fa بررسی شیوع زایمان های زیر 32 هفته بارداری و عوامل مرتبط با آن در استان همدان طی سال های 1403 - 1402 پزشکی و علوم بالینی Medicine & Clinical Sciences مقاله پژوهشي Research Article <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span style="background:yellow"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">مقدمه</span></span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="background:yellow"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">:</span></span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">زایمان زودرس موضوع مهمی است که مادران باردار بسیاری را در سراسر جهان </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="background:yellow"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">تحت‌تأثیر</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> قرار </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="background:yellow"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">می‌دهد</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> و پیامدهای آن برای سلامتی مادر و نوزاد بسیار مهم است</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="background:#fcfcfc"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">؛ بنابراین شناخت عوامل </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="background:yellow"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">مؤثر</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="background:#fcfcfc"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> بر</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> آن <span style="background:yellow">می‌تواند</span><span style="background:#fcfcfc"> باعث </span><span style="background:white">پیگیری بیشتر مادران باردار گردد و </span><span style="background:yellow">خطرزایمان</span><span style="background:white"> زودرس و عوارض مرتبط با آن را به میزان </span><span style="background:yellow">قابل‌توجهی</span><span style="background:white"> کاهش دهد. </span><span style="background:#fcfcfc">هدف از این مطالعه بررسی شیوع زایمان زودرس زیر ۳۲ هفته </span><span style="background:yellow">بارداری</span><span style="background:#fcfcfc"> و عوامل مرتبط با آن در استان همدان طی </span><span style="background:yellow">سال‌های</span><span style="background:#fcfcfc"> ۱۴۰۳-۱۴۰۲ بود</span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="background:#fcfcfc"><span style="line-height:150%"><span arial="" style="font-family:">.</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span style="background:yellow"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">روش‌کار</span></span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">: این مطالعه به روش توصیفی مقطعی <span style="background:yellow">گذشته‌نگر</span>، بر اساس اطلاعات ثبت شده در سامانه سیب دانشگاه علوم پزشکی همدان <span style="background:yellow">صورت‌گرفته</span> است. ۴۵۷ زایمان زیر ۳۲ هفته</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="background:yellow"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> بارداری</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> وارد مطالعه شدند. اطلاعات <span style="background:yellow">جمعیت‌شناختی</span> و عوامل <span style="background:yellow">مؤثر</span> بر زایمان زودرس آنها در <span style="background:yellow">پرسش‌نامه</span> طراحی شده به ثبت رسید و تحلیل آماری <span style="background:yellow">داده‌ها</span> توسط <span style="background:yellow">نرم‌افزار</span> </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%">SPSS</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> نسخۀ ۲۶ انجام شد.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">یافته‌ها</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">: میزان شیوع <span style="background:yellow">زایمان‌های</span> زیر ۳۲ هفته </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="background:yellow"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">بارداری</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> ۳۳/۱ درصد <span style="background:yellow">به دست</span> آمد. با بررسی اطلاعات جمعیتی بیشتر مادران، <span style="background:yellow">نخست‌زا</span> (۳۹/۳۹) و دارای <span style="background:yellow">اضافه‌وزن</span> (۶۱/۳۹%) <span style="background:yellow">هستند</span>. ۷۲/۸۹% مادران حداقل یک مورد از فاکتورهای خطر حین بارداری مانند پره اکلامپسی، پارگی کیسه آب، خونریزی</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">را تجربه کردند. مشکلات مزمن مانند مشکلات دندانی (۷۹/۴۱%)، کم‌کاری تیروئید (۳۸/۱۸%) و </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:black">تالاسمی مینور</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> (۱۹/۱۶%)، پیشتاز بودند. سابقه سقط (۲۸%)، سزارین (۳۵/۲۷</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%">%</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">) و زایمان زودرس قبلی (۶۰/۱۱ %) بیشترین سوابق را به خود اختصاص دادند. </span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">نتیجه‌گیری</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">: شناسایی عوامل خطر و اقدام <span style="background:yellow">به‌موقع</span> می‌تواند در پیشگیری از وقوع <span style="background:yellow">زایمان‌های</span> زودرس <span style="background:yellow">کمک‌کننده</span> باشد. همچنین ارزیابی کامل مادران قبل و حین بارداری و پیگیری‌های به‌موقع می‌تواند در شناسایی سریع و مدیریت مشکلات احتمالی <span style="background:yellow">کمک‌کننده</span> باشد.</span></span></span></span></span></span></span></span><br> &nbsp; <b><span style="font-size:12.0pt"><span style="background:yellow"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Introduction</span></span></span></span></b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">:</span></span></span><span style="font-size:11pt"><span style="line-height:150%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"> <span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Preterm birth is a significant issue affecting many expectant mothers worldwide, with critical implications for the health of both mother and infant. Understanding the contributing factors can encourage expectant mothers to seek closer prenatal care, thereby significantly reducing the risk of preterm birth and its associated complications. This study aimed to investigate the prevalence of preterm birth before 32 weeks of gestation and the factors associated with it in Hamadan Province during the years 2023&ndash;2024.</span></span></span></span></span></span></span><br> <b><span style="font-size:12.0pt"><span style="background:yellow"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Methods</span></span></span></span></b><span style="font-size:12.0pt"><span style="background:yellow"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">:</span></span></span></span> <span style="font-size:11pt"><span style="line-height:150%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""> This study was conducted using a retrospective cross-sectional descriptive method, based on information recorded in the SIB system of Hamadan University of Medical Sciences. 457 deliveries under 32 weeks were included in the study, and their demographic information and factors affecting preterm delivery were recorded in a designed questionnaire, and statistical analysis of the data was performed using SPSS version 26 software.</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Results:</span></span></span></b> <span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">The prevalence of deliveries below 32 weeks was 1.33%. By examining the demographic information, most mothers were primiparous (39.39%) and overweight (39.61%). 89.72% of mothers experienced at least one risk factor during pregnancy such as preeclampsia, rupture of membranes, bleeding. Chronic problems such as dental problems (49.71%), hypothyroidism (18.38%), and thalassemia minor (16.19%) were the most common. History of miscarriage (28%), cesarean section (27.35%), and previous premature birth (11.60%) accounted for the most records.</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></span></b> <span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Identifying risk factors and taking timely action can help prevent preterm births. Furthermore, comprehensive assessment of mothers before and during pregnancy, along with timely follow-ups, can aid in the early detection and management of potential complications.</span></span></span></span></span></span></span><br> &nbsp; شیوع, زایمان زودرس, عوامل خطر, همدان Prevalence, Premature birth, Risk factors, Hamadan 0 0 http://psj.umsha.ac.ir/browse.php?a_code=A-10-1655-1&slc_lang=fa&sid=1 Saba Karimi صبا کریمی sabakarimi055@gmail.com No Hamadan University of Medical Sciences دانشگاه علوم پزشکی همدان Sima Kamkari سیما کامکاری Sima.kamkari@gmail.com Yes دانشگاه علوم پزشکی همدان Salman Khazaei سلمان خزایی salmankhazaei61@gmail.com No دانشگاه علوم پزشکی همدان