Background: Complications observed during pregnancy affect both mother and fetus, and are more commonly observed among pregnant women from developing countries. The study aims to identify the most common pregnancy and fetal complications during pregnancy, and associated risk factors with these complications. Methods: A longitudinal study was conducted from September 2017 to July 2018 among pregnant women attending and registering in primary health care clinics of the Palestinian Ministry of Health in Nablus city. Data were collected through interviews and by reviewing medical records. Women were followed up during their regular visits to the primary health care clinics. Any complication affecting either the fetus or the mother during the pregnancy period was recorded. Binary logistic regression was used to identify independent risk factors for pregnancy and fetal complications. Results: A total of 380 pregnant women were included in the study. The most common complications seen among women during pregnancy were preterm labor (PTL) (11.3%), followed by an equal number of gestational diabetes (GDM) and pregnancies induce hypertension (PIH), i.e. (7.9%). Large for gestational age (LGA) (11.6 %) and small for gestational age (SGA) (10.5%) were the most commonly observed fetal complications. Pregnant women living in camps (O.R 2.35, 95% [CI] 1.02- 5.45), nulliparity (O.R 14.9, 95% [CI] 1.09-202.5) and low parity women (O.R 16.8, 95% [CI] 1.47- 192.5) were at higher risk of having pregnancy complications. However, lower risk was noticed between women with gravida 4 (O.R 0.11, 95% [CI] 0.03-0.47) compared to women having more than 6 pregnancies. Age younger than 41 years was a protective factor against fetal complications, while parity (≤ 6 parities) especially 4 to 6 parities (OR 36.17; 95% CI 4.88-268) and active smoking mothers (OR 1.25; 95% CI 1.0-3.07) were identified as risk factors that are associated with an increased risk of fetal complications. Conclusions: Fetal and pregnancy-related complications are prevalent among Palestinian pregnant women. Increasing the awareness and improving the understanding of the identified risk factors related to these complications among the public, and specifically, females may help to reduce the prevalence of these conditions and the associated risk of these complications.
Intra uterine device (IUD) is the most popular method of contraception among Palestinian women. It is one of the very effective contraceptive methods with very small failure rate. Infection has been the main problem that faces women using IUD all over the world. The aim of this study is to explore the epidemiological pattern of aerobic bacterial infections among IUD users in Northern West Bank /Palestine. A study sample included two hundred women (134 IUD users and 66 non-IUD users) from MOH (Ministry of Health) FP (family planning) clinics. These women were randomly selected, interviewed, then cervical swabs were collected and cultured for aerobic bacteria, all data were analyzed using SPSS software. The study results showed overall significant higher rate of isolated bacteria among IUD users compared to non-users (P value < 0.05), with a significant relationship between infection and the type of IUD. However there was no overall significance in relation to duration of use (P value > 0.05). More than 50% of the positive culture results were predominant bacteria, and some 40% were potentially pathogenic. ? Hemolytic streptococcus was the most frequent of the former and E. Coli of the latter. Overall the study results were consistent with the current literature. يعتبر اللولب من اكثر الوسائل شيوعا في فلسطين، حيث يعتبر من اكثر الوسائل فاعلية، بسبب انخفاض نسبة الفشل في استخدامه. تعتبر التهابات الجهاز التناسلي من أهم المشاكل التي تواجه السيدات اللواتي يستخدمن اللولب في جميع انحاء العالم. تهدف هذه الدراسة التحليلية المقارنة الى دراسة النمط الوبائي للبكتيريا الهوائية بين السيدات اللواتي يستخدمن اللوالب في محافظات شمال الضفة الغربية في فلسطين. تم اختيار العينة الدراسية المكونة من مائتي سيدة (134 سيدة يستخدمن اللولب، 66 سيدة لا يستخدمنه) من عيادات تنظيم الأسرة التابعة لوزارة الصحة الفلسطينية في محافظات شمال الضفة الغربية. وقد تم إجراء مقابلة شخصية مع كل سيدة وتعبئة نموذج خاص ومن ثم اخذ عينة من عنق الرحم للزراعة والكشف عن البكتيريا الهوائية. تم استخدام البرنامج الإحصائي SPSS في التحليل الاحصائي. اظهرت نتائج الدراسة ان معدل انتشار البكتيريا الهوائية كانت أعلى بين السيدات اللواتي يستخدمن اللوالب بالمقارنة مع اللواتي لا يستخدمنه وكان الفرق مهما احصائيا (الدالة الإحصائية اقل من 0.05 )، مع وجود فرق مهم احصائيا (الدالة الإحصائية اقل من 0.05) نتيجة اختلاف نوع اللولب أما بالنسبة للمدة الزمنية لاستخدامه فلم يكن هناك بشكل عام فرق مهم.(الدالة الإحصائية اكثر من 0.05). اكثر من 50% من نتائج الزراعة الايجابية كانت من نوع البكتيريا السائدة وحوالي 46% من نوع البكتيريا المحتمل ان يكون مسببا للمرض مع كون بكتيريا ? Hemolytic Streptococcus هي الاكثر شيوعا في النوع الاول وبكتيريا E. Coli هي الاكثر شيوعا في النوع الثاني. بشكل عام فان نتائج الدراسة كانت متوافقة مع ما سبقها من دراسات.
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