Maternal Factors and Adverse Perinatal Outcomes in Women with Preeclampsia in Maceió, Alagoas
Maternal Factors and Adverse Perinatal Outcomes in Women with Preeclampsia in Maceió, Alagoas
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阿拉戈斯州马塞约先兆子痫妇女的母体因素和不良围产期结局
DOI：
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发表时间：
2016
影响因子：
2.6
通讯作者：
Myrian Cicyanne Machado Tavares
中科院分区：
文献类型：
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作者：
Alane Cabral Menezes de Oliveira;Arianne Albuquerque Santos;Alexandra Rodrigues Bezerra;Amanda Maria Rocha de Barros;Myrian Cicyanne Machado Tavares
背景子痫前期与一些危险因素和事件有关。然而，考虑到影响不同人群的众多相关因素，它仍然值得进一步研究。目的评价马塞约市公共卫生网络中接受护理的先兆子痫孕妇队列的母体因素和不良围产儿结局。方法2014年在北京市公共卫生网络开展前瞻性队列研究，以子痫前期患病率为17%，置信水平为90%，把握度为80%，比例为1：1为基础计算孕妇样本。我们采用问卷调查收集社会经济，个人和人体测量数据，并检索围产期变量的医疗记录和活产证明。采用Poisson回归和卡方检验进行分析，将p值< 0.05视为显著。结果对90例子痫前期（PWP）和90例非子痫前期（PWoP）孕妇进行了评估。先兆子痫既往史（患病率[PR] = 1.57，95%置信区间[95% CI] 1.47 - 1.67，p = 0.000）和黑肤色（PR = 1.15，95% CI 1.00 - 1.33，p = 0.040）与先兆子痫的发生相关。在PWP和PWo P的新生儿中，分别有12.5%和13.1%（p = 0.907）小于胎龄，25.0%和23.2%（p = 0.994）大于胎龄。剖宫产占优势。结论子痫前期个人史、黑肤色与子痫前期的发生有关。出生体重偏差和剖腹产的发生率很高。
Background Preeclampsia has been associated with several risk factors and events. However, it still deserves further investigation, considering the multitude of related factors that affect different populations. Objective To evaluate the maternal factors and adverse perinatal outcomes in a cohort of pregnant women with preeclampsia receiving care in the public health network of the city of Maceió. Methods Prospective cohort study carried out in 2014 in the public health network of the city with a sample of pregnant women calculated based on a prevalence of preeclampsia of 17%, confidence level of 90%, power of 80%, and ratio of 1:1. We applied a questionnaire to collect socioeconomic, personal, and anthropometric data, and retrieved perinatal variables from medical records and certificates of live birth. The analysis was performed with Poisson regression and chi-square test considering p values < 0.05 as significant. Results We evaluated 90 pregnant women with preeclampsia (PWP) and 90 pregnant women without preeclampsia (PWoP). A previous history of preeclampsia (prevalence ratio [PR] = 1.57, 95% confidence interval [95% CI] 1.47 - 1.67, p = 0.000) and black skin color (PR = 1.15, 95% CI 1.00 - 1.33, p = 0.040) were associated with the occurrence of preeclampsia. Among the newborns of PWP and PWoP, respectively, 12.5% and 13.1% (p = 0.907) were small for gestational age and 25.0% and 23.2% (p = 0.994) were large for gestational age. There was a predominance of cesarean delivery. Conclusion Personal history of preeclampsia and black skin color were associated with the occurrence of preeclampsia. There was a high frequency of birth weight deviations and cesarean deliveries.
DOI：
10.1016/j.preghy.2010.10.013
发表时间：
2011-01-01
影响因子：
2.2
作者：
Roberts, James M.;Bodnar, Lisa M.;Patrick, Thelma E.;Powers, Robert W.
通讯作者：
Powers, Robert W.