ABSTRACT
Background: Complications observed during pregnancy affect both mother and fetus, mainly in developing countries.
Aims and Objectives: This study aimed to identify the most common pregnancy and fetal complications during pregnancy, and to find factors related to these complications.
Methods: A longitudinal study was conducted from September 2017 to July 2018 among pregnant women attending governmental primary health care clinics in Palestine. Women were followed up during their regular visits the clinics. Any complication affecting either the fetus or the mother during the pregnancy period was recorded.
Results: A total of 380 pregnant women were included in the study. The most common complications seen among women during pregnancy were preterm labor (PTL) (11.3%), followed by gestational diabetes (GDM) (7.9%) and pregnancies induce hypertension (PIH) (7.9%). Large for gestational age (LGA) (11.6 %) and small for gestational age (SGA) (10.5%) were the most commonly observed fetal complications. Pregnant women living in camps (O.R 2.35, 95% [CI] 1.02- 5.45), nulliparity (O.R 14.9, 95% [CI] 1.09-202.5) and low parity women (O.R 16.8, 95% [CI] 1.47- 192.5) were at higher risk of having pregnancy complications. However, lower risk was noticed between women with gravida 4 (O.R 0.11, 95% [CI] 0.03-0.47) compared to women having more than 6 pregnancies. Age < 41 years was a protective factor against fetal complications, while parities from 4-6 (OR 36.17; 95% CI 4.88-268) and active smoking mothers (OR 1.25; 95% CI 1.0-3.07) were identified as factors that increase the risk of fetal complications.
