Associação entre escolaridade de mulheres com idade materna avançada e índice Apgar em neonatos
Keywords:
pregnancy, labour, education, Apgar ScoreAbstract
Objective: To investigate the correlation between maternal education level and neonatal Apgar scores of parturients aged 40 years or older in a university hospital in Brasília. Methods: This was a retrospective cross-sectional study that analyzed physical and electronic medical records of women aged ≥40 years who delivered vaginally in 2021. Sociodemographic, clinical, and neonatal data were collected. The association between the Apgar score and education level was assessed using Spearman's test, considering a significance level of 5% (p<0.05). Results: Of the 1,384 parturients, 54 (3.9%) were ≥40 years old (mean 41.98 ± 1.95). The majority had completed high school (47.58%) and were multiparous (85.19%). The mean weight of the newborns was 3,190 g, and 85.19% had an Apgar score between 7 and 9 at the first minute. A statistically significant association was identified between higher maternal education and better Apgar scores (p=0.045). Conclusion: Advanced maternal age influences maternal and neonatal outcomes, and maternal education demonstrated a significant association with the first-minute Apgar score. Health education policies and strengthening prenatal care should be prioritized for older pregnant women.
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