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Urban-rural differences in the pregnancy-related adverse outcome

Gynecology and Obstetrics Clinical Medicine 2023年第1期3卷 51-55页

作者： Vahid Mehrnoush Amene Ranjbar farzaneh banihashemi Fatemeh Darsareh Mitra Shekari Malihe Shirzadfardjahromi Mother and Child Welfare Research Center Hormozgan University of Medical SciencesBandar AbbasIran Urology Department Northern Ontario School of MedicineThunder BayOntarioCanada Fertility and Infertility Research Center Hormozgan University of Medical SciencesBandar AbbasIran

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.

关键词： Pregnancy outcome Urban Rural Living residency

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