(2020) The adherence adequacy to antenatal care in alleviating the adverse maternal and neonatal outcomes of iranian pregnant women: A retrospective-prospective study. Italian Journal of Gynaecology and Obstetrics. pp. 107-118. ISSN 11218339 (ISSN)
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The adherence adequacy to antenatal care in alleviating the adverse maternal and neonatal outcomes of iranian pregnant women A retrospective-prospective study.pdf Download (406kB) |
Abstract
Background. Low adherence of pregnant women to the content of prenatal care guidelines (PCGs) is one of the most significant issues in obstetrics. Objective. This study aimed to improve the well-being of the mother and fetus by preventing maternal and neonatal complications using the adherence to antenatal care (ANC). Patients and methods. An integrated retrospective-prospective longitudinal study with participating 604 pregnant women was carried out in the Iranian community. A valid researcher-made tool was used to implement this three-stage research approach. The results of demographic and obstetric characteristics, the adequacy of adherence to PCGS, and pregnancy outcomes were analyzed using multivariate logistic regression to assess the compliance of women with pregnancy outcomes. Results. 71.36 of the total population had a complete adherence (≥ 80) to the PCGs. The women with higher education levels substantially showed more adherence to this healthcare program guideline (p = 0.0001). In relation to pregnancy outcomes, there was a significant relationship between women's adherence to PCGs and neonatal complications (p < 0.05). Conclusion. The assessment of PCGs content was successful in evaluating ANC quality. The complete adherence to first ANC guidelines could efficiently promote neonatal outcomes, whereas it showed no effect on maternal outcomes. © 2020 Global Research Online. All rights reserved.
| Item Type: | Article |
|---|---|
| Keywords: | Maternal adherence Maternal and neonatal mortality Pregnancy outcome Pregnant women Prenatal care adult adverse outcome Article cesarean section eclampsia female fetus death HELLP syndrome hemolysis hospital admission human intensive care unit intrauterine growth retardation Kotelchuck index longitudinal study low birth weight major clinical study maternal hypertension neonatal intensive care unit neonatal respiratory distress syndrome newborn newborn jaundice newborn mortality observational study preeclampsia pregnancy complication pregnancy diabetes mellitus pregnant woman premature labor prevalence prospective study protocol compliance questionnaire retrospective study scoring system stillbirth vaginal delivery |
| Page Range: | pp. 107-118 |
| Journal or Publication Title: | Italian Journal of Gynaecology and Obstetrics |
| Journal Index: | Scopus |
| Volume: | 32 |
| Number: | 2 |
| Identification Number: | https://doi.org/10.36129/jog.32.02.03 |
| ISSN: | 11218339 (ISSN) |
| Depositing User: | مهندس مهدی شریفی |
| URI: | http://eprints.bmsu.ac.ir/id/eprint/8352 |
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