scholarly journals Desfechos Adversos Perinatais Associados A Escolaridade Materna

2022 ◽  
Vol 3 (1) ◽  
pp. 49-60
Author(s):  
Bianca Elicker Rosin ◽  
André Luís Marcelo Albuquerque ◽  
Rodrigo Ribeiro e Silva ◽  
João Pedro Ribeiro Baptista ◽  
Carla Gisele Vaichulonis ◽  
...  

Objective: To compare different levels of education with adverse perinatal outcomes in low-risk patients. Methodology: Cross-sectional study, puerperae were randomly selected, usual risk, attended in the public network, with single gestation. The evaluated puerperae were divided into 3 groups, according to education: primary or less, secondary and higher or more. The outcomes evaluated were cesarean section, neonatal ICU, low 1st minute Apgar, prematurity, and low birth weight. The calculation of the odds ratio had a 95% confidence interval. Results: the population was divided into 3 groups, 187 (52.9%) puerperal women with primary education or less, 437 (60.5%) patients with secondary education and 98 (13.6%) patients with higher education or more.  Maternal characteristics differed in terms of age, previous pregnancies, normal deliveries, previous cesarean sections, age of 1st pregnancy, number of prenatal visits, income, number of people living in the household, and tobacco use. In the newborn profile, there was a difference only regarding cesarean sections. After calculating the odds ratio, it was seen that patients with primary education or less had a lower propensity to perform a cesarean section (0.511 95%CI 0.290-0.900), as well as patients with secondary education (0.530 95%CI 0.322-0.873), both compared to the population with higher education or more. In the other outcomes, no significance was observed. Conclusion: Primary and secondary education proved to be protective factors for cesarean section. No difference was found regarding prematurity, low birth weight, need for neonatal ICU and low 1st minute Apgar score.

2016 ◽  
Vol 23 (11) ◽  
pp. 1354-1357
Author(s):  
Quddsia Tanveer ◽  
Anees Fatima ◽  
Ummara Maqsood Sana

Objectives: To compare the obstetric outcome between primigravida andmultigravida presenting in labor at term. Study Design: Cross sectional study. Period: Sixmonths from Jan 2013 to Jun 2013. Setting: Obs/Gynae unit III, Jinnah hospital, Lahore.Patients and methods: 800 patients were included in the study which comprised 400of primigravida and 400 of multigravida. Patients having single, alive fetus with cephalicpresentation at 37-41 weeks were included in the study. Those having recurrent miscarriages,parity >5, antepartum hemorrhage, previous uterine scars and significant medical illness wereexcluded from the study. The data was collected on specially designed proforma. Observationsmode of delivery including the indication of cesarean section or instrumental vaginal deliveryif applicable. Maternal complications such as postpartum hemorrhage along with its cause,retained placenta and uterine inversion were also recorded. Fetal and neonatal observationsincluded CTG abnormalities, oligohydramnios, low birth weight, macrosomia, Apgar score < 7at 5minutes, NICU admission, fresh still birth and early neonatal death. Results: Mean age was25.57+ 3.46 years in primigravida women while it was 25.75 + 3.44 years in multigravida group.CTG abnormalities (15.5% VS 4.25%), instrumental deliveries (9.75% VS 1%), cesarean section(15.25% VS 1%) and postpartum hemorrhage (5.7% VS 1.75%) were commoner in primigravidawomen. In addition, NICU admissions, low birth weight babies and a low Apgar score at5-minute were also commoner in primigravida women. Conclusion: Nulliparous women areat greater risk of labor abnormalities, fetal distress, instrumental deliveries, cesarean section,postpartum hemorrhage and neonatal morbidity. These adverse factors should therefore belooked for and treated well in time.


2021 ◽  
Vol 2 (6) ◽  
pp. 1477-1489
Author(s):  
Mateus de Miranda Gauza ◽  
Rodrigo Ribeiro e Silva ◽  
Júlia Opolski Nunes Da Silva ◽  
Matheus Leite Ramos De Souza ◽  
João Pedro Ribeiro Baptista ◽  
...  

Objetivo: Avaliar as características maternas e desfechos adversos perinatais relacionados ao baixo peso ao nascer. Métodos: Trata-se de um estudo caso controle, realizado na Maternidade Darcy Vargas em Joinville–SC, período de março de 2018 a fevereiro de 2019 através de amostra randomizada composta de 722 puérperas que realizaram o acompanhamento pré-natal exclusivamente em Atenção Primária à Saúde, divididas em 2 grupos: pacientes com recém-nascidos de baixo peso e pacientes com recém-nascidos de peso normal. No cálculo de razão de chance, os valores foram considerados significativos quando P<0,05. Adotou-se prematuridade como fator de confusão. Resultados: Dividiu-se a população em dois grupos, pacientes com recém-nascidos de baixo peso (33/4,57%) e com recém-nascidos de peso normal (689/95,43%). Características maternas diferiram quanto ao número de pessoas na casa, o número de consultas, o uso de tabaco e drogas na gestação e incidência de doença hipertensiva específica da gestação. Após o cálculo de razão de chance ajustado, observou-se que o fumo aumenta a chance de baixo peso ao nascer em 6,5 vezes (IC95% 1,375-31,250). Os recém-nascidos foram diferentes no capurro, peso, Apgar de 1º e 5º minuto, prematuridade, necessidade de UTI neonatal e Apgar baixo de 1º minuto. No cálculo de razão de chance ajustado, o baixo peso aumentou a chance de UTI neonatal em 5,3 vezes (IC95% 1,039-27,523). Conclusão: O fumo durante a gestação eleva a chance de baixo peso ao nascer em 6,5 vezes. Ademais, o baixo peso ao nascer eleva em 5,3 vezes as chances de internação em UTI neonatal.   Objective: To assess maternal characteristics and adverse outcomes related to low birth weight. Methods: This is a case control study, carried out at Maternidade Darcy Vargas in Joinville-SC, from March 2018 to February 2019 through a random sample composed of 722 puerperal women who underwent prenatal care exclusively in Primary Health Care, divided into 2 groups: patients with low birth weight newborns and patients with normal weight newborns. In calculating the odds ratio, values were considered significant when P <0.05. Prematurity was adopted as a confounding factor. Results: The population was divided into two groups, patients with low birth weight newborns (33 / 4.57%) and normal weight newborns (689 / 95.43%). Maternal characteristics differed in terms of the number of people in the household, the number of consultations, the use of tobacco and drugs during pregnancy and the incidence of pregnancy-specific hypertensive disease. After calculating the adjusted odds ratio, it was observed that smoking increases the chance of low birth weight 6.5 folds (95% CI 1.375-31.250). The newborns were different in capurro, weight, 1st and 5th minute Apgar, prematurity, need for neonatal ICU and low 1st minute Apgar. In the adjusted odds ratio calculation, low weight increased the chance of neonatal ICU 5.3 folds (95% CI 1.039-27.523). Conclusion: Smoking during pregnancy increases the chance of low birth weight 6.5 folds. Furthermore, low birth weight increases the chances of admission to the neonatal ICU 5.3 folds.


2020 ◽  
Vol 6 (1) ◽  
pp. 1-6
Author(s):  
Arif Hussen Jamie ◽  
Abduseme Mohammed Ahmed

Background: Worldwide more than 20 million low birth weights occur annually with the incidence of 15 to 20%, majority of this occur in low- and middle-income countries and 95.6% occur in developing nations. Its regional estimate was 28% in South Asia, 13% in sub-Saharan Africa and 13% in least developed countryObjective:  To assess factors associated with low birth weight among newborns in Jugal Hospital, Harari Regional State, Ethiopia.Methods: A cross-sectional study was conducted among newborns in Jugal hospital, Ethiopia from June 01 to July 10, 2019. Systematic random sampling technique was used to select the study subjects. Multivariate logistic regression analysis was used to identify factors associated with low birth weight among newbornsResults: The magnitude of low birth weight was 19.53%. Women who had previous history of low birth weight had 5.21 times higher odds ratio of delivered low birth weight baby than their counterparts [AOR = 5.21, 95% CI: (1.5-14.2)], and pregnant women who delivered before 37 weeks of gestational age had 4.8 times higher odds ratio of delivered low birth weight neonates than those delivered at term [AOR = 4.8, 95% CI: (1.3-10.4)]Conclusion: The prevalence of low birth weight in Harar, Jugal Hospital was 19.53%. Low birth weight in the previous pregnancy and gestational age 37 weeks, and showed significant association with birth weight neonates. Governmental and non-governmental organizations working on maternal and child health should focus on identified factors in order to tackle the problem of birth weight.


2017 ◽  
Vol 9 (4) ◽  
pp. 308-311
Author(s):  
Reena J DSouza ◽  
Bandeppa H Narayani ◽  
Smitha B Rao

ABSTRACT In modern obstetric practice, pregnancy with history of previous cesarean section is quite common. A cesarean section poses some documented risks to the mother's health in subsequent pregnancies like placenta previa or accreta and uterine scar rupture. It is also associated with increased likelihood of preterm delivery, low birth weight, and perinatal death. Repeat cesarean section is technically difficult and there is chance of injury to surrounding structures. The retrospective study was done in Yenepoya Medical College Hospital during the period of January 2014 to January 2015 to find out the maternal antepartum and intrapartum complications as well as perinatal outcome in patients with a history of cesarean section. A total number of 143 pregnant patients with history of one or more cesarean section who underwent repeat cesarean sections were included. Previous classical cesarean, extreme prematurity, and those who opted for vaginal birth after cesarean (VBAC) were excluded. Mean age of the study population was 27.4 years. Here, 72.12 and 20.98% cases had history of previous one and two cesarean sections respectively. Important antepartum complications were placenta previa (3.50%), scar tenderness (8.39%), gestational diabetes mellitus (GDM; 4.90%), pregnancy-induced hypertension (PIH; 6.99%), etc. There were extensive peritoneal and bladder adhesions in 13.99 and 16.78% cases respectively, causing much preoperative difficulties and in one case urinary bladder was injured during operation. Postoperative period was uneventful in 72.72% cases. In this study, 20.28% neonates developed some complications like prematurity, low birth weight, birth asphyxia, and neonatal jaundice. Here the rate of perinatal mortality was 1.4%. How to cite this article DSouza RJ, Narayani BH, Rao SB. Outcome of Pregnancy with History of Previous Cesarean Section. J South Asian Feder Obst Gynae 2017;9(4):308-311.


2021 ◽  
Vol 2 (5) ◽  
pp. 1441-1454
Author(s):  
João Pedro Ribeiro Baptista ◽  
Guilherme Schroder Stepic ◽  
Júlia Opolski Nunes Da Silva ◽  
Rodrigo Ribeiro e Silva ◽  
Iramar Baptistella Do Nascimento ◽  
...  

RESUMO Objetivo: Avaliar os impactos do número de consultas realizadas no acompanhamento de pré-natal na rede básica sobre os desfechos adversos. Metodologia: Estudo de corte transversal, foram selecionadas aleatoriamente puérperas de risco habitual com mais de 18 anos que fizeram pré-natal na rede pública de Joinville-SC, com gestação única. Os desfechos avaliados foram prematuridade, número de cesarianas, internação de UTI neonatal e baixo peso ao nascer. O cálculo da razão de chance teve intervalo de confiança de 95%. Resultados: Comparamos as características e desfechos materno-fetais de pacientes que fizeram 5 consultas ou menos (n=109), puérperas com 6 ou 7 consultas (n=146) e pacientes que realizaram 8 (n=430). Dos resultados do perfil materno, foram significativos, os resultados socioeconômicos como idade, gestações anteriores, escolaridade, raça, estado civil, profissão, número de pessoas na casa e remuneração. Do recém-nascido encontramos diferenças no capurro e peso, ambos maiores em pacientes com mais de 8 consultas. No cálculo da razão de chance ajustado encontramos redução na prematuridade nas pacientes que fizeram 6 ou 7 consultas (0,26 IC95% 0,073-0,928) e nas que realizaram 8 ou mais (0,06 IC95% 0,016-0,229). Não encontramos diferença no número de cesarianas, baixo peso ao nascer e na internação de UTI neonatal em nenhuma das populações. Conclusão: A realização de 6 ou 7 consultas de pré-natal reduz 74% as chances de prematuridade, enquanto a realização de 8 ou mais consultas diminuiu em 94%.   ABSTRACT Objetive: Evaluate the impacts of the number of prenatal consultations during medical follow-up in the basic health care system over adverse outcomes. Methodology: Cross-sectional cohort study, selected randomly puerperal women with habitual risk with at least 18 year old who did prenatal care in the public health care system in Joinville-SC, with single pregnancy. The adverse outcomes evaluated were prematurity, number of caesarean sections, neonatal ICU admission and low birth weight. The odds ratio calculation had a confidence interval of 95%. Results: We compared characteristics and maternal-fetal outcomes of patients with 5 consultations or less (n=109), puerperal women with 6 or 7 consultations (n=146) and patients with 8 (n=430). Of the maternal profile results found, were significant, the socioeconomic results like age, number of pregnancy, schooling, race, marital status, profession, number of people living in the house and salary. Of the newborns, we found differences in the capurro and weight; both were higher in patients with more than 8 consultations. In the adjusted odds ration calculation we found reduction in prematurity who did 6 or 7 consultations (0,26 CI95% 0,073-0,928) and in the 8 or more consultations group (0,06 CI95% 0,016-0,229). We did not found difference in the number of caesarean sections, low birth weight and neonatal ICU admissions in any of the populations. Conclusion: The realization of 6 or 7 prenatal consultations reduces in 74% the chances of prematurity, while the realization of 8 or more consultations reduces it in 94%.


2018 ◽  
Vol 1 (2) ◽  
pp. 89-94
Author(s):  
Intan Sari

Low Birth Weight (LBW) is an infant born with a birth weight of less than 2500 grams regardless of gestation. Birth weight is the weight of the baby weighed in 1 hour after birth. (Depkes RI, 2009). Based on WHO and UNICEF data, in 2013 about 222 million babies were born in the world, of which 16% were born with low birth weight. The percentage of LBW in developing countries is 16.5% twice that of developed countries (7%) (Scholar Unand, 2014). The purpose of this study was to determine whether there is a relationship between anemia and Smoking Habit in Pregnant Women with LBW occurrence in General Hospital Dr. Mohammad Hoesin Palembang Year 2016. This research use analytical survey method with cross sectional approach. The population in this study were all mothers who gave birth monthly in Midwifery Installation of Dr. General Hospital Mohammad Hoesin Palembang in 2016 as many as 315 respondents. The sample of this research is some of mothers who give birth enough month in Midwifery Installation of Dr. General Hospital Mohammad Hoesin Palembang Year 2016 as many as 315 respondents. ". From the results of bivariate analysis of anemic respondents with the occurrence of LBW obtained statistical test X2 count = 23.22 which means there is a significant relationship between anemia with the incidence of BBLR. Respondents smoking with the occurrence of LBWR obtained statistical test X2 count = 41.20 which means there is a relationship Meaningful between smoking and LBW incidence. From the results of this study is expected that this research can be a reference material and is a complete information and useful for the development of knowledge about LBW.


2020 ◽  
Vol 16 ◽  
Author(s):  
Reza Omani-Samani ◽  
Saman Maroufizadeh ◽  
Nafise Saedi ◽  
Nasim Shokouhi ◽  
Arezoo Esmailzadeh ◽  
...  

Background: Advanced maternal age is an important predictor for maternal and neonatal outcomes such as maternal mortality, low birth weight, stillbirth, preterm birth, cesarean section and preeclampsia. Objective: To determine the association of advanced maternal age and adverse maternal and neonatal outcomes in Iranian pregnant women. Methods: In this hospital-based cross-sectional study, 5117 pregnant women from 103 hospitals in Tehran, Iran, were participated in the study in 2015. The required data were gathered from hospitals which equipped to the department of obstetrics and gynecology. Advanced maternal age was considered as an independent variable and unwanted pregnancy, preeclampsia, preterm birth, cesarean section and low birth weight were considered as interested outcomes. Results: In our study, the prevalence of advanced maternal age was 12.08%. Advanced maternal age was significantly associated with higher risk of unwanted pregnancy (OR: 1.39, 95% CI: 1.12-1.73), preterm birth (OR: 1.75, 95% CI: 1.28- 2.39) and cesarean section (OR: 1.34, 95% CI: 1.03-1.74). In our study, there was no significant relationship between advanced maternal age and preeclampsia but this relationship could be clinically important (OR: 1.48, 95% CI: 0.99-2.20, P=0.052), and there is no significant relationship between advanced maternal age and low birth weight (OR: 1.08, 95% CI: 0.67-1.74, P=0.736). Conclusion: Advanced maternal age is associated with higher risk of unintended pregnancy, preterm birth and cesarean section but our findings did not support advanced maternal age as a risk factor associated with low birth weight.


2021 ◽  
Vol 8 ◽  
pp. 2333794X2110196
Author(s):  
Sitotaw Molla Mekonnen ◽  
Daniel Mengistu Bekele ◽  
Fikrtemariam Abebe Fenta ◽  
Addisu Dabi Wake

Necrotizing enterocolitis (NEC) remains to be the most critical and frequent gastrointestinal disorder understood in neonatal intensive care units (NICU). The presented study was intended to assess the prevalence of NEC and associated factors among enteral Fed preterm and low birth weight neonates. Institution based retrospective cross-sectional study was conducted on 350 enteral Fed preterm and low birth weight neonates who were admitted at selected public hospitals of Addis Ababa from March 25/2020 to May 10/2020. The data were collected through neonates’ medical record chart review. A total of 350 participants were enrolled in to the study with the response rate of 99.43%. One hundred eighty-four (52.6%) of them were male. The majority 123 (35.1%) of them were (32 + 1 to 34) weeks gestational age. The prevalence of NEC was (25.4%) (n = 89, [95% CI; 21.1, 30.0]). Being ≤28 weeks gestational age (AOR = 3.94, 95% CI [2.67, 9.97]), being (28 + 1 to 32 weeks) gestational age (AOR = 3.65, 95% CI [2.21, 8.31]), birth weight of 1000 to 1499 g (AOR = 2.29, 95% CI [1.22, 4.33]), APGAR score ≤3 (AOR = 2.34, 95% CI [1.32, 4.16]), prolonged labor (AOR = 2.21, 95% CI [1.35, 6.38]), maternal chronic disease particularly hypertension (AOR = 3.2, 95% CI [1.70, 5.90]), chorioamnionitis (AOR = 4.8, 95% CI [3.9, 13]), failure to breath/resuscitated (AOR = 2.1, 95% CI [1.7, 4.4]), CPAP ventilation (AOR = 3.7, 95% CI [1.50, 12.70]), mixed milk (AOR = 3.58, 95% CI [2.16, 9.32]) were factors significantly associated with NEC. Finally, the prevalence of NEC in the study area was high. So that, initiating the programs that could minimize this problem is required to avoid the substantial morbidity and mortality associated with NEC.


BMJ Open ◽  
2012 ◽  
Vol 2 (1) ◽  
pp. e000327 ◽  
Author(s):  
Ryosuke Sato ◽  
Hiroshi Watanabe ◽  
Kenji Shirai ◽  
Shigeru Ohki ◽  
Rieko Genma ◽  
...  

2021 ◽  
Author(s):  
Daba Abdissa ◽  
Workitu Sileshi

Abstract BackgroundSexual and reproductive health (SRH) is at the base of young people's living and wellbeing. A significant number of young peoples are affected by avoidable SRH problems due to a lack of appropriate knowledge regarding SRH. Parent-young communication on SRH is critical in informing them about risk and protective behaviors which in turn decrease the likelihood of involvement in risky sexual behaviors. Therefore, the purpose of this study was to evaluate the parent-young communication on SRH issues among secondary and preparatory school students at Agaro town, Southwestern Ethiopia. MethodsSchool based cross-sectional study was conducted from April 13 to April 20, 2019 using stratified random sampling technique. Data were collected using pretested interviewer-administered structured questionnaire entered into Epi data version 3.1; and analyzed using SPSS version 20. A variable having a p-value of <0.25 in the bivariable logistic regression model was subjected to multivariable logistic regression analysis to avoid the confounding variable’s effect. Adjusted odds ratios were calculated at the 95% confidence interval and considered significant with a p-value of <0.05.ResultsA total of 315 students were included to the study. The mean age of the respondents was 20.2±2.6 years. The study finding showed that 61.3% of the participants were discussed on SRH issues with their parents. Educational status of mother [primary education (AOR=3.67; 95%CI=1.93,6.97),secondary education(AOR:2.86;95%CI=1.20,6.80)],educational status of father[primary education (AOR=5.8;95%CI=2.8,12.3,secondary education (AOR=3.21; 95%CI=1.55,6.59)],having family size of <5 (AOR= 6.4; 95%CI= 3.36,12.37) and having boy/girlfriend(AOR=1.99; 95%CI=1.0,3.8) were significantly associated with parent-young people communication. ConclusionAbout two third of the participants communicate with their parents about SRH issues. Parents’ educational status, family size of <5 and having boy/girlfriend were significantly associated with the parent-young people communication. The main reasons for not communicated was cultural taboos, shame and parents lack of knowledge. Therefore, it is necessary to educate and equip students and parents to address the identified problems.


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