Comparison of anemia in urban pregnant women with the control group before and after family medicine in Rudbar in 1397

More than %40 of pregnant women worldwide have anemia that can have significant side effects for both mother and baby. The claim that the implementation of a family medicine program can be effective on anemia or not is an important question that was targeted in the present study.

An experimental community trial was conducted to compare the prevalence of anemia in the second half of pregnancy between urban women (intervention group) and rural women (control group) (who had family medical coverage and active health care) before and after the intervention of "urban family medicine". The study was conducted once before the implementation of the urban family physician plan in July 2015 and then 2.5 years after the implementation of the plan in March 2016 for the second time. The results were analyzed using Chi2 test and Fisher's exact criteria.

All pregnant women, including 927 people, were included in the study without sampling,and the relevant information was studied in the two time periods mentioned. The prevalence of anemia at 10-6 weeks of gestation before and after the intervention was almost similar in rural and urban pregnant women (10.1 to 7.8 before the intervention and 11.4 to 9.5 after the intervention).Therefore, the causes of anemia other than pregnancy did not interfere with our study. Anemia of 30-24 weeks of gestation in urban pregnant women before family medicine (2015) was %33.3, which was reduced to 21.7 after the intervention in 2019 (P = 0.027).

Implementation of "family medicine/active health care" significantly reduced gestational anemia in the intervention group.