Relationship of prenatal care and perinatal morbidity in low-birth-weight infants

Herbst, Melissa; Mercer, Brian M.; Beazley, Dorothy; Meyer, Norman; Carr, Teresa

doi:10.1067/s0002-9378(03)01055-x

Cited by 63 publications

(39 citation statements)

References 11 publications

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“…This is probably because prematurity is in the causal pa hway with most of these morbidities. We note that t our findings contrast with those of Herbst et al who found persistently statistically significant increased risk of severe morbidity in those with no prenatal care; however they did not control for gestational age and only adjusted for birth weight incompletely by performing a sub-analysis in those of low birth weight [19]. Our view is supported by the associations which remained significant after adjustment: meconium aspiration, viral sepsis, and dysmorphic features.…”

Section: Using Linked Data From Arizona Birth Certificates and From Acontrasting

confidence: 57%

“…Only a few studies have looked beyond these parameters. For instance, a study by Herbst et al assessed the effect of no prenatal care versus any care [19]. They found that those with no prenatal care were more likely to have infants with low birth weight, lower Apgar scores, respiratory distress syndrome, intraventricular hemorrhage, retinopathy of prematurity, broncho-pulmonary dysplasia, and death prior to discharge.…”

Section: Introductionmentioning

confidence: 99%

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Are neonatal morbidities associated with no prenatal care different from those associated with inadequate prenatal care?

Okoroh¹,

Coonrod²,

Chapple³

et al. 2012

OJOG

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Objective: Compare neonatal morbidities in women with no prenatal care, and women with inadequate prenatal care, to those with adequate prenatal care. Methods: Retrospective cohort study of neonatal morbidities of 3 exposure groups. Group 1: No prenatal care; Group 2: Inadequate prenatal care; Group 3: Intermediate/adequate prenatal care. Results: 2.5%, 23.3% and 74.1% of subjects (N = 264,138) were in Groups 1, 2 and 3 respectively. Severe neonatal morbidity was more common in Group 1, followed by Group 2, and least common in Group 3. After controlling for gestational age and birth weight, most of these differences were attenuated and not significant except for the following Group 1 vs Group 3 comparisons: meconium aspiration, odds ratio (OR) 2.15 and 95% confidence interval (CI) 1.39 -3.33; suspected sepsis, OR 1.30 and CI 1.13 -1.49; proven viral sepsis, OR 2.23 and CI 1.24 -4.00. Conclusions: Severe neonatal morbidity was most common in those with no prenatal care followed by those with inadequate prenatal care. For most neonatal morbidities, this could largely be explained by gestational age and birth weight differences, but for some neonatal morbidities (meconium aspirations, viral sepsis and dysmorphic features) the impact of no prenatal care persisted after adjustment for these factors.

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Section: Using Linked Data From Arizona Birth Certificates and From Acontrasting

confidence: 57%

Section: Introductionmentioning

confidence: 99%

Are neonatal morbidities associated with no prenatal care different from those associated with inadequate prenatal care?

Okoroh¹,

Coonrod²,

Chapple³

et al. 2012

OJOG

View full text Add to dashboard Cite

show abstract

“…Cite-se como exemplo a população negra nos Estados Unidos, que, embora ainda mantenha taxas mais elevadas que a população branca, apresenta níveis consideravelmente inferiores aos aqui observados 22,23 .…”

Section: Discussionunclassified

Estudo de fatores de risco para óbitos de menores de um ano mediante compartilhamento de bancos de dados

et al. 2008

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Para identificar fatores de risco para óbitos de menores de um ano em Salvador, mediante compartilhamento de banco de dados, foi realizado um estudo caso-controle, cujos indivíduos foram selecionados do Sistema de Informações sobre Mortalidade (SIM; 2000 e 2001) e do Sistema de Informações sobre Nascidos Vivos (SINASC; 2000). Para tal, aplicou-se a técnica de linkage ou compartilhamento de bancos de dados e utilizou-se o programa Access 2000, versão 9.0. As variáveis independentes foram levantadas do SINASC. A associação entre possíveis fatores de risco e óbito de menores de um ano foi avaliada por regressão logística. Prematuridade, ocupação materna como empregada doméstica, dona de casa ou estudante, parto em unidade do setor público, número inadequado de consultas de pré-natal e baixo peso ao nascer foram preditores de óbitos das crianças. A ausência de registro de dados e preenchimento incorreto de campos foram dificuldades enfrentadas no processo de compartilhamento. Apenas 40,9% dele foram realizados eletronicamente. Apesar dessas limitações, o uso complementar permitiu maior aproveitamento desses sistemas e possibilitou a formulação de críticas que podem estimular o seu aperfeiçoamento.

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“…18 Jamal et al in Islamabad have reported high neonatal morbidity and mortality in mothers with poor antenatal care. 19 Similar observations were made by other authors Adenkale, 20 Ekwempu, 21 Treacy, 22 and Sanchez-Nunico, 23 where poor perinatal outcome was associated with lack of antenatal care.…”

Section: Discussionmentioning

confidence: 99%

Maternal and Fetal Outcome in Booked and Unbooked Patients Undergoing Emergency LSCS

P¹,

Nacharaju²,

Kaul³

et al. 2015

jemds

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BACKGROUND:Caesarean section is the most commonly done Obstetric surgery and the outcome of surgery differs depending on various factors. Maternal and Fetal morbidity effects the quality of life, effect on maternal and foetal morbidity depends on proper follow up during antenatal period. PURPOSE: This study was under taken to find out the difference in maternal and fetal outcome between booked cases with proper antenatal follow up and un-booked cases. METHODOLOGY: This is a comparative study conducted at Rural Medical College in Telangana over a period of one year. Various parameters of Maternal Morbidity, Neonatal Morbidity, and Mortality were compared in both the groups. Comparison was done by using chi square test. And p value <0.05 was considered to be statistically significant. RESULTS: 389 patients were studied who underwent emergency LSCS during year 2014 in our rural medical college 190 were un-booked cases and 199 were booked cases, Indications for LSCS were similar in both the groups most common being one previous LSCS next being fetal distress. Abruption was the indication in 11 cases of un-booked group were as only one case in booked group. Post-partum haemorrhage and other post-operative complications were significantly higher in un-booked group. Perinatal mortality was more in un-booked cases. Low birth weight and need for NICU admission, perinatal morbidity was high in un-booked group. CONCLUSION: During our study period it was observed that booked cases had less maternal morbidity, perinatal morbidity and mortality when compared to the un-booked cases.

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Relationship of prenatal care and perinatal morbidity in low-birth-weight infants

Cited by 63 publications

References 11 publications

Are neonatal morbidities associated with no prenatal care different from those associated with inadequate prenatal care?

Are neonatal morbidities associated with no prenatal care different from those associated with inadequate prenatal care?

Estudo de fatores de risco para óbitos de menores de um ano mediante compartilhamento de bancos de dados

Maternal and Fetal Outcome in Booked and Unbooked Patients Undergoing Emergency LSCS

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