Maternal complications during pregnancy and neonatal outcomes according to adequacy of prenatal care
| Inadequate prenatal care | Adequate prenatal care | |
|---|---|---|
| N | 210 | 6905 |
| Pregnancy complications | ||
| EclampsiaM4 | ||
| n (%) | 2 (1.0) | 7 (0.1) |
| OR (95% CI) | 9.5 (2.0 to 45.9) | |
| Adjusted OR (95% CI) | 12.6 (2.6 to 62.6) | 1 (Ref.) |
| UTIM3 | ||
| n (%) | 3 (1.4) | 24 (0.3) |
| OR (95% CI) | 4.2 (1.2 to 13.9) | |
| Adjusted OR (95% CI) | 5.8 (1.7 to 19.7) | 1 (Ref.) |
| Neonatal outcomes | ||
| Extremely preterm <28 wM6 | ||
| n (%) | 5 (2.4) | 20 (0.3) |
| OR (95% CI) | 8.4 (3.1 to 22.6) | |
| Adjusted OR (95% CI) | 0.7 (0.1 to 5.1) | 1 (Ref.) |
| Preterm<37 wM1 | ||
| n (%) | 35 (16.7) | 319 (4.6) |
| OR (95% CI) | 4.1 (2.8 to 6.0) | |
| Adjusted OR (95% CI) | 1.1 (0.7 to 1.7) | 1 (Ref.) |
| Apgar at 5 min<7M2 | ||
| n (%) | 10 (5.8) | 140 (2.3) |
| OR (95% CI) | 2.7 (1.4 to 5.1) | |
| Adjusted OR (95% CI) | 1.9 (0.8 to 4.3) | 1 (Ref.) |
| Intensive careM2 | ||
| n (%) | 33 (15.7) | 733 (10.6) |
| OR (95% CI) | 1.6 (1.1 to 2.3) | |
| Adjusted OR (95% CI) | 1.0 (0.6 to 1.7) | 1 (Ref.) |
| Stillbirth/neonatal deathM5 | ||
| n (%) | 5 (2.4) | 28 (0.4) |
| OR (95% CI) | 6.0 (2.3 to 15.7) | |
| Adjusted OR (95% CI) | 0.7 (0.1 to 7.1) | 1 (Ref.) |
All the variables are adjusted according to multivariate models:
M1: Demographic variables (Table 1—pre-existing hypertension and diabetes).
M2: M1+preterm birth—history of spontaneous abortions.
M3: M1—misuse of alcohol or drugs—history of spontaneous abortions.
M4: M1—misuse of alcohol or drugs, BMI and history of spontaneous abortions.
M5: M2—misuse of alcohol or drugs.
Missing data as regard confounding variables in inadequate versus adequate prenatal care group: cohabitation 17.1% versus 9.7%, smoking 10% versus 2.2%, BMI 19.5% versus 2.1%.
BMI, body mass index; UTI, urinary tract infection.