Abstract:
OBJECTIVES:Antenatal care (ANC) is designed to improve pregnancy outcomes by providing screening and treatment for preventable and treatable diseases. However, data are lacking on whether ANC affects stillbirth risk. We hypothesized stillbirth risk in Uganda is lower in women attending the recommended ≥ 4 ANC visits compared to those attending ≤ 3. METHODS:We performed a secondary analysis of subset of 1,785 women enrolled in a prospective cohort of postpartum infection who presented to a regional referral hospital for delivery. Our primary outcome was documented stillbirth; a secondary composite poor birth outcome included stillbirth, early neonatal death, low birth weight (< 2500 g), and 5-min APGAR score < 7. We performed multivariable logistic regression analyses to identify independent correlates of stillbirth and poor birth outcome. RESULTS:Of 1,785 participants, 58 (3%) pregnancies resulted in stillbirth and 198 (11%) had a poor birth outcome. Of 1,236 women attending ≥ 4 ANC visits, 31 (2.5%) had a stillbirth, compared to 27/510 (5.2%) attending ≤ 3. In multivariable analyses controlling for age, parity, distance traveled, referral status to hospital, malaria prophylaxis, and syphilis infection; attending ≥ 4 ANC visits was associated with significantly reduced odds of stillbirth (aOR 0.5, 95% CI 0.3-0.9, P = 0.02) and poor birth outcome (aOR 0.66, 95% CI 0.4-0.96, P = 0.03). Malaria prophylaxis was also independently associated with reduced odds of stillbirth (aOR 0.05, 95% CI 0.2-1.0, P = 0.04). CONCLUSIONS:Attending ≥ 4 ANC visits was associated with reduced odds of stillbirth and poor birth outcomes in this Ugandan cohort, which may be related to more comprehensive infection screening, treatment, and prevention services.
journal_name
Matern Child Health Jjournal_title
Maternal and child health journalauthors
McDiehl RP,Boatin AA,Mugyenyi GR,Siedner MJ,Riley LE,Ngonzi J,Bebell LMdoi
10.1007/s10995-020-03023-0subject
Has Abstractpub_date
2020-11-17 00:00:00eissn
1092-7875issn
1573-6628pii
10.1007/s10995-020-03023-0pub_type
杂志文章abstract:OBJECTIVE:Concerns about financial barriers to vaccination led to the creation of the Vaccines for Children (VFC) program, which provides free vaccines to states for disadvantaged children. Our objective was to understand the effect of free vaccine and insurance on pediatric nurse practitioners' (PNPs) likelihood of re...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1023/a:1009582919267
更新日期:2000-03-01 00:00:00
abstract:OBJECTIVE:S: To identify correlates of prenatal alcohol use in a statewide population-based sample. METHODS:A self-reported survey was conducted in 67 prenatal clinics in Minnesota with 4,272 women at their first prenatal visit. Chi-squared and multivariate logistic regression analyses were conducted to identify risk ...
journal_title:Maternal and child health journal
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doi:10.1007/s10995-007-0261-9
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journal_title:Maternal and child health journal
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abstract::To investigate the relationship between gestational weight gain (GWG) and birthweight outcomes among a low-income population in Hawaii using GWG recommendations from the 2009 Institute of Medicine (IOM) guidelines. Data were analyzed for 19,130 mother-infant pairs who participated in Hawaii's Special Supplemental Nutr...
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journal_title:Maternal and child health journal
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journal_title:Maternal and child health journal
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更新日期:2008-01-01 00:00:00
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更新日期:2018-12-01 00:00:00
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更新日期:2016-02-01 00:00:00
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更新日期:2018-04-01 00:00:00
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journal_title:Maternal and child health journal
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更新日期:2014-12-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
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更新日期:2015-10-01 00:00:00
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更新日期:2005-06-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1023/a:1026221412765
更新日期:1997-09-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s10995-012-1142-4
更新日期:2013-11-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章,随机对照试验
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更新日期:2014-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:2012-02-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1088-6
更新日期:2013-08-01 00:00:00