title: Maternal Factors and Adverse Perinatal Outcomes in Women with Preeclampsia in Maceió, Alagoas.
abstract: BACKGROUND
  Preeclampsia has been associated with several risk factors and events. However, it still deserves further investigation, considering the multitude of related factors that affect different populations.
  
  
  OBJECTIVE
  To evaluate the maternal factors and adverse perinatal outcomes in a cohort of pregnant women with preeclampsia receiving care in the public health network of the city of Maceió.
  
  
  METHODS
  Prospective cohort study carried out in 2014 in the public health network of the city with a sample of pregnant women calculated based on a prevalence of preeclampsia of 17%, confidence level of 90%, power of 80%, and ratio of 1:1. We applied a questionnaire to collect socioeconomic, personal, and anthropometric data, and retrieved perinatal variables from medical records and certificates of live birth. The analysis was performed with Poisson regression and chi-square test considering p values < 0.05 as significant.
  
  
  RESULTS
  We evaluated 90 pregnant women with preeclampsia (PWP) and 90 pregnant women without preeclampsia (PWoP). A previous history of preeclampsia (prevalence ratio [PR] = 1.57, 95% confidence interval [95% CI] 1.47 - 1.67, p = 0.000) and black skin color (PR = 1.15, 95% CI 1.00 - 1.33, p = 0.040) were associated with the occurrence of preeclampsia. Among the newborns of PWP and PWoP, respectively, 12.5% and 13.1% (p = 0.907) were small for gestational age and 25.0% and 23.2% (p = 0.994) were large for gestational age. There was a predominance of cesarean delivery.
  
  
  CONCLUSIONS
  Personal history of preeclampsia and black skin color were associated with the occurrence of preeclampsia. There was a high frequency of birth weight deviations and cesarean deliveries.
authors.affiliation: Universidade Federal de Alagoas, Brazil.
authors.forename: Alane Cabral Menezes
authors.initials: AC
authors.lastname: de Oliveira
authors.affiliation: Hospital Universitário Professor Alberto Antunes, Maceió, AL, Brazil.
authors.forename: Arianne Albuquerque
authors.initials: AA
authors.lastname: Santos
authors.affiliation: Universidade Federal de Alagoas, Brazil.
authors.forename: Alexandra Rodrigues
authors.initials: AR
authors.lastname: Bezerra
authors.affiliation: Universidade Federal de Alagoas, Brazil.
authors.forename: Amanda Maria Rocha
authors.initials: AM
authors.lastname: de Barros
authors.affiliation: Universidade Federal de Alagoas, Brazil.
authors.forename: Myrian Cicyanne Machado
authors.initials: MC
authors.lastname: Tavares
mesh_terms: D000328:Adult; D000367:Age Factors; D000886:Anthropometry; D001034:Apgar Score; D001724:Birth Weight; D001938:Brazil / Q000453:epidemiology; D016022:Case-Control Studies; D005260:Female; D005865:Gestational Age; D006801:Humans; D011225:Pre-Eclampsia / Q000453:epidemiology / Q000209:etiology* / Q000503:physiopathology; D011247:Pregnancy; D011256:Pregnancy Outcome; D011446:Prospective Studies; D012307:Risk Factors; D012880:Skin Pigmentation; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult