Evaluation of Safe Maternal Indicators among Women of Reproductive Age in Mashhad

Document Type : Original article

Author

PhD Student, Student Research Committee, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran

Abstract

Introduction: Reproductive health is not merely limited to family planning programs, rather it involves devoting broader attention to social conditions that affect a woman's overall health and role in fertility and sexuality. Regarding this, safe motherhood refers to a set of actions and activities that aims to reach a desired level of health for the mother and neonate. Therefore, this study was performed to determine safe motherhood indicators among women of reproductive age.
Materials and Methods: This descriptive cross-sectional study was conducted to investigate the safe motherhood indicators of 1,019 pregnant women referring to teaching hospitals in Mashhad, Iran, in 2020. The samples was chosen with convenient Sampling method. The necessary data were collected using a researcher-made questionnaire containing demographic and fertility characteristics. The gathered data were analyzed in SPSS software (version 16) using descriptive statistics.
Results: Based on the results, 96% and 33.5% of the subjects referred for prenatal care and preconception care, respectively. It was revealed that 67.8% of the cases used family planning services. The first prenatal visit of 87.7% of women was in the first trimester of pregnancy. It was also found that 58.5% and 33.1% of the subjects underwent natural childbirth and cesarean section, respectively, and 6.1% of pregnancies resulted in abortion.
Conclusion: The results showed that most women did not refer to receive preconception care to be prepared for this period; rather, they refer for prenatal care as soon as the pregnancy occurs. About a third of women do not have a fertility plan; therefore, there is still a gap in the field of healthy reproduction program and preconception care until reaching the desired level. In this respect, it is required to adopt a suitable strategy in this field.

Keywords

References

  1. Hawks RM, McGinn AP, Bernstein PS, Tobin JN. Exploring preconception care: insurance status, race/ethnicity, and health in the pre-pregnancy period. Matern Child Health J. 2018; 22(8):1103-10.
  2. Alkema L, Chou D, Hogan D, Zhang S, Moller AB, Gemmill A, et al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. Lancet. 2016; 387(100017):762-74.
  3. World Health Organization. Strategies towards ending preventable maternal mortality (EPMM). Geneva: World Health Organization; 2015.
  4. Department of economic and social Affairs. Family planning and the 2030 agenda for sustainable development: data booklet. New York: Department of Economic and Social Affairs; 2019.
  5. World Health Organization. Sexual health and its linkages to reproductive health: an operational approach. Geneva: World Health Organization; 2017.
  6. Burgansky A, Montalto D, Siddiqui NA. The safe motherhood initiative: the development and implementation of standardized obstetric care bundles in New York. Semin Perinatol. 2016; 40(2):124-31.
  7. Iranian Ministry of Health and Medical Education. National guide to midwifery and childbirth services. Tehran: Iranian Ministry of Health and Medical Education; 2017.
  8. Hosseini-Chavoshi M, Abbasi-Shavazi MJ, McDonald P. Fertility, marriage, and family planning in Iran: implications for future policy. Population Horizons. 2016; 13(1):31-40.
  9. Alikhasi N, Khadivi R, Kheyri M. The utilization rate of antenatal care after health sector reform implementation in rural areas of Islamic Republic of Iran. Iran J Nurs Midwifery Res. 2014; 19(6):613.
  10. Ministry of Health and Medical Education, Department of Health. National maternal mortality surveillance system. Tehran: Ministry of Health and Medical Education; 2016.
  11. Ghaffari Sardasht F, Jafarnejad F, Jahani N. Applying donabedian quality-of-care framework in assessing the structure of preconception care in urban health centers, Mashhad, 2012. J Mazandaran Univ Med Sci. 2014; 24(116):149-60.
  12. Olfati F, Keramat A, Changizi N, Yunesian M, Asefzadeh S. Clarification of risk management in safe delivery, by Iranian experts: a qualitative study. Biomed Res. 2017; 28(4):1587-92.
  13. Jafarzadeh A, Hadavi M, Hasanshahi G, Rezaeian M, Vazirinejad R, Aminzadeh F, et al. Cesarean or cesarean epidemic? Arch Iran Med. 2019; 22(11):
    663-70.
  14. Ministry of Health and Medical Education. Iranian national program on natural delivery promotion, health system transformation plan: deputy of treatment. Tehran: Ministry of Health and Medical Education; 2016.
  15. Azami M, Darvishi Z, Sayehmiri K. Systematic review and meta-analysis of the prevalence of anemia among pregnant Iranian women (2005-2015). Shiraz E Med J. 2016; 17(4-5):e38462.
  16. Adam I, Ibrahim Y, Elhardello O. Prevalence, types and determinants of anemia among pregnant women in Sudan: a systematic review and meta-analysis. BMC Hematol. 2018; 18(1):1-8.
  17. Ghaffari Sardasht F, Jahani Shourab N, Jafarnejad F, Esmaily H. The frequency of risk factors associated with pregnancy among women seeking planned pregnancy. J Midwifery Reprod Health. 2017; 5(3):942-9.
  18. Hussein J. Non-communicable diseases during pregnancy in low and middle income countries. Obstet Med. 2017; 10(1):26-9.
  19. Mahdavi SA, Jafari A, Azimi K, Dehghanizadeh N, Barzegar A. Therapeutic abortion in Iran: an epidemiologic study of legal abortion in 2 years. BMC Res Notes. 2020; 13(1):1-6.
  20. Moraes AN, Likwa RN, Nzala SH. A retrospective analysis of adverse obstetric and perinatal outcomes in adolescent pregnancy: the case of Luapula Province, Zambia. Maternal Health Neonatol Perinatol. 2018; 4(1):20.
Navid No
Volume 24, Issue 77
June 2021
Pages 1-10

Files

Share

How to cite

Statistics