Importance of Pre-pregnancy Counseling in Iran: Results from the High Risk Pregnancy Survey 2012

Overview

Journal Int J Health Policy Manag

Specialties Health Services
Public Health

Date 2014 Mar 6

PMID 24596867

Citations 8

Authors

Mohammad Eslami

Mahdieh Yazdanpanah

Robabeh Taheripanah

Parnian Andalib

Azardokht Rahimi

Nakhaee Nouzar

Affiliations

Soon will be listed here.

Abstract

Background: To identify the prevalence of behavioural (Pre-pregnancy), obstetrical and medical risks of pregnancy in Iranian women.

Methods: A total of 2993 postpartum women who delivered in 23 randomly selected hospitals of six provinces were enrolled in this nationwide cross-sectional study. A structured questionnaire was completed based on interviewees' self-reports and medical record data, consisting of socio-demographic characteristics, behavioural, obstetrical and medical risks, before and during pregnancy.

Results: Less than 6.0% had no health insurance and 5.0% had no prenatal visit before labour. Unintended pregnancy was reported by 27.5% of women. Waterpipe and/or cigarette smoking was reported by 7.1% of them and 0.9% abused opiates during pregnancy. Physical abuse by husband in the year before pregnancy occurred in 7.5% of participants. The rate of cesarean section was 50.4%. Preterm birth, low birth weight, and stillbirth were seen in 6.8, 7.7, and 1.2% of deliveries respectively. The most frequent medical risk factors were urinary tract infection (32.5%), anemia (21.6%), and thyroid disease (4.1%).

Conclusion: More effort should be devoted by health policymakers to the establishment of a preconception counselling (health education and risk assessment) and surveillance system; although obstetrical and medical risks should not be neglected too.

Citing Articles

The Status, Policies, and Programs of Preconception Risk Assessment in Iran: A Narrative Review.

Sardasht F, Motaghi Z, Shariati M, Keramat A, Akbari N J Caring Sci. 2022; 11(2):105-117.

PMID: 35919275 PMC: 9339134. DOI: 10.34172/jcs.2022.15.

Functionality of the Crosswise Model for Assessing Sensitive or Transgressive Behavior: A Systematic Review and Meta-Analysis.

Sagoe D, Cruyff M, Spendiff O, Chegeni R, de Hon O, Saugy M Front Psychol. 2021; 12:655592.

PMID: 34248750 PMC: 8260852. DOI: 10.3389/fpsyg.2021.655592.

Knowledge Valuation by Iranian Women with High-Risk Pregnancy: A Qualitative Content Analysis.

Shojaeian Z, Khadivzadeh T, Sahebi A, Kareshki H, Tara F Int J Community Based Nurs Midwifery. 2020; 8(3):243-252.

PMID: 32656276 PMC: 7334747. DOI: 10.30476/IJCBNM.2020.83305.1139.

Primary health care nursing students' knowledge of and attitude towards the provision of preconception care in KwaZulu-Natal.

Ukoha W, Dube M Afr J Prim Health Care Fam Med. 2019; 11(1):e1-e8.

PMID: 31714127 PMC: 6890566. DOI: 10.4102/phcfm.v11i1.1916.

Development of Financial Support Program for High Risk Pregnant Women.

Jeong I, Kim J, Im S Osong Public Health Res Perspect. 2016; 7(3):141-8.

PMID: 27413644 PMC: 4927672. DOI: 10.1016/j.phrp.2016.02.003.

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