H. Pakniat, F Movahed,
Volume 1, Issue 3 (6-2012)
Abstract
Introduction: Birth weight is one of the most important indicators for growth in infants. Therefore identifying the associated risk factors of abnormal birth weight is necessity. This study has been designed to detect body mass index, weight gain during pregnancy and its correlation with birth weight of infants.
Methods: Between October 2010 and October 2011 in a cross sectional and descriptive study 1376 pregnant women age range between 18-35 years and gestational age <12 weeks of pregnancy were enrolled. BMI was measured at first prenatal visit and prenatal care was done according to health ministry curriculum. A questionnaire that included demographic, medical history and midwifery data was filled up for each case and preterm delivery cases were recorded. The collected data were analyzed using the SPSS software, logistic regression, student t-test, Fisher’s exact chi-square test.
Results: Univariate analysis showed that LBW was related to mothers in overweight groups, although the differences was not statistically significant (P=1.00). Also the incidence of childbirth with birth weight above 4 kg in overweight and obese mothers was more (P=0.001). On the other hand our statistical analysis results showed an important role for abnormal weight gain during pregnancy, so that weight gain during pregnancy as BMI was affective to predict birth weight of infants (P=0.000, P=0.004).
Discussion: Results of this study showed an association between abnormal BMI, weight gain during pregnancy and abnormal birth weight. Therefore consultation with a specialist in nutrition for women in reproductive aged could reduce the chance of LBW.
Sara Esmaelzadeh Saeieh, Tamara Shirzad, Mitra Rahimzadeh,
Volume 10, Issue 4 (10-2021)
Abstract
Background: Unwanted pregnancy affects the physical and mental health of the mother and her child. Unwanted pregnancy may lead to an increase in gestational hypertension, diabetes, preterm delivery, low birth weight, and postpartum depression. The aim of this study was to investigate the relationship between the incidence of pregnancy and pregnancy complications, and postpartum depression in women referred to selected health care centers in Robat Karim in 2018-19.
Matrials and Methods: This cohort study was carried out with the participation of mothers referring to health care centers of Robat Karim in 2018. A total of 240 pregnant women entered the study after the completion of the London questionnaire in the 26th week of the week, of which 120 were unwanted pregnant and 120 were asked in the pregnancy group. Data were collected using demographic questionnaire, Edinburgh postpartum depression and a checklist for collecting complications and pregnancy outcomes. Data were analyzed using SPSS-21 software, Chi-square and Chi-square tests.
Results: The mean (SD) of mothers' age in the wanted pregnancy group was 30.1 (7.1) and 29.9 (7.2) in the unwanted group. The mean ± SD of depression scores 10 days after delivery in wanted group was less than unwanted group (10.1 ± 0.3 vs.13.1 ± 2.5, P <0.001) and, 30 days after delivery in the wanted group was less than unwanted pregnancy group (9.4 ± 3.2 vs.13.4 ± 2.5, P <0.001). Breast feeding in unwanted pregnancy was significantly less than wanted group (24.3% vs. 71.7%). The mean(SD) of newborn weight in wanted group was more than unwanted group (3135.3(220) vs. 3001(209.7), P<0.001). Hypertetion, diabetes, postpartum hemorrhage, NICU hospitalization and maternal hospitalization in ICU were not different in both groups but pre-eclampsia (7.5% vs. 1.7%, P=0.03) and preterm labor (17.5% vs. 5%, P=0.002) in unwanted group was more than wanted group.
Conclusion: The study showed that preterm delivery, lack of breastfeeding, preeclampsia, and postpartum depression were more in unwanted. Therefore, it can be concluded that wanted pregnancy is related to pregnancy complications, childbirth consequences and postpartum depression.
