Adequacy of prenatal care and stillbirth.
Journal
Minerva obstetrics and gynecology
ISSN: 2724-6450
Titre abrégé: Minerva Obstet Gynecol
Pays: Italy
ID NLM: 101777346
Informations de publication
Date de publication:
Feb 2022
Feb 2022
Historique:
pubmed:
21
4
2021
medline:
26
2
2022
entrez:
20
4
2021
Statut:
ppublish
Résumé
There is limited literature on adequacy of prenatal care during pregnancy especially in case of stillbirth. This retrospective study consisted of 103 patients with stillbirths and 197 patients with live births. The Adequacy of Prenatal Care Utilization Index (APNCU) was used to determine prenatal care adequacy (Canadian Task Force Classification II-2). Among high-risk patients, the APNCU categories of inadequate (OR=3.81, 95% CI: 1.16-12.57, P<0.05) and adequate plus (OR=2.58, 95% CI: 1.23-5.38, P<0.05) were each significantly associated with greater odds for stillbirth. Diabetes, multifetal gestations, and fetal anomalies were each significantly associated with increased odds for stillbirth. Our findings emphasize the importance of clinicians in the role of providing appropriate prenatal care in the prevention of stillbirth. Clinicians also should realize that even with the best care approach of adequate plus prenatal care, certain high-risk patients will still be at risk for stillbirth.
Sections du résumé
BACKGROUND
BACKGROUND
There is limited literature on adequacy of prenatal care during pregnancy especially in case of stillbirth.
METHODS
METHODS
This retrospective study consisted of 103 patients with stillbirths and 197 patients with live births. The Adequacy of Prenatal Care Utilization Index (APNCU) was used to determine prenatal care adequacy (Canadian Task Force Classification II-2).
RESULTS
RESULTS
Among high-risk patients, the APNCU categories of inadequate (OR=3.81, 95% CI: 1.16-12.57, P<0.05) and adequate plus (OR=2.58, 95% CI: 1.23-5.38, P<0.05) were each significantly associated with greater odds for stillbirth. Diabetes, multifetal gestations, and fetal anomalies were each significantly associated with increased odds for stillbirth.
CONCLUSIONS
CONCLUSIONS
Our findings emphasize the importance of clinicians in the role of providing appropriate prenatal care in the prevention of stillbirth. Clinicians also should realize that even with the best care approach of adequate plus prenatal care, certain high-risk patients will still be at risk for stillbirth.
Identifiants
pubmed: 33876906
pii: S2724-606X.21.04769-2
doi: 10.23736/S2724-606X.21.04769-2
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM