Frequency of maternal and newborn birth outcomes, Lima, Peru, 2013

This study describes the pregnancy and birth outcomes at two hospitals in Lima, Peru. The data collection and analysis is intended to inform patients, providers, and policy makers on Peru's progress toward achieving the Millennium Development Goals and to help set priorities for action and furt...

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Bibliographic Details
Published in:PloS one 2015-03, Vol.10 (3), p.e0116102-e0116102
Main Authors: Wynn, Adriane, Cabeza, Jeanne, Adachi, Kristina, Needleman, Jack, Garcia, Patricia J, Klausner, Jeffrey D
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age
Analysis
Babies
Birth
Cesarean section
Cesarean Section - statistics & numerical data
Chlamydia
Chlamydia trachomatis
Complications
Consent
Data collection
Data processing
Demographics
Female
Hospitals
Humans
Hypertension
Infant, Newborn
Maternal Age
Medical records
Middle Aged
Morbidity
Mortality
Newborn babies
Obstetrics
Patients
Peru - epidemiology
Pre-eclampsia
Pregnancy
Pregnancy complications
Pregnancy Complications - epidemiology
Pregnancy Outcome
Premature birth
Prevalence
Public health
Retrospective Studies
Statistical tests
Stillbirth
Studies
Urban health care
Womens health
Young Adult
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Description
Summary:This study describes the pregnancy and birth outcomes at two hospitals in Lima, Peru. The data collection and analysis is intended to inform patients, providers, and policy makers on Peru's progress toward achieving the Millennium Development Goals and to help set priorities for action and further research. Data were collected retrospectively from a sample of 237 women who delivered between December 2012 and September 2013 at the Instituto Nacional Materno Perinatal or the Hospital Nacional Arzobispo Loayza. The outcomes were recorded by a trained mid-wife through telephone interviews with patients and by review of hospital records. Associations between participant demographic characteristics and pregnancy outcomes were tested with Chi-squared, Fisher's exact, or Student's t-test. Over 37% of women experienced at least one maternal or perinatal complication, and the most frequent were hypertension/preeclampsia and macrosomia. The women in our sample had a cesarean section rate of 50.2%. Maternal and perinatal complications are not uncommon among women in the lower socioeconomic strata of Lima. Also, the high cesarean rate underpins the need for a more comprehensive understanding of the indications for cesarean section deliveries, which could help reduce the number of unnecessary procedures and preventable complications.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0116102