Caracterização das mães, partos e recém-nascidos em Campinas, São Paulo, 2001 e 2005

Morcillo, André Moreno; Carniel, Emília de Faria; Zanolli, Maria de Lurdes; Moreno, Luisa Zanolli; Antônio, Maria Ângela Reis de Góes Monteiro

doi:10.1590/s0103-05822010000300003

Cited by 5 publications

(9 citation statements)

References 11 publications

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“…First, age younger 20 years did not exhibit an association with NNM, although adolescent pregnancy is usually associated with poorer maternal and perinatal outcomes including prematurity, low birth weight and occurrence of 5-min Apgar scores of less than 7, than pregnancy in adult women [3, 13–15]. Other mechanisms that are not biological might mediate the relationships between adolescence and adverse obstetric/perinatal outcomes, which previous studies failed to detect.…”

Section: Discussionmentioning

confidence: 88%

Neonatal near miss determinants at a maternity hospital for high-risk pregnancy in Northeastern Brazil: a prospective study

Lima

Katz

Kassar

et al. 2018

BMC Pregnancy Childbirth

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BackgroundTo investigate the associations of maternal variables – sociodemographic, obstetrical and maternal near miss (MNM) variables – with neonatal near miss (NNM) using the new concept of NNM formulated by the Centro Latino-Americano de Perinatologia (CLAP) and the corresponding health indicators for NNM.MethodsAn analytical prospective cohort study was performed at maternity hospital for high-risk pregnancy in Northeastern Brazil. Puerperal women whose newborn infants met the selection criteria were subjected to interviews involving pretested questionnaires.Statistical analysis was performed with the Epi Info 3.5.1 program using the Chi square test and Fisher’s exact test when appropriate, with a level of significance of 5%. A bivariate analysis was performed to evaluate differences between the groups. All the variables evaluated in the bivariate analysis were subsequently included in the multivariate analysis. For stepwise logistic regression analysis, a hierarchical model was plotted to assess variable responses and adverse outcomes associated with MNM and NNM variables.ResultsThere were 1002 live births (LB) from June 2015 through May 2016, corresponding to 723 newborn infants (72.2%) without any neonatal adverse outcomes, 221 (22%) NNM cases, 44 (4.4%) early neonatal deaths and 14 (1.4%) late neonatal deaths. The incidence of NNM was 220/1000 LB. Following multivariate analysis, the factors that remained significantly associated with increased risk of NNM were fewer than 6 prenatal care visits (odds ratio (OR): 3.57; 95% confidence interval (CI): 2.57–4.94) and fetal malformations (OR: 8.78; 95% CI: 3.69–20.90). Maternal age older than 35 years (OR: 0.43; 95% CI: 0.23–0.83) and previous cesarean section (OR: 0.45; 95% CI: 0.29–0.68) protected against NNM.ConclusionBased on the large differences between the NNM and neonatal mortality rates found in the present study and the fact that NNM seems to be a preventable precursor of neonatal death, we suggest that all cases of NNM should be audited. Inadequate prenatal care and fetal malformations increased the risk of NNM, while older maternal age and a history of a previous cesarean section were protective factors.

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Section: Discussionmentioning

confidence: 88%

Neonatal near miss determinants at a maternity hospital for high-risk pregnancy in Northeastern Brazil: a prospective study

Lima

Katz

Kassar

et al. 2018

BMC Pregnancy Childbirth

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“…Um estudo descritivo em Campinas (SP) discorreu sobre os nascidos vivos da cidade em 2005 comparando-os com os nascimentos em 2001. 4 Alguns estudos de análise de séries temporais de informações constantes no SINASC também vêm contribuindo para a área de saúde materno infantil. 5,6 No estudo sobre a mortalidade infantil em Porto Alegre (RS), também foi analisada a evolução temporal de variáveis do SINASC.…”

Section: Introductionunclassified

Série temporal de características maternas e de nascidos vivos em Niterói, RJ

Rozario

Brito

Kale

et al. 2013

Rev. Bras. Saude Mater. Infant.

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Objectives: to describe the tendency over time of characteristics of the mother, care provided and newborns, in Niterói, a city in the Brazilian State of Rio de Janeiro.Methods: an ecological time-series study from 2000 to 2009. Data were gathered from the Live Birth Information System (SINASC). Annual variations were described in age, schooling and reproductive history of mother, prenatal care, kind of delivery, color, birth weight and gestational age.Results: the completeness of information was high among the 62,449 live newborns studied. Births fell and primiparity increased. There was reduction in pregnancies among adolescents (2.3% per year) and an increase in mothers aged over 35 years. Schooling improved, with a decrease in the percentage of pregnant women with less than eight years of school. Around 80% of women had attended seven or more prenatal sessions. Caesarean births tended to increase in frequency, with 67.7% of woman having one of these in 2009. Low birth weight showed a tendency to fall by 1.1% per year. Prematurity increased by 7.4 to 7.9%.Conclusions: there were positive demographic and social changes in Niterói. Birth weight was not much affected by prematurity. As in other locations in Brazil, there has been an increase in the number of women undergoing Caesarian sections.

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“…Sendo assim, o baixo PN é um importante preditor de déficit de crescimento na infância (32) , porém, tanto o baixo PN quanto o peso elevado ao nascer podem ser fatores de risco para a obesidade na infância (9) . No presente estudo, a maioria das crianças nasceram com peso considerado adequado, resultado semelhante a outro estudo (33) , corroborando com a correlação positiva encontrada no atual estudo entre o PN, a altura e o peso atual da criança.…”

Section: Discussionunclassified

Relação entre o peso ao nascer e o tempo de aleitamento materno com o estado nutricional atual de crianças

Goergen¹,

Bosco²,

Adami³

2015

RBPS

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RESUMOObjetivo: Analisar a relação entre o peso ao nascer (PN) e o tempo de aleitamento materno (AM) com o atual estado nutricional de crianças de dois a seis anos de idade. Métodos: Estudo observacional, quantitativo e do tipo transversal, realizado com crianças, independentemente do sexo, com idades entre dois a seis anos, matriculadas em sete escolas de educação infantil da rede municipal de um município do interior do Rio Grande do Sul (RS), no período de junho a agosto de 2014. Participaram 353 crianças, aferindo-se peso e altura, após os pais terem respondido a um questionário de Peso ao Nascer (PN) e tempo de aleitamento materno. Resultados: A média de aleitamento materno exclusivo foi de 3,47 ± 2,81 meses. A maioria das crianças (50,7%, n=179) encontrou-se em risco de sobrepeso ou sobrepeso para a idade, conforme o Índice de Massa Corporal (IMC). O PN apresentou correlação positiva com a altura atual (r=0,164, p=0,002) e com o peso atual (r=0,180, p=0,001). O PN foi significativamente maior entre os meninos (p=0,003), e o tempo de AM associado à alimentação complementar foi significativamente maior entre as meninas (p=0,024). Conclusão: Os resultados sugerem que o peso ao nascer influencia o ganho de peso nos seis primeiros anos de vida, com maior destaque para os meninos; e o tempo de amamentação associado à alimentação complementar foi maior entre as meninas. Descritores

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Caracterização das mães, partos e recém-nascidos em Campinas, São Paulo, 2001 e 2005

Cited by 5 publications

References 11 publications

Neonatal near miss determinants at a maternity hospital for high-risk pregnancy in Northeastern Brazil: a prospective study

Neonatal near miss determinants at a maternity hospital for high-risk pregnancy in Northeastern Brazil: a prospective study

Série temporal de características maternas e de nascidos vivos em Niterói, RJ

Relação entre o peso ao nascer e o tempo de aleitamento materno com o estado nutricional atual de crianças

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