Prevalência de nascimentos pré-termo por peso ao nascer: revisão sistemática

Silveira, Mariângela Freitas da; Matijasevich, Alícia; Horta, Bernardo Lessa; Bettiol, Heloísa; Barbieri, Marco Antônio; Silva, Antônio Augusto Moura da; Rondó, Patrícia H C; Lunardelli, Abelardo Nunes; Peres, Marco Aurélio; Gurgel, Ricardo Queiróz; Cunha, António; Calvano, L.; Amin, Joffre; Leal, María do Carmo; Matos, A.C.; Maranhão, Ana Goretti Kalume; Cortez-Escalante, Juan José; Barros, Aluísio J. D.; Barros, Fernando C.; Victora, Cesar G

doi:10.1590/s0034-8910.2013047004997

Cited by 23 publications

(17 citation statements)

References 23 publications

(37 reference statements)

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“…17 However, it was in the preterm strata before the physiological weight gain acceleration expected in the last 4 gestational weeks that the macrosomia frequency became more noticeable, comparing 2012-2014 to 2001-2010 in the present study. In the 2001-2010 period, the estimates were within the limits of prevalence of preterm newborns weighing between 4,000 g and 5,000 g obtained with a correctional equation provided by Silveira et al 14 For the 2012-2014 period, the estimates were higher than those found in the first period, and this probably reflects the improvement in the quality of the data from SINASC.…”

Section: Discussionsupporting

confidence: 58%

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Trends in the Prevalence of Live Macrosomic Newborns According to Gestational Age Strata, in Brazil, 2001–2010, and 2012–2014

Nascimento

Pereira

Lopata

et al. 2017

Rev Bras Ginecol Obstet

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Keywords► macrosomia ► prevalence ► trends ► epidemiology ► maternal health ► child health AbstractPurpose To describe the trends in the prevalence of macrosomia (birth weight ! 4,000 g) according to gestational age in Brazil in the periods of 2001-2010 and 2012-2014. Methods Ecological study with data from the Brazilian Live Birth Information System (SINASC, in the Portuguese acronym) regarding singleton live newborns born from 22 gestational weeks. The trends in Brazil as a whole and in each of its five regions were analyzed according to preterm (22-36 gestational weeks) and term (37-42 gestational weeks) strata. Annual Percent Changes (APCs) based on the Prais-Winsten method and their respective 95% confidence intervals (CIs) were used to verify statistically significant changes in 2001-2010. Results In Brazil, the prevalence of macrosomic births was of 5.3% (2001-2010) and 5.1% (2012-2014). The rates were systematically higher in the North and Northeast Regions both in the preterm and in term strata. In the preterm stratum, the North Region presented the highest variation in the prevalence of macrosomia (þ137.5%) when comparing 2001 (0.8%) to 2010 (1.9%). In the term stratum, downward trends were observed in Brazil as a whole and in every region. The trends for 2012-2014 were more heterogeneous, with the prevalence systematically higher than that observed for 2001-2010. The APC in the preterm stratum (2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010) showed a statistically significant trend change in the North (APC: 15.4%; 95%CI: 0.6-32.3) and South (APC: 13.5%; 95%CI: 4.8-22.9) regions. In the term stratum, the change occurred only in the North region (APC:-1.5%; 95%CI: -2.5--0.5).

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Section: Discussionsupporting

confidence: 58%

“…As differences between the SINASC data and the primary data studied by Silveira et al 14 were more marked involving newborns weighing up to 3,000 g, with lower or no significant difference above this weight group, no factor was used to correct the birth weight ! 4,000 g in relation to gestational age.…”

Section: Palavras-chavementioning

confidence: 99%

Trends in the Prevalence of Live Macrosomic Newborns According to Gestational Age Strata, in Brazil, 2001–2010, and 2012–2014

Nascimento

Pereira

Lopata

et al. 2017

Rev Bras Ginecol Obstet

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“…16 It is the moment to identify diseases which can affect both baby and mother during the gestation and lead to prematurity.…”

Section: Gestational Factors N %mentioning

confidence: 99%

Morbidity in extreme low birth weight newborns hospitalized in a high risk public maternity

Sousa

Júnior

Santos

et al. 2017

Rev. Bras. Saude Mater. Infant.

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Objectives: to determine the prevalence of the most common morbidities in extremely low birth weight (ELBW) infants hospitalized in a newborn intensive care unit (NICU) and to evaluate the influence of these morbidities through the length of in-hospital stay. Methods: observational, longitudinal, prospective and analytical study in a high risk reference maternity NICU from Sergipe, realized with 158 ELBW infants admitted between March 2014 and April 2015. The analysis of the hospitalization time was realized through the Kaplan-Meier method. Results: the average weight of premature was 785,2g ± 138,2g. The gestational age vary from 22 to 35 weeks and the average was 26,8 weeks. Of those admitted at NICU, sixty three (39,9%) were discharged and 95 (60,1%) died. The time of hospitalization was influenced for morbidities as: patent ductus arteriosus (PDA), intraventricular hemorrhage and sepsis. Acute respiratory distress syndrome was the most common complication (157 - 99,4%). The incidence of persistent arterial duct, intraventricular hemorrhage, sepsis, hypothermia, hypoglycemia and retinopathy of prematurity was 39,2%, 17,1%, 32,3%,50,3%, 52,3% e 16,6% respectively. Conclusions: the morbidities from respiratory tract, cardiac, neurological and infectious were the most prevalent, whilst PDA, intraventricular hemorrhage and sepsis were the morbidities that significantly influenced the time of hospitalization.

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“…High prevalence of prematurity brings important social and economic expenses, such as growing demand for neonatal intensive care units and costs of attention at short term, and in long term, caring for individuals suffering from permanent physical and mental damages caused by prematurity (Silveira et al, 2013). In developing countries, such as Brazil, the establishing of adequate caring parameters to newborns is one of the challenges to reduce infant mortality, as 70% of infant deaths are caused by neonatal complications.…”

Section: Introductionmentioning

confidence: 99%

Mothers and Premature Infants’ Emotional Interactions in a Neonatal Infant Care Unit: Case Studies

Tropiano

Fiamenghi²,

Blascovi‐Assis

2017

ESJ

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The aim of this study was to describe the ways premature infants and their mothers emotionally interact in the first weeks of their lives. In order to understand the intersubjective dyadic interaction between mother and premature infant, a qualitative and descriptive approach to research has been adopted. Four dyads comprised of primiparae women and their newly-born premature infants took part in the study. The babies were born prematurely after 28 to 35 weeks of gestation and admitted to the neonatal intensive care unit (NICU). Data was collected filming the first dyadic interaction with infant in the mother's arms, lasting between 15 to 30 minutes. After that first registry, dyadic behaviors between mother and baby were described and categorized following the intersubjective categories suggested by Fiamenghi (1999) and Fiamenghi et al. (2010). Results showed that dyads display positive emotions, with infants' behaviors falling into the categories of negotiation, interaction and emotional curiosity; as well as a low frequency of negative behaviors. The outcome of this research reinforces the need to adopt a humanizing approach to prematurely born infants and their mothers in NICU, as well as training and awareness of the whole multidisciplinary team that deals with them.

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Prevalência de nascimentos pré-termo por peso ao nascer: revisão sistemática

Cited by 23 publications

References 23 publications

Trends in the Prevalence of Live Macrosomic Newborns According to Gestational Age Strata, in Brazil, 2001–2010, and 2012–2014

Trends in the Prevalence of Live Macrosomic Newborns According to Gestational Age Strata, in Brazil, 2001–2010, and 2012–2014

Morbidity in extreme low birth weight newborns hospitalized in a high risk public maternity

Mothers and Premature Infants’ Emotional Interactions in a Neonatal Infant Care Unit: Case Studies

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