Prenatal care vs obstetric outcome perinatal
Supporting Agencies
- UNIVERSIDAD DE GUANAJUATO
Abstract
The coverage of prenatal care, quality and delivery care is reflected in the resolution as obstetric morbidity and mortality of mother and child. This research addresses the issue of the impact of prenatal care on the obstetric and perinatal outcome.Objective: To determine the impact of prenatal care on obstetric outcomes achieved.
Material and method: using a reconstructed cohort study in a population cluster randomly obtained daily during the month of June (2010), 419 were women in labour. The research material was the mother - child. Some of the studied variables were age, prenatal care, number of visits, weight, height, blood pressure, fundal measurement, method of pregnancy termination, product weight, sex, apgar, destination of the product, maternal complications, etc. It was used in the statistical program Primer ® Risk ® obtaining the RR, RR with a confidence interval of 95%.
Results: 395 products were analysed over 20 weeks and 35 children, of the goods over 20 weeks (f = 355) mothers had prenatal care (89.87%) and 40 did not have it (10.13%), dystocia were more common in mothers with prenatal care, X2 = 7.73 RR = 1.45 95% CI 1.11-1.90, maternal complications were similar proportions in mothers with and without prenatal X2 = 0.0091 RR = 0.96, difference in proportions p = 0.899, hypertensive disease of pregnancy was the most frequent complication (74.6% of them) without difference between the mothers had no prenatal care or X2 = 0.0010.
Conclusion: Our results indicate that in this particular group studied, the presence of prenatal care is not a factor that helps an obstetric resolution and favourable perinatal, except for the macrosomia prevention.
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