Thesis (M.Sc.) - Cairo University - Faculty of Nursing - Department of Maternal and Newborn Health

Pregnancy infected with intestinal parasitic infection (IPI) is associated with an increased vulnerability to adverse pregnancy outcome. Aim, was to assess relationship between intestinal parasitic infections and pregnancy outcome. Design, a descriptive correlational research design was adopted. Sample, a purposive sample of 240 pregnant women with IPI was recruited based on the following inclusion criteria, pregnant women had IPI in third trimester; not exceed 35 years; not exceed para 2 and singleton pregnancy. Setting, obstetric department which is affiliated to Central Sidi Salem Hospital. Tools, structured interview schedule, stool analysis record, labor progress record, Apgar score and immediate postpartum assessment sheet. Results, two thirds of pregnant women had moderate anemia while one third of them had mild anemia. 12.1% of pregnant women were underweight, 69.6% had vaginal itching, 9.2% had preterm labor, 98.3% delivered by cesarean section, 20% experienced postpartum hemorrhage. Moreover, adverse effects of IPI on newborn were moderate asphyxia (70.4%) and severe asphyxia during the first minute (29.6%), and having weight less than normal (25.8%). Premature birth and small for gestational age constituted 9.2% and 25% respectively. In addition, there were highly statistic significant relations between symptoms of vaginal infection, maternal hemoglobin level, Apgar score 1st and 5th minutes after birth, anthropometrics measurement according to gestational age, neonatal weight and types of IPI. Conclusion, intestinal parasitic infection during pregnancy were associated with adverse effects on pregnancy outcome. Thus, this research recommended integration of stool analysis as a routine antenatal care screening for detection of IPI among pregnant women

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