Main Article Content

Authors

Objective: To determine the effect of the periodical use of the prenatal biopsychosocial risk assessment (PBR) to predict obstetric and perinatal complications in pregnant women in Asian countries.

Materials and methods: In Shanghai, China, and Dhaka, Bangladesh, 565 healthy primigravids were evaluated with PBR at inclusion (14-27 weeks), in a second time (28-32 weeks) and in a third time (33-42 weeks) with assessment of the perinatal outcome.

Results: The average age was 25.1±6.4 years old. Most of the women were from middle socioeconomic level, with university academic degree and urban residence. There were 129 (25.6%) obstetric complications, 54 (10.1%) low birth weight babies and 41 (7.3%) perinatal deaths. The ROC analysis showed that the high PBR score was associated with obstetric complications (area under ROC Curves) 0.80 CI 95% 0.71-0.89, preterm birth (area under ROC curves) 0.79, CI 95% 0.68-0.90, low birth weight (area under ROC curves) 0.85, CI 95% 0.77-0.93. The best predictive period was the last (33-42 weeks) to obstetric complications (sensibility: 84.4%, specificity: 69.3%), preterm delivery (sensibility 79.2%, specificity 67.1%) and to low birth weight (sensibility 88%, specificity 77.3%). The baseline sociodemographic and nutritional characteristics and the perinatal outcome were different between the countries, however, the predictive effect of the instrument was similar.

Conclusion: The prenatal biopsychosocial risk assessment was clinically valid to predict obstetric complications, preterm birth and low birth weight in two Asian countries when compared to results in Latin-American countries.

Julián A. Herrera, Universidad del Valle

Profesor Titular y Emérito, Departamento de Medicina Familiar, Escuela de Medicina, Facultad de Salud, Universidad del Valle, Cali, Colombia.

Gao Ersheng, Institute for Planned Parenthood Research

Director, Shanghai Institute for Planned Parenthood Research, Shanghai, China.

AKM Shahabuddin, Institute for the Child and Mother Health

Jefe Departamento de Obstetricia y Ginecología, Institute for the Child and Mother Health, Dhaka, Bangladesh.

Dou Lixia, Institute for Planned Parenthood Research

Investigadora, Shanghai Institute for Planned Parenthood Research, Shanghai, China.

Yuan Wei, Institute for Planned Parenthood Research

Director Unidad de Epidemiología y Bioestadística, Profesor Asociado, Shanghai Institute for Planned Parenthood Research Shanghai, China.

Mohammad Faisal, Institute for the Child and Mother Health

Profesor Asistente, Departamento de Ginecología y Obstetricia, Institute for the Child and Mother Health, Dhaka, Bangladesh.

Pravat C. Barua, Institute for the Child and Mother Health

Profesor Asociado, Director Unidad de Epidemiología y Bioestadística, Institute for the Child and Mother Health, Dhaka, Bangladesh.

Halida Akhtner, Institute for the Child and Mother Health

Directora, Bangladesh Institute of Research for Promotion of Essential & Reproductive Health and Technologies (BIPHERT), Dhaka, Bangladesh.
Herrera, J. A., Ersheng, G., Shahabuddin, A., Lixia, D., Wei, Y., Faisal, M., Barua, P. C., & Akhtner, H. (2006). Periodical assessment of the prenatal biopsychosocial risk to predict obstetric and perinatal complications in Asian countries 2002-2003. Colombia Medica, 37(2 Supl 1), 6–14. https://doi.org/10.25100/cm.v37i2 Supl 1.431

Downloads

Download data is not yet available.
1 2 > >> 

Similar Articles

You may also start an advanced similarity search for this article.