ﻓﺼﻠﻨﺎﻣﻪ و داﻧﺶ ﺗﻨﺪرﺳﺘﻲ، دوره5 ﺷﻤﺎره، 4 ، زﻣﺴﺘﺎن1389 ﭘﺰﺷﻜ ﻋﻠﻮم داﻧﺸﮕﺎه ﺷﺎﻫﺮود درﻣﺎﻧﻲ ﺑﻬﺪاﺷﺘﻲ ﺧﺪﻣﺎت و ﻲ * ﻧﻮﻳﺴﻨﺪه ﻣﺴﻮول: ﺷﺎﻫﺮود- ﺷﺎﻫﺮود ﭘﺰﺷﻜﻲ ﻋﻠﻮم داﻧﺸﮕﺎه- ﻣﺎﻣﺎﻳﻲ ﮔﺮوه ﺗﻠﻔﻦ، : 3395054 - 0273 ، Email: mah_poorheidary@yahoo.com ﭘﮋوﻫﺸﻲ ﻣﻘﺎﻟﻪ ﻣﻘﺎﻳﺴﻪ ﺑﺮرﺳﻲ ﻣﺮاﻗﺒﺖ ﭼﮕﻮﻧﮕﻲ اي ﺑﺎرداري در ﺑﺎرداري دوران ﻫﺎي ﻧﺎﺧﻮاﺳﺘﻪ و ﺧﻮاﺳﺘﻪ ﻫﺎي ﭘﻮرﺣﻴﺪري ﻣﺤﺒﻮﺑﻪ * 1 ) M.Sc. ( ﺧﺴﺮوي اﺣﻤﺪ، 2 ) M.Sc. ( ﺷﻤﺎﻋﻴﺎن ﻧﺎزﻧﻴﻦ، رﺿﻮي 3 ) M.Sc. ( ﺣﻤﻴﺪزاده اﻋﻈﻢ، 1 ) M.Sc. ( 1 - ﺷﺎﻫﺮود ﭘﺰﺷﻜﻲ ﻋﻠﻮم داﻧﺸﮕﺎه- ﻣﺎﻣﺎﻳﻲ ﮔﺮوه- ﻋﻠﻤﻲ ﻫﻴﺄت ﻋﻀﻮ. 2 - داﻧﺸﮕﺎه ﺷﺎﻫﺮود ﭘﺰﺷﻜﻲ ﻋﻠﻮم- ﺳﻼﻣﺖ در اﺟﺘﻤﺎﻋﻲ و رﻓﺘﺎري ﻋﻠﻮم ﺗﺤﻘﻴﻘﺎت ﻣﺮﻛﺰ- ﻋﻠﻤﻲ ﻫﻴﺄت ﻋﻀﻮ. 3 - ﺣﻴﺪرﻳﻪ ﺗﺮﺑﺖ ﭘﺰﺷﻜﻲ ﻋﻠﻮم داﻧﺸﮕﺎه- ﮔﺮوه ﻣﺎﻣﺎﻳﻲ- ﻋﻠﻤﻲ ﻫﻴﺄت ﻋﻀﻮ. درﻳﺎﻓﺖ ﺗﺎرﻳﺦ: 16 / 5 / 89 ، ﭘﺬﻳﺮش ﺗﺎرﻳﺦ: 19 / 2 / 90 ﭼﻜﻴﺪه ﻣﻘﺪﻣﻪ: ﻣﻲ ﺗﻮﺳﻌﻪ ﺣﺎل در ﻛﺸﻮرﻫﺎي ﻣﺸﻜﻼت از ﻳﻜﻲ ﻧﺎﺧﻮاﺳﺘﻪ ﺣﺎﻣﻠﮕﻲ ﺑﺎﺷﺪ. ﻛﻪ ﺳﻮال اﻳﻦ ﺑﻪ ﭘﺎﺳﺦ در ﺣﺎﺿﺮ ﭘﮋوﻫﺶ» ﺑ ﻧﺎﺧﻮاﺳﺘﻪ ﺣﺎﻣﻠﮕﻲ ﺑﺎ زﻧﺎن آﻳﺎ ﻪ ﻣﺮاﻗﺒﺖ دﻧﺒﺎل ﭘﺰﺷﻜﻲ ﻫﺎي ﻣﻲ ﻫﺴﺘﻨﺪ، آن ﻧﻴﺎزﻣﻨﺪ ﻛﻪ روﻧﺪ؟« اﺳﺖ ﮔﺮﻓﺘﻪ اﻧﺠﺎم. روش و ﻣﻮاد ﻫﺎ: در ﺗﻮﺻﻴﻔﻲ ﻣﻄﺎﻟﻌﻪ اﻳﻦ- ﺗﺤﻠﻴﻠﻲ،270 ﻣﺮاﺟﻌﻪ ﺑﺎردار ﻣﺎدر ﺑﻴﻤﺎرﺳﺘﺎن ﺑﻪ ﻛﻨﻨﺪه ﻗـﺮار ﺑﺮرﺳـﻲ ﻣـﻮرد ﺳﺮﺷـﻤﺎري ﻃﺮﻳﻖ از ﺑﺎرداري ﺧﺘﻢ ﺟﻬﺖ ﺷﺎﻫﺮود ﺷﻬﺮﺳﺘﺎن ﻫﺎي ﺷﺪﻧﺪ ﺗﻘﺴﻴﻢ ﻧﺎﺧﻮاﺳﺘﻪ و ﺧﻮاﺳﺘﻪ ﺑﺎرداري ﮔﺮوه دو ﺑﻪ و ﮔﺮﻓﺘﻪ. ﭘﺮﺳﺶ ﻣﺎدر ﺑﻬﺪاﺷﺘﻲ ﭘﺮوﻧﺪه ﺑﻪ ﻣﺮاﺟﻌﻪ و ﻣﺎدر ﺑﺎ ﺣﻀﻮري ﻣﺼﺎﺣﺒﻪ ﻃﺮﻳﻖ از و ﺗﻬﻴﻪ ﻫﺪف ﺑﺮ ﻣﺒﺘﻨﻲ ﻧﺎﻣﻪ ﺷـﺪ ﺗﻜﻤﻴﻞ. داده ﺗﺤﻠﻴﻞ و ﺗﺠﺰﻳﻪ ﺟﻬﺖ آزﻣﻮن از ﻫﺎ ﻛﺎي ﻫﺎي- ﻣﻦ و دو اﺳﺖ ﺷﺪه اﺳﺘﻔﺎده وﻳﺘﻨﻲ. ﻧﺘﺎﻳﺞ: آﻫﻦ، ﻗﺮص ﻣﺮﺗﺐ ﻣﺼﺮف ﻓﻮﻟﻴﻚ، اﺳﻴﺪ ﻣﺼﺮف زﻣﺎن درﻣﺎﻧﮕﺎه، ﺑﻪ ﻣﺮاﺟﻌﺎت ﺗﻌﺪاد ﺑﺎرداري، از ﻗﺒﻞ ﻣﺸﺎوره اﻧﺠﺎم ﺑﻴﻦ ﻛﻪ داد ﻧﺸﺎن ﻣﻄﺎﻟﻌﻪ ﻧﺘﺎﻳﺞ ﺑﺎرداري روﺗﻴﻦ آزﻣﺎﻳﺸﺎت اﻧﺠﺎم اﺿ ﻛﺴﺐ و دارد وﺟﻮد ﻣﻌﻨﺎداري آﻣﺎري ﺗﻔﺎوت ﻧﺎﺧﻮاﺳﺘﻪ و ﺧﻮاﺳﺘﻪ ﺑﺎرداري ﮔﺮوه دو ﺑﻴﻦ ﻣﻄﻠﻮب وزن ﺎﻓﻪ) 05 / 0 < P .( ﻣﻦ آزﻣﻮن اوﻟـﻴﻦ زﻣـﺎن ﻣﻴـﺎﻧﮕﻴﻦ ﺑـﻴﻦ ﻣﻌﻨـﺎداري ﺗﻔﺎوت وﻳﺘﻨﻲ ﻣﺮاﻗﺒﺖ ﺟﻬﺖ ﻣﺮاﺟﻌﻪ ﺑﺎرداري دوران ﻫﺎي) 004 / 0 = P ( ﺣﺎﻣﻠﮕﻲ در ﻣﺎﻣﺎﻳﻲ درﻣﺎﻧﮕﺎه ﺑﻪ ﻣﺮاﺟﻌﺎت ﺗﻌﺪاد ﻣﻴﺎﻧﮕﻴﻦ و ﺧﻮاﺳﺘﻪ ﻫﺎي داد ﻧﺸﺎن را ﻧﺎﺧﻮاﺳﺘﻪ و) 003 / 0 = P .( ﻧﺘﻴﺠﻪ ﮔﻴﺮي: ﻣﺮاﻗﺒﺖ ﻛﻪ آﻧﺠﺎﻳﻲ از ﻣﻲ ﭘﻴﺸﮕﻴﺮي زاﻳﻤﺎن، و ﺑﺎرداري ﺣﻴﻦ ﻣﺸﻜﻼت از ﺑﺎرداري دوران ﻫﺎي ﻛﻮﺷﻴﺪ آن ﻣﻮاﻧﻊ رﻓﻊ در ﺑﺎﻳﺴﺘﻲ ﻛﻨﺪ. ﻣﻬﻢ از ﻳﻜﻲ ﻧﺎﺧﻮاﺳﺘﻪ ﺣﺎﻣﻠﮕﻲ ﺗـﺮﻳﻦ ﻣﺮاﻗﺒﺖ درﻳﺎﻓﺖ ﺟﻬﺖ ﻣﺮاﺟﻌﻪ ﻋﺪم در اﺳﺎﺳﻲ ﻧﻘﺶ ﻛﻪ اﺳﺖ ﻋﻮاﻣﻠﻲ ﻫﺎي ﻣﻲ ﺧﻄﺮ ﭘﺮ را اﻓﺮاد اﻳﻦ ﺑﺎرداري و دارد ﺑﺎرداري دوران ﺳﺎزد. واژه ﻛﻠﻴﺪي ﻫﺎي: ﻣﺮاﻗﺒﺖ ﺧﻮاﺳﺘﻪ، ﺑﺎرداري ﻧﺎﺧﻮاﺳﺘﻪ، ﺑﺎرداري ﺑﺎرداري دوران ﻫﺎي. Original Article Knowledge & Health 2011;5(4):7-13 A Comparison of Prenatal Maternal Care between Wanted and Unwanted Pregnancies Mahbobe Poorheidary 1 *, Ahmad Khosravi 2 , Nazanin Shamaiian-Razavi 3 , Azam Hamidzadeh 4 1- Faculty Member, Dept. of Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran. 2. Faculty Member, Center for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran. 3- Faculty Member, Dept. of Midwifery, Torbate Heydarie University of Medical Sciences, Torbat Hydarie, Iran. Abstract: Introduction: Unwanted pregnancies are one of the major problems in developing countries. This research aimed to answer the question whether women with unwanted pregnancies seek the health care they need. Methods: In this descriptive-analytical study, 270 pregnant women referring to Shahroud hospitals to terminate their pregnancies were studied through the census method and were divided into two groups of wanted and unwanted pregnancies. A self questionnaire was used to collect data and it was completed through personal interviews and referring to mothers’ health files. The data were analyzed via Chi-square and Mann-Whitney U test. Results: The results of the study showed significant differences between pre-pregnancy counseling, the number of referrals to the clinic, the time of folic acid consumption, regular consumption of iron tablets, routine pregnancy testing and optimal weight gain between the two groups of wanted and unwanted pregnancy (P>0.05). Mann Whitney U test showed a significant difference between the mean time of first visit for prenatal care (P=0.004), and the average number of referrals to midwifery clinic in wanted and unwanted pregnancies (P=0.003). Conclusion: Since prenatal care prevents during-pregnancy and delivery problems, attempts must be made to remove the obstacles on this way. Unwanted pregnancies are among the factors that play important roles in irregular referring to prenatal care clinics and render these groups as high risk in their pregnancies. Keywords: Unwanted pregnancy, Wanted pregnancy, Prenatal care. Conflict of Interest: No Received: 7 August 2011 Accepted: 9 May 2011 *Corresponding author: M. Poorheidary, Email: mah_poorheidary@yahoo.com