The perinatal outcome of pregnancy without prenatal care. A retrospective study in Szeged, Hungary

Eur J Obstet Gynecol Reprod Biol. 2002 Jan 10;100(2):171-3. doi: 10.1016/s0301-2115(01)00471-7.


Objective: The aim of this study was to examine the social conditions of women who never attended prenatal care and to evaluate the perinatal outcome of their newborns.

Study design: A retrospective analysis of uncared pregnancies of women who delivered at the Department of Obstetrics and Gynaecology, University of Szeged, Hungary between 1 January 1996 and 31 December 1998. There were 5262 deliveries during this period, of which 54 (1%) had no prenatal care. Matched controls (108 cases) were selected on the basis of maternal age, educational level, the number of gravidity and parity, and marital status.

Results: The mean age of women with out-of-care pregnancies was 27 years+/-3.9; 5 women were under 18, 23 (43%) were unmarried, 5 (9.3%) did not finish elementary school and 35 (65%) had only elementary school education. Compared to the controls there were more in preterm labors (33 versus 14% (OR 3.1, 95% CI 1.4-6.8)), lower birth weight (P<0.001) and more given up for adoption (17 versus 0.9% (OR 21.4, 95% CI 2.63-173.9)).

Conclusion: These data underline the importance of regular prenatal care in the prevention of preterm delivery.

MeSH terms

  • Adoption
  • Adult
  • Birth Weight
  • Educational Status
  • Female
  • Humans
  • Hungary / epidemiology
  • Marital Status
  • Maternal Age
  • Obstetric Labor, Premature / epidemiology
  • Parity
  • Pregnancy
  • Pregnancy Outcome*
  • Prenatal Care*
  • Retrospective Studies