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PRIMARY HEALTH CARE MANAGEMENT OF HIGH RISK PREGNANCY IN MOSUL
Omaya F. Qassid* and Samim Al Dabbagh
High risk pregnancy is still a major problem among women in developing countries. The aim of the present study is to evaluate the type, quality, and to assess the health services given to high risk pregnant women in PHCCs in Mosul. Cross sectional study design was conducted on 400 pregnant women who were selected randomly from the attendants of four PHCCs in Mosul. Actual data collection period was six months (from 1st of November 2004 31st of April 2005). A special questionnaire from has been prepared which contains detailed information on the activities of ANC. The result showed that in the history taking the most frequent recorded items were for age and LMP. B.p measurement, measurement of fundal height, and body weight were recorded in all cases (100%). Regarding investigations, GUE and Hb level determination were also done in all cases (100%). 82.2% of records showed missing of short birth space reporting. The proportion of anemic pregnant women was high among the study population, and not all of them were recorded as risky. All pregnant women received iron and folic acid supplementation during their ANC. The proportion of pregnant women with previous abortion was high among the study population. Pregnant women with slight to moderate bleeding during pregnancy and pregnant women with multiple pregnancy have got a low proportion among the study population. Pregnant women with D. M. were all discovered and recorded as risky and the management was done for almost all of them.[Full Text Article]