ArticleRevista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia2021
Association between Prenatal Care Adequacy Indexes and Low Birth Weight Outcome.
Article in Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Multiple Output Gaussian Process Model for Predicting Low Birth Weight in Medellín, Colombia: An Alternative to Conventional Machine Learning Models.Maternal and child health journal · 2026Article
- Predictive modeling with machine learning for low birth weight in the state of São Paulo: a retrospective population-based study.Sao Paulo medical journal = Revista paulista de medicina · 2026Article
- Adequacy of prenatal care in the state of Rio de Janeiro according to the type of childbirth funding.Revista de saude publica · 2025Article
- Sociodemographic factors associated with immediate puerperal control: A cross-sectional study based on the Peruvian demographic and health survey, 2019.European journal of obstetrics & gynecology and reproductive biology: X · 2023Article
- Determinants of non-institutional childbirth: Evidence from the Peruvian demographic and health survey.European journal of obstetrics & gynecology and reproductive biology: X · 2023Article
- Article
- Adequacy of prenatal care and associated factors in the State of Rio Grande do Sul, Brazil.Revista de saude publica · 2023Article
- Differences in Rates of Low Birth Weight among Prefectures in Japan: An Ecological Study Using Government Statistics Data.Children (Basel, Switzerland) · 2022Article
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3 authors.
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Abstract
objectiveTo investigate the association between prenatal care (PNC) adequacy indexes and the low birth weigth (LBW) outcome.
methodsA total of 368,093 live term singleton births in the state of Rio de Janeiro (Brazil) from 2015 to 2016 were investigated using data from the Brazilian Live Birth Information System (Sistema de Informações sobre Nascidos Vivos, SINASC, in Portuguese). Seven PNC adequacy indexes were evaluated: four developed by Brazilian authors (Ciari Jr. et al., Coutinho et al., Takeda, and an index developed and used by the Brazilian Ministry of Health - MS) and three by authors from other countries (Kessner et al., the Adequacy of Prenatal Care Utilization index - APNCU, and the Graduated Prenatal Care Utilization Index - GINDEX). Adjusted odds ratios were estimated for the PNC adequacy indexes by means of multivariate logistic regression models using maternal, gestational and newborn characteristics as covariates.
resultsWhen the PNC is classified as "inadequate", the adjusted odds ratios to the LBW outcome increase between 42% and 132%, depending on which adequacy index is evaluated. Younger (15 to 17 years old) and older (35 to 45 years old) mothers, those not married, of black or brown ethnicity, with low schooling (who did not finish Elementary School), primiparous, with preterm births, as well as female newborns had increasing odds for LBW. The models presented areas under the receiver operating characteristic (ROC) curve between 80.4% and 81.0%, and sensitivity and specificity that varied, respectively, between 57.7% and 58.6% and 94.3% and 94.5%.
conclusionConsidering all PNC adequacy indexes evaluated, the APNCU had the best discriminatory power and the best ability to predict the LBW outcome.
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