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| Social Determinants Affecting Maternal Lifestyle and Its Correlation With Pregnancy Outcomes in Vulenerable Pregnant Women in Iran: A Cross-sectional Population Study |
| Nahid AKBARI*1, Ali MONTAZERI2, Elnaz IRANIFARD3, Leila KHEDMAT4 |
1 Department of Midwifery and Reproductive Health, Iran University of Medical Sciences, Tehran, Iran;
2 Health Metrics Research Center, Iranian Institute for Health Sciences Research, The Academic Center for Education, Culture and Research (ACECR), Tehran, Iran;
3 Department of Midwifery and Reproductive Health, Iran University of Medical Sciences, Tehran, Iran;
4 Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran |
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Abstract Purpose: This study aimed to assess socio-economic status (SES) and psychological factors affecting maternal lifestyle and its correlation with adverse pregnancy outcomes among pregnant women.
Methods: This prospective cross-sectional study was conducted in Tehran from August 2016 to July 2017. 400 eligible vulnerable pregnant women living in five poor regions of Tehran and attending referral hospitals for prenatal care were randomly selected. Data was collected through personal interviews, anthropometric measures, and medical records at 26-30 gestational weeks.
Significant findings: There was a high prevalence of obesity (43.8%) among vulnerable women. Women with lower education level and income was significantly associated with more than 5-7 daily serving carbohydrate, sedentary life (OR = 2.25, 95%CI: 0.93-4.57) and being obese (OR = 2.01, 95%CI: 0.4-3.30). Participants with lower income was significantly associated with ≥ 5-7 daily serving carbohydrate (OR = 2.81, 95%CI: 0.002-5.4) and sedentary life. Also, higher perceived stress are positively associated with ≥5-7 daily serving carbohydrate, more intake of caffeine, and smoking compared to mothers with lower psychosocial score. Unhealthy lifestyle, higher body mass index (BMI) and lower social support were significantly associated with risk of maternal and neonatal complications.
Conclusion: Multiple unhealthy lifestyles during pregnancy were consistently associated with SES and increased risk of adverse perinatal outcomes.
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Corresponding Authors:
Nahid AKBARI, E-mail: Akbari1420@gmail.com
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| [1] |
Fanying GONG, Jingjing ZHOU, Fuming LIU, Hui HUANG. Relationship Between Nonalcoholic Fatty Liver Disease and Arrhythmia on Electrocardiogram[J]. Journal of International Translational Medicine, 2019, 7(4): 122-126. |
| [2] |
Hong YU, Minling ZHANG. Personalized Interventions for More Effective Nursing Care[J]. Journal of International Translational Medicine, 2019, 7(4): 103-104. |
| [3] |
. The entire issue Vol. 7 No. 4 2019[J]. Journal of International Translational Medicine, 2019, 7(4): 1-160. |
| [4] |
Mehri SEIFOLESLAMI, Farshad HEIDARI. Post-surgical Pyoderma Gangrenosum after Cesarean Section in A Patient with Behçet's Disease[J]. Journal of International Translational Medicine, 2019, 7(4): 153-156. |
| [5] |
Wen JIANG, Jiali XU, Yongqian SHU, Hongliang GUI, Tingting WANG, Lianke LIU, Rong WANG. Pretreatment Serum Albumin and Neutrophil-to-Lymphocyte Ratio for Predicting Overall Survival in Esophageal Cancer Patients[J]. Journal of International Translational Medicine, 2019, 7(4): 105-112. |
| [6] |
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