Risk factors for adverse outcomes in women with high-risk pregnancy and their neonates, Haiti

Objectives. To determine the prevalence of maternal death, stillbirth and low birthweight in women with (pre-) eclampsia and complicated pregnancies or deliveries in Centre de Références des Urgences Obstétricales, an obstetric emergency hospital in Port-au-Prince, Haiti, and to identify the main ri...

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Autores principales:	Jorien Schuurmans, Emily Borgundvaag, Pasquale Finaldi, Rodnie Senat-Delva, Fedner Desauguste, Colette Badjo, Michiel Lekkerkerker, Reynaldo Grandpierre, Gerald Lerebours, Cono Ariti, Annick Lenglet
Formato:	article
Lenguaje:	EN ES PT
Publicado:	Pan American Health Organization 2021
Materias:	maternal death stillbirth birth weight pregnancy complications pre-eclampsia haiti Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/41c170d7b9e444d4b2ddaee97a9836db
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spelling	oai:doaj.org-article:41c170d7b9e444d4b2ddaee97a9836db2021-11-23T19:05:53ZRisk factors for adverse outcomes in women with high-risk pregnancy and their neonates, Haiti1020-49891680-534810.26633/RPSP.2021.147https://doaj.org/article/41c170d7b9e444d4b2ddaee97a9836db2021-11-01T00:00:00Zhttps://iris.paho.org/handle/10665.2/55196https://doaj.org/toc/1020-4989https://doaj.org/toc/1680-5348Objectives. To determine the prevalence of maternal death, stillbirth and low birthweight in women with (pre-) eclampsia and complicated pregnancies or deliveries in Centre de Références des Urgences Obstétricales, an obstetric emergency hospital in Port-au-Prince, Haiti, and to identify the main risk factors for these adverse pregnancy outcomes. Methods. We conducted a retrospective cohort study of pregnant women admitted to Centre de Référence des Urgences Obstétricales between 2013 and 2018 using hospital records. Risk factors investigated were age group, type of pregnancy (singleton, multiple), type of delivery and use of antenatal care services. Results. A total of 31 509 women and 24 983 deliveries were included in the analysis. Among these, 204 (0.6%) maternal deaths (648 per 100 000 women giving birth), 1962 (7.9%) stillbirths and 11 008 (44.1%) low birthweight neonates were identified. Of all admissions, 10 991 (34.9%) were women with (pre-)eclampsia. Caesarean section significantly increased the risk of maternal death in the women with a complicated pregnancy and women with (pre-)eclampsia, but reduced the risk of stillbirth in such women. Not attending antenatal care was associated with a significantly higher risk of stillbirth (odds ratio (OR) 4.82; 95% confidence interval (CI) 3.55–6.55) and low birthweight (OR 1.40; 95% CI 1.05–1.86) for women with complicated pregnancies. Conclusion. To prevent and treat pregnancy complications as early as possible, antenatal care attendance is crucial. Improving the quality of and access to antenatal care services and providing it free to all pregnant women in Haiti is recommended.Jorien SchuurmansEmily BorgundvaagPasquale FinaldiRodnie Senat-DelvaFedner DesaugusteColette BadjoMichiel LekkerkerkerReynaldo GrandpierreGerald LereboursCono AritiAnnick LengletPan American Health Organizationarticlematernal deathstillbirthbirth weightpregnancy complicationspre-eclampsiahaitiMedicineRArctic medicine. Tropical medicineRC955-962Public aspects of medicineRA1-1270ENESPTRevista Panamericana de Salud Pública, Vol 45, Iss 147, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN ES PT
topic	maternal death stillbirth birth weight pregnancy complications pre-eclampsia haiti Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270
spellingShingle	maternal death stillbirth birth weight pregnancy complications pre-eclampsia haiti Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Jorien Schuurmans Emily Borgundvaag Pasquale Finaldi Rodnie Senat-Delva Fedner Desauguste Colette Badjo Michiel Lekkerkerker Reynaldo Grandpierre Gerald Lerebours Cono Ariti Annick Lenglet Risk factors for adverse outcomes in women with high-risk pregnancy and their neonates, Haiti
description	Objectives. To determine the prevalence of maternal death, stillbirth and low birthweight in women with (pre-) eclampsia and complicated pregnancies or deliveries in Centre de Références des Urgences Obstétricales, an obstetric emergency hospital in Port-au-Prince, Haiti, and to identify the main risk factors for these adverse pregnancy outcomes. Methods. We conducted a retrospective cohort study of pregnant women admitted to Centre de Référence des Urgences Obstétricales between 2013 and 2018 using hospital records. Risk factors investigated were age group, type of pregnancy (singleton, multiple), type of delivery and use of antenatal care services. Results. A total of 31 509 women and 24 983 deliveries were included in the analysis. Among these, 204 (0.6%) maternal deaths (648 per 100 000 women giving birth), 1962 (7.9%) stillbirths and 11 008 (44.1%) low birthweight neonates were identified. Of all admissions, 10 991 (34.9%) were women with (pre-)eclampsia. Caesarean section significantly increased the risk of maternal death in the women with a complicated pregnancy and women with (pre-)eclampsia, but reduced the risk of stillbirth in such women. Not attending antenatal care was associated with a significantly higher risk of stillbirth (odds ratio (OR) 4.82; 95% confidence interval (CI) 3.55–6.55) and low birthweight (OR 1.40; 95% CI 1.05–1.86) for women with complicated pregnancies. Conclusion. To prevent and treat pregnancy complications as early as possible, antenatal care attendance is crucial. Improving the quality of and access to antenatal care services and providing it free to all pregnant women in Haiti is recommended.
format	article
author	Jorien Schuurmans Emily Borgundvaag Pasquale Finaldi Rodnie Senat-Delva Fedner Desauguste Colette Badjo Michiel Lekkerkerker Reynaldo Grandpierre Gerald Lerebours Cono Ariti Annick Lenglet
author_facet	Jorien Schuurmans Emily Borgundvaag Pasquale Finaldi Rodnie Senat-Delva Fedner Desauguste Colette Badjo Michiel Lekkerkerker Reynaldo Grandpierre Gerald Lerebours Cono Ariti Annick Lenglet
author_sort	Jorien Schuurmans
title	Risk factors for adverse outcomes in women with high-risk pregnancy and their neonates, Haiti
title_short	Risk factors for adverse outcomes in women with high-risk pregnancy and their neonates, Haiti
title_full	Risk factors for adverse outcomes in women with high-risk pregnancy and their neonates, Haiti
title_fullStr	Risk factors for adverse outcomes in women with high-risk pregnancy and their neonates, Haiti
title_full_unstemmed	Risk factors for adverse outcomes in women with high-risk pregnancy and their neonates, Haiti
title_sort	risk factors for adverse outcomes in women with high-risk pregnancy and their neonates, haiti
publisher	Pan American Health Organization
publishDate	2021
url	https://doaj.org/article/41c170d7b9e444d4b2ddaee97a9836db
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Risk factors for adverse outcomes in women with high-risk pregnancy and their neonates, Haiti

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