The association of Chinese and American antenatal care utilization indices with birth outcomes

Datos Bibliográficos

ID22080237
AutoresHaibo Zhou (0000-0002-2815-8577, Second Affiliated Hospital of Zhejiang University), Yi Yang (0000-0002-9729-8522, Second Affiliated Hospital of Zhejiang University), Peihan Chi (Second Affiliated Hospital of Zhejiang University), Haoyue Cheng (0000-0002-3538-0678, Second Affiliated Hospital of Zhejiang University), Xialidan Alifu (0000-0002-0800-5995, Second Affiliated Hospital of Zhejiang University), Yiwen Qiu (0000-0003-0022-4824, Second Affiliated Hospital of Zhejiang University), Ye Huang (0000-0003-1244-5157, Second Affiliated Hospital of Zhejiang University), Libi Zhang (Second Affiliated Hospital of Zhejiang University), Diliyaer Ainiwan (Second Affiliated Hospital of Zhejiang University), Yan Zhuang (0000-0003-1245-7203, Second Affiliated Hospital of Zhejiang University), Hui Liu (0000-0001-5519-148X, Sir Run Run Shaw Hospital), Zhi Chen (0000-0002-2639-1375, State Key Laboratory of Diagnosis and Treatment of Infectious Diseases, autor de correspondencia), Yunxian Yu (0000-0002-3394-9832, Second Affiliated Hospital of Zhejiang University, autor de correspondencia)
Año2024
Volumen12
Páginas1420943-1420943
Fecha de publicación2024-08-07
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaFrontiers in Public Health (JOURNAL)
Identificadores de la revistaISSN: 2296-2565 • E-ISSN: 2296-2565
EditorialFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2024.1420943
PMID39171300
OpenAlexW4401403893
IdiomaEN
Referencias citadas27

Objective: Few comparisons have been implemented between different prenatal care utilization indices and their effects on adverse outcomes. This study investigated the appropriateness of Chinese antenatal care (ANC) regulations and compared Chinese and American adequacy of prenatal care utilization (APNCU) scores. Methods: From 2010 to 2022, the medical records of 60,114 pregnant women were collected from the electronic medical record system (EMRS) in Zhoushan, China. ANC utilization was measured using the APNCU score and five times antenatal care (ANC5). Birth weight outcomes, including small for gestational age (SGA) and large for gestational age (LGA), low birth weight (LBW), macrosomia, birth weight, and preterm birth (PTB), were utilized as outcomes. Multinomial, linear, and logistic regression were used to analyze the association of ANC5 and APNCU with outcomes, respectively. Crossover analysis was implemented to compare the interaction between ANC5 and APNCU on the outcomes. Results: Women who received inadequate prenatal care had increased odds for PTB (ANC5: odds ratio (OR) = 1.12, 95% confidence interval (95%CI) = 1.03-1.21; APNCU: OR = 1.18, 95%CI: 1.07-1.29), delivering SGA infants (ANC5: OR = 1.13, 95%CI = 1.07-1.21; APNCU: OR = 1.11, 95%CI = 1.03-1.20). Crossover analysis revealed that inadequate prenatal care in APNCU only was significantly associated with an increased risk of PTB (OR = 1.48, 95%CI: 1.26-1.73). Conclusion: Women with inadequate prenatal care in ANC5 or APNCU were more likely to suffer from adverse birth outcomes, including PTB, birth weight loss, SGA, and LBW. It indicated that adequate prenatal care is necessary for pregnant women. However, there were interactions between ANC5 and APNCU on PTB, with inadequate prenatal care use by APNCU showing the highest risk of PTB. This indicates that APNCU would be a better tool for evaluating prenatal care use

Environmental health · Family medicine · Obstetrics · Population · Prenatal care · Demography · Gestational Diabetes Research and Management · Global Maternal and Child Health · Maternal and Perinatal Health Interventions · Medicine · Psychology