Urban-rural differences in the pregnancy-related adverse outcome

作     者：Vahid Mehrnoush Amene Ranjbar Farzaneh Banihashemi Fatemeh Darsareh Mitra Shekari Malihe Shirzadfardjahromi Vahid Mehrnoush;Amene Ranjbar;Farzaneh Banihashemi;Fatemeh Darsareh;Mitra Shekari;Malihe Shirzadfardjahromi

作者机构：Mother and Child Welfare Research CenterHormozgan University of Medical SciencesBandar AbbasIran Urology DepartmentNorthern Ontario School of MedicineThunder BayOntarioCanada Fertility and Infertility Research CenterHormozgan University of Medical SciencesBandar AbbasIran 

出 版 物：《Gynecology and Obstetrics Clinical Medicine》 (妇产科临床医学（英文）)

年 卷 期：2023年第3卷第1期

页      面：51-55页

学科分类：1002[医学-临床医学] 100211[医学-妇产科学] 10[医学] 

基　　金：The Ethics and Research Committee of the Hormozgan University of Medical Sciences approved the study(number:HUMS.REC.1401.115) 

主　　题：Pregnancy outcome Urban Rural Living residency 

摘      要：Background:Little is known about potential urban-rural differences in adverse pregnancy *** purpose of this study is to look into the urban-rural differences in the trend of adverse maternal and neonatal ***:We retrospectively assessed the pregnancy outcome of singleton pregnant mothers who gave birth at a tertiary hospital in Bandar Abbas,Iran,between January 1st,2020,and January 1st,*** were divided into two groups based on living residency:1)urban groupand 2)rural *** factors,obstetrical factors,maternal comorbidities,and adverse maternal and neonatal outcomeswere extracted from the electronic data of each *** Chi-square testwas used to compare differences between the groups for categorical *** regression models were used to assess the association of adverse pregnancy,childbirth,and neonatal outcome with living ***:Of 8888 mothers that gave birth during the study period,2989(33.6%)lived in rural *** pregnancy was more common in the rural *** mothers had a higher education than rural *** mothers were at higher risk for preterm birth aOR 1.81(CI:1.24-2.99),post-term pregnancy aOR 1.5(CI:1.07-2.78),anemia aOR 2.02(CI:1.07-2.34),low birth weight(LBW)aOR 1.89(CI:1.56-2.11),need for neonatal resuscitation aOR 2.66(CI:1.78-3.14),and neonatal intensive care unit(NICU)admission aOR 1.98(CI:1.34-2.79).On the other hand,the risk of cesarean section was significantly lower compared to urban mothers aOR 0.58(CI:0.34-0.99).Conclusions:Our study discovered that mothers living in rural areas had a higher risk of developing anemia,preterm birth,post-term pregnancies,LBW,need for neonatal resuscitation,and NICU admission,but a lower risk of cesarean section.