scholarly journals Risk factors associated to fetal death

1998 ◽  
Vol 116 (6) ◽  
pp. 1852-1857 ◽  
Author(s):  
Márcia Maria Auxiliadora de Aquino ◽  
José Guilherme Cecatti ◽  
Coríntio Mariani Neto
Keyword(s):  
Risk Factors ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Fetal Death ◽  
Abruptio Placentae ◽  
Factors Associated ◽  
Gestation Age ◽  
The Social ◽  
Independent Variable ◽  
Social Demographic

OBJECTIVE: The purpose of this study was to investigate risk factors associated to fetal death in a Brazilian population. DESIGN: A case control study. SETTING: The Hospital Maternidade Leonor Mendes de Barros in São Paulo. PARTICIPANTS:122 pregnant women with diagnosis of fetal death and gestation age of 20 or more weeks and 244 controls of pregnant women who delivered liveborns. VARIABLES STUDIED: The fetal death (dependent variable), independent variable (the social demographic factors, clinical and obstetrical history, prenatal care indicators and pathological conditions). RESULTS: The risk factors associated to fetal death were abruptio placentae, syphilis, few prenatal care visits, one or more previous stillbirths, hospitalization during pregnancy, diabetes, age above or equal to 25 years, hypertension during pregnancy, anemia and age below 20 years. CONCLUSIONS: Results of the current study might be useful to orientate a primary prevention health program, specially those concerning antenatal care.

scholarly journals Vaccination against influenza among pregnant women in southern Brazil and associated factors

2019 ◽  
Vol 24 (12) ◽  
pp. 4655-4664
Author(s):  
Raúl Andrés Mendoza-Sassi ◽  
Angélica Ozório Linhares ◽  
Franciane Maria Machado Schroeder ◽  
Nathalia Matties Maas ◽  
Seiko Nomiyama ◽  
...  
Keyword(s):  
Prenatal Care ◽  
Pregnant Women ◽  
Public Service ◽  
Cross Sectional Study ◽  
Southern Brazil ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Tetanus Vaccination ◽  
Independent Variable

Abstract This article aims to identify the prevalence and factors associated with influenza vaccination in pregnant women. This is a cross-sectional study conducted in a municipality in the southernmost region of Brazil, which included all women giving birth in 2016. The outcome was having received the vaccine against influenza during pregnancy. Sociodemographic, behavioral and prenatal care characteristics and morbidities were analyzed. The analysis included sample description, the prevalence of vaccination for each independent variable and a multivariate analysis. Two thousand six hundred ninety-four pregnant women were interviewed, of which 53.9% reported having been vaccinated. Factors associated with increased prevalence of vaccination were mother’s higher schooling, prenatal care, tetanus vaccination and prenatal care performed in a public service. On the other hand, prenatal care onset after the first quarter reduced the prevalence of vaccination. The results point to the need to reinforce the importance of vaccination against influenza among pregnant women and among health professionals, regardless of the severity of the current epidemiological setting.

scholarly journals Natimortalidade no hospital materno infantil de Barra do Corda-MA

2020 ◽  
Vol 10 (30) ◽  
pp. 98-105
Author(s):  
Luciane Dos Santos da Silva ◽  
Maria Hulda Lopes dos Santos ◽  
Rosane Pereira Martins ◽  
Nilson Dos Santos Loiola
Keyword(s):  
Risk Factors ◽  
Prenatal Care ◽  
Perinatal Mortality ◽  
Gestational Age ◽  
Medical Records ◽  
Fetal Death ◽  
Death Risk ◽  
Factors Associated ◽  
Factores De Riesgo ◽  
Child Hospital

Estudar a natimortalidade é importante por avaliar a vida intra-uterina e refletir possíveis agravos ocorridos na gestação. Objetivou-se estudar os fatores de riscos associados à natimortalidade ocorrida no Hospital Materno Infantil de Barra do Corda - MA de 2017 à 2018. A pesquisa bibliográfica foi realizada em bases indexadas. Demais dados foram obtidos nos prontuários de atendimento do hospital e tabulados nos softwares Excel e BioEstat 5.0. Evidenciou-se que o preenchimento dos prontuários de atendimento ocorreu de forma deficiente, principalmente com relação ao pré-natal e às informações sociodemográficas. Dentre os 70 casos analisados 28 ocorreram entre indígenas, a idade gestacional média dos conceptos foi de 34,6 semanas e houve um maior número de casos em gestantes com 21 anos. Concluiu-se que há a necessidade de rever os procedimentos de atendimento, bem como intensificar as ações de realização e acompanhamento pré-natal, principalmente nas áreas indígenas.Descritores: Morte Fetal, Fatores de Risco, Epidemiologia. Natimortality at the children’s maternal hospital of Barra do Corda-MAAbstract: Studying perinatal mortality is important because it evaluates intrauterine life and reflects possible problems occurring during the pregnancy. The objective of this study was to study the risk factors associated with perinatal mortality occurred at the Barra do Corda Maternal and Child Hospital - MA from 2017 to 2018. The bibliographic research was performed in indexed databases. Other data were obtained from the hospital's medical records and tabulated in Excel and BioEstat 5.0 software. It was evidenced that the filling of the medical records occurred in a poorly way, especially regarding prenatal care and sociodemographic information. Among the 70 cases analyzed 28 occurred among indigenous, the average gestational age of the concepts was 34.6 weeks and there was a higher number of cases in 21-year-old pregnant women. It was concluded that there is a need to review the care procedures, as well as intensify the actions of prenatal care and monitoring, especially in indigenous areas.Descriptors: Fetal Death, Risk Factors, Epidemiology. Natimortalidad en el hospital materno infantil Barra do Corda-MAResumen: Estudiar la muerte fetal es importante porque evalúa la vida intrauterina y refleja los posibles problemas que ocurren durante el embarazo. El objetivo de este estudio fue estudiar los factores de riesgo asociados con la muerte fetal ocurridos en el Hospital Materno Infantil Barra do Corda - MA de 2017 a 2018. La búsqueda bibliográfica se realizó en bases de datos indexadas. Otros datos se obtuvieron de los registros de atención hospitalaria y se tabularon en el software Excel y BioEstat 5.0. Se evidenció que el llenado de los registros médicos se produjo de manera deficiente, especialmente con respecto a la atención prenatal y la información sociodemográfica. Entre los 70 casos analizados, 28 ocurrieron entre mujeres indígenas, la edad gestacional promedio de la descendencia fue de 34.6 semanas y hubo un mayor número de casos en mujeres embarazadas de 21 años. Se concluyó que es necesario revisar los procedimientos de atención, así como intensificar las acciones de atención prenatal y monitoreo, especialmente en áreas indígenas.Descriptores: Muerte Fetal, Factores de Riesgo, Epidemiologia.

scholarly journals Frequency and Risk Factors Associated with Mortality in Pregnant Women in Tehran-Iran

2016 ◽  
Vol 9 (3) ◽  
pp. 138
Author(s):  
Fereshteh Farzianpour ◽  
Khatere Ramezani ◽  
Najmeh Bahmanziari ◽  
Omolbanin Atashbahar
Keyword(s):  
Risk Factors ◽  
Prenatal Care ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Control Group ◽  
Control Groups ◽  
Maternal Deaths ◽  
Factors Associated ◽  
Significant Difference ◽  
And Control

<p><strong>BACKGROUND &amp; OBJECTIVES:</strong> Ending mortality in pregnant women is not just a health challenge, but a development challenge. The purpose of this study was to access the frequency and risk factors associated with maternal mortality in Tehran from 2008 to 2011.</p><p><strong>METHODS: </strong>The present study was a case-control study with a population group which consists of all the women who have died since the beginning of pregnancy up to 42 days after delivery from the year 2008 to 2011 and a control group which consists of all delivered pregnant women with a perfect record in the hospitals (n=16) in Tehran from 2008 to 2011. In the case group, sampling was done through census (n = 113) and random sampling was used in the control group and 327 people were selected. Data collection tool was a record sheet consisting of two parts: demographic and risk factors associated with pregnancy which was completed using the data in the case and control groups. Finally, SPSS 22, descriptive statistics and statistical tests such as Chi-square, t-test and Fisher were used to analyze the data.</p><p><strong>RESULTS:</strong> Maternal deaths were reported in Tehran from 2008 to 2011 and the ratio was 15.8 in 100 thousand of live births during the period. Among the mothers who died, 73.5% of them were 18 to 34 years old, 1.22% were 35 years old or above and only 4.4% were less than 18 years of age. Of these mothers that died, 83.2% lived in the city and 16.8% lived in rural areas, but there were significant relationship between age, place of residence and maternal deaths. In combination with other risk factors, such as pregnancy age, pregnancy number, number of abortions, underlying medical condition, access to appropriate prenatal care, methods of delivery, factors of delivery, and the time may be between two last pregnancy, a significant difference was observed between the case and control groups, except for the distance between the two last pregnancy.</p><p><strong>CONCLUSION: </strong>Maternal mortality has been declining over the years; due to the identified factors associated with maternal death, proposed strategies, such as improving the quality of hospital services in the field of obstetric emergencies, improving the quality and coverage of prenatal care, avoidance of selective cesarean sections, identifying high risk pregnancies and referrals to specialized centers.</p>

scholarly journals Risk factors associated with C hagas disease in pregnant women in S antander, a highly endemic C olombian area

2015 ◽  
Vol 21 (1) ◽  
pp. 140-148 ◽  
Author(s):  
Yeny Z. Castellanos‐Domínguez ◽  
Zulma M. Cucunubá ◽  
Luis C. Orozco ◽  
Carlos A. Valencia‐Hernández ◽  
Cielo M. León ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Factors Associated

scholarly journals Perineal trauma after vaginal delivery in healthy pregnant women

2014 ◽  
Vol 132 (4) ◽  
pp. 231-238 ◽  
Author(s):  
Larissa Santos Oliveira ◽  
Luiz Gustavo Oliveira Brito ◽  
Silvana Maria Quintana ◽  
Geraldo Duarte ◽  
Alessandra Cristina Marcolin
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Vaginal Delivery ◽  
Standing Position ◽  
Professional Activity ◽  
Factors Associated ◽  
Perineal Injury ◽  
Secondary Hospital ◽  
Perineal Injuries

CONTEXT AND OBJECTIVE:Despite all the medical care provided during delivery labor, perineal injury is still prevalent and may lead to diverse pelvic floor disorders. The aim here was to investigate the prevalence of obstetric and anal sphincter injuries (OASIS) in healthy pregnant women after vaginal delivery.DESIGN AND SETTING:Cross-sectional study involving 3,034 patients with singletons in a secondary hospital for low-risk cases.METHODS:A standardized questionnaire was prepared and applied to medical files that had been completely filled out (classification of the Royal College of Obstetricians and Gynecologists, RCOG) in order to identify OASIS and analyze risk factors associated with mild and severe perineal lacerations.RESULTS:The women's mean age was 25 years; more than half (54.4%) were primiparae. Almost 38% of the participants had perineal lacerations; these were severe in 0.9% of the cases. Previous vaginal delivery (odds ratio, OR: 1.64 [1.33-2.04]) and forceps delivery (OR: 2.04 [1.39-2.97]) were risk factors associated with mild perineal injuries (1st and 2nd OASIS classifications). Only remaining standing for prolonged periods during professional activity (OR: 2.85 [1.34-6.09]) was associated with severe perineal injuries.CONCLUSION:The prevalence of severe perineal injuries was concordant with data in the literature. The variable of standing position was considered to be a risk factor for severe perineal injury and should be further investigated.

scholarly journals Factores de riesgo asociados a distocias del mecanismo del parto en gestantes primíparas atendidas en el Hospital Dr. Verdi Cevallos Balda

2020 ◽  
Vol 4 (2) ◽  
pp. 1
Author(s):  
Olga Katherine Veintimilla Chinga ◽  
María Alicia Fernanda Ledezma Hurtado ◽  
Dadier Marrero González ◽  
Lizeet López ◽  
Hugo Loor Lino
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Rural Areas ◽  
Overweight And Obesity ◽  
Modifiable Risk Factors ◽  
Maternal Complications ◽  
Factors Associated ◽  
Factores De Riesgo ◽  
Uterine Malformations ◽  
Delivery Mechanism

  Las distocias del mecanismo del parto en gestantes pueden generar consecuencias significativas tanto maternas como fetales y neonatales, existiendo diversos factores de riesgo asociados a dicha condición. La prevalencia de las distocias es variable para cada localidad, presentándose en el 0,3 % a de los casos. En este sentido, el objetivo de este trabajo fue determinar los principales factores de riesgo que se asocian a distocias del mecanismo del parto en gestantes primíparas atendidas en el Hospital Dr. Verdi Cevallos Balda. Se realizó un estudio descriptivo y retrospectivo, con 250 embarazadas atendidas en el periodo de enero 2018 a diciembre 2019. Las distocias de los mecanismos del parto en primíparas en el Hospital Dr. Verdi Cevallos se presentaron con más frecuencia en las edades entre los 20 y 34 años, con grado de instrucción secundaria, y de zonas rurales. Los principales factores de riesgos modificables asociados a distocias fueron los controles prenatales insuficientes, sobrepeso y obesidad de las gestantes; además de ganancia de peso inadecuada durante el embarazo, bajo peso fetal, duración prolongada de la primera fase del trabajo de parto e inducción del mismo. Los factores de riesgos no modificables identificados fueron la presentación de cara, estrechez pélvica, malformaciones uterinas, hipertensión arterial como enfermedad crónica asociada, talla materna menor a 140 cm y parto prolongado de más de 20 horas. Las complicaciones maternas tuvieron una alta incidencia y dentro de ellas, las cesáreas fueron las más frecuentes, mientras que el distress respiratorio fue la complicación neonatal más presentada.   Palabras clave: Distocia, factores de riesgo, peso elevado, malformaciones uterinas, complicaciones.   Abstract Dystocia of the delivery mechanism in pregnant women can generate significant maternal, fetal and neonatal consequences, with various risk factors associated with this condition. The prevalence of dystocia is variable for each locality, occurring in 0.3% of cases. In this sense, the objective of this study was to determine the main risk factors associated with dystocia in the delivery mechanism in primiparous pregnant women treated at the Dr. Verdi Cevallos Balda Hospital. A descriptive and retrospective study was carried out, with 250 pregnant women seen in the period from January 2018 to December 2019. Dystocia of the labor mechanisms in primiparous women at the Dr. Verdi Cevallos Hospital occurred more frequently in the ages between 20 and 34 years old, with a secondary education degree, and from rural areas. The main modifiable risk factors associated with dystocia were insufficient prenatal care, overweight and obesity in pregnant women; as well as inadequate weight gain during pregnancy, low fetal weight, prolonged duration of the first phase of labor and its induction. The non-modifiable risk factors identified were face presentation, pelvic narrowing, uterine malformations, arterial hypertension as an associated chronic disease, maternal height less than 140 cm and prolonged labor of more than 20 hours. Maternal complications had a high incidence and within them, caesarean sections were the most frequent, while respiratory distress was the most common neonatal complication.   Keywords: Dystocia, risk factors, high weight, uterine malformations, complications.

scholarly journals Pengaruh Dukungan Sosial Terhadap Kecemasan Pada Ibu Hamil di Puskesmas Jetis Kabupaten Ponorogo

2018 ◽  
Vol 5 (1) ◽  
pp. 55-66
Author(s):  
Ambika Kurnia Mustikawati
Keyword(s):  
Social Support ◽  
Pregnant Women ◽  
Correlation Coefficient ◽  
Sampling Technique ◽  
Cross Sectional ◽  
Spearman's Rho ◽  
Spearman’S Rho ◽  
The Social ◽  
The Face ◽  
Independent Variable

Background: Pregnancy is a valuable thing, but also one of the great stresses for awoman both physically and mentally. Pregnant women with high anxiety will increase therisk of hypertension, difficulty sleeping and stroke, seizures and even death in the motherand fetus. In Puskesmas Ponorogo district the number of pregnant women as much as5903 mothers, while in health centers Jetis the number of pregnant women as many as200 mothers. Interview results, 21 out of 27 mothers said were very anxious during herpregnancy. The purpose of this study was to analyze the factors of social support foranxiety in pregnant women.Subjects and Methods: The type of research is analytical with cross-sectional approach.The location of research at Jetis health center Ponorogo regency. Research conducted onSeptember 1 to October 15, 2016. Sample of 30 pregnant women using proportionalrandom sampling technique. Dependent variable is anxiety, while independent variable issocial support. Data collection techniques using questionnaires. Data analysis usingSpearman's Rho using SPSS 18.0 for windows computer program.Results: The results showed that from 40 respondents, almost half were 13 (32.5%)multiparous had mild anxiety and nearly half were 13 (32.5%) primipara experiencedmoderate anxiety. of the 40 respondents, nearly half (12%) of 3 trimester pregnantwomen had moderate anxiety and a small proportion of 9 (22.5%) of 2 trimester pregnantwomen had mild anxiety. The result of calculation using spearman's rho statistic testobtained p = 0,006 <α 0,05 mean there is influence between parity with anxiety inpregnant woman with correlation coefficient of -0,424 which show intensity of influenceof medium that is if the smaller parity hence more anxiety level. The calculation ofgestational age with spearman's rho p = 0,023 <α 0.05 means that there is an influencebetween parity with anxiety in pregnant women with a correlation coefficient of 0.359which shows the weakness of weak influence.Conclusion: The social support provided by husband and family will affect the level ofanxiety in each pregnant woman. It is hoped for a place of research to provide a solutionfor pregnant women who experience anxiety so that pregnancy can run smoothly andrespondents are expected to have a good coping mechanism in the face of anxiety forhealth and also the fetus.

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