Prenatal care and preterm birth in the Western Brazilian Amazon: A population-based study

Oliveira, Clariana Vitória Ramos de; Neves, Paulo Augusto Ribeiro; Lourenço, Bárbara Hatzlhoffer; Souza, Rodrigo Medeiros de; Malta, Maíra Barreto; Fujimori, Elizabeth; Cardoso, Marly Augusto; Castro, Márcia C.

doi:10.1080/17441692.2020.1865429

Cited by 6 publications

(5 citation statements)

References 34 publications

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“…This indicated that receiving optimal ANC care had a role in the reduction of preterm delivery. The finding was comparable with studies conducted in Uganda ( 83 ), Bangladesh ( 84 ), Surinam ( 85 ), and Brazil ( 86 ). This might be explained by the role of optimal ANC care in creating a convenient environment to take precautionary measures such as obtaining multiple micronutrient supplementation, HIV treatment, adequate malaria prophylaxis, and counseling on a healthy lifestyle ( 87 – 90 ).…”

Section: Discussionsupporting

confidence: 85%

Effect of optimal antenatal care on maternal and perinatal health in Ethiopia

2023

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IntroductionReceiving at least four antenatal care (ANC) visits have paramount importance on the health of mothers and perinates. In Ethiopia, several studies were conducted on ANC service utilization; however, limited studies quantified the effect of care on maternal and perinate health. In response to this gap, this study is conducted to quantify the effect of optimal ANC care (≥4 visits) on maternal and perinatal health among women who received optimal care in comparison to women who did not receive optimal care.MethodsThe study utilized the Ethiopian perinatal death surveillance and response (PDSR) system dataset. A total of 3,814 reviewed perinatal deaths were included in the study. Considering the nature of the data, preferential within propensity score matching (PWPSM) was performed to determine the effect of optimal ANC care on maternal and perinatal health. The effect of optimal care was reported using average treatment effects of the treated [ATT].ResultThe result revealed that optimal ANC care had a positive effect on reducing perinatal death, due to respiratory and cardiovascular disorders, [ATT = −0.015, 95%CI (−0.029 to −0.001)] and extending intrauterine life by one week [ATT = 1.277, 95%CI: (0.563–1.991)]. While it's effect on maternal health includes, avoiding the risk of having uterine rupture [ATT = −0.012, 95%CI: (−0.018 to −0.005)], improving the utilization of operative vaginal delivery (OVD) [ATT = 0.032, 95%CI: (0.001–0.062)] and avoiding delay to decide to seek care [ATT = −0.187, 95%CI: (−0.354 to −0.021)].ConclusionObtaining optimal ANC care has a positive effect on both maternal and perinatal health. Therefore, policies and interventions geared towards improving the coverage and quality of ANC services should be the top priority to maximize the benefit of the care.

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Section: Discussionsupporting

confidence: 85%

Effect of optimal antenatal care on maternal and perinatal health in Ethiopia

2023

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“…También, la cobertura en las visitas de calidad, que comprende el inicio durante el primer trimestre, en la zona urbana (72,81%) es mayor comparada a la cobertura de la zona rural (64,74%). Además, se debe considerar que, para la detección de complicaciones en la gestación, los primeros controles deberían ser realizados por médicos ( 3 , 4 ). La zona rural peruana, no obstante, presenta un menor porcentaje de atención por médicos respecto a la zona urbana ( 5 , 17 ).…”

Section: Discussionunclassified

“…La atención prenatal de buena calidad permite reducir estas consecuencias adversas ( 3 - 5 ). De hecho, el control prenatal (CPN) es fundamental en la prevención y detección de las posibles causas de complicaciones obstétricas y para evitar muertes de recién nacidos ( 3 , 4 ).…”

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“…La prevención y el tratamiento de las enfermedades crónicas y no trasmisibles para reducir la mortalidad materna y evitar muertes de recién nacidos mediante la atención prenatal adecuada y de calidad ( 7 , 8 ). Para ello resulta indispensable que la atención sea temprana, periódica, completa y con cobertura amplia durante la fase prenatal y perinatal ( 4 , 7 , 8 ). Además, se debe tener en cuenta que la calidad en la atención prenatal se asocia con una mayor permanencia de la embarazada en la atención sanitaria y con dar a luz en un establecimiento de salud, elementos que mejoran aún más los resultados de salud maternos y neonatales ( 3 , 9 ).…”

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Desigualdades en la cobertura y en la calidad de la atención prenatal en Perú, 2009-2019

Canto

2022

Revista Panamericana De Salud Pública

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Objetivo. Describir la cobertura en la atención prenatal de calidad y la evolución de sus desigualdades en embarazadas peruanas en el período 2009-2019. Métodos. Análisis transversal con datos de la Encuesta Demográfica y de Salud Familiar de los años 2009, 2014 y 2019 sobre los cuidados prenatales; se consideró el número de visitas durante el embarazo y su calidad. Se calcularon medidas absolutas y relativas de desigualdad en salud de grupos estratificados. Resultados. La cobertura del número de visitas prenatales aumentó de 77,22% en el 2009 a 87,52% en el 2019. Asimismo, entre las mujeres de áreas rurales y urbanas, la brecha relativa por área de residencia disminuyó de 15% (2009) a 3% (2019), mientras que el porcentaje de embarazadas sin acceso a visitas de calidad decreció de 45,16% (2009) a 29,35% (2019). En el acceso a la calidad de controles, la desigualdad absoluta por quintiles de riqueza se redujo a casi la mitad, de 55,96% a 25,95%. Sin embargo, en este indicador, para el 2019 la diferencia relativa aún favorece a las universitarias 37% más respecto a las embarazadas sin escolaridad. Conclusiones. En Perú se han ido cerrando las brechas de las desigualdades de acceso a las visitas prenatales. Sin embargo, el conjunto de los datos nacionales oculta desigualdades entre poblaciones en la atención de calidad. La desigualdad en el acceso a la calidad de atención debería ser utilizada como indicador que permita el monitoreo de la cobertura de visitas prenatales.

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“…In the last decade, prematurity topped the list of causes of neonatal mortality. Brazil is among the 10 countries with the highest rates of preterm births, which has increased in recent years (2) . Infants who survive premature birth have high rates of short and/or longterm postnatal morbidity.…”

Section: Introductionmentioning

confidence: 99%

Association between Serum Cortisol in the 1st and 3rd Days of Life in Neonates with Respiratory Distress Syndrome

Gabr¹,

Fouad²

2022

The Egyptian Journal of Hospital Medicine

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Background: Numerous studies have shown that severity of respiratory distress syndrome may affect the endogenous cortisol secretion in preterm infants. Objective: Is to evaluate the levels of serum cortisol in the 1 st and 3 rd days of life in preterm neonates with respiratory distress syndrome. Patients and methods: This study was carried out in neonatal intensive care unit (NICU) of Benha University Hospital during the period from 2019 till 2020. The study included 45 preterm neonates (23 females and 22 males). The neonates included in the study were divided into three groups: Group I: Preterm neonates without RDS as control (n =15). Group II: Preterm neonates with mild to moderate respiratory distress syndrome, were on continuous positive airway pressure (CPAP) (n =15). Group III: Preterm neonates with severe respiratory distress syndrome, were mechanically ventilated (n=15). Results: In cases received antenatal steroids there was no significant difference between 1 st and 3 rd day's serum cortisol levels. In cases didn't receive antenatal steroids there was highly significant difference between 1 st and 3 rd day's serum cortisol levels. There was significant difference between 1 st day serum cortisol levels and highly significant difference between 3 rd day serum cortisol levels regarding antenatal steroids. Conclusion: Preterm infants respond to the stress at delivery and cortisol production continues in infants with RDS than those without RDS; may be in order to cope with poor pulmonary function and to enhance lung maturity. Antenatal steroids have effective role in decreasing incidence and severity of RDS.

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Prenatal care and preterm birth in the Western Brazilian Amazon: A population-based study

Cited by 6 publications

References 34 publications

Effect of optimal antenatal care on maternal and perinatal health in Ethiopia

Effect of optimal antenatal care on maternal and perinatal health in Ethiopia

Desigualdades en la cobertura y en la calidad de la atención prenatal en Perú, 2009-2019

Association between Serum Cortisol in the 1st and 3rd Days of Life in Neonates with Respiratory Distress Syndrome

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