Risk Assessment Among Pregnant Attending Antenatal Care in Primary Health Care Centers in Al-Nasiriya City at 2018
Keywords:
prevalence, pregnant women, antenatal care, coop land score, weight, height, cross-sectional study, questionnaire, laboratory resultsAbstract
Background: The study examines the facts and employment of ANC among the women in the reproductive age group in Al-Nasiriya city, ANC services is particularly definitive for enhancing the effectiveness of services for childbirth and introduce best pregnant women’s needs of ANC services. Objectives: To assess ANC services in pregnant women to identify the level of ANC, risk factor prevalence according to score among pregnant attend PHCC for ANC to evaluate the state of each pregnancy, and prevalence, of risk factors. Subjects and methods: Descriptive cross-sectional study from 15 of January 2018 to the end of august 2018 complete the study, a total of 586 pregnant attending PHCC for ANC in Al Nasiriya city, when I took the data from 9 PHCC of two sectors for 3 month and half month complete sample size, a questionnaire was distributed according to modified Coop land score in addition to sociodemographic status include educational level, socioeconomic level and occupational status, the data analyzed by using SPSS version 23. Result: According to Coop land score was obtaining as the following: Low risk 355 (60.6%), high risk 121 (20.6%), extremely high 110 (18.8%), and high risk (include high, extremely high risk) percentage occur more in 2nd trimester, the UTI represent the highest risk factor 28.9%. Conclusion: prevalence of low risk factors among pregnancy was more than half that reported while high risk pregnancy less than a quarter and the extremely high represent lesser than a quarter, that means need more facilities to improve the state of ANC services in PHCC to more to encourage for attending PHCC and concentrate on high, extremely high risk groups by giving specialized care through ANC and put a plan for them to decrease both complication and death on the fetus and maternal. Recommendation: study results mandate more facilities to obtain more information that encourages pregnant to visit PHCC and put a plan for a high risk group for specialized care.References
Elmohimen HAA, Abd-Rabou RA, Ali HA-A, Tosson MM. Evaluation of antenatal care services and women’s perception in Assiut university hospital. Ass Univ Bull Environ Res. 2006;9(1).
Mizumoto BR, Moreira BM, Santoro-Lopes G, Cunha AJ, dos Santos RMR, Pessoa-Silva CL, et al. Quality of antenatal care as a risk factor for early onset neonatal infections in Rio de Janeiro, Brazil. The Brazilian Journal of Infectious Diseases. 2015;19(3):272-7.
Moore M, Anthony CR, Lim Y-W, Jones SS, Overton A, Yoong JK. The Future of Health Care in the Kurdistan Region—Iraq: Toward an Effective, High-Quality System with an Emphasis on Primary Care. Rand health quarterly. 2014;4(2).
Leal Filho W, Azeiteiro U, Alves F, Pace P, Mifsud M, Brandli L, et al. Reinvigorating the sustainable development research agenda: the role of the sustainable development goals (SDG). International Journal of Sustainable Development & World Ecology. 2018;25(2):131-42.
Mgawadere FM. Assessing the quality of antenatal care at Lungwena Health Centre in rural Malawi. Unpubl Masters Thesis Univ Malawi Coll Med. 2009.
Gabbe SG, Niebyl JR, Simpson JL, Landon MB, Galan HL, Jauniaux ER, et al. Obstetrics: normal and problem pregnancies e-book: Elsevier Health Sciences; 2016.
Baker PN, Kenny L. Obstetrics by ten teachers: CRC Press; 2011.
Coopland A, Peddle L, Baskett T, Rollwagen R, Simpson A, Parker E. A simplified antepartum high-risk pregnancy scoring form: statistical analysis of 5459 cases. Canadian Medical Association Journal. 1977;116(9):999.
Dobson AJ, Gebski VJ. Sample sizes for comparing two independent proportions using the continuity-corrected arc sine transformation. The Statistician. 1986:51-3.
Ba'aqeel HS, Al-Abduljabbar F, Al-Meshari A, Akiel A, Kidess E. Antenatal risk scoring form: statistical analysis of 1175 cases. Annals of Saudi medicine. 1989;9:140-3.
Al-Ward N, Dhia El-Deen L, Al-Ani W. Evaluation of Antenatal Services in a Primary Health Care Setting in Baghdad. Iraqi Journal of Community Medicine. 2006;19(1):1-7.
Al-Ghezay AAS. Extent Of Risk Factors Among Pregnant Women in Thi-Qar At 2010. Thi-Qar Medical Journal 2011;5(2):18-25.
Al-Khafaji TH, Zangana J, Dauod AS. Prevalence of pregnant women with multiple risk factors attending primary health center in Erbil. International Journal of Humanities Social Sciences and Education (IJHSSE). 2013;2(5):104-13.
Abdulla MM, Oleiwi IF. prevalence, associated factors, bacterial and antimicrobial susceptibility patterns of urinary tract infections in a sample of iraqi pregnant women in al-najaf. European American Journals. 2016;4(6):7=29.
Abdulwahid RG, Ahmed HM. Prevalence and severity of anemia among pregnant women in primary health centers/Erbil City. Kurdistan Journal of Applied Research. 2017;2(2):52-7.
Al-Khozai ZM, Baleegh AKبعا. A study of some Sero-epidemiological aspect on Toxoplasma gondii in Al-Qadisiyia province/ Iraq. journal of al-qadisiyah for pure science(quarterly). 2012;17(2):55-65.
Moore M, Anthony CR, Lim Y-W, Jones SS, Overton A, Yoong JK. The Future of Health Care in the Kurdistan Region—Iraq: Toward an Effective, High-Quality System with an Emphasis on Primary Care. Rand health quarterly. 2014;4(2).
