ArticleThe Pan African medical journal2018
[Factors associated with first pregnancy in women who gave birth in a maternity hospital in Antananarivo: a retrospective cohort study].
Article in The Pan African medical journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed, 1 citations in OpenAlex.
- What predicts delayed first antenatal care contact among primiparous women? Findings from a cross-sectional study in Nigeria.BMC pregnancy and childbirth · 2022Article
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Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThere are very few African and Malagasy literatures on general risk factors among primigravidae. This study aimed to determine the potential risk factors associated with a first pregnancy.
methodsWe conducted a retrospective cohort study among primigravidae and multigravidae women at the Hospital Sainte Fleur Pavilion between October 2014 and December 2016. The relative risks were adjusted after examinations according to sociodemographic features.
resultsPrimigravidae were far more likely to experience prolonged labour lasting more than 12h (aRR = 2.28; 95% CI 1.74-3.00), emergency cesarean section (RR = 1.47; 95% CI 1.35-1.60) and episiotomy (aRR = 2.98; 95% CI 2.61-3.40). Children were more likely to show signs of fetal distress associated with fetal rhythm abnormalities during labor (aRR = 1.96; 95% CI 1.45-2.65) and an increased risk for intensive care unit admission after birth (aRR = 2.08; 95% CI 1.25-3.45).
conclusionComplications arising during labor may expose primigravidae to cascading risks concerning delivery outcomes and children's health. The management of labour in primigravidae should require close attention from medical staff.
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