DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20205252

Early school leaving: obstetrical and neonatal risks

Marie Valerie Rajaonarivony, Tanoja A. Ratsiatosika, Romuald Randriamahavonjy, Lantonirina Rainibarijaona, Jean Eustache Fanomezantsoa, Aristide Andriamiandrisoa, Pierana Gabriel Randaoharison

Abstract


Introduction: Maternal mortality remains very high in Madagascar. In addition, women's education level is low. The aim of this study is to determine the impact of the maternal educational level on the obstetrical and neonatal outcomes.

Methods: This is a retrospective analytical study of primiparae with seven years of study or less to patients with more than seven years of study at Zafisaona Gabriel Mahajanga university hospital center.

Results: Prematurity was higher in low-grade patients (RR=2.6 (1.04-6.51)), and low birth weight was the leading cause of neonatal morbidity (RR=3.52). Pregnancy screening, maternal morbimortality, caesarean section, neonatal death and fetal intrauterine death were identical between the two groups.

Conclusions: Education has a positive impact on maternal health. An education on pregnancy outcomes should be done at school.


Keywords


Low birthweight, Newborn outcome, Maternal education, Pre-term

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References


Instat. National survey on the follow-up of the Millennium Development Goals in Madagascar. Objective: 05. 2012-2013. 2013. Available at URL: http://madagascar.unfpa.org/sites/default/files/pub-pdf/OMD_Resume.pdf. Accessed on 02 August 2020.

UNICEF, UNFPA. Young Malagasy: Facts and Figures. Synthetic report. 2011. Available at URL: http://www.unicef.org/madagascar/mg_media_pubs__jeunes_malgaches_faits_chiffres.pdf. Accessed on 02 August 2020.

Juarez S, Barbara A, Eugercios R, Ramiro-Farinas D, Viciana-Fernandez F. Maternal Education and Perinatal Outcomes Among Spanish Women Residing in Southern Spain (2001-2011). Matern Child Health J. 2013;18:1814-22.

Park MJ, Son M, Kim YJ, Paek D. Social Inequality in Birth Outcomes in Korea, 1995-2008. J Korean Med Sci, 2013;28(1):25-35.

Auger N, Abrahamowicz M, Park AL, Lo E. Extreme maternal education and preterm birth : time-to-event analysis of age and nativity-dependent risks. Ann Epidemiol. 2013;23:1-6.

Tollanes M, Thompson JMD, Daltveit AK, Irgens LM. Cesarean section and maternal education; secular trends in Norway, 1967-2004. Acta Obstet Gynecol. 2007;86:840-8.

Lee S-I, Khang Y-H, Yun S, Jo M-W. Rising rates, changing relationships: caesarean section and its correlates in South Korea, 1988-2000. Int J Obstet Gynaecol. 2005;112(6):810-9

Odd DE, Doyle P, Gunnell D, Lewis G, Whitelaw A, Rasmussen F. Risk of low Apgar score and socioeconomic position: a study of Swedish male births. Acta Paediatr. 2008;97(9):1275-80.

Odd D, Lewis G, Gunnell D, Rasmussen F. Risk of low Apgar scores and socioeconomic status over a 30-year period. J Matern Fetal Neonatal Med. 2013;27(6):603-7.

Almeida NKO, Pedreira CE, Almeida R. Impact of maternal education level on risk of low Apgar score. Pub Heal. 2016;140:244-9.

Ntambue A, Malonga F, Dramaix-Wilmet M, Donnen P. Perinatal mortality: extent and causes in Lubumbashi, Democratic Republic of the Congo. Rev Epidemiol Sante Publique. 2013;61(6):519-29.

Fonseca SC, Flores PVG, Camargo Jr. KR, Pinheiro RS, Coeli CM. Maternal education and age: inequalities in neonatal death. Rev Saude Publica. 2017;51:94.

Ansari1 EA, Rahma SU. Level of Maternal Education is a Significant Determinant of Neonatal Survival: A PEARL Study Analysis. Journal of the College of Physicians and Surgeons Pakistan. 2015;25(2):151-3.

Arntzen A, Mortensen L, Schnor O, Cnattingius S, Gissler M, Andersen AM. Neonatal and postneonatal mortality by education: a population-based study of trends in the Nordic countries, 1981-2000. Eur J Pub Heal. 2008;18(3):245-51.

Bicego GT, Boerma JT. Maternal education and child survival: a comparative study of survey data from 17 countries. Soc Sci Med.1993;36:1207-27.

Cammu H, Martens G, Van Maele G, Amy JJ. The higher the educational level of the first-time mother, the lower the fetal and post-neonatal but not the neonatal mortality in Belgium (Flanders). Eur J Obstet Gynecol Reprod Biol. 2010;148:13-6.

Dai L-L, Mao Y-Y, Luo X-M, Shen YP. Prenatal Care in Combination with Maternal Educational Level Has a Synergetic Effect on the Risk of Neonatal Low Birth Weight: New Findings in a Retrospective Cohort Study in Kunshan City, China. PLoS ONE. 2014;9(11):e113377.

Jafari F, Eftekhar H, Pourreza A, Mousavi J. Socio-economic and medical determinants of low birth weight in Iran: 20 years after establishment of a primary healthcare network. Pub Heal. 2010;124:153-8.

Silvestrin S, da Silva CH, Hirakata VN, Goldani AA, Silveira PP, Goldani MZ. Maternal education level and low birth weight: a meta-analysis. J Pediatr. 2013;89(4):339-45.

Nordström ML, Cnattingius S. Effects on birthweights of maternal education, socio-economic status, and work-related characteristics. Scand J Public Health. 1996;24(1):55-61.

Raum E, Arabin B, Schlaud M, Walter U, Schwartz FW. The impact of maternal education on intrauterine growth: a comparison of former West and East Germany. Int J Epidemiol. 2001;30(1):81-7.

Ergin I, Hassoy H, Tanik FA, Aslan G. Maternal age, education level and migration: Socioeconomic determinants for smoking during pregnancy in a field study from Turkey. Bio Med Centr Pub Heal. 2010;10:325.

Karlsen S, Say S, Souza JP, Hogue CJ, Calles DL, Gülmezoglu AM et al. The relationship between maternal education and mortality among women giving birth in health care institutions: Analysis of the cross sectional WHO Global Survey on Maternal and Perinatal Health. Bio Med Cent Pub Heal. 2011;11:606.

Diallo FB, Diallo AB, Diallo Y, Goma O, Camara Y, Cisse M, et al. Maternal Mortality and Lifestyle Risk Factors. Méd Afr Noire. 1998;45.

Maddah M, Karandish M, Mohammadpour-Ahranjani B, Neyestani TR, Vafa R, Rashidi A. Social factors and pregnancy weight gain in relation to infant birth weight: a study in public health centers in Rasht. Iran Eur J Clin Nutr. 2005;59:1208-12.

Howard DL, Marshall SS, Kaufman JS, Savitz DA. Variations in low birth weight and preterm delivery among blacks in relation to ancestry and nativity: New York City, 1998-2002. Pediatrics. 2006;118(5):1399-405.