Tazi Nimi1, Sílvia Fraga2, Diogo Costa2, Paulo Campos3, Henrique Barros4. 1. Epidemiology Research Unit, Institute of Public Health University of Porto, Porto, Portugal; Faculty of Medicine of Agostinho Neto University, Luanda, Angola. 2. Epidemiology Research Unit, Institute of Public Health University of Porto, Porto, Portugal. 3. Faculty of Medicine of Agostinho Neto University, Luanda, Angola. 4. Epidemiology Research Unit, Institute of Public Health University of Porto, Porto, Portugal; Department of Clinical Epidemiology, Predictive Medicine and Public Health, University of Porto Medical School, Porto, Portugal. Electronic address: hbarros@med.up.pt.
Abstract
OBJECTIVE: To describe prenatal care in Angolan women delivered at a large tertiary care unit, and to explore the association between prenatal care and selected perinatal outcomes. METHODS: We conducted a cross-sectional study between December 2012 and February 2013, involving 995 women aged 13-46years, delivered at Lucrécia Paím Maternity, Luanda. Trained interviewers collected information on timing, frequency, place, and satisfaction with prenatal care; sociodemographic and clinical characteristics; birth weight; and gestational age. Logistic regression models were fitted, and odds ratios with 95% confidence intervals (OR, 95%CI) estimated. RESULTS: Quantitatively inadequate prenatal care (<4 visits) was more common in younger, less educated, poorer women, followed in public institutions, and those who felt more dissatisfied with care. More visits, both in primiparas and multiparas, were independently associated with more cesarean deliveries. After adjustment, having fewer than four visits was significantly associated with low birth weight (OR 2.00; 95% CI, 1.15-3.50) and preterm delivery (OR 2.74; 95% CI, 1.69-4.44 for 2-4 visits); similar associations were found regarding late entrance into care. CONCLUSION: Early entrance into prenatal care and the recommended number of visits are major determinants of mode of delivery and pregnancy outcomes, constituting targets to improve perinatal health.
OBJECTIVE: To describe prenatal care in Angolan women delivered at a large tertiary care unit, and to explore the association between prenatal care and selected perinatal outcomes. METHODS: We conducted a cross-sectional study between December 2012 and February 2013, involving 995 women aged 13-46years, delivered at Lucrécia Paím Maternity, Luanda. Trained interviewers collected information on timing, frequency, place, and satisfaction with prenatal care; sociodemographic and clinical characteristics; birth weight; and gestational age. Logistic regression models were fitted, and odds ratios with 95% confidence intervals (OR, 95%CI) estimated. RESULTS: Quantitatively inadequate prenatal care (<4 visits) was more common in younger, less educated, poorer women, followed in public institutions, and those who felt more dissatisfied with care. More visits, both in primiparas and multiparas, were independently associated with more cesarean deliveries. After adjustment, having fewer than four visits was significantly associated with low birth weight (OR 2.00; 95% CI, 1.15-3.50) and preterm delivery (OR 2.74; 95% CI, 1.69-4.44 for 2-4 visits); similar associations were found regarding late entrance into care. CONCLUSION: Early entrance into prenatal care and the recommended number of visits are major determinants of mode of delivery and pregnancy outcomes, constituting targets to improve perinatal health.
Authors: Margo S Harrison; Ana Pilar Betrán; Krithika Suresh; Joshua P Vogel; Robert L Goldenberg; A Metin Gülmezoglu Journal: BMC Pregnancy Childbirth Date: 2020-11-11 Impact factor: 3.007
Authors: Ohemaa B Poku; Ari R Ho-Foster; Patlo Entaile; Supriya Misra; Haitisha Mehta; Shathani Rampa; Melody Goodman; Tonya Arscott-Mills; Evan Eschliman; Valerie Jackson; Tadele Melese; Timothy D Becker; Marlene Eisenberg; Bruce Link; Vivian Go; Philip Renison Opondo; Michael B Blank; Lawrence H Yang Journal: Trials Date: 2020-10-07 Impact factor: 2.279