Relationship between prenatal care and the outcome of pregnancy in low-risk pregnancies
Tehereh Ashraf-Ganjoei, Fatemeh Mirzaei, Fatemeh Anari-Dokht
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DOI: 10.4236/ojog.2011.13019   PDF    HTML     6,344 Downloads   12,854 Views   Citations

Abstract

Introduction: This study was conducted to evaluate the relationship between prenatal care and outcome of pregnancy. Method: This is a cross-sectional study on 210 pregnant women referring to Afzalipour Hospital for their labor, consisting of 140 women with adequate care and 70 with inadequate care. The outcome of pregnancy for mother and newborn was compared between the two groups. Data were analyzed using SPSS software version 15. P value ≤ 0.05 was considered as significant and the power of statistical test was 80%. Findings: The findings indicate that the age of women with inadequate care was lower compared to those receiving adequate care (p = 0.003). Furthermore, women with inadequate care had lower education (p = 0.00007) and their prenatal care started in more advanced gestational ages (p = 0.0003). Neonates born to women with inadequate care tended to have lower birth weights (p = 0.05) and higher rates of admission to NICU (p = 0.02). Conclusion: Our findings indicate that women with lower age and education received less prenatal care and adequate prenatal care results in better birth weights and decreased rate of admission in NICU.

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Ashraf-Ganjoei, T. , Mirzaei, F. and Anari-Dokht, F. (2011) Relationship between prenatal care and the outcome of pregnancy in low-risk pregnancies. Open Journal of Obstetrics and Gynecology, 1, 109-112. doi: 10.4236/ojog.2011.13019.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Katz, V.L. (2008) Prenatal care. In: Gibbs, R.S., Karlan, B.Y., Haney, A.F., Nygaard, I. Danforths Obstetrics & Gynecology, China Philadelphia, 1-21.
[2] Alexander, G.R. and Kotelchuck, M. (2001) Assessing the role and effectiveness of prenatal care: History, challenges, and directions for future research. Public Health Report, 116, 306-316.
[3] Cunningham, F.G., Gant, N. F., Leveno, K.J., Gilstrap, L.C., Hauth, J.C. and Wenstrom, K.D. (2001) Williams obstetrics, 21th Edition. McGraw-Hill, New York, 224-225.
[4] Oboro, V.O., Tabowei, T.O., Jemikalajah, J.J., Bosah, J.O. and Agu, D. (2003) Pregnancy outcomes among nulliparous teenagers in suburban Nigeria. Journal of Obstetrics and Gynaecology, 23, 166-169. doi:10.1080/0144361031000074718
[5] Chang, J., Elam-Evans, L.D. and Berg, C.J., et al. (2003) Pregnancy-related mortality surveillance-United States, 1991-1999. MMWR Surveillance Summaries, 52, 1-8.
[6] Hueston, W.J., Gilbert, G.E., Davis, L. and Sturgill, V. (2003) Delayed prenatal care and the risk of low birth weight delivery. Journal of Community Health, 28, 199-208. doi:10.1023/A:1022908307844
[7] McDuffie, R.S.J., Beck, A., Bischoff, K., Cross, J. and Orleans, M. (1996). Effect of frequency of prenatal care visits on perinatal outcome among low-risk women. A randomized controlled trial. Journal of the American Medical Association, 275, 847-851. doi:10.1001/jama.275.11.847
[8] Goldani, M.Z., Barbieri, M.A., Silva, A.A. and Bettiol, H. (2004) Trends in prenatal care use and low birthweight in southeast Brazil. American Journal of Public Health, 100, 1366-1371. doi:10.2105/AJPH.94.8.1366
[9] Fekrat, M., Kashanian, M. and Saberi, Z. (2004) A study of the factors influencing the lack of referral of pregnant women for prenatal care. Journal of Iran University of Medical Sciences, 42, 605-610.
[10] Kulmala, T., Haahtera, M. and Ndekha, M., et al. (2000) Socio economic support for good health in rural Malawi. East African Medicine Journal, 77, 168-171.
[11] Vintzileos, A.M., Ananth, C.V., Smulian, J.C., Scorza, W.E., Knuppel and R.A. (2002) The impact of prenatal care on neonatal deaths in the presence and absence of antenatal high-risk conditions. American Journal of Obstetrics and Gynecology, 186, 1011-1016. doi:10.1067/mob.2002.122446
[12] Boss, D.J., Timbrook, R.E. (2001) Fort wayne medical education research group, Clinical obstetric outcomes related to continuity in prenatal care. Journal of the American Board of Family Practice, 14, 418-423.

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