The Effectiveness of Adequate Antenatal Care in Reducing Adverse Perinatal Outcomes: Evidence From a Low- or Middle-Income Country.

Autor:	Mina MN; Obstetrics and Gynaecology, Delta Medical College & Hospital, Dhaka, BGD., Nuruzzaman M; Anaesthesia, Analgesia and Intensive Care Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka, BGD., Habib MN; Medicine and Surgery, Assasuni Upazila Health Complex, Satkhira, BGD., Rahman M; Obstetrics and Gynaecology, Delta Medical College & Hospital, Dhaka, BGD., Chowdhury FM; Epidemiology and Biostatistics, Centre for Medical Research & Development (CMRD), Dhaka, BGD., Ahsan SN; Epidemiology and Biostatistics, Centre for Medical Research & Development (CMRD), Dhaka, BGD., Ahmed FF; Epidemiology and Biostatistics, Centre for Medical Research & Development (CMRD), Dhaka, BGD., Azizi S; Epidemiology and Biostatistics, Centre for Medical Research & Development (CMRD), Dhaka, BGD., Mubin N; Radiotherapy, Dhaka Medical College Hospital, Dhaka, BGD., Kibria AHMG; Epidemiology and Biostatistics, Centre for Medical Research & Development (CMRD), Dhaka, BGD., Shuchi FA; Obstetrics and Gynaecology, Delta Medical College & Hospital, Dhaka, BGD.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2023 Dec 28; Vol. 15 (12), pp. e51254. Date of Electronic Publication: 2023 Dec 28 (Print Publication: 2023).
DOI:	10.7759/cureus.51254
Abstrakt:	Background and aim Antenatal care (ANC) is universally acknowledged as an essential intervention for enhancing the well-being of both mothers and children. The World Health Organization advises a minimum of four ANC visits. The objective of this study is to assess the effectiveness of adequate ANC in mitigating adverse perinatal outcomes. Methods This cross-sectional study was done at the Department of Obstetrics and Gynecology, Delta Medical College & Hospital, Bangladesh, from March 2023 to August 2023. A total of 226 mothers who gave birth at the hospital during this period were enrolled in the study. Results More than 87% of the participants received adequate (≥4 visits) antenatal care from a registered physician. More than 84% of the mothers gave birth via cesarean section. Among the mothers who received inadequate ANC, the proportion of adverse perinatal outcomes was higher (69.0%) than that of those who received adequate ANC (32.0%). A significant association (p<0.05) was noted between inadequate antenatal care and adverse perinatal outcomes. Pregnant women receiving adequate antenatal checkups were 79% less likely to experience adverse perinatal outcomes compared to those receiving inadequate ANC. Conclusion Adequate ANC is a very efficient and economical strategy for mitigating adverse perinatal outcomes. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Mina et al.)
Databáze:	MEDLINE
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