جستجوی مقالات مرتبط با کلیدواژه « مراقبت های دوران بارداری » در نشریات گروه « پزشکی »

Providing adequate prenatal care for women can help maintain or improve the health of the mother and fetus. This study aims to identify the incentives and barriers to receiving prenatal care in Zahedan, southeast Iran. 

This is a qualitative study using a conventional content analysis approach. Participants were 26 people, including 8 healthcare workers and 18 pregnant women referred to the healthcare centers in 2022 in Zahedan. They were selected by a purposive sampling method and underwent semi-structured in-depth interviews, which continued until the data saturation. Content analysis was carried out along with assessing the validity and reliability of data using Graneheim and Lundman’s four criteria (credibility, dependability, transferability, and confirmability). 

After analysis, 504 codes were obtained, which were reduced to 215 codes, from which 19 sub-categories, 6 sub-themes, and 2 themes of prenatal care barriers and incentives. 

Policymakers and authorities in Zahedan should pay attention to the incentives and barriers to receiving prenatal care identified in this study for developing plans to improve the health of pregnant women in this area.

During the COVID- 19 pandemic, the quality of prenatal care was affected considerably and online prenatal care emerged as a safe and effective method. This study aims to assess the quality of prenatal care during the pandemic in the south of Iran.

 This is a descriptive analytical study that was carried out in Bandar Abbas city in August 2021 for four months. Participants were 400 pregnant women referred to health centers who received prenatal care services by telephone or in person at least three times and had health records. Data collection tools were the quality of prenatal care questionnaire and a researcher-made prenatal care delivery checklist. 

The mean age of participants was 28.1±5.9 years. Less than 10% of them received full routine prenatal care. Weight measurement was the most frequent service provided to mothers (96.8%) while oral and dental health education (33.3%) was the least frequent service. Pregnant women had the highest and lowest prenatal care quality perception score in dimensions of information sharing (3.8±0.47) and approachability (2.0±0.69), respectively. Low level of education (β=0.83, 95% CI: 0.5-0.9, P= 0001) and history of infertility (β=-0.32, 95% CI: -0.29-0.64, P= 0.008) were the two variables predicting the perceived prenatal care quality.

The quality of prenatal care provided to pregnant mothers in southern Iran during the pandemic is not favorable. The use of community-based midwifery system, gaining mothers’ trust in online services and telephone follow-up, and improving online prenatal care infrastructure should among the priorities of decision makers in the health sector.

prenatal care is performed with the aim of maintaining a healthy pregnancy in terms of physical health and favorable mental outcomes for the mother, baby, and family. Considering that the health and progress of any society is largely based on the health of women, this study was conducted with the aim of determining the quality of prenatal care from the perspective of the service recipients using the SERVQUAL pattern during the Covid-19 pandemic in sanandaj comprehensive health centers.

In this descriptive-analytic study, 400 women referring to 10 comprehensive health centers in Sanandaj city to receive prenatal care were studied. The sampling method was cluster sampling (10 people in each cluster). 4 clusters (40 pregnant women) were selected from each center. SERVQUAL questionnaire was used to collect the data. Data were analyzed using Stata version 14 software and descriptive statistics i.e. independent t-test, one-way analysis of variance (or their non-parametric equivalent i.e. Mann-Whitney and Kruskal-Wallis, respectively), as well as chi-square test and Fisher;#39s test.

There was a negative quality gap in all five dimensions of service quality. The overall quality gap in this study was -0.66. The highest mean of this gap was in the concrete dimension (-1.44), and the lowest mean was in the empathy dimension (-0.02). Also, a statistically significant difference was seen between the perceptions and expectations of the clients in terms of tangibles, assurance, and guarantee (P0.05).

Based on the results, there was a gap between the level of expectations and perceptions of prenatal care recipients during the Covid-19 pandemic. The expectations of the service recipients was beyond their perceptions of the existing situation, and there is still large gap for improvement in order to achieve the satisfaction of the service recipients and provide the desired health care services.

Pregnancy is one of the most important and dangerous periods in the life of the mother and fetus. Maternal health or illness during this period affects not only the quality of life but also the health of the fetus and mother. Therefore, this study aimed to investigate the effect of pregnancy education on the health index of infants and the process of childbirth in pregnant mothers.

This study of double-blind clinical trial was conducted on 187 pregnant women referred to the pregnancy clinic of Shohada Ghaen Educational and Medical Center in 2018. The sample was randomly selected and it was randomly divided into twogroups of experimental and control. The experimental group took part in preparation classes for child birth during 8 sessions of 1.5 hours. Moreover, the control group received the usual prenatal care. To collect data, an individual information questionnaire, a physiological index record sheet, a partographic form, and a scale were used to weigh the baby. Data analysis was performed through statistical experiments of Key and Square test, independent t-test and ManWittney using SPSS statistical software (version 16).

In the study of health indexes of infants, statistical results showed that there was no significant statistical difference between the two groups in birth weight, head circumference, height of the infant and Apgar in the first and fifth minutes. The duration of labor showed that the length of the first stage was 184.92± 13 in the experimental group and it was 252.58±14 in the control group, which is statistically significant (P = 0.002). However, there was no significant difference between the second and third stage in two groups.

Pregnancy classes reduce the duration of childbirth. Thus, it is recommended that these classes be more extensively organized in the Pregnancy and Childbirth Care Centers.
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Pregnancy is an important stage in a womanchr('39')s life that leads to significant physical, psychological, and social changes. Hence, strengthening pregnant mothers seems vital to cope with these changes. The present study is carried out to determine the effect of training on pregnant womanchr('39')s self - efficacy.

This study is semi-experimental with the control group. 123 pregnant women referring to the urban centers of comprehensive health services in Kashmar city were randomly assigned into two groups of control and intervention (64 intervention and 59 control). Intervention trainings were held in 8 sessions based on the results of the needs assessment checklist for the intervention group and common delivery preparation classes were held for the control group. Questionnaires were completed before and after the intervention by both intervention and control groups. The data collection tools consisted of the form of demographic characteristics and a researcher-made self-efficacy questionnaire. The validity and reliability of the tools were confirmed. The data analysis was conducted using SPSS version 16 using the Kolmogorov - Smirnov test, an independent t – test, and the covariance analysis test. A p-value less than 0.05 was considered statistically significant.

In this study, there was no statistically significant difference between the intervention and control groups in terms of self-efficacy score of pregnant women before the intervention (p-value >0.05). But after the intervention, a statistically significant difference was observed in the mean score of self-efficacy in the intervention group (p-value <0.05)

The study revealed that training based on motherchr('39')s needs can increase the score of self - efficacy in comparison to the routine training classes. Therefore, it is suggested to use this training approach in pregnancy preparation classes.

The health of pregnant mothers is one of the most important health indicators of each country. The midwifery clinic is one of the first places in which pregnant mothers become familiar with at the time they arrive. Providing health services at a desirable level and improving the quality of services in the midwifery clinic require an accurate understanding of the situation and its complications. This study aimed to assess how well pregnant mothers were satisfied with the midwifery services that they have received at midwifery to improve their quality.

This cross-sectional study was performed on 364 pregnant women who were referred to the midwifery clinic of Shariati Hospital in Tehran in August and September in 2018. Data were collected using a validated, pre-designed questionnaire and were analyzed using chi-square and multivariate logistic regression.

Among the pregnant women referred to the clinic, 70.2% were satisfied with the care services received and 29.8% of them were not satisfied. This satisfaction level had a significant relationship with pregnancy (P=0.009) and motherschr('39') age (P<0.001) while decreased by the increment in the number of pregnancies and age. Also, in this study, the least satisfaction was related to the crowds and waste of time and lack of access to the parking spot (P<0.001). In this research, the least satisfaction was due to crowding and waste of time, which can be addressed by improvement in the health services in the residential areas, appropriate referrals, informing about the expected time of arrival, and providing information on the alternative of the new hospitals in areas around the city with less traffic congestion and better parking sites.

 The results of our study showed the detailed patient satisfaction factors of an educational medical hospital. In overall the satisfaction.

Health literacy includes special knowledge and social skills in pregnant women to diagnose prenatal risk factors, healthy lifestyle, and proper nutrition during pregnancy. Health literacy affects the outcome of pregnancy by improving the quality of prenatal health care. The aim of this study was to investigate the health literacy in women referring to health centers in Yazd City of Iran in 2017.

This cross-sectional study was conducted on 390 new mothers who referred to health centers of Yazd City selected by multistage cluster sampling. Data were collected by Maternal Health Literacy. Validity and reliability of the questionnaire were confirmed in previous studies. Data were analyzed by SPSS21 software using T-test and ANOVA.

The results showed that the mean score of health literacy was 54.67±9.85. The results also indicated that maternal health literacy had a significant relationship with educational level, knowledge of pre-pregnancy weight, and history of disease during pregnancy.

The health literacy of new mothers was fairly favorable in this study. Health policymakers should simplify the required training for pregnant and lactating women to minimize the various factors that affect their health literacy.

Maternal health literacy is a key and important factor in ensuring prenatal cares, prenatal health, and the successful outcomes of this period. Due to the high significance of health literacy during pregnancy and its direct effect on fetus, the present research was conducted to determine the relationship between maternal health literacy with prenatal cares in pregnant women.

This descriptive – analytical and cross- sectional study was performed in 2017 on 130 pregnant women referred to centers and comprehensive health service bases of Bushehr city to perform prenatal care. The sample were selected by simple randomized method. Data was collected by using Maternal Health Literacy and Pregnancy Outcome Questionnaire (MHLAPQ). Data was analyzed by SPSS software (version 15) and inferential statistics, independent t test, ANOVA, and Pearson correlation.

The mean score of maternal health literacy was 88.5±13.2. There was significant relationship between maternal health literacy and educational level, job, number of pregnancy (P<0.05). Pearson correlation coefficient showed significantly positive relation between health literacy with prenatal cares and pregnancy outcomes (P<0.05).

Because of the importance of health literacy in mother and newborn health and for promoting health literacy and consequently prenatal care and pregnancy outcomes it is necessary for national health authorities to develop more plans to improve health literacy and empowerment of this group.

This study was aimed to assess Service Quality (SQ) of maternity care from the perception of pregnant women. Methods and materials: A cross-sectional study was conducted using a sample of 185 pregnant women at the 9th month of pregnancy were selected randomly from 40 health posts and urban health centers in Tabriz، Iran. Service Quality was calculated using: SQ = 10 – (Importance × Performance) based on importance and performance of non-health aspects from the customer’ perspective. Data collection used a researcher-developed questionnaire whose validity and reliability was reviewed and confirmed. Data analyzed using SPSS-17 software. Independent sample T-test and ANOVA were used to investigate relationship between service quality dimensions and categorical variables.

From the customers’ perspective the average service quality score was 7. 59 of 10. Service quality aspects of “confidentiality” achieved scores at the level of good quality (≥9); and “support group” (3. 48) reached low service quality scores. Also، result indicate housewife assess SQ better than worker (p=0. 047) and mother who''s have planned pregnancy has had greater SQ score (p=0. 022). Although، in the linear regression analysis، job status and planned pregnancy were significantly and independently related to SQ score.

Findings revealed a significant room for quality improvement in most aspects of provided care، particularly support group and safety from the perception of people who received maternity care.