Comparison of physical activity and prenatal care in pregnant women with and without hypertensive disorders in Tabriz educational medical centers and private hospitals

Introduction: Hypertension disorders affecting pregnant women constitute the most common medical problems during pregnancy and associated with one of three substantial mortality for mothers. Pregnancy and delivery have an important effect on women’s health and their hygiene and is considered as an important factor of national health. To reach to the health care for pregnant women, we studied pregnant women with hypertensive disorder and compared with women without hypertension disorders to take an enough prenatal and other factor of lifestyle such as physical activity for country health centers and them. Materials and methods: This research is a comparison-analytic study in which 441 pregnant women, 220 persons with hypertensive disorders and 221 people without hypertensive disorders referring to Alzahra, Taleghani, Shams and Shahriar hospitals in Tabriz for delivery or care were selected stratified as samples and the control group were matched age of mother and number of gravidity with hypertension group. The data were collected by questionnaire containing 3 sections (demographic characteristics, obstetrics medical history and prenatal care in pregnancy and physical activity). Data analyzed by STATA11 and descriptive, t test and Personnel unitized methods in research. Results: The results of research indicated that the mean of prenatal care score in case group was (81/7) and in control (83/4), from 100 scores. And we have meaningful different about statistical situation with (p=0/006) and in physical activity in case group was (54/6) and control group was (57/3) from 100 scores. In comparison between history of affecting hypertensive pregnancy in previous pregnancy (p=0/03), history of prenatal mortality (p=0/02) in case group were higher than control and we found mining full different, pre pregnancy BMI upper than 30 with linier Zed regression of objective group was observed high (p=0/02) but in educational and job in mother and husbands and also in history of gestational diabetes, abortion and preterm labor in previous pregnancy we didn’t find any different. Conclusion: The results of this research indicated that women with body mass index upper than 30 in case group affected more than control in hypertensive disorders. Previous study sees overweight have been associated with increases in blood pressure. We need to complete and right education about physical activity and having stable BMI and Further researches are needed to develop an instrument that integrates the enough prenatal care for detecting hypertension disorder soon as soon and prediction of prenatal outcome in for all of the women.

Keywords:

Hypertensive disorder , Physical activity , Prenatal care , Pregnancy