Volume 16, Issue 4 ( winter 2013)                   J Qazvin Univ Med Sci 2013, 16(4): 47-53 | Back to browse issues page

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Jourabchi Z, Ranjkesh F, Asefzadeh S, Lye Mumm Sann. Impact of integrated maternal health care on reducing pregnancy and delivery complications in Qazvin province (2009-2011). J Qazvin Univ Med Sci. 2013; 16 (4) :47-53
URL: http://journal.qums.ac.ir/article-1-1375-en.html
1- Qazvin University of Medical Sciences, Qazvin, Iran , Email: franjkesh@qums.ac.ir
Abstract:   (7663 Views)

  Background: Access to prenatal care has an extremely important role in reducing maternal and neonatal mortality and morbidity in the world.

  Objective: To evaluate the effect of integrated maternal health care program on reducing pregnancy and delivery complications in Qazvin province.

  Methods: This was a cohort study carried out on 450 pregnant women who were visited at maternal health centers in two cities of Qazvin and Alborz between 2009-2011. The sampling method used was based upon objective. A researcher-made questionnaire composed of three parts marked as pre -pregnancy, pregnancy, and postpartum was used for collecting data . All information was obtained from clinical files , observations, interviews with relevant people in charge ( general practitioners or midwives ), and mothers who visited the health centers . Samples were followed up from the entry time to study until the time of postpartum visit . The two study groups (one provided with integrated health care and the other with routine health care) were examined for pregnancy complications . Data were analyzed by independent t-test, chi-square test, Fisher’s exact test, and Mann-Whitney U-test .

  Findings : The rate of gestational complications including hypertension (P=0.03), preterm delivery (P=0.03), and premature infants (P=0.02) were lower in mothers who received integrated maternal health care . Moreover, the referral rate for the group with integrated maternal health care was higher compared to the one with routine health care (P=0.001).

  Conclusion: The results of this study showed that, despite the implementation of almost 60% of the integrated maternal program in the city of Alborz, it seems that the program had a positive impact on reducing gestational complications and promoting maternal health.




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Type of Study: Research | Subject: Health Care Management

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