0354/2021 - Factors associated with neonatal near miss: birth cohorts of three Brazilian cities –Ribeirão Preto, Pelotas and São Luís Fatores associados ao near miss neonatal: coortes de nascimentos de três cidades brasileiras - Ribeirão Preto, Pelotas e São Luís
O objetivo deste estudo foi investigar a associação entre fatores sociodemográficos, estilo de vida, perfil reprodutivo maternos e atenção pré-natal e ao parto com a morbidade near miss neonatal (NMN), em quatro coortes de nascimento. Este estudo envolveu quatro coortes de nascimento: Ribeirão Preto (RP) e São Luís (SL) (2010), Pelotas 2004 (PEL04) e 2015 (PEL15). Foi considerado NMN quando presente uma ou mais das seguintes condições: peso ao nascer <1.500g, índice de Apgar <7 no quinto minuto de vida, idade gestacional <32 semanas e relato de malformações congênitas. As covariáveis foram obtidas por meio de questionários aplicados às puérperas. Para análise, foi utilizada regressão logística múltipla com abordagem hierarquizada. Algumas particularidades entre as coortes foram verificadas. Nas coortes de RP e SL foram observadas associações dos fatores dos níveis mais distais (sociodemográficas, estilo de vida e perfil reprodutivo) com o NMN. Por outro lado, em PEL os fatores proximais relacionados à atenção à saúde foram mais significativos para ocorrência de NMN. Apenas a não realização do pré-natal associou-se ao NMN em todas as coortes: RP (OR=4,27, IC95%2,16-8,45), SL (OR=2,32, IC95%1,09-4,94), PEL04 (OR=4,79, IC95%1,59-14,46) e PEL15 (OR=5,10, IC95%2,60-9,97).
The aim of this study was to investigate the association of sociodemographic factors, lifestyle, maternal reproductive profile and prenatal and childbirth care with neonatal near miss (NNM) morbidity in four birth cohorts. This study involved four population-based birth cohorts: Ribeirão Preto (RP) and São Luís (SL) (2010), Pelotas 2004 (PEL04) and 2015 (PEL15). NNM was defined when one or more of the following conditions were present: birthweight <1,500 g, 5-minute Apgar score <7, gestational age <32 weeks, and report of congenital malformations. The covariates were obtained with questionnaires applied to the puerperal women. Some particularities between cohorts were identified. In the RP and SL cohorts, factors of the more distal levels (sociodemographic, lifestyle, and reproductive profile) were associated with NNM. On the other hand, proximal factors related to healthcare were more significant for the occurrence of NNM in PEL. Only the absence of prenatal care was associated with NNM in all cohorts: RP (OR=4.27, 95%CI 2.16-8.45), SL (OR=2.32, 95%CI 1.09-4.94), PEL04 (OR=4.79, 95%CI 1.59-14.46), and PEL15 (OR=5.10, 95%CI 2.60-9.97).
Keywords:
Prenatal care, Neonatal mortality, Maternal and child health
Fatores associados ao near miss neonatal: coortes de nascimentos de três cidades brasileiras - Ribeirão Preto, Pelotas e São Luís
Resumo (abstract):
The aim of this study was to investigate the association of sociodemographic factors, lifestyle, maternal reproductive profile and prenatal and childbirth care with neonatal near miss (NNM) morbidity in four birth cohorts. This study involved four population-based birth cohorts: Ribeirão Preto (RP) and São Luís (SL) (2010), Pelotas 2004 (PEL04) and 2015 (PEL15). NNM was defined when one or more of the following conditions were present: birthweight <1,500 g, 5-minute Apgar score <7, gestational age <32 weeks, and report of congenital malformations. The covariates were obtained with questionnaires applied to the puerperal women. Some particularities between cohorts were identified. In the RP and SL cohorts, factors of the more distal levels (sociodemographic, lifestyle, and reproductive profile) were associated with NNM. On the other hand, proximal factors related to healthcare were more significant for the occurrence of NNM in PEL. Only the absence of prenatal care was associated with NNM in all cohorts: RP (OR=4.27, 95%CI 2.16-8.45), SL (OR=2.32, 95%CI 1.09-4.94), PEL04 (OR=4.79, 95%CI 1.59-14.46), and PEL15 (OR=5.10, 95%CI 2.60-9.97).
Palavras-chave (keywords):
Prenatal care, Neonatal mortality, Maternal and child health
Rocha, P.R.H, BETTIOL, H., Confortin, S. C., Bazo, G., Aristizábal, L. Y. G., Simões, V.M.F, Matijasevich, A., Santos, I. S., Silveira, M.F, Cavalli, R. de C., Silva, A.A.M., Barbieri, M.A. Factors associated with neonatal near miss: birth cohorts of three Brazilian cities –Ribeirão Preto, Pelotas and São Luís. Cien Saude Colet [periódico na internet] (2021/dez). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/factors-associated-with-neonatal-near-miss-birth-cohorts-of-three-brazilian-cities-ribeirao-preto-pelotas-and-sao-luis/18253?id=18253
