Prenatal care for pregnant women with a history of previous cesarean section, history of miscarriage and premature birth, preeclampsia symptoms (preeclampsia history) and blood pressure, abnormal BMI, gestational and pre-pregnancy diabetes, anemia, age under 18 and over 35 and fifth pregnancy and higher at home. Supervision of high-risk pregnancy due to social problems
Conditions
Interventions
Intervention group: Teaching self-care according to the type of high-risk pregnancy, performing routine pregnancy care and care according to the type of high-risk pregnancy and teaching the wife and o
Sponsors
Shahroud University of Medical Sciences
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Having a high-risk pregnancy including: history of previous caesarean section, history of abortion and premature birth, pre-eclampsia symptoms (pre-eclampsia history) and blood pressure, abnormal BMI, gestational diabetes and Before pregnancy, anemia, age above 35 and fifth pregnancy and above. Getting a score (4-6) based on Copeland's revised high-risk pregnancy scoring scale Pregnancy age below 28 weeks Receiving perinatal care for high-risk pregnancies based on national guidelines regularly (for the control group) combined care: Perinatal care for high-risk pregnancies based on national guidelines and comprehensive home care plan for high-risk pregnancies (for the intervention group) Ability to speak and understand Persian language Informed consent to participate in research Suitable home conditions for women with high-risk pregnancies to provide care
Exclusion criteria
Exclusion criteria: Drug abuse Deterioration of the client's condition and the need to receive hospital care in the group receiving care at home Taking certain medicine due to a physical or psychological problem
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary maternal outcomes: percentage of mothers with postpartum hemorrhage and percentage of cesarean delivery and primary fetal-neonatal outcomes: average weight of newborns and percentage of Apgar score higher than 7. Timepoint: Primary maternal outcomes: the percentage of mothers with postpartum hemorrhage and the percentage of cesarean section after delivery ; Early fetal-neonatal outcomes, which include the average birth weight and the percentage of Apgar score above 7 at birth. Method of measurement: By studying the delivery record of high-risk pregnant women in the hospital. | — |
Secondary
| Measure | Time frame |
|---|---|
| Prenatal Distress. Timepoint: At the beginning of the study and week 37-40 and after delivery. Method of measurement: PrenatalDistress Questionnaire (PDQ).;Self-care during pregnancy. Timepoint: At the beginning of the study and week 37-40 and after delivery. Method of measurement: Self-care questionnaire during pregnancy. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMasoumeh Sayahi
Shahroud University of Medical Sciences
Outcome results
None listed