The Relationship between Demographic-Obstetrics Variables and Quantitative Adequacy Index of Prenatal Care with Preeclampsia

Background: Preeclampsia is one high blood pressure (hypertension) disorder occurring during pregnancy with adverse effects on both mother and fetus.Aim: The present study was performed with aim to determine the relationship between demographic-obstetrics variables and quantitative adequacy index of...

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Main Authors: Maryam Moradi, Azin Niazi, Farzaneh Salajegheh Tezerji, Fatemeh Zahra Karimi, Seyedeh Azam Pourhoseini, Ehsan Mazloumi
Format: Article
Language:fas
Published: Mashhad University of Medical Sciences 2024-01-01
Series:Journal of Evidence-Based Care
Subjects:
Online Access:https://ebcj.mums.ac.ir/article_23314_34cb4ae692b6cf7832f8c73abaf163b3.pdf
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author Maryam Moradi
Azin Niazi
Farzaneh Salajegheh Tezerji
Fatemeh Zahra Karimi
Seyedeh Azam Pourhoseini
Ehsan Mazloumi
author_facet Maryam Moradi
Azin Niazi
Farzaneh Salajegheh Tezerji
Fatemeh Zahra Karimi
Seyedeh Azam Pourhoseini
Ehsan Mazloumi
author_sort Maryam Moradi
collection DOAJ
description Background: Preeclampsia is one high blood pressure (hypertension) disorder occurring during pregnancy with adverse effects on both mother and fetus.Aim: The present study was performed with aim to determine the relationship between demographic-obstetrics variables and quantitative adequacy index of prenatal care with preeclampsia.Method: This case-control study was performed on 90 preeclampsia and 150 non-preeclampsia women referred to the university hospitals in Mashhad. The samples in the case group were selected from the hospitalized individuals with a definite diagnosis of preeclampsia, and those in the control group among pregnant women without preeclampsia referred to receive prenatal care. Data were analyzed by SPSS software (version 22). P<0.05 was considered statistically significant.Results: The prevalence of preeclampsia was 2 times in women with a history of infertility. Also, 13.3% of women with preeclampsia had anemia (p=0.026), 4.4% had a history of chronic hypertension and the odds of developing preeclampsia in these women was 16 times. The women with preeclampsia received 50% inadequate care, which was 47.2% in the control group.Implications for Practice: Age, body mass index, maternal pre-pregnancy weight, LMP-based gestational age, multiple births, nulliparity, first pregnancy of current spouse, history of infertility and use of assisted reproductive technology, chronic hypertension and history of preeclampsia in individual and first grade relatives, and inadequate prenatal care were the risk factors for preeclampsia. Planning to moderate risk factors, early identification of high-risk individuals, and adequate prenatal care coverage should be considered by healthcare providers to decrease the complications of preeclampsia.
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spelling doaj.art-ee2a0ff776214827a066f7417a05d7062024-01-16T05:27:42ZfasMashhad University of Medical SciencesJournal of Evidence-Based Care2008-24872008-370X2024-01-01134475510.22038/ebcj.2023.67676.277223314The Relationship between Demographic-Obstetrics Variables and Quantitative Adequacy Index of Prenatal Care with PreeclampsiaMaryam Moradi0Azin Niazi1Farzaneh Salajegheh Tezerji2Fatemeh Zahra Karimi3Seyedeh Azam Pourhoseini4Ehsan Mazloumi5Senior Research Fellow, Department of General Practice, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, AustraliaMSc of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, IranMSc of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, IranAssistant Professor in Reproductive Health, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, IranAssistant professor, Department of Obstetrics and Gynecology, Fellowship of Laparoscopy, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranHealth Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, IranBackground: Preeclampsia is one high blood pressure (hypertension) disorder occurring during pregnancy with adverse effects on both mother and fetus.Aim: The present study was performed with aim to determine the relationship between demographic-obstetrics variables and quantitative adequacy index of prenatal care with preeclampsia.Method: This case-control study was performed on 90 preeclampsia and 150 non-preeclampsia women referred to the university hospitals in Mashhad. The samples in the case group were selected from the hospitalized individuals with a definite diagnosis of preeclampsia, and those in the control group among pregnant women without preeclampsia referred to receive prenatal care. Data were analyzed by SPSS software (version 22). P<0.05 was considered statistically significant.Results: The prevalence of preeclampsia was 2 times in women with a history of infertility. Also, 13.3% of women with preeclampsia had anemia (p=0.026), 4.4% had a history of chronic hypertension and the odds of developing preeclampsia in these women was 16 times. The women with preeclampsia received 50% inadequate care, which was 47.2% in the control group.Implications for Practice: Age, body mass index, maternal pre-pregnancy weight, LMP-based gestational age, multiple births, nulliparity, first pregnancy of current spouse, history of infertility and use of assisted reproductive technology, chronic hypertension and history of preeclampsia in individual and first grade relatives, and inadequate prenatal care were the risk factors for preeclampsia. Planning to moderate risk factors, early identification of high-risk individuals, and adequate prenatal care coverage should be considered by healthcare providers to decrease the complications of preeclampsia.https://ebcj.mums.ac.ir/article_23314_34cb4ae692b6cf7832f8c73abaf163b3.pdfobstetrics carepreeclampsiapregnancyprenatal care
spellingShingle Maryam Moradi
Azin Niazi
Farzaneh Salajegheh Tezerji
Fatemeh Zahra Karimi
Seyedeh Azam Pourhoseini
Ehsan Mazloumi
The Relationship between Demographic-Obstetrics Variables and Quantitative Adequacy Index of Prenatal Care with Preeclampsia
Journal of Evidence-Based Care
obstetrics care
preeclampsia
pregnancy
prenatal care
title The Relationship between Demographic-Obstetrics Variables and Quantitative Adequacy Index of Prenatal Care with Preeclampsia
title_full The Relationship between Demographic-Obstetrics Variables and Quantitative Adequacy Index of Prenatal Care with Preeclampsia
title_fullStr The Relationship between Demographic-Obstetrics Variables and Quantitative Adequacy Index of Prenatal Care with Preeclampsia
title_full_unstemmed The Relationship between Demographic-Obstetrics Variables and Quantitative Adequacy Index of Prenatal Care with Preeclampsia
title_short The Relationship between Demographic-Obstetrics Variables and Quantitative Adequacy Index of Prenatal Care with Preeclampsia
title_sort relationship between demographic obstetrics variables and quantitative adequacy index of prenatal care with preeclampsia
topic obstetrics care
preeclampsia
pregnancy
prenatal care
url https://ebcj.mums.ac.ir/article_23314_34cb4ae692b6cf7832f8c73abaf163b3.pdf
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