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Vol. 25 No. 1 (2025)

Artículos de Investigación

Maternal and perinatal outcomes in pregnant women from the Program Group Seven Prenatal Controls vs. control group at the Gynecological-Obstetric Center of Ecuador during the month of May – 2015

  • Yaira Loor Morán

Yaira Loor Morán
a:1:{s:5:"es_ES";s:21:"Hospital Luis Vernaza";}

DOI: https://doi.org/10.23878/medicina.v25i1.1234

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Abstract

Introduction: prenatal care (PNC) is the primary preventive measure that the human being receives before childbirth; there are factors that affect the absence of prenatal care, interacting with difficult access to health services, educational level, gynecological and obstetrical history, and associated to maternal and perinatal morbidity and mortality.

Objective: to determine the benefits of adequate prenatal care in relation to maternal and perinatal outcomes.

Methodology: an observational study, cross sectional design, was conducted on May 2015, in the Enrique C. Sotomayor Gynecology and Obstetrics Hospital from Guayaquil.

Results: a total of 783 pregnant women were studied, from which 381 women belonged to the "Seven Prenatal Controls Group" (G7C) program and 402 women in the control group (48.7% vs. 51,3%). The control group most frequently presented preterm birth (67.4% vs. 32.6%, p 0.01), low birth weight (67% vs. 33%, p 0.002), small for gestational age (71.4% vs. 28.6%, p <0.001), poor condition of the newborn (71.4% vs. 28.6%, p 0.001) and perinatal mortality (96.3% vs. 3.7% p 0.001). In the logistic regression analysis, hypertensive disorders of pregnancy had a higher risk of perinatal death (OR: 2.66; 95% CI 1.64 to 4.89). Among the maternal factors, primiparity and maternal age were associated with inadequate PNC (p 0.004; p 0.043); no significant association between NPC and maternal mortality was found.

Conclusions: adequate PNC is a protective factor to reduce perinatal morbidity such as preterm birth, low-birthweight, and small for gestational age neonates, and decreased perinatal mortality; hypertensive disorders during pregnancy increased the risk of stillbirth. Poor prenatal care was associated to early maternal age and primiparity.

Keywords

prenatal care, perinatal mortality, premature birth

References

  1. Flenady V, Koopmans L, Middleton P, Frøen JF, Smith GC, Gibbons K, et al., others. Major risk factors for stillbirth in high-income countries: a systematic review and meta-analysis. The Lancet. 2011;377(9774):1331–40.
  2. Li C, Yan H, Zeng L, Dibley MJ, Wang D. Predictors for neonatal death in the rural areas of Shaanxi Province of Northwestern China: a cross-sectional study. BMC Public Health. 2015;15:387.
  3. Barbeiro FM dos S, Fonseca SC, Tauffer MG, Ferreira M de SS, da Silva FP, Ventura PM, et al. Fetal deaths in Brazil: a systematic review. Rev Saúde Pública [Internet]. 2015 [cited 2015 Jun 3];49. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4390075/
  4. Novick G, Reid AE, Lewis J, Kershaw TS, Rising SS, Ickovics JR. Group prenatal care: model fidelity and outcomes. Am J Obstet Gynecol. 2013 Aug 1;209(2):112.e1–112.e6.
  5. Ministerio de Salud Pública. Control Prenatal. Guía de Práctica Clínica [Internet]. Dirección Nacional de Normatización; 2015. Available from: http://salud.gob.ec
  6. Zolotor AJ, Carlough MC. Update on prenatal care. Am Fam Physician. 2014;89(3):198–208.
  7. Kotelchuck M. An evaluation of the Kessner Adequacy of Prenatal Care Index and a proposed Adequacy of Prenatal Care Utilization Index. Am J Public Health. 1994 Sep;849:1414–20.
  8. Hanson L, VandeVusse L, Roberts J, Forristal A. A Critical Appraisal of Guidelines for Antenatal Care: Components of Care and Priorities in Prenatal Education. J Midwifery Womens Health. 2009 Nov;54(6):458–68.
  9. Chavane L, Merialdi M, Betrán AP, Requejo-Harris J, Bergel E, Aleman A, et al., others. Implementation of evidence-based antenatal care in Mozambique: a cluster randomized controlled trial: study protocol. BMC Health Serv Res. 2014;14(1):228.
  10. Dooley EK, Ringler RL. Prenatal Care: Touching the Future. Prim Care Clin Off Pract. 2012 Mar;39(1):17–37.
  11. OMS | Mortalidad materna [Internet]. WHO. [cited 2015 Jun 6]. Available from: http://www.who.int/mediacentre/factsheets/fs348/es/
  12. Tipiani O, Tomatis C. El control prenatal y el desenlace materno perinatal. Rev Peru Ginecol Obstet. 2015;52(4):247–52.
  13. Córdoba R, Escobar LP, Guzmán LL. Factores asociados a la inasistencia al primer trimestre del control prenatal en mujeres gestantes de la ESE San Sebastián de la Plata, Huila, 2009. Rev Fac Salud - RFS. 2015 May 26;4(1):39–49.
  14. Delvaux T, Buekens P, Godin I, Boutsen M. Barriers to prenatal care in Europe. Am J Prev Med. 2001 Jul 1;21(1):52–9.
  15. Abalos E, Cuesta C, Carroli G, Qureshi Z, Widmer M, Vogel J, et al., on behalf of the WHO Multicountry Survey on Maternal and Newborn Health Research Network. Pre-eclampsia, eclampsia and adverse maternal and perinatal outcomes: a secondary analysis of the World Health Organization Multicountry Survey on Maternal and Newborn Health. BJOG Int J Obstet Gynaecol. 2014 Mar;121:14–24.
  16. Pettit F, Mangos G, Davis G, Henry A, Brown MA. Pre-eclampsia causes adverse maternal outcomes across the gestational spectrum. Pregnancy Hypertens Int J Womens Cardiovasc Health. 2015 Apr 1;5(2):198–204.
  17. World Health Statistics 2015. World Health Organization; 2015.
  18. Arispe C, Salgado M, Tang G, González C, Rojas JL. Frecuencia de control prenatal inadecuado y de factores asociados a su ocurrencia: Frequency of inadequate prenatal care and associated factors. Rev Medica Hered. 2011;22(4):159–60
  19. Ouyang F, Zhang J, Betrán AP, Yang Z, Souza JP, Merialdi M. Recurrence of adverse perinatal outcomes in developing countries. Bull World Health Organ. 2013 May 1;91(5):357–67.
  20. Paredes I, Hidalgo L, Chedraui P, Palma J, Eugenio J. Factors associated with inadequate prenatal care in Ecuadorian women. Int J Gynecol Obstet. 2005 Feb;88(2):168–72.
  21. López García ME. Embarazo juvenil como factor de riesgo de niños con bajo peso al nacer en el Hospital Ginceo-Obstétrico C. Sotomayor desde junio hasta diciembre 2013. [Internet]. 2014 [cited 2016 Apr 14]. Available from: http://repositorio.ucsg.edu.ec:8080/handle/123456789/2123
  22. Cohen GJ, Committee on Psychosocial Aspects of Child and Family Health. The Prenatal Visit. PEDIATRICS. 2009 Oct 1;124(4):1227–32.
  23. Ichikawa K, Fujiwara T, Nakayama T. Effectiveness of home visits in pregnancy as a public health measure to improve birth outcomes. PloS One. 2015;10(9):e0137307.

How to Cite

1.
Loor Morán Y. Maternal and perinatal outcomes in pregnant women from the Program Group Seven Prenatal Controls vs. control group at the Gynecological-Obstetric Center of Ecuador during the month of May – 2015. Rev. Med. UCSG [Internet]. 2025 Feb. 20 [cited 2025 Feb. 23];25(1):5-12. Available from: https://rmedicina.ucsg.edu.ec/index.php/ucsg-medicina/article/view/1234

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