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Revista de la Facultad de Medicina Humana

versão impressa ISSN 1814-5469versão On-line ISSN 2308-0531

Resumo

MENDEZ, Angela; MORALES, Estefany; CHANDUVI, Willer  e  ARANGO-OCHANTE, Pedro M.. Association between prenatal care and peripartum and postpartum maternal obstetric complications. ENDES 2017 to 2019. Rev. Fac. Med. Hum. [online]. 2021, vol.21, n.4, pp.758-769. ISSN 1814-5469.  http://dx.doi.org/10.25176/rfmh.v21i4.3924.

Introduction:

Obstetric complications are an important cause of maternal morbidity and mortality, with prenatal control (PNC) being a strategy for their adequate prevention and treatment.

Objective:

To determine the association between adequate PNC and peripartum and postpartum maternal obstetric complications.

Methods:

Quantitative, observational, cross-sectional and analytical study, based on information from the ENDES 2017-2019.

Results:

A sample of 41,803 mothers was analyzed, 21,0% and 28,7% had peripartum and postpartum complications, respectively, furthermore, it was found that not having a quality PNC (PR = 1.20; 95% CI = 1.14-1.27), residing in metropolitan Lima (PR = 1,38; 95% CI = 1,27-1,49) or in the mountains (PR = 1,25; 95% CI = 1,18-1,33), belong to wealth quintile two (PR = 1,13; 95% CI = 1,04-1,22) or three (PR = 1,11; 95% CI = 1,03-1,20), having been attended only by qualified personnel (PR = 1,81; 95% CI = 1,33-2,48) and only in the public sector (PR = 1,48; 95% CI = 1,31-1,68) were associated with a greater possibility of peripartum complications. Not having a quality PNC (PR = 1,28; 95% CI = 1,22-1,33), residing in metropolitan Lima (PR = 1,12; 95% CI = 1,05-1,20) or in the mountains (PR = 1,06; 95% CI = 1,01-1,12), belong to wealth quintile two (PR = 1,13; 95% CI = 1,05-1,20) or three (PR = 1,12; 95% CI = 1,05-1,19) and having received PNC only in the public sector (PR = 1,28; 95% CI = 1,17-1,41) were associated with a greater possibility of postpartum complications.

Conclusions:

Within the adequate PNC, an association was found between the quality NPC and the peripartum and postpartum maternal obstetric complications.

Palavras-chave : Prenatal care; complications of pregnancy; complications of labor; female urogenital diseases; postpartum disorders; maternal health. (Source: MeSH NLM)..

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