IntroductionPreterm labor is the main cause of infants’ death, and the main reason for undesirable consequences of pregnancy which still occur in some births, despite all of the interventions in this regard. The aim of this study was to evaluate every preterm birth and determine its maternal risk factors in Hormozgan province in 2013.MethodsThis case-control study was conducted in 2013 on the health and hospital records of 735 pregnant mothers with preterm labor (20–37 weeks) which were located in Bandar Abbas in southeast Iran. The sampling method would be multi-stage cluster sampling. The data collecting tool was a valid questionnaire by the Iran Ministry of Health and Medical Education, which included 5 components (demographic information, checking the current pregnancy of the mother, the maternal factors related to preterm labor in the previous pregnancy, evaluating the fetal factors associated with preterm labor in the current pregnancy and other additional information related to the factors associated with prematurity). Data were analyzed using descriptive statistics, regression and Chi-square testsResultsThe prevalence of preterm labor in Hormozgan province in 2013 was 5.5%. In our study and among the effective factors on preterm labor, revealed genital-urinary tract infections during pregnancy were (35.8%), PROM (30.3%), history of abortion (19.9%) and unplanned pregnancy (18.1%) in between pregnant women with preterm labor. Our study showed that most mothers had delivered in 33 to 37 weeks among the mothers who had preterm labor in 2013 (75%) and the statistic of very preterm labor (less than 32 weeks) in Hormozgan was 5%.ConclusionIdentification of the prevalence and associated factors with preterm labor can reduce the mortality rate and infants’ complications of it in addition to help find a way to prevent this problem.
Background: Prevention of injury and incident should be recognized as an important means in the life of children. All communities are responsible for preventing child injuries. Safe and sustainable environment is a prerequisite for a healthy community. Children should be provided with highest levels of health. They should live in a safe environment. They are close to water as soon as they begin to live. But, despite the great benefits of water for the health and survival of children, it can be dangerous. Considering that drowning in Hormozgan province is one of the major causes of death due to unintentional injuries, we decided to study the five-year mortality rate of 1-to 59-month children due to drowning in order to resolve this matter with a proper planning. Methods: This was a retrospective descriptive-analytic study performed to investigate the death of children aged 1-59 months due to drowning in Hormozgan province during 2013-2017. The data were collected by interviewing to answer to questionnaires' items. The questionnaires were completed by a team after death in hospital (intrahospital death) or at home (extrahospital death), questioning the family of the dead child. The data were analyzed by SPSS software and t-test. Results: Over the past five years, drowning after traffic incidents has been the most common cause of death due to unintentional accidents. Of 63 deaths due to drowning, 19 cases happened in pools (30.1%), 14 in natural water resources (22.2%), 10 in the water buckets (15.9%), 7 in the agricultural water ponds (11.1%), 6 in tub (9.5%), 3 in wastewater wells (4.8%), 3 in yard's water storage (4.8%), and 1 in gasoline reservoirs at home (1.6%). Conclusion: Sensitizing families, NGOs and policymakers seems to be very effective in preventing drowning in children. Therefore, it should be considered as a health priority in the country.
Introduction: Since the mathernal death affects the family and society´s health, recognizing the causes and finding the preventive measures is essential. The aim of this study was to determine the prevalence and causes of mortality in pregnant women in Hormozgan province. Methods:In this descriptive cross-sectional study, the study population was all pregnant mothers who died during the years 1390-1391. The information was collected from the hospitals, records available at the provincial health center, the completed maternal death forms, and the interviews on maternal death. Data collection tool was a researcher-made questionnaire and the data were analyzed using descriptive statistics with SPSS software. Results:The rate of maternal death in Hormozgan province in the study period was 32.76 cases per 100,000 live births and the frequency of maternal death was 100. The most common cause of death was postpartum hemorrhage. The majority of deceased mothers were 18-35 years old (73%), with pregnancy interval more than three years (80%), delivery times less than 5 (87%), rural resident (57%), and wanted pregnancy (86%).The type of delivery was cesarean section in the majority of mothers who died (60%). In addition, 75% of the mothers were died in hospitals and specialists and midwives were helping them to deliver (91%). The highest mortality rate was related to post-delivery period (65%). Conclusion:In order to reduce the mathernal mortality, it is recommended to provide high quality services to the villagers and promote the referral system, quality of services to villagers, midwifery protocols, ambulance and hospital equipments, the level of knowledge and skills of staff, and follow up system and to reduce the unnecessary cesarean sections.
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