TY - JOUR
T1 - Prenatal care and pregnancy outcomes
T2 - a cross-sectional study in Luanda, Angola
AU - Nimi, Tazi
AU - Fraga, Sílvia
AU - Costa, Diogo
AU - Campos, Paulo
AU - Barros, Henrique
N1 - Publisher Copyright:
© 2016 International Federation of Gynecology and Obstetrics
PY - 2016/11/1
Y1 - 2016/11/1
N2 - Objective To describe prenatal care in Angolan women delivered at a large tertiary care unit, and to explore the association between prenatal care and selected perinatal outcomes. Methods We conducted a cross-sectional study between December 2012 and February 2013, involving 995 women aged 13–46 years, delivered at Lucrécia Paím Maternity, Luanda. Trained interviewers collected information on timing, frequency, place, and satisfaction with prenatal care; sociodemographic and clinical characteristics; birth weight; and gestational age. Logistic regression models were fitted, and odds ratios with 95% confidence intervals (OR, 95%CI) estimated. Results Quantitatively inadequate prenatal care (< 4 visits) was more common in younger, less educated, poorer women, followed in public institutions, and those who felt more dissatisfied with care. More visits, both in primiparas and multiparas, were independently associated with more cesarean deliveries. After adjustment, having fewer than four visits was significantly associated with low birth weight (OR 2.00; 95% CI, 1.15–3.50) and preterm delivery (OR 2.74; 95% CI, 1.69–4.44 for 2–4 visits); similar associations were found regarding late entrance into care. Conclusion Early entrance into prenatal care and the recommended number of visits are major determinants of mode of delivery and pregnancy outcomes, constituting targets to improve perinatal health.
AB - Objective To describe prenatal care in Angolan women delivered at a large tertiary care unit, and to explore the association between prenatal care and selected perinatal outcomes. Methods We conducted a cross-sectional study between December 2012 and February 2013, involving 995 women aged 13–46 years, delivered at Lucrécia Paím Maternity, Luanda. Trained interviewers collected information on timing, frequency, place, and satisfaction with prenatal care; sociodemographic and clinical characteristics; birth weight; and gestational age. Logistic regression models were fitted, and odds ratios with 95% confidence intervals (OR, 95%CI) estimated. Results Quantitatively inadequate prenatal care (< 4 visits) was more common in younger, less educated, poorer women, followed in public institutions, and those who felt more dissatisfied with care. More visits, both in primiparas and multiparas, were independently associated with more cesarean deliveries. After adjustment, having fewer than four visits was significantly associated with low birth weight (OR 2.00; 95% CI, 1.15–3.50) and preterm delivery (OR 2.74; 95% CI, 1.69–4.44 for 2–4 visits); similar associations were found regarding late entrance into care. Conclusion Early entrance into prenatal care and the recommended number of visits are major determinants of mode of delivery and pregnancy outcomes, constituting targets to improve perinatal health.
KW - Angola
KW - Cross-sectional study
KW - Low birth weight
KW - Pregnancy outcomes
KW - Prenatal care
UR - http://www.scopus.com/inward/record.url?scp=84994589172&partnerID=8YFLogxK
U2 - 10.1016/j.ijgo.2016.08.013
DO - 10.1016/j.ijgo.2016.08.013
M3 - Article
C2 - 27836089
AN - SCOPUS:84994589172
SN - 0020-7292
VL - 135
SP - S72-S78
JO - International Journal of Gynecology and Obstetrics
JF - International Journal of Gynecology and Obstetrics
ER -