Asociación entre el control prenatal y las complicaciones obstétricas maternas periparto y postparto. ENDES 2017 al 2019 / Association between prenatal care and peripartum and postpartum maternal obstetric complications. ENDES 2017 to 2019
Rev. Fac. Med. Hum
; 21(4): 758-769, Oct.-Dic. 2021.
Artigo
em Inglês, Espanhol
|
LILACS-Express
| LILACS
| ID: biblio-1342238
Biblioteca responsável:
PE358.9
RESUMEN
Introducción:
Las complicaciones obstétricas son causa importante de morbimortalidad materna, siendo el control prenatal (CPN) una estrategia para su adecuada prevención y tratamiento. Ojetivos Determinar la asociación entre el CPN adecuado y las complicaciones obstétricas maternas periparto y postparto.Métodos:
Estudio cuantitativo, observacional, transversal y analítico, basado en información de la ENDES 2017-2019.Resultados:
Se analizó una muestra de 41 803 madres, el 21,0% y el 28,7% tuvieron complicaciones periparto y postparto respectivamente, además, se encontró que el no tener un CPN de calidad (RP=1,20; IC95%=1,14-1,27), residir en Lima metropolitana (RP=1,38; IC95%=1,27-1,49) o en la Sierra (RP=1,25; IC95%=1,18-1,33), pertenecer al quintil de riqueza dos (RP=1,13; IC95%=1,04-1,22) o tres (RP=1,11; IC95%=1,03-1,20), haber sido controlada solo por personal calificado (RP=1,81; IC95%=1,33-2,48) y solo en el sector público (RP=1,48; IC95%=1,31-1,68) se asociaron con mayor posibilidad de complicaciones periparto. Además, el no tener un CPN de calidad (RP=1,28; IC95%=1,22-1,33), residir en Lima metropolitana (RP=1,12; IC95%=1,05-1,20) o en la Sierra (RP=1,06; IC95%=1,01-1,12), pertenecer al quintil de riqueza dos (RP=1,13; IC95%=1,05-1,20) o tres (RP=1,12; IC95%=1,05-1,19) y haber sido controlada solo en el sector público (RP=1,28; IC95%=1,171,41) se asociaron con mayor posibilidad de complicaciones postparto.Conclusión:
Dentro del CPN adecuado, se encontró asociación entre el CPN de calidad y las complicaciones obstétricas maternas periparto y postparto.ABSTRACT
Introduction:
Obstetric complications are an important cause of maternal morbidity and mortality, with prenatal control (PNC) being a strategy for their adequate prevention and treatment.Objective:
To determine the association between adequate CPN and peripartum and postpartum maternal obstetric complications.Methodology:
Quantitative, observational, retrospective, cross-sectional and analytical study, based on information from the ENDES 2017-2019.Results:
A sample of 41,803 mothers was analyzed, 21,0% and 28,7% had peripartum and postpartum complications respectively, furthermore, it was found that not having a quality NPC (PR = 1.20; 95% CI = 1.14-1.27), residing in metropolitan Lima (PR = 1,38; 95% CI = 1,27-1,49) or in the mountains (PR = 1,25; 95% CI = 1,18-1,33), belong to wealth quintile two (PR = 1,13; 95% CI = 1,04-1,22) or three (PR = 1,11; 95% CI = 1,03-1,20), having been attended only by qualified personnel (PR = 1,81; 95% CI = 1,33-2,48) and only in the public sector (PR = 1,48; 95% CI = 1,31-1,68) were associated with a greater possibility of peripartum complications. Not having a quality NPC (PR = 1,28; 95% CI = 1,22-1,33), residing in metropolitan Lima (PR = 1,12; 95% CI = 1,05-1,20) or in the mountains (PR = 1,06; 95% CI = 1,01-1,12), belong to wealth quintile two (PR = 1,13; 95% CI = 1,05-1,20) or three (PR = 1,12; 95% CI = 1,05-1,19) and having received NPC only in the public sector (PR = 1,28; 95% CI = 1,17-1,41) were associated with a greater possibility of postpartum complications.Conclusions:
Within the adequate NPC, an association was found between the quality NPC and the peripartum and postpartum maternal obstetric complications.
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Contexto em Saúde:
ODS3 - Saúde e Bem-Estar
/
ODS3 - Meta 3.1 Reduzir a Mortalidade Materna
Problema de saúde:
Meta 3.1: Reduzir a mortalidade materna
/
Cuidado Materno
Base de dados:
LILACS
Tipo de estudo:
Fatores de risco
Idioma:
Inglês
/
Espanhol
Revista:
Rev. Fac. Med. Hum
Assunto da revista:
Cincias da Sa£de
/
Medicina
Ano de publicação:
2021
Tipo de documento:
Artigo
País de afiliação:
Peru
Instituição/País de afiliação:
Escuela del Instituto Nacional de Estadística e Informática/PE
/
Facultad de Medicina Humana, Universidad Ricardo Palma/PE