Abstract            Volume:4  Issue-11  Year-2016         Original Research Articles

Online ISSN : 2347 - 3215 Issues : 12 per year Publisher : Excellent Publishers Email : editorijcret@gmail.com

Healthy Mothers & Babies are valued hopes and dreams of families of all cultural heritages and national health goals in several countries round the world prioritize infant health. It has long been understood that health outcomes are profoundly shaped not just by biological factors but also by the socialØŒ economic and cultural environmentØŒ including people’s positions in various social hierarchies. Increasing evidence suggests that it is possible to improve pregnancy outcomes through action on these social determinants of health and maternal health care. This document contributes to the ongoing debate by considering maternal health and asking what can be done to improve maternal health outcomes through action on social determinants and prenatal and preconception care. A cohort of 600 pregnant women was recruited from 20 public and one private antenatal health care service in Tabriz city. After stratification by geographical region centers randomly was selected and they were followed up from the time of pregnancy diagnose till 3 months after delivery (August2013 to September 2014). Socioeconomic indicators and pregnancy care based upon health ministry guidelines; and Pregnancy outcomes were measured and assessed. Chi square testØŒ regression analysis (univariate and multivariate) was done by SPSS version 17. we found significant relationship between preconception care and pregnancy complication (0R:2.6).the incidence of complication at all was 19.2% PTL: 4.6%, LBW: 9.2%, Preeclampsia: 4.2, Gestational diabet: 3.9% macrosomia: 2.8 ØŒCesarean section: 74%. Complications were seen in rural area: 83.3 %( most common: PTL), private office: 10.4% (Most common: bleeding and diabetes) and urban centers: 6.2%. (Most common: abortion) Maternal education showed a significant relation with cesarean section and abortion. BMI plays a major role in almost all poor pregnancy outcomes (LBWØŒ PTBØŒ Cesarean sectionØŒ miscarriage) and income status was the first predictor of low birth weight. Socio demographic and behavioral factors were particularly important for predicting miscarriageØŒ preterm labor and low birth weight. Social determinant of health’s and Disparity in distribution of resources in rural and urban area was one of the main factors that complicated pregnancy and damaged family.

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