Adequate antenatal care and ethnicity affect preterm birth in pregnant women living in the tropical rainforest of Suriname

Autor: Gaitree K Baldewsingh, C. W. R. Zijlmans, Maureen Y. Lichtveld, Hannah Covert, B. C. Jubitana, E. D. van Eer, Lizheng Shi, Arti Shankar, Ashna D Hindori-Mohangoo
Rok vydání: 2020
Předmět:
Adult
medicine.medical_specialty
Rainforest
Reproductive medicine
Ethnic group
Antenatal care utilization and content
lcsh:Gynecology and obstetrics
Tribal
Indigenous
Miscarriage
Young Adult
03 medical and health sciences
0302 clinical medicine
Pregnancy
Ethnicity
medicine
Birth outcomes
Humans
030212 general & internal medicine
lcsh:RG1-991
reproductive and urinary physiology
Retrospective Studies
Suriname
030219 obstetrics & reproductive medicine
Descriptive statistics
Obstetrics
business.industry
Infant
Newborn
Pregnancy Outcome
Obstetrics and Gynecology
Prenatal Care
Heavy metals
Environmental Exposure
Mercury
Infant
Low Birth Weight
medicine.disease
female genital diseases and pregnancy complications
Parity
Low birth weight
Logistic Models
Lead
Premature Birth
Female
medicine.symptom
business
Research Article
Maternal Age
Zdroj: BMC Pregnancy and Childbirth
BMC Pregnancy and Childbirth, Vol 20, Iss 1, Pp 1-9 (2020)
ISSN: 1471-2393
Popis: Background Adequate antenatal care (ANC) services are key for early identification of pregnancy related risk factors and maintaining women’s health during pregnancy. This study aimed to assess the influence of ANC provided by the Medical Mission Primary Health Care Suriname (MMPHCS) and of ethnicity on adverse birth outcomes in Tribal and Indigenous women living in Suriname’s remote tropical rainforest interior. Method From April 2017 to December 2018 eligible Tribal and Indigenous women with a singleton pregnancy that received ANC from MMPHCS were included in the study. Data on low birth weight (LBW ≤1 vs. > 1) and antenatal visits utilization (≥8 vs. Results A total of 204 women were included, 100 (49%) were Tribal, mean age was 26 ± 7.2 years and 126 women (62%) had 8 or more ANC visits. One participant had a miscarriage; 22% had adverse birth outcomes: 16 (7.9%) LBW and 30 (14.8%) PTB; 7 women had a child with both PTB and LBW; 5 women had stillbirths. None of the newborns had low Apgar scores. Maternal age, ethnicity, ANC and parity were associated with PTB (χ2 = 8,75, p = 0.003, χ2 = 4,97, p = 0.025, χ2 = 17,45, p 2 = 11,93, p Conclusion Despite an almost 100% study adherence over one fifth of women that received ANC in the interior of Suriname had adverse birth outcomes, in particular PTB and LBW. Younger nulliparous Indigenous women with less than the recommended 8 ANC visits had a higher risk for PTB. The rate of adverse birth outcomes highlights the need for further research to better assess factors influencing perinatal outcomes and to put strategies in place to improve perinatal outcomes. Exposure assessment of this sub-cohort and neurodevelopment testing of their children is ongoing and will further inform on potential adverse health effects associated with environmental exposures including heavy metals such as mercury and lead.
Databáze: OpenAIRE
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