Maternal Factors and Adverse Perinatal Outcomes in Women with Preeclampsia in Maceió, Alagoas

Maternal Factors and Adverse Perinatal Outcomes in Women with Preeclampsia in Maceió, Alagoas

Abstract Background: Preeclampsia has been associated with several risk factors and events. However, it still deserves further investigation, considering the multitude of related factors that affect different populations. Objective: To evaluate the maternal factors and adverse perinatal outcomes in a cohort of pregnant women with preeclampsia receiving care in the public health network of the city of Maceió. Methods: Prospective cohort study carried out in 2014 in the public health network of the city with a sample of pregnant women calculated based on a prevalence of preeclampsia of 17%, confidence level of 90%, power of 80%, and ratio of 1:1. We applied a questionnaire to collect socioeconomic, personal, and anthropometric data, and retrieved perinatal variables from medical records and certificates of live birth. The analysis was performed with Poisson regression and chi-square test considering p values < 0.05 as significant. Results: We evaluated 90 pregnant women with preeclampsia (PWP) and 90 pregnant women without preeclampsia (PWoP). A previous history of preeclampsia (prevalence ratio [PR] = 1.57, 95% confidence interval [95% CI] 1.47 - 1.67, p = 0.000) and black skin color (PR = 1.15, 95% CI 1.00 - 1.33, p = 0.040) were associated with the occurrence of preeclampsia. Among the newborns of PWP and PWoP, respectively, 12.5% and 13.1% (p = 0.907) were small for gestational age and 25.0% and 23.2% (p = 0.994) were large for gestational age. There was a predominance of cesarean delivery. Conclusion: Personal history of preeclampsia and black skin color were associated with the occurrence of preeclampsia. There was a high frequency of birth weight deviations and cesarean deliveries.

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Main Authors: Oliveira,Alane Cabral Menezes de, Santos,Arianne Albuquerque, Bezerra,Alexandra Rodrigues, Barros,Amanda Maria Rocha de, Tavares,Myrian Cicyanne Machado
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Cardiologia - SBC 2016
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2016000200113
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spelling oai:scielo:S0066-782X20160002001132016-03-22Maternal Factors and Adverse Perinatal Outcomes in Women with Preeclampsia in Maceió, AlagoasOliveira,Alane Cabral Menezes deSantos,Arianne AlbuquerqueBezerra,Alexandra RodriguesBarros,Amanda Maria Rocha deTavares,Myrian Cicyanne Machado Risk Factors Hypertension Pre-Eclampsia Pregnant Women Perinatal Care Abstract Background: Preeclampsia has been associated with several risk factors and events. However, it still deserves further investigation, considering the multitude of related factors that affect different populations. Objective: To evaluate the maternal factors and adverse perinatal outcomes in a cohort of pregnant women with preeclampsia receiving care in the public health network of the city of Maceió. Methods: Prospective cohort study carried out in 2014 in the public health network of the city with a sample of pregnant women calculated based on a prevalence of preeclampsia of 17%, confidence level of 90%, power of 80%, and ratio of 1:1. We applied a questionnaire to collect socioeconomic, personal, and anthropometric data, and retrieved perinatal variables from medical records and certificates of live birth. The analysis was performed with Poisson regression and chi-square test considering p values < 0.05 as significant. Results: We evaluated 90 pregnant women with preeclampsia (PWP) and 90 pregnant women without preeclampsia (PWoP). A previous history of preeclampsia (prevalence ratio [PR] = 1.57, 95% confidence interval [95% CI] 1.47 - 1.67, p = 0.000) and black skin color (PR = 1.15, 95% CI 1.00 - 1.33, p = 0.040) were associated with the occurrence of preeclampsia. Among the newborns of PWP and PWoP, respectively, 12.5% and 13.1% (p = 0.907) were small for gestational age and 25.0% and 23.2% (p = 0.994) were large for gestational age. There was a predominance of cesarean delivery. Conclusion: Personal history of preeclampsia and black skin color were associated with the occurrence of preeclampsia. There was a high frequency of birth weight deviations and cesarean deliveries.info:eu-repo/semantics/openAccessSociedade Brasileira de Cardiologia - SBCArquivos Brasileiros de Cardiologia v.106 n.2 20162016-02-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2016000200113en10.5935/abc.20150150
institution SCIELO
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country Brasil
countrycode BR
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databasecode rev-scielo-br
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region America del Sur
libraryname SciELO
language English
format Digital
author Oliveira,Alane Cabral Menezes de
Santos,Arianne Albuquerque
Bezerra,Alexandra Rodrigues
Barros,Amanda Maria Rocha de
Tavares,Myrian Cicyanne Machado
spellingShingle Oliveira,Alane Cabral Menezes de
Santos,Arianne Albuquerque
Bezerra,Alexandra Rodrigues
Barros,Amanda Maria Rocha de
Tavares,Myrian Cicyanne Machado
Maternal Factors and Adverse Perinatal Outcomes in Women with Preeclampsia in Maceió, Alagoas
author_facet Oliveira,Alane Cabral Menezes de
Santos,Arianne Albuquerque
Bezerra,Alexandra Rodrigues
Barros,Amanda Maria Rocha de
Tavares,Myrian Cicyanne Machado
author_sort Oliveira,Alane Cabral Menezes de
title Maternal Factors and Adverse Perinatal Outcomes in Women with Preeclampsia in Maceió, Alagoas
title_short Maternal Factors and Adverse Perinatal Outcomes in Women with Preeclampsia in Maceió, Alagoas
title_full Maternal Factors and Adverse Perinatal Outcomes in Women with Preeclampsia in Maceió, Alagoas
title_fullStr Maternal Factors and Adverse Perinatal Outcomes in Women with Preeclampsia in Maceió, Alagoas
title_full_unstemmed Maternal Factors and Adverse Perinatal Outcomes in Women with Preeclampsia in Maceió, Alagoas
title_sort maternal factors and adverse perinatal outcomes in women with preeclampsia in maceió, alagoas
description Abstract Background: Preeclampsia has been associated with several risk factors and events. However, it still deserves further investigation, considering the multitude of related factors that affect different populations. Objective: To evaluate the maternal factors and adverse perinatal outcomes in a cohort of pregnant women with preeclampsia receiving care in the public health network of the city of Maceió. Methods: Prospective cohort study carried out in 2014 in the public health network of the city with a sample of pregnant women calculated based on a prevalence of preeclampsia of 17%, confidence level of 90%, power of 80%, and ratio of 1:1. We applied a questionnaire to collect socioeconomic, personal, and anthropometric data, and retrieved perinatal variables from medical records and certificates of live birth. The analysis was performed with Poisson regression and chi-square test considering p values < 0.05 as significant. Results: We evaluated 90 pregnant women with preeclampsia (PWP) and 90 pregnant women without preeclampsia (PWoP). A previous history of preeclampsia (prevalence ratio [PR] = 1.57, 95% confidence interval [95% CI] 1.47 - 1.67, p = 0.000) and black skin color (PR = 1.15, 95% CI 1.00 - 1.33, p = 0.040) were associated with the occurrence of preeclampsia. Among the newborns of PWP and PWoP, respectively, 12.5% and 13.1% (p = 0.907) were small for gestational age and 25.0% and 23.2% (p = 0.994) were large for gestational age. There was a predominance of cesarean delivery. Conclusion: Personal history of preeclampsia and black skin color were associated with the occurrence of preeclampsia. There was a high frequency of birth weight deviations and cesarean deliveries.
publisher Sociedade Brasileira de Cardiologia - SBC
publishDate 2016
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2016000200113
work_keys_str_mv AT oliveiraalanecabralmenezesde maternalfactorsandadverseperinataloutcomesinwomenwithpreeclampsiainmaceioalagoas
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AT barrosamandamariarochade maternalfactorsandadverseperinataloutcomesinwomenwithpreeclampsiainmaceioalagoas
AT tavaresmyriancicyannemachado maternalfactorsandadverseperinataloutcomesinwomenwithpreeclampsiainmaceioalagoas
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