Maternal and neonatal outcomes of grand multiparas over two decades in Mali

Teguété, Ibrahima; Maiga, Amelia W.; Leppert, Phyllis

doi:10.1111/j.1600-0412.2012.01372.x

Cited by 28 publications

(30 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Generally, in high order births (more than three) women experience multiple and life-threatening complications. Grand multiparous women are older and less likely to have accessed antenatal care, which results in an increased risk of maternal complications and poor neonatal outcomes (16,18,34). The results also showed a signi cant relationship between high-risk pregnancies and maternal healthcare utilisation.…”

Section: Discussionmentioning

confidence: 94%

“…Also, women who had given birth to a large number of children (more than three births) and had them in shorter birth intervals of less than 18 months were found to be more vulnerable to experience several pregnancy complications: pre-eclampsia, pregnancy infections, miscarriage, stillbirth and low birth weight [16,[18][19][20][21][22]. Additionally, access to reproductive healthcare services remained a key determinant of a sound pregnancy and healthy outcome [17,23].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Maternal Autonomy and High-Risk Pregnancy in Bangladesh: The Mediating Influences of Childbearing Practices and Antenatal Care

Abedin

Arunachalam

2020

Preprint

View full text Add to dashboard Cite

Abstract Background Maternal, infant and neonatal mortality rates are high in Bangladesh. Certain childbearing practices and poor utilisation of antenatal care services make Bangladeshi women more vulnerable to experience poor health during pregnancy and adverse pregnancy outcomes. Also, women in Bangladesh remain considerably subordinate to men in almost all aspects of their lives, from education and work opportunities to healthcare utilisation. This study investigates the severity of health complications during pregnancy in relation to women’s autonomy, and how childbearing practices and utilisation of antenatal care mediate this relationship. Methods Data from the most recent Bangladesh Demographic and Health Survey (BDHS) is used in this study. Multinomial regression models (MLRM) are employed to examine the relationship between the outcome variable - high risk pregnancy, and explanatory variables - women’s autonomy, childbearing practices and use of antenatal care. Results In Bangladesh, about 41.5% of women experienced high-risk pregnancies involving multiple health complications. Findings showed that women’s autonomy in decision-making, freedom of movement and economic autonomy were significantly associated with high-risk pregnancies. However, women’s autonomy in physical mobility in particular did so only through the mediating factors of maternal childbearing practices and antenatal care. Specifically, both early and delayed childbearing and shorter birth interval increased the likelihood of high-risk (multiple complications) pregnancies by about 30% and 31% respectively, high parity increased the risk by 23% and use of antenatal care decreased it by 46%.Conclusion The Women’s decision-making autonomy, freedom of movement and economic autonomy had significant effects on high-risk pregnancies. However, the effects were mediated by both maternal childbearing practices and use of antenatal care in a limited way. Policies and programmes aimed at improving pregnancy outcomes need to focus on all three sets of factors: women’s autonomy, childbearing practices and use of antenatal care.

show abstract

Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Maternal Autonomy and High-Risk Pregnancy in Bangladesh: The Mediating Influences of Childbearing Practices and Antenatal Care

Abedin

Arunachalam

2020

Preprint

View full text Add to dashboard Cite

show abstract

“…No mundo todo, as principais causas de mortes maternas incluem hemorragia, eclampsia, sepse, obstrução no trabalho de parto e complicações secundárias a abortos. Estudo realizado em Mali mostra que as principais causas de mortes maternas são as obstétricas diretas, como rotura uterina (25.7%), hemorragia no pós-parto (21.0%) e infecção pós--parto (19.8%) (19) . Quanto à natureza dos demais óbitos, aqueles classificados como inconclusivos foram analisados, sendo identificadas treze mortes presumíveis.…”

Section: Discussionunclassified

Declarações de óbitos de mulheres em idade fértil: busca por óbitos maternos

Gil

Gomes-Sponholz

2013

Rev. Bras. Enferm.

View full text Add to dashboard Cite

RESUMONo Brasil, há defi ciência de registros completos na Declaração de Óbito, sendo questionada a confi abilidade, especialmente das causas relacionadas ao ciclo grávido-puerperal. Investigamos, em Declarações de Óbito de mulheres em idade fértil, o preenchimento dos campos que permitem identifi car óbitos maternos. Pesquisa documental, conduzida a partir de prontuários hospitalares. Analisamos mortes maternas declaradas, não maternas, inconclusivas e mortes presumíveis. Para análise das causas básicas de morte utilizamos a Lista de Tabulação de Mortalidade da CID -BR-10. Das 301 declarações de óbito analisadas, 60% apresentaram os campos 43/44 preenchidos, e 40% apresentaram estes campos em branco e/ou ignorados. Encontramos 58,5% de mortes não maternas, 2% de mortes maternas declaradas e 39,5% mortes inconclusivas. A análise das mortes inconclusivas permitiu-nos classifi car 4,3% como mortes presumíveis. Para sanar as incompletudes dos registros civis, é necessário o empenho de todos os profi ssionais de saúde para que a fi dedignidade das informações seja uma meta atingida. Descritores: Mortalidade Materna; Saúde da Mulher; Subregistro. ABSTRACTIn Brazil, there is a lack of complete records on death certifi cates, and its reliability is questioned, especially for causes attributed to pregnancy and childbirth. We investigated, based on death certifi cates of women in reproductive age, any fi elds for identifying maternal deaths. Documentary research, conducted in hospital records. We analyzed in death certifi cates, maternal and no maternal deaths, inconclusive deaths and hidden deaths. To analyze the underlying causes of death we used ICD 10th Revision. Of the 301 death certifi cates reviewed, 60% had the fi elds 43/44 completed, and 40% had these fi elds blank and/or ignored. We found 58.5% of no maternal deaths, 2% of maternal deaths and 39.5% inconclusive. The analysis of inconclusive deaths allowed us to classify 4.3% as hidden deaths. To overcome the incompletitudes of civil registries, it is necessary that all health professionals be committed to the reliability of the information, so the priority target could be reached. Key words: Maternal Mortality; Women's Health; Under Registration. RESUMENEn Brasil, hay falta de registros completos sobre los certifi cados de defunción, y la fi abilidad, especialmente por causas relacionadas con el embarazo y puerperio he sido cuestionado. Investigamos, con base en los certifi cados de defunción de mujeres en edad fértil, los campos para la identifi cación de las muertes maternas. Investigación documental, realizada a partir de registros hospitalarios. Se analizaron los certifi cados de defunción, muertes maternas y no maternas, no conclusivas y presumibles. Para analizar las causas subyacentes de la muerte utilizamos la CIE 10 Revisión. De los 301 certifi cados de defunción revisados, 60% tenían campos 43/44 completos, 40% tenían estos campos en blanco y/o ignoradas. Se encontró 58,5% muertes no maternas, 2% de muertes maternas y 39,5% no conclusivas. El análisi...

show abstract

“…Parity is also one of the most effective factors on the APGAR score. Anemia, uterine atony and chronic diseases may explain the association between multiparity and low APGAR scores (21) . There are conflicted results in several studies about the effect of parity on the neonatal birth weights.…”

Section: Resultsmentioning

confidence: 99%

“…Higher number of parity is a well known parameter which is associated with low APGAR scores and poor neonatal outcomes (19)(20)(21) . But there is still a lack of data about the relationship between parity and neonatal outcomes related to vacuum-assisted deliveries.…”

Section: Resultsmentioning

confidence: 99%

Rates of Deliveries with Vacuum Extraction and the Relationship Between Maternal Age, Parity and Neonatal APGAR Scores

Budak¹,

Temür²,

Öztürk³

et al. 2017

Terh

View full text Add to dashboard Cite

Objective: The aim of this study is to determine the rate of vacuum extraction, and its relationship with parity and intrauterine fetal condition. Methods: This study was conducted at Diyarbakır Maternity Hospital in Turkey during 2012 with 20050 newborns who were delivered at the obstetrics/gynecology clinics. Two hundred and forty-nine of them were vacuum deliveries. Parity, maternal age, gestational age, birth weight and APGAR(Activity, Pulse, Grimace, Appearance, Respiration) scores were recorded for each delivery. Results: Vacuum extraction deliveries were conducted in 249 cases (1.24%). The features and outcomes of the 249 vacuum assisted deliveries were as follows. Mean maternal age was 23.56±4.27 years, and mean gestational 38.73±1.56 weeks and mean parity was 1.95±1.57. Mean first, and fifth minute APGAR scores of the newborns were 7.43±1.33 and 9.24±1.29 points respectively. Parity and birth weights were positively correlated with gestational weeks. APGAR scores observed by the first and fifth minutes were negatively correlated with parity. There was no correlation between birth weights and APGAR scores at any time point. Parity was the only effective parameter on the APGAR scores estimated at the first and fifth minutes. Conclusions: According to the results of this study, rates of vacuum extraction delivery which have not used frequentlt in recent times were lower when compared with most of the developed countries. Incidence of cesarean section was 25.4 percent. Cesarean delivery rates were higher than the suggested cesarean rates (15%) by World Health Organisation (WHO). Parity is the major factor that effects the APGAR scores of the neonates. Vacuum extraction delivery may be suggested more often especially for the deliveries of low parity women so as to decrease the cesarean section rates. Toplam 249 vakumla doğuma ilişkin özellikler ve sonuçlar aşağıda belirtilmiştir. Ortalama anne yaşı, gebelik haftası ve parite sırasıyla 23.56±4.27 yıl, 38.73±1.56 hafta ve 1.95±1.57 idi. Yenidoğanların doğum sonrası birinci ve beşinci dakikadaki APGAR skorları sırasıyla 7.43±1.33 ve 9.24±1.29 idi. Gebelik sayısı ve yenidoğan doğum kilusu gebelik haftası ile pozitif korelasyon göstermiştir. Birinci ve beşinci dk. APGAR skorları gebelik sayısı ile negative ilişki göstermekteydi. Yenidoğan doğum kilosu ve APGAR skorları arasında herhangi bir ilişki saptanmadı. Birinci ve beşinci dk. APGAR skorları üzerine etkili olan tek parameter gebelik sayısı olarak bulundu. Sonuç: Vakum eşliğinde doğum son zamanlarda pek kullanılmayan bir metot olup, bu çalışmanın sonuçlarına göre vakum ile doğum oranı çoğu gelişmiş ülkeye göre düşük olarak saptanmıştır. Sezaryen oranları %25,4 idi. Sezaryen doğum oranları DSÖ tarafından önerilen oranların (15%) oldukça üzerinde bulunmuştur. Gebelik sayısı yenidoğan APGAR skorunu etkileyen en önemli faktördür. Vakum ile doğurtma düşük gebelik sayısı bulunan kadınlarda sezaryen oranlarını da düşürmeye yöne-lik olarak önerilebilecek bir yöntem olabilir.Anahtar kelimeler: Vakum ile doğum,...

show abstract

Maternal and neonatal outcomes of grand multiparas over two decades in Mali

Abstract: The healthy person effect may explain grand multiparas' lower odds of maternal death. Reducing grand multiparity and improving grand multiparas' access to prenatal care may improve population-level perinatal outcomes.

Cited by 28 publications

References 21 publications

Maternal Autonomy and High-Risk Pregnancy in Bangladesh: The Mediating Influences of Childbearing Practices and Antenatal Care

Maternal Autonomy and High-Risk Pregnancy in Bangladesh: The Mediating Influences of Childbearing Practices and Antenatal Care

Declarações de óbitos de mulheres em idade fértil: busca por óbitos maternos

Rates of Deliveries with Vacuum Extraction and the Relationship Between Maternal Age, Parity and Neonatal APGAR Scores

Contact Info

Product

Resources

About