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

Online ISSN : 2347 - 3215
Issues : 12 per year
Publisher : Excellent Publishers
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Effectiveness of Maternal Health Care and Role of Social Determinants on Pregnancy Outcome
Elham Khanlarzadeh1, Leila Azizkhani2*, Jhila Khamanian3, Mahasti Alizadeh3, Hossein Jabari Bairami3 and Naeim Alsadat Kia4
1Department of Community Medicine, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
2Assistant Professor of Emergency Medicine, Emergency Medicine Department, Faculty
of Medicine, Kordestan University of medical sciences, Sanandaj, Iran.
3Department of Community Medicine, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
4Department of Community Medicine, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran
*Corresponding author

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 social، economic and cultural environment، 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 test، 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 ،Cesarean 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 (LBW، PTB، Cesarean section، miscarriage) and income status was the first predictor of low birth weight. Socio demographic and behavioral factors were particularly important for predicting miscarriage، 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.

Keywords: Maternal Health Care, Social Determinants, Pregnancy Outcome.
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How to cite this article:

Elham Khanlarzadeh, Leila Azizkhani, Jhila Khamanian, Mahasti Alizadeh, Hossein Jabari Bairami and Naeim Alsadat Kia. 2016. Effectiveness of Maternal Health Care and Role of Social Determinants on Pregnancy Outcome.Int.J.Curr.Res.Aca.Rev. 4(11): 127-134
doi: http://dx.doi.org/10.20546/ijcrar.2016.411.017