Outcomes of High-Risk Pregnancies in Northern Iran: Multivariate Logistic Regression Model

Authors

  • Mahdi Afshari Department of Community Medicine, School of Medicine, Zabol University of Medical Sciences, Zabol, Iran
  • Mahmood Moosazadeh Health Sciences Research Center, School of Health, Mazandaran University of Medical Sciences, Sari, Iran
  • Roghaieh Afsargharehbagh Urmia University of Medical Sciences, Urmia, Iran
  • Seyed Abdolhassan Naghibi Department of Public Health, Health Sciences Research Center, School of Health, Mazandaran University of Medical Sciences, Sari, Iran
  • Soghra Khosravi Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran
Abstract:

Abstract Background and purpose: High-risk pregnancy is referred to a situation in which mother, fetus&nbsp;or neonate are in higher risk of morbidity or mortality. Because of adverse outcomes of high-risk&nbsp;pregnancies, this study aims to determine these outcomes in the North of Iran.&nbsp; Materials and Methods: We recruited 803 urban and rural pregnant women in this crosssectional&nbsp;study via consensus method. Data were collected by a questionnaire and analyzed using&nbsp;descriptive statistics [mean, standard deviation (SD)], chi-square test and multivariate logistic&nbsp;regression model. All data analyses were performed using SPSS software and P < 0.05 was&nbsp;considered significant. Results: Mean &plusmn; SD, minimum and maximum age of participants were 27.0 &plusmn; 6.2, 14 and 44&nbsp;years, respectively, 26.3% of which were urban residences. The frequency of adverse outcomes&nbsp;of pregnancy (stillbirth, abortion, and weight under 2500 g) was 10.8%. According to the&nbsp;multivariate logistic regression model, preeclampsia was significantly associated with adverse&nbsp;outcomes of high-risk pregnancy (Odds ratio = 2.7, 95% confidence interval: 1.03-7.10). Conclusion: Our study showed that preeclampsia during pregnancy is a predictive factor of&nbsp;adverse outcomes of pregnancy such as abortion, stillbirth, and low birth weight.

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Journal title

volume 3  issue None

pages  40- 46

publication date 2015-11

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