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Maternal Profiles and Pregnancy Outcomes

2023-12Artigo científico Acesso aberto
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dc.contributor.authorOliveira, Dinamene
dc.contributor.authorde Oliveira, José Martinez
dc.contributor.authorMartins, Maria do Rosário
dc.contributor.authorBarroso, Maria Rosalina
dc.contributor.authorCastro, Rita
dc.contributor.authorCordeiro, Lemuel
dc.contributor.authorPereira, Filomena
dc.contributor.institutionIndividual Health Care (IHC)
dc.contributor.institutionGlobal Health and Tropical Medicine (GHTM)
dc.contributor.institutionInstituto de Higiene e Medicina Tropical (IHMT)
dc.contributor.institutionPopulation health, policies and services (PPS)
dc.contributor.institutionTB, HIV and opportunistic diseases and pathogens (THOP)
dc.contributor.pblSpringer Science Business Media
dc.date.accessioned2024-02-08T00:17:17Z
dc.date.available2024-02-08T00:17:17Z
dc.date.issued2023-12
dc.descriptionFunding Information: The Calouste Gulbenkian Foundation, Lisbon, Portugal, supported this work through a scholarship assigned to the corresponding author [grant number 135499]. Publisher Copyright: © 2023, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
dc.description.abstractObjectives: To characterize pregnant women admitted to Irene Neto Maternity Hospital, Lubango city, Huíla province, and their pregnancy outcomes. Methods: We conducted a descriptive cross-sectional facility-based survey between October 2016 and September 2017, involving 500 pregnant women, followed from admission in labor until the end of delivery. Mean (SD) was computed for quantitative variables, while relative and absolute frequencies were determined for categorical variables. Additionally, confidence intervals were estimated. Results: Among pregnant women 18.3% were adolescents (≤ 19 years) and 14.5% had advanced maternal age (≥ 35 years). Illiteracy was reported by 8.2%. One in three (33.6%) had a short stature (< 1.55 m). Malaria was the most frequent infection during pregnancy (16.3%). Upon admission, 18.1% were anemic (Hb < 11 g/dl) and 36.0% had hypertension (SBP ≥ 140 mmHg and/or DBP ≥ 90 mmHg), contrasting with the few cases reported of chronic hypertension and pregnancy-induced hypertension. There were 15 twin pregnancies. Cesarean section was performed in 25.2% of the women, although there was no medical indication for 23.0% of women having cesareans. Two maternal deaths occurred in our sample. Among live births from singleton pregnancies (97.1%), birth asphyxia (Apgar < 7 at 5 min) was observed in 22.7% and 10.3% had low birth weight (< 2.5 kg). Conclusions: There are very few studies reporting pregnancy outcomes in Angola. This analysis presents data from Huíla province, the second most populous province. We identified characteristics for higher risk of adverse pregnancy outcomes: adolescence, illiteracy, and short stature. Among newborn outcomes, birth asphyxia and low birth weight demand special attention. Further research is needed to explore the non-medical indications for cesarean section and to better understand the twinning rate in Lubango.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent8
dc.format.extent796243
dc.identifier.doi10.1007/s10995-023-03782-6
dc.identifier.issn1092-7875
dc.identifier.otherPURE: 82853748
dc.identifier.otherPURE UUID: 7b977e50-8f23-4980-83e0-7c0f78a95fe2
dc.identifier.otherScopus: 85173688799
dc.identifier.otherPubMed: 37815656
dc.identifier.otherWOS: WOS:001083262400001
dc.identifier.otherORCID: /0000-0002-7941-0285/work/152551868
dc.identifier.urihttp://hdl.handle.net/10362/163240
dc.identifier.urlhttps://www.scopus.com/pages/publications/85173688799
dc.language.isoeng
dc.peerreviewedyes
dc.subjectAngola
dc.subjectMaternal characteristics
dc.subjectPregnancy outcomes
dc.subjectR Medicine
dc.subjectRG Gynecology and obstetrics
dc.subjectRJ Pediatrics
dc.subjectEpidemiology
dc.subjectPediatrics, Perinatology, and Child Health
dc.subjectObstetrics and Gynaecology
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectSDG 3 - Good Health and Well-being
dc.subjectSDG 10 - Reduced Inequalities
dc.titleMaternal Profiles and Pregnancy Outcomesen
dc.title.subtitleA Descriptive Cross-Sectional Study from Angolaen
dc.typejournal article
degois.publication.firstPage2091
degois.publication.issue12
degois.publication.lastPage2098
degois.publication.titleMaternal and Child Health Journal
degois.publication.volume27
dspace.entity.typePublication
rcaap.rightsopenAccess

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