Adequacy of prenatal care and neonatal mortality in infants born to mothers with and without antenatal high-risk conditions

2007 ◽  
Vol 47 (2) ◽  
pp. 122-127 ◽  
Author(s):  
Xi-Kuan CHEN ◽  
Shi Wu WEN ◽  
Qiuying YANG ◽  
Mark C. WALKER
Keyword(s):  
High Risk ◽  
Prenatal Care ◽  
Neonatal Mortality ◽  
Adequacy Of Prenatal Care

scholarly journals Adequacy of prenatal care considering nutritional assistance in Southern Brazil: Maternar Cohort Study

2021 ◽  
Vol 37 (6) ◽  
Author(s):  
Bruna Luiza Holand ◽  
Simone Guerra Fonseca ◽  
Michele Drehmer ◽  
Vera Lúcia Bosa
Keyword(s):  
Cohort Study ◽  
High Risk ◽  
Prenatal Care ◽  
Unplanned Pregnancy ◽  
Southern Brazil ◽  
Porto Alegre ◽  
Cross Sectional ◽  
Risk Pregnancy ◽  
Adequacy Of Prenatal Care

Abstract: We verified the prevalence of adequacy in prenatal care considering nutritional assistance and associated factors. It is a cross-sectional study, part of Maternar Cohort Study, conducted between 2018-2019 in Southern Brazil. Women were interviewed during hospitalization in the immediate postpartum period and data were collected from the prenatal chart. Prenatal adequacy and nutritional care were assessed according to criteria from the Brazilian Ministry of Health. Two outcome models were constructed. Outcome 1 consisted of minimal coverage (early prenatal start and minimum number of visits) and exams, and Outcome 2 comprised minimal coverage, exams, and nutritional assistance. Poisson regression was used to estimate prevalence ratios. A total of 802 women were analyzed, and we identified 57% of adequacy of Outcome 1. Unplanned pregnancy (PR = 0.76; 95%CI: 0.68-0.86), parity (PR = 0.88; 95%CI: 0.83-0.94) and prenatal care outside Porto Alegre, Rio Grande do Sul State (PR = 0.80; 95%CI: 0.69-0.92), were associated with lower prenatal adequacy frequencies. Outcome 2 was considered adequate for 10.2% of women. Follow-up by different professionals during prenatal care was associated with lower adequacy (PR = 0.49; 95%CI: 0.28-0.86). Women with high-risk pregnancies had a higher frequency of adequacy in Outcome 1 (PR = 1.21; 95%CI: 1.07-1.37) and in Outcome 2 (PR = 1.75; 95%CI: 1.16-2.64). General adequacy was considered low in both outcomes. There was a lack of nutritional assistance during prenatal care. Characteristics such as pregnancy planning, lower parity, prenatal care in Porto Alegre, follow-up by the same professional and high-risk pregnancy were predictors for the adequacy of prenatal care.

scholarly journals Factors Associated With Cannabis Use During the Reproductive Cycle: A Retrospective Cross-Sectional Study of Women in States With Recreational and Medical Cannabis Legalization

2021 ◽  
Author(s):  
Danica Loralyn Taylor ◽  
Janice F. Bell ◽  
Susan L. Adams ◽  
Christiana Drake
Keyword(s):  
Substance Use ◽  
Prenatal Care ◽  
Post Partum ◽  
Cannabis Use ◽  
Provider Education ◽  
Substance Use Prevention ◽  
Cross Sectional ◽  
Factors Associated ◽  
Adequacy Of Prenatal Care ◽  
The Impact

Abstract Introduction Passage of cannabis laws may impact cannabis use and the use of other substances. The suggested association is of particular concern in pregnant women where exposure to substances can cause harm to both the pregnant woman and fetus. The present study contributes to the minimal literature on factors associated with cannabis use during the preconception, prenatal, and postpartum periods including state legalization status, concurrent use of tobacco and e-cigarettes and adequacy of prenatal care. Methods We conducted a cross-sectional analysis using combined survey data from the 2016–2018 Pregnancy Risk Assessment Monitoring System (PRAMS) collected from 36,391 women. Logistic regression was used to estimate the impact of state-legalization, adequacy of prenatal care, and other substance use on cannabis use during the preconception, prenatal, and post-partum periods. Results In the preconception model, residence in a recreationally legal state (OR: 2.37; 95% CI, 2.04–2.75) or medically legal state (OR:3.32; 95% CI, 2.90–3.80) compared to a non-legal state was associated with higher odds of cannabis use. In the prenatal model, residence in a recreationally legal state was associated with higher odds of cannabis use (OR: 1.51; 95% CI, 1.29–1.79) whereas there was no association with residence in a medically legal state. Tobacco use including e-cigarettes and moderate prenatal alcohol use were also significantly associated with cannabis use. Conclusion Recreational cannabis legalization is associated with the use of cannabis prior to, during, and after pregnancy. Renewed clinical and policy efforts may be warranted to update prenatal substance use prevention programs, educational campaigns, and provider education as cannabis legalization evolves.

The Interactive Effects of Race and Ethnicity and Mother's Residence on the Adequacy of Prenatal Care

1996 ◽  
Vol 12 (1) ◽  
pp. 6-18 ◽  
Author(s):  
Michael K. Miller ◽  
Leslie L. Clarke ◽  
Stan L. Albrecht ◽  
Frank L. Farmer
Keyword(s):  
Prenatal Care ◽  
Race And Ethnicity ◽  
Interactive Effects ◽  
Adequacy Of Prenatal Care

scholarly journals Adequacy of prenatal care, diagnosis and treatment of syphilis in pregnancy: a study with open data from Brazilian state capitals

2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Adele Schwartz Benzaken ◽  
Gerson Fernando Mendes Pereira ◽  
Alessandro Ricardo Caruso da Cunha ◽  
Flavia Moreno Alves de Souza ◽  
Valéria Saraceni
Keyword(s):  
Prenatal Care ◽  
Skin Color ◽  
Congenital Syphilis ◽  
Open Data ◽  
Family Health ◽  
Diagnosis And Treatment ◽  
Benzathine Penicillin ◽  
White Skin ◽  
Public Data ◽  
Adequacy Of Prenatal Care

Abstract: To assess the adequacy of prenatal care offered in the Brazilian capital cities and the diagnosis of gestational syphilis through public data from health information systems. The modified Kotelchuck index for adequacy of prenatal care was built using Brazilian Information System on Live Births (SINASC) data. Data on gestational syphilis, congenital syphilis, estimated population coverage by the Family Health Strategy (FHS), the Municipal Human Development Index (MHDI) and data from National Program for Access and Quality Improvement in Primary Care (PMAQ-AB) were accessed in public sites. The profile of pregnant women associated with inadequate care was assessed by logistic regression. In total, 685,286 births were analyzed. Only 2.3% of women did not attend prenatal appointments. The mean adequacy was 79.7%. No correlation was found between adequacy of prenatal care and FHS coverage (p = 0.172), but a positive correlation was found with the MHDI (p < 0.001). Inadequacy of prenatal care was associated with age below 20 years old, schooling less than 4 years, non-white skin color and not having a partner. Among the congenital syphilis cases, 17.2% of mothers did not attend prenatal care. Gestational syphilis more often affected vulnerable women, including a higher proportion of adolescents, women with low schooling, and women of non-white color. The PMAQ-AB showed a median availability of 27.3% for syphilis rapid tests, 67.7% for benzathine penicillin, and 86.7% for benzathine penicillin administration by health teams. The use of public data showed a low adequacy of prenatal care in Brazilian capitals, denoting insufficient quality for the diagnosis and treatment of gestational syphilis, despite the availability of supplies. Continuous monitoring can be carried out using public data, indicating to local strategies to eliminate congenital syphilis.

Neonatal mortality in the presence of antenatal high-risk conditions: the impact of mode of delivery

2003 ◽  
Vol 189 (6) ◽  
pp. S134
Author(s):  
Dimitrios Mastrogiannis ◽  
Cande V Ananth ◽  
Charles P Mirabile ◽  
David Rousso ◽  
Anthony M Vintzileos
Keyword(s):  
High Risk ◽  
Neonatal Mortality ◽  
Mode Of Delivery ◽  
The Impact

scholarly journals Adequacy of Prenatal Care and Gestational Weight Gain

2016 ◽  
Vol 25 (2) ◽  
pp. 117-123 ◽  
Author(s):  
SeonAe Yeo ◽  
Jamie L. Crandell ◽  
Kathleen Jones-Vessey
Keyword(s):  
Weight Gain ◽  
Prenatal Care ◽  
Gestational Weight Gain ◽  
Gestational Weight ◽  
Adequacy Of Prenatal Care

scholarly journals Case management as a high-risk prenatal care strategy

2019 ◽  
Vol 72 (3) ◽  
pp. 692-699
Author(s):  
Leticia Gramazio Soares ◽  
Ieda Harumi Higarashi
Keyword(s):  
High Risk ◽  
Prenatal Care ◽  
Health Services ◽  
Case Management ◽  
Pregnant Women ◽  
Prenatal Case Management ◽  
Management Method ◽  
South Of Brazil ◽  
Care Study ◽  
Complex Cases

ABSTRACT Objective: to discuss the benefits of using high-risk prenatal case management. Method: a qualitative, convergent care study with six high-risk pregnant women, performed in a municipality in the south of Brazil. Data were produced by case management from April to August of 2017 through observation-participant. Analysis followed the processes of Convergent Care Research: apprehension, synthesis, theorization and transfer. Results: case management identified important elements in the care of pregnant women, which denoted a greater complexity to the cases; was shown as a relevant space for nurses to act, because it is an intervention that requires knowledge and specific skills. Final considerations: case management provides differentiated management in complex cases, facilitates the flow between health services, concretizing the comprehensiveness and equity of the care. It was found, in the convergence between research and care, that participants were benefited by case management.

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