Correlation between prenatal controls and obstetric complications: A cross-sectional study in Guayaquil, Ecuador

Keywords: Prenatal care, Pregnancy, Gestation, Obstetric complications, Pregnancy complications

Abstract

Introduction: Prenatal care consists of continuous monitoring of pregnancy, and it has been established that a greater number of prenatal care visits is associated with a reduction in obstetric morbidity and mortality.
Objective: The present research aims to determine the relationship between prenatal care and pregnancy complications.

Materials and methods: Observational cross-sectional analytical study, from which 206 hospitalized patients  were selected from the Hospital General IESS Los Ceibos who underwent an objective survey and subsequently clinical records were reviewed to verify the information collected.
Results: It was observed that 94% of the patients had more than 5 prenatal care visits, 48% of whom had higher education and 90% resided in urban areas. Using the Chi-Square test, it was found that there is an important dependence between the number of prenatal care visits and obstetric complications, mainly perinatal complications (χ2-calc=2.3991), the most common being premature rupture of membranes, followed by postpartum (χ2-calc=2.1719) and gestational complications with less statistical significance (χ2-calc=2.0039).
Conclusions: The results obtained through this study highlights that adequate prenatal care reduces the incidence of complications during the gestational and postpartum stages.

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References

Peahl AF, Smith RD, Moniz MH. Prenatal care redesign: creating flexible maternity care models through virtual care. Am J Obstet Gynecol. 1 de septiembre de 2020;223(3):389.e1-389.e10.

FONDO DE LAS NACIONES UNIDAS PARA LA INFANCIA–UNICEF. Guía del embarazo. UNICEF [Internet]. Disponible en: https://www.unicef.org/ecuador/media/2541/file/Cartilla%201.pdf

Roldán JC, Acuña C, Ríos P. Método de búsqueda activa comunitaria para la captación de gestantes y puérperas en Ecuador. Rev Panam Salud Pública. 8 de junio de 2017;41:e53.

Ari Bitnun, Laura Sauvé, Sergio Fanella, Reducing perinatal infection risk in newborns of mothers who received inadequate prenatal care, Paediatrics & Child Health, Volume 28, Issue 5, August 2023, Pages 307–314, https://doi.org/10.1093/pch/pxad014

Méndez Pajares AN, Morales Mautino EJ, Chanduví Puicón W, Arango Ochante PM. Asociación entre el control prenatal y las complicaciones obstétricas maternas periparto y postparto. ENDES 2017 al 2019. Rev Fac

Med Hum. 2021;758-69.

Leal M do C, Esteves-Pereira AP, Viellas EF, Domingues RMSM, Gama SGN da. Prenatal care in the Brazilian public health services. Rev Saúde Pública. 20 de enero de 2020;54:08.

Rodrigues KM, Zoldan C, Silva CB, Santana EF, Araujo E, Peixoto AB. Relationship between the number of prenatal care visits and the occurrence of adverse perinatal outcomes. Revista da Associação Médica Brasileira. 2022 Feb 28;68(2):256-60.

INEC. Encuesta Nacional de Empleo, Desempleo y Subempleo (ENEMDU) [Internet]. INEC; 2023. Disponible en: https://www.ecuadorencifras.gob.ec/documentos/web-inec/EMPLEO/2023/Septiembre/202309_Mercado_Laboral.pdf

Published
2025-11-07
How to Cite
Martinez Salazar, A. E., & Salazar Carranza, C. A. (2025). Correlation between prenatal controls and obstetric complications: A cross-sectional study in Guayaquil, Ecuador. Anales De La Facultad De Medicina, 12(2), e205. https://doi.org/10.25184/anfamed2025v12n2a11