Volume 10, Issue 2 (In Press 2022)                   J. Pediatr. Rev 2022, 10(2): 2-2 | Back to browse issues page

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1- Department of Midwifery, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran.
2- School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran.
3- Professor of Clinical Allergy and Immunology, Department of Immunology and Allergy, Bou Ali Sina Hospital, Mazandaran University of Medical Sciences, Sari, Iran.
4- Anesthesia and Operating Room Department. Nursing College of Shahid Beheshti University of Medical Sciences, Tehran, Iran
5- Midwifery and Reproductive Health Research Center, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. , zahrakiani6969@gmail.com
Abstract:   (464 Views)
Background: Preterm delivery is one of the main causes of newborn mortality, signifying the inequality of conditions in receiving the necessary prenatal care.
Objectives: The present systematic review was conducted to investigate the relationship between the preterm delivery and socio-structural determinants of health with emphasis on occupation, education and income in Iranian society based on the World Health Organization model.
Methods: In this systematic review, all observational articles published from 2000 to November 2021 were examined by searching the international and Persian databases of Scopus, PubMed, Google scholar, Web of Science, Embase, ProQuest, Cochrane, IranDoc, and SID. Keywords were extracted through the mesh. The articles were searched using English and Persian keywords of occupation, education, income, social and economic status and preterm delivery and appropriate operators such as AND, OR as well as a combination of search strategy of each database, and all related articles were collected.
Results: In the initial search, 1456 articles were found, which in  total number of 17 articles were finally included in the study, of which 12 articles investigated occupation, 10 articles education, 4 studies income and 2 studies examined socio-economic status. 7 studies of occupation, 8 studies of education and all studies of income and socio-economic status had shown a statistically significant relationship between these structural determinants with preterm delivery.
Conclusion:  Preterm delivery is a prevalent problem with critical complications in Iran and there is a significant relationship between structural determinants and preterm delivery. Appropriate interventions such as life skills training, self-care and prenatal care can help mitigate pregnancy outcomes.
Type of Study: Systematic Review | Subject: Neonatology
Received: 2022/02/20 | Accepted: 2022/04/25 | Published: 2022/04/25

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