Baixo peso ao nascer e condições maternas no pré-natal

Minagawa, Áurea Tamami; Biagoline, Rosângela Elaine Minéo; Fujimori, Elizabeth; Oliveira, Ida Maria Vianna de; Moreira, Ana Paula de Campos Araújo; Ortega, Luiza Dolores Saldaña

doi:10.1590/s0080-62342006000400014

Cited by 31 publications

(31 citation statements)

References 20 publications

(20 reference statements)

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“…Extremes of reproductive age 13,14 , women without a partner 14 , low educational level and low pregestational BMI 1,15,16 were findings shown to be risk factors for low birth weight in this population, and these findings are in agreement with data reported by various other investigators. On the other hand, the present study also showed obesity to be a protective factor, which may reflect the fact that obese women have a greater risk of developing hyperglycemic states or diabetes (gestational or type II), commonly associated with a greater gain in fetal weight.…”

Section: Discussionsupporting

confidence: 93%

“…Despite these limitations, it is believed that the detection and prenatal management of changeable risk factors such as low maternal BMI, smoking and the interdelivery interval may contribute towards reducing the occurrence of low birth weight. Likewise, adequate prenatal care was found to reduce the occurrence of adverse perinatal events, including low birth weight 14,34 . Therefore, it is feasible to assume that counseling and pre-gestational intervention could possibly contribute similarly to an improvement in perinatal outcome.…”

Section: Discussionmentioning

confidence: 99%

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Factors associated with low birth weight in a historical series of deliveries in Campinas, Brazil

Coutinho¹,

Cecatti²,

Surita³

et al. 2009

Rev. Assoc. Med. Bras.

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SummaryObjective. To identify the risk factors associated with low birth weight (<2500 grams). MethOds. Unmatched case-control study performed in a tertiary maternity hospital in Campinas, Brazil, involving 43,499 liveborn infants delivered in the institution between 1986 and 2004. Analysis of the database containing information on deliveries of women who gave birth to infants with low (6,477 cases) and normal (37,467) birth weight were performed. Factors associated with low birth weight were identified according to the odds ratio (OR) and 95% confidence interval (95%CI) in the bivariate analysis and according to the adjusted OR in the multivariate analysis. Sociodemographic characteristics, reproductive history, previous morbidity and factors related to current prenatal care were studied. Results. Extremes of reproductive age, poor education, low maternal weight, smoking beyond the fourth month of pregnancy, previous cesarean section, interdelivery interval ≤24 months and ≥37 months, maternal history of hypertension, cardiopathy and premature delivery, few (≤5) prenatal visits and beginning prenatal care late in pregnancy (after the 3rd month), premature rupture of membranes, increased blood pressure, infectious diseases and hemorrhages during current pregnancy were all associated with low birth weight. Maternal obesity and being a primipara were found to be protective factors. cOnclusiOn. These results confirm the findings of previous studies. The detection and prenatal management of modifiable factors, counseling, pre-conception intervention, adequate prenatal care and the implementation of primary and secondary prevention of maternal morbidity should be a target for all obstetrician as a potential source for reducing the incidence of low birth weight.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Factors associated with low birth weight in a historical series of deliveries in Campinas, Brazil

Coutinho¹,

Cecatti²,

Surita³

et al. 2009

Rev. Assoc. Med. Bras.

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“…After prior selection, 64 studies were identified. Despite the large number of papers traced in Latin America, only seven were selected, six of them in Brazil (3,4,15,(22)(23)(24) and one in Cuba (25) . In figure 1, the graph shows a distancing in five studies of the values of OR to the left of number 1, demonstrating that maternal age <20 years displays significance as an influence on low birthweight.…”

Section: Resultsmentioning

confidence: 99%

Fatores de risco maternos não biológicos para o baixo peso ao nascer na América Latina: revisão sistemática de literatura com meta-análise

Silva

2012

Einstein (São Paulo)

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OBJETIVO: Identificar os fatores de risco maternos não biológicos para o baixo peso ao nascer na América Latina. MÉTODOS: Revisão sistemática de literatura com meta-análise. O instrumento de avaliação metodológica foi Strengthening the Reporting of Observational Studies in Epidemiology Statement. Foram excluídos estudos com fatores de risco patológicos maternos para o baixo peso ao nascer e os trabalhos com avaliação da qualidade metodológica Strengthening the Reporting of Observational Studies in Epidemiology Statement com nota C. RESULTADOS: Sete estudos foram incluídos dos quais cinco deles apresentaram idade materna <20 anos como fator de risco para baixo peso ao nascer. Em quatro estudos, a idade materna >35 anos, influenciou o baixo peso ao nascer. Os demais fatores de risco apareceram em apenas um ou dois estudos. CONCLUSÃO: As evidências obtidas neste estudo sugerem que a idade materna <20 anos e >35 anos são significativas na influência ao baixo peso ao nascer. Observou-se uma escassez de trabalhos com metodologia criteriosa, dificultando a avaliação por meio de meta-análise.

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“…Nevertheless, the health sector can contribute to changing this situation (18) . Special attention should be given to the need to improve women's health care and prenatal quality (19) , with a view to improve the iron reserves of women in general and especially of pregnant women.…”

Section: Discussionmentioning

confidence: 99%

Anemia em gestantes de municípios das regiões Sul e Centro-Oeste do Brasil

Fujimori

Sato

Araújo

et al. 2009

Rev. esc. enferm. USP

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We aimed to analyze anemia distribution in pregnant women who were attending health services in two cities in the South and Mid-West Regions in Brazil. This is a retrospective cross-sectional study developed from 954 and 781 medical records data in Cuiabá-MT and Maringá-PR. We collected data of social and demographic features as well as pre-natal care. Women who presented hemoglobin lower then 11g/dL were considered having anemia. Social inequity between the two cities was evident. Pregnant women from Cuiabá-MT were significantly poorer then those from Maringá-PR. Anemia prevalence was higher and means of hemoglobin were lower in Cuiabá-MT, apart from gestational age. We found that the age, marital status, number of previous pregnancies, nutritional status and gestational trimester were associated with the level of hemoglobin. Regional differences in the occurrence of anemia are social determined and should be considered in the proposal of interventions in the public health field.

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Baixo peso ao nascer e condições maternas no pré-natal

Cited by 31 publications

References 20 publications

Factors associated with low birth weight in a historical series of deliveries in Campinas, Brazil

Factors associated with low birth weight in a historical series of deliveries in Campinas, Brazil

Fatores de risco maternos não biológicos para o baixo peso ao nascer na América Latina: revisão sistemática de literatura com meta-análise

Anemia em gestantes de municípios das regiões Sul e Centro-Oeste do Brasil

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