The relationship between antenatal care and preterm birth: the importance of content of care

Beeckman, Katrien; Louckx, Freddy; Downe, S; Putman, Koen

doi:10.1093/eurpub/cks123

Cited by 83 publications

(77 citation statements)

References 24 publications

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“…These results corroborate other studies that have also found a higher proportion of inadequate prenatal care for women with unfavorable characteristics, such as ethnicity/black and brown skin color (24) , who did not plan their pregnancy and unmarried, which tend to start Prenatal care late and perform fewer visits (1,(25)(26)(27) . Also, there was association of inadequate prenatal care to mothers who have made combined prenatal care (OR=3.9 in the univariate analysis and AOR=5.7 in the multivariate analysis).…”

Section: Discussionsupporting

confidence: 90%

Factors associated with the quality of prenatal care: an approach to premature birth

Melo

Oliveira

Mathias

2015

Rev. esc. enferm. USP

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Objective:To assess the quality of prenatal care in mothers with premature and term births and identify maternal and gestational factors associated with inadequate prenatal care. Method: Cross-sectional study collecting data with the pregnant card, hospital records and interviews with mothers living in Maringa-PR. Data were collected from 576 mothers and their born alive infants who were attended in the public service from October 2013 to February 2014, using three different evaluation criteria. The association of prenatal care quality with prematurity was performed by univariate analysis and occurred only at Kessner criteria (CI=1.79;8.02). Results: The indicators that contributed most to the inadequacy of prenatal care were tests of hemoglobin, urine, and fetal presentation. After logistic regression analysis, maternal and gestational variables associated to inadequate prenatal care were combined prenatal (CI=2.93;11.09), nonwhite skin color (CI=1.11;2.51); unplanned pregnancy (CI=1.34;3.17) and multiparity (CI=1.17;4.03). Conclusion: Prenatal care must follow the minimum recommended protocols, more attention is required to black and brown women, multiparous and with unplanned pregnancies to prevent preterm birth and maternal and child morbimortality. Factors associated with the quality of prenatal care: an approach to premature birth Fatores associados à qualidade do pré-natal: uma abordagem ao nascimento prematuro Factores asociados con la calidad del prenatal: un abordaje al nacimiento prematuro DESCRIPTORS

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Section: Discussionsupporting

confidence: 90%

Factors associated with the quality of prenatal care: an approach to premature birth

Melo

Oliveira

Mathias

2015

Rev. esc. enferm. USP

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“…A prospective cohort study by Beeckman K et al also concluded that timely and accurate antenatal screening is believed to be an important factor in preventing preterm birth. 10 Multiparity was an independent risk factor for higher rates of preterm birth in our study, as 47.5% multiparous females had preterm deliveries. Sabiri N in her study summarised that the risk factors for preterm birth were, low level of maternal education (p <0.004), absence of pregnancy monitoring (<0.001), multiparity (p <0.001) and maternal chronic disorders (p <0.001).…”

Section: Discussionsupporting

confidence: 51%

A retrospective analytical study of the epidemiology and causes of preterm birth

Jamal¹,

Srivastava²

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Preterm birth is the leading cause of perinatal morbidity and mortality. The incidence of preterm birth in India is 7-9%, and the rates are constantly rising. The main cited reasons for this trend are increasing indicated preterm births and rising rates of artificially conceived pregnancies. Major causes for indicated preterm births are hypertensive disorders of pregnancy, foetal growth restriction, antepartum haemorrhage and PPROM. Risk factors for spontaneous preterm birth include obstetrical complications like multifetal gestation, malpresentations and infections, poor antenatal care, having history of previous preterm delivery, and history of bleeding in the index pregnancy.Methods: This is a retrospective analytical study, done in the department of Obstetrics and Gynecology over a period of two years (January 2015-December 2016). All singleton preterm live births were included in the study. The records of all the included patients were studied from the medical records department of the hospital, after obtaining permission for the same. The results were analysed and obtained by percentage method.Results: A total of 2564 pregnancies were analysed in present study. The number of preterm deliveries was 436 in two years. Out of 2564, the number of live births was 2365, making an incidence of 18.4%. Maximum preterm deliveries were observed in the teenage group (27%) and elderly gravidas (23.9%), both the groups falling into high risk categories for preterm birth. Multiparity was an independent risk factor observed in our study and was found to be associated with 47.5% cases. Level of antenatal care received was also directly related to the number of preterm deliveries. As high as 58.4% of the females landed into preterm birth, who never sought antenatal care, the commonest risk factor for preterm birth was PPROM (26.6%) followed by hypertensive disorders of pregnancy (18.6%). We observed a labor induction rate of 23.4% and Caesarean delivery was performed in 146 (33.5%) cases, thus indicating a high induction and caesarean rates in such pregnancies.Conclusions: Preterm birth continues to challenge obstetricians despite much efforts being executed at all levels. Many of the risk factors are identifiable and can be addressed with a specialised antenatal care program. Screening of genitourinary infections and initiation of treatment can cut down the rates. Early referral and NICU equipped institutional delivery should be promoted to prevent neonatal morbidity and mortality.

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“…It is believed that timely and correct antenatal care prevents premature birth. In a study conducted in France, more premature births were reported in mothers who had not been examined in the first 3 months of pregnancy and who had had fewer [22]. In the current study, the rates of premature birth were similar between those who had fewer than or more than 4 visits and those who presented early or late (p=0.643).…”

Section: Discussionsupporting

confidence: 63%

Time And Number of Antenatal Visits in Low Socio-Economic Population: Outcomes And Related Factors

Şentürk¹,

Çakmak²,

Soydan³

et al. 2016

Ann Clin Anal Med

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Anahtar KelimelerAnemi; Gebe Kadınlar; Sosyoekonomik Durum Abstract Aim: The aim of this study is to evaluate the effects of the number and timing of antenatal visits on the maternal-perinatal outcomes and related factors in a relatively low socio-economic population. Material and Method: A cross-sectional examination was made of 479 pregnant women. The antenatal records were examined. Pregnant women were divided into two groups according to first time of visit (whether in the first trimester or not), into two groups based on the number of visits (<4 or >4), and into two groups, based on the presence or absence of anemia. The socio-economic status, demographic features, educational level, systemic disease, iron intake, and outcomes were compared using Mann Whitney and Chi Square tests. Multiple regression analysis was applied in the investigation of the factors affecting the number and time of visits and anemia. A value of p<0.05 was accepted as statistically significant. Results: While the mean economic income of patients who presented late and made few visits was found to be low (p<0.05), the maternal and perinatal results were similar (p>0.05). In the anemic group, a poor economic status was correlated with more systemic diseases and iron intake was irregular or lacking (p<0.05). A correlation was determined between poor economic status and fewer visits and late presentation, while systemic diseases and poor economic status were related to anemia (p<0.05). Discussion: In a population with poor socio-economic conditions, the number of antenatal visits and early admission are not correlated with maternal and perinatal outcomes.

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The relationship between antenatal care and preterm birth: the importance of content of care

Abstract: This study suggests that measurement of the content and timing of care of antenatal care using the new CTP tool is a better assessment of the risk of preterm birth than assessment of the number of antenatal visits alone.

Cited by 83 publications

References 24 publications

Factors associated with the quality of prenatal care: an approach to premature birth

Factors associated with the quality of prenatal care: an approach to premature birth

A retrospective analytical study of the epidemiology and causes of preterm birth

Time And Number of Antenatal Visits in Low Socio-Economic Population: Outcomes And Related Factors

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