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Archives of Gynecology and Obstetrics

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01-06-2008 | Original Article

Lack of prenatal care: an independent risk factor for perinatal mortality among macrosomic newborns

Authors: Yaakov Dickstein, Iris Ohel, Amalia Levy, Gershon Holcberg, Eyal Sheiner

Published in: Archives of Gynecology and Obstetrics | Issue 6/2008

Abstract

Objective

To examine the association between lack of prenatal care (LOPC) and perinatal complications among parturients carrying macrosomic fetuses.

Study design

The study population consisted of consecutive women with singleton fetuses weighing 4 kg and above, delivered between the years 1988 and 2003. A comparison was performed between parturients lacking prenatal care (fewer than three visits at any prenatal care facility) and those with three and more prenatal care visits. A multiple logistic regression model was constructed in order to investigate the association between LOPC and perinatal mortality.

Results

During the study period, 7,332 women delivered macrosomic newborns in our institute. Of those, 8.0% (n = 590) lacked prenatal care. Patients lacking prenatal care were more likely to be Bedouins, of higher parity and older than the comparison group. Higher rates of perinatal mortality were noted among patients lacking prenatal care (OR = 5.4, 95%CI 2.8–10.5; P < 0.001). Using a multivariable analysis and controlling for macrosomia-related complications, it was found that the association between LOPC and perinatal mortality persisted (OR = 4.1, 95% CI 2.1–8.1; P < 0.001).

Conclusion

Lack of prenatal care is an independent risk factor for perinatal mortality among macrosomic newborns.

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Title: Lack of prenatal care: an independent risk factor for perinatal mortality among macrosomic newborns
Authors: Yaakov Dickstein
Iris Ohel
Amalia Levy
Gershon Holcberg
Eyal Sheiner
Publication date: 01-06-2008
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 6/2008
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-007-0510-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Lack of prenatal care: an independent risk factor for perinatal mortality among macrosomic newborns

Abstract

Objective

Study design

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Study design

Results

Conclusion

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