Adequacy of prenatal care and stillbirth

Dayal, Shailja; Fogel, Joshua A.; Griggs, Robert C.

doi:10.23736/s2724-606x.21.04769-2

Cited by 5 publications

(3 citation statements)

References 18 publications

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“…26 This idea is supported by other studies reporting that a good prenatal care is associated with decreased maternal mortality, preterm birth, neonatal death and stillbirth. 27 The number of pregnancy complications can significantly be reduced should proper weight control be instituted early in pregnancy. Therefore, every effort should be aimed at counselling women prior to or early in pregnancy to avoid underweight, overweight or obesity.…”

Section: Discussionmentioning

confidence: 99%

Impact of Obstetric Nutritional Risk on Perinatal Morbidity: A Case-Control Study

Anaya-Prado¹

2023

MRAJ

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Objective. Malnutrition is among the most relevant problems in pregnant women, which affects nutritional status of the fetus and newborn outcome. The impact of obstetric nutritional risk (ONR) on neonatal morbidity has not been investigated. The purpose of this work was to identify a possible association between ONR, on high-risk pregnancy (HRP) patients and perinatal morbidity. Methods. This Case Control study included 118 neonates of HRP patients who were either (Cases, n =66) or not (Controls, n =52) with ONR. Groups were then compared to identify associated Neonatal Morbidity. Study variables included: neonatal morbidity, one and five-minute APGAR scores, birth weight, gestation weeks, preterm births, newborn gender and neonatal complications. Results. Morbidity and preterm births were identified in 40 (60.6%) and 11 (21.1%) neonates (p <0.001); and 40 (60.6%) and 14 (26.9%) neonates (p <0.001), for cases and controls, respectively. Average one-minute and five-minute APGAR scores was 6 ± 1 and 8 ± 1 (p <0.05); and 8 ± 1 and 9 ± 1 (p >0.05) for cases and controls, respectively. Average birth weight and gestation weeks was 2,272.5 and 2,548.5 grams (p <0.05); and 34 ± 3.7 and 37 ± 3 weeks (p <0.05) for cases and controls, respectively. There were 34 (51.51%) and 24 (46.15%) female neonates (p < 0.05); and 32 (48.48%) and 28 (53.85%) male neonates (p >0.05) for cases and control, respectively. Conclusion. Morbidity was significantly higher in neonates of HRP patients with ONR. Therefore, Obstetric Nutritional Risk had a negative impact on perinatal morbidity and newborn outcome.

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Section: Discussionmentioning

confidence: 99%

Impact of Obstetric Nutritional Risk on Perinatal Morbidity: A Case-Control Study

Anaya-Prado¹

2023

MRAJ

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“…The importance of this association relies on how well we provide appropriate prenatal care. It has been demonstrated that good prenatal care is associated with decreased maternal mortality, preterm birth, neonatal death and stillbirth [57]. Nonetheless, clinicians should be aware that even with the best care approach, HRP patients will still be at risk of poor neonatal outcome.…”

Section: Discussionmentioning

confidence: 99%

Untitled

2022

WJGWH

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Background: Maternal nutrition has been reported to play a critical role in both the development and outcome of pregnancy. But, a causal correlation between obstetric nutrition risk (ONR), pregravid and gravid nutritional status (NS) and pregnancy outcome has not been established. The purpose of this work was to analyze the possible association between ONR, pregravid and gravid NS and maternal morbidity (MM).Methods: This case control study included 180 pregnant patients admitted for high risk pregnancy (HRP). Patients were allocated in two groups (n = 90 p/group) using the ONR criteria on hospital admission: no nutritional risk group (Group A, ONR score < 3) and nutritional risk group (Group B, ONR score > 3). Study variables included: ONR scores, pregravid and gravid NS and MM.Results: Average ONR scores were 1.24 ± 0.04 and 3.58 ± 0.07, on admission and 2.63 ± 0.18 and 4.88 ± 0.08 at discharge, on Groups A and B, respectively (p <0.001). Patients were "overweight" and "underweight" in Groups A and B, respectively (p <0.05). Hospital morbidity was identified in 10 (11.11%) and 44 (48.88%) patients in the no nutritional risk and nutritional risk groups, respectively (p <0.05. RR = 2.23; 95% CI 0.36 -0.81). Conclusion:There was a positive association between pregravid NS, Obstetric Nutritional Risk and MM in HRP. Nutritionally at-risk patients were underweight, showed a significantly higher morbidity and had longer hospital stays.

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“…Receipt of prenatal care is an important strategy to improve pregnancy outcomes, particularly low birth weight, preterm birth, and stillbirth,36–38 however, nearly 1 in 4 pregnant women in the United States do not receive adequate prenatal care 39. Measures of prenatal care adequacy incorporate the trimester of prenatal care initiation, number of prenatal visits, and adjust for gestational age at delivery 39.…”

Section: Obstetrical Outcomes For Rural Residentsmentioning

confidence: 99%

Rural Maternal Health Care Outcomes, Drivers, and Patient Perspectives

Anglim

Radke

2022

Clinical Obstetrics &Amp; Gynecology

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Rural communities are a vital segment of the US population; however, these communities are shrinking, and their population is aging. Rural women experience health disparities including increased risk of maternal morbidity and mortality. In this article, we will explore these trends and their determinants both within and external to the health care system. Health care providers, public health professionals, and policymakers should be aware of these social and structural factors that influence health outcomes and take action to reduce generational cycles of health disparity. Opportunities to improve the health and pregnancy outcomes for rural women and rural populations are highlighted.

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Adequacy of prenatal care and stillbirth

Cited by 5 publications

References 18 publications

Impact of Obstetric Nutritional Risk on Perinatal Morbidity: A Case-Control Study

Impact of Obstetric Nutritional Risk on Perinatal Morbidity: A Case-Control Study

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Rural Maternal Health Care Outcomes, Drivers, and Patient Perspectives

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