A Comparison of Prenatal Maternal Care between Wanted and Unwanted Pregnancies
DOI:
https://doi.org/10.22100/jkh.v5i4.154Keywords:
Unwanted pregnancy, Wanted pregnancy, Prenatal care.Abstract
Introduction: Unwanted pregnancies are one of the major problems in developing countries. This research aimed to answer the question whether women with unwanted pregnancies seek the health care they need.
Methods: In this descriptive-analytical study, 270 pregnant women referring to Shahroud hospitals to terminate their pregnancies were studied through the census method and were divided into two groups of wanted and unwanted pregnancies. A self questionnaire was used to collect data and it was completed through personal interviews and referring to mothers’ health files. The data were analyzed via Chi-square and Mann-Whitney U test.
Results: The results of the study showed significant differences between pre-pregnancy counseling, the number of referrals to the clinic, the time of folic acid consumption, regular consumption of iron tablets, routine pregnancy testing and optimal weight gain between the two groups of wanted and unwanted pregnancy (P>0.05). Mann Whitney U test showed a significant difference between the mean time of first visit for prenatal care (P=0.004), and the average number of referrals to midwifery clinic in wanted and unwanted pregnancies (P=0.003).
Conclusion: Since prenatal care prevents during-pregnancy and delivery problems, attempts must be made to remove the obstacles on this way. Unwanted pregnancies are among the factors that play important roles in irregular referring to prenatal care clinics and render these groups as high risk in their pregnancies.
References
Madaanipour A, Ahmadnia SH, Rostami Z, Ahmadabadi Z. Reproductive health; importance of income or education? Comparative analysis of world countries, with emphasize on the Middle East, North Africa And Central Asia. Journal of Family Research 2009;4(16):441-459.
Kilma CS. Unintended pregnancy, consequences and solutions for worldwide problem. J Nurse Midwifery 1998;43(6):483-91.
Cunningham FG, Leveno KJ,Bloom SL, Hauth JC, Rouse DJ, Sponj CY.Williams Obestetrics. 23th ed. McGraw-Hill;2010.p.189-190.
Abdollahy F, Mohamadpor R. Evaluation of adverse outcomes of unwanted pregnancy on the women referring to Mazandran medical university hospitals. JMUMS 2004;14(44):87-93.[Persian].
Moghadam-Banayem L, Eftekhary Ardebili H, Majlesy F, Rahemy A, Taamoli S, Amini-Manesh AR. Comparison of the Toxicity Risk pregnancies and unwanted pregnancies asked: a cohort study. Payesh 2007;7(11):29-33.[Persian].
Delgado Rodriguez M, Gomez Olmedo M, Bueno Cavanillas A, Galvez Vargas R. Unplanned pregnancy as a major determinant in inadequate use of prenatal care. Preventive Medicine 1997;26(6):834-38.
Braveman P, Marchi K, Egerter S, Pearl M, Neuhaus J. Barriers to timely prenatal care among women with Insurance: The importance of pregnancy factors. Obstetrics & Gynecology 2000;95(6):874-80.
Low P, Paterson J, Wouldes T, Carter S, Williams M, Percival T. Factors affecting antenatal care attendance by mothers of pacific infants living in new Zealand. Journal of the New Zealand Medical Association 2005; 118(12-16).
Lepere EA. Relationship between unintended pregnancies and prenatal care. [cited 2009 March7]. Available from:URL: http//www.epidemialogy.vcu.edu/MPHprogram/Reserch/Lepere.htm.
Marston C, Cleland J. Unintended pregnancy is linked to inadequate prenatal care, but not to unattended delivery or child health. International Family Planning Perspectives 2003;29(3).
Orr ST, James SA, Reiter JP, Unintended pregnancy and prenatal behaviors among urban, black women in Baltimore, Maryland: The Baltimore preterm birth study. Ann Epidemiol 2008;18(7):545-51.
BinaBaj N. The effects of unwanted pregnancy on the quality of prenatal care. Ofogh-E-Danesh 2003;8(2):75-80.[Persian].
Baksh L, Davis K, Bloebaum L, Streeter N, Galloway K, Rolfs B. Unintended pregnancy in Utah. A Pregnancy Risk Assessment Monitoring System Quarterly Report V.1 No.2. Available at: http://health.utah.gov/mihp/prams/Unintended.pdf
Poorheidary M, sozany A, shamaiian N. Prevalance of unwanted pregnancies and their correlates in pregnant women in shahrood, iran. Journal of the Iranian Institute for Health Sciences Research 2007;6(1):61-70.[Persian].
Zamani F, Bashardoost N, Rajabi Z. Unwanted pregnancy in rural women of Najafabad. Feyz 2005;33(12):56-61.[Persian].
Riazi H, Many Kashany. The frequency and mode of pregnant women for prenatal care and factors affecting them. Scentific Journal of Hamedan Nursing and Medwifery Faculty 2005;13(24):26-31.[Persian].
Fekrat M, Kashanian M, Saberi Z. Evaluation of the effective factors in irregular prenatal care. Journal of Iran University of Medical Sciences 2004;42:605-610.[Persian].
Ansari Niaki M, Izadi Sabet F. The quality of prenatal care performance on the basis of existing care stands in health centers. Koomesh 2004;5(1-2):81-86.
Sangestany G. The relationship between unintended pregnancy and prenatal health care visitors in hospital Fatemiyeh Hamedan. Proceeding of the National Congress of Public Healt and Preventive Medicine. Kermanshah University of Medical Sciences;2000.p.98. [Persian].
Afshar M, Delavar Davin N, Kiafar S. The comparasion of neonatal growth indices in unwanted and wanted pregnancies. Journal of Gorgan University of Medical Sciences 2004;6(13):40-45.[Persian].
Azizzadeh Foroozi M, Mohhamad Alizadeh S, Monshi Zadeh M, Fasihi Harandi M. Pregnant women’s points of view regarding to not receiving pregnant care. Hormozgan Medical Journal 2004;8(4):221-226.[Persian].
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