistic regression.
Results: Among the pregnant women referred to the clinic, 70.2% were satisfied with the care services received and 29.8% of them were not satisfied. This satisfaction level had a significant relationship with pregnancy (P=0.009) and mothers' age (P<0.001) while decreased by the increment in the number of pregnancies and age. Also, in this study, the least satisfaction was related to the crowds and waste of time and lack of access to the parking spot (P<0.001). In this research, the least satisfaction was due to crowding and waste of time, which can be addressed by improvement in the health services in the residential areas, appropriate referrals, informing about the expected time of arrival, and providing information on the alternative of the new hospitals in areas around the city with less traffic congestion and better parking sites.
Conclusion:  The results of our study showed the detailed patient satisfaction factors of an educational medical hospital. In overall the satisfaction.



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