Brazilian multicentre study on preterm birth (EMIP): prevalence and factors associated with spontaneous preterm birth

Detalhes bibliográficos
Autor(a) principal: Passini Junior, Renato
Data de Publicação: 2014
Outros Autores: Cecatti, Jose G., Lajos, Giuliane J., Tedesco, Ricardo P., Nomura, Marcelo L., Dias, Tabata Z., Haddad, Samira M., Rehder, Patricia M., Pacagnella, Rodolfo C., Costa, Maria L., Sousa, Maria H.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/9619
Resumo: Universidade de Campinas. Faculdade de Ciências Médicas. Departamento de Obstetrícia e Ginecologia. Campinas, SP, Brasil.
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spelling Passini Junior, RenatoCecatti, Jose G.Lajos, Giuliane J.Tedesco, Ricardo P.Nomura, Marcelo L.Dias, Tabata Z.Haddad, Samira M.Rehder, Patricia M.Pacagnella, Rodolfo C.Costa, Maria L.Sousa, Maria H.2015-03-04T16:42:56Z2015-03-04T16:42:56Z2014PASSINI JUNIOR, Renato. et al. Brazilian multicentre study on preterm birth (EMIP): prevalence and factors associated with spontaneous preterm birth. PLos ONE., San Francisco, v. 9, n. 10, 2014.https://www.arca.fiocruz.br/handle/icict/961910.1371/journal.pone.0109069engPublic Library of ScienceBrazilian multicentre study on preterm birth (EMIP): prevalence and factors associated with spontaneous preterm birthinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleUniversidade de Campinas. Faculdade de Ciências Médicas. Departamento de Obstetrícia e Ginecologia. Campinas, SP, Brasil.Universidade de Campinas. Faculdade de Ciências Médicas. Departamento de Obstetrícia e Ginecologia. Campinas, SP, Brasil. / Centro de Estudos em Saúde Reprodutiva de Campinas. Campinas, SP, Brasil.Universidade de Campinas. Faculdade de Ciências Médicas. Departamento de Obstetrícia e Ginecologia. Campinas, SP, Brasil.Universidade de Campinas. Faculdade de Ciências Médicas. Departamento de Obstetrícia e Ginecologia. Campinas, SP, Brasil. / Faculdade de Medicina de Jundiaí. Jundiaí, SP, Brasil.Universidade de Campinas. Faculdade de Ciências Médicas. Departamento de Obstetrícia e Ginecologia. Campinas, SP, Brasil.Universidade de Campinas. Faculdade de Ciências Médicas. Departamento de Obstetrícia e Ginecologia. Campinas, SP, Brasil.Universidade de Campinas. Faculdade de Ciências Médicas. Departamento de Obstetrícia e Ginecologia. Campinas, SP, Brasil.Universidade de Campinas. Faculdade de Ciências Médicas. Departamento de Obstetrícia e Ginecologia. Campinas, SP, Brasil.Universidade de Campinas. Faculdade de Ciências Médicas. Departamento de Obstetrícia e Ginecologia. Campinas, SP, Brasil.Universidade de Campinas. Faculdade de Ciências Médicas. Departamento de Obstetrícia e Ginecologia. Campinas, SP, Brasil.Centro de Estudos em Saúde Reprodutiva de Campinas. Campinas, SP, Brasil.Background:Preterm birth rate is increasing and is currently a worldwide concern. The purpose of this study was to estimate the prevalence of preterm birth in a sample of health facilities in Brazil and to identify the main risk factors associated with spontaneous preterm births. Methods and Findings:This was a multicentre cross sectional study on preterm births in 20 referral obstetric hospitals with a case-control component to identify factors associated with spontaneous preterm birth. Surveillance was implemented at all centres to identify preterm births. For eligible consenting women, data were collected through a post-delivery questionnaire completed with information from all mother-newborn medical records until death or discharge or at a maximum of 60 days post-delivery, whichever came first. The risk of spontaneous preterm birth was estimated with OR and 95%CI for several predictors. A non-conditional logistic regression analysis was then performed to identify independently associated factors. The overall prevalence of preterm birth was 12.3%. Among them, 64.6% were spontaneous and 35.4% therapeutic. In the case-control component, 2,682 spontaneous preterm births were compared to a sample of 1,146 term births. Multivariate analyses identified the following as risk factors for spontaneous preterm birth among women with at least one previous birth: a previous preterm birth (OR adj= 3.19, 2.30–4.43), multiple pregnancy (ORadj = 29.06, 8.43–100.2), cervical insufficiency (ORadj= 2.93, 1.07–8.05), foetal malformation (ORadj= 2.63, 1.43–4.85), polyhydramnios (ORadj = 2.30, 1.17–4.54), vaginal bleeding (ORadj= 2.16, 1.50–3.11), and previous abortion (ORadj= 1.39, 1.08–1.78). High BMI (ORadj = 0.94, 0.91–0.97) and weight gain during gestation (ORadj = 0.92, 0.89–0.95) were found to be protective factors. Conclusions:The preterm birth rate in these health facilities in Brazil is high and spontaneous preterm births account for two thirds of them. A better understanding of the factors associated with spontaneous preterm birth is of utmost importance for planning effective measures to reduce the burden of its increasing rates.Coeficiente de NatalidadePrematuroTrabalho de Parto PrematuroRecém-Nascidoinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-81914https://www.arca.fiocruz.br/bitstream/icict/9619/1/license.txt7d48279ffeed55da8dfe2f8e81f3b81fMD51ORIGINALBrazilian Multicentre Study on Preterm Birth (EMIP).pdfBrazilian Multicentre Study on Preterm Birth (EMIP).pdfapplication/pdf397892https://www.arca.fiocruz.br/bitstream/icict/9619/2/Brazilian%20Multicentre%20Study%20on%20Preterm%20Birth%20%28EMIP%29.pdfa09e8cb1030d8f33dd4f2bf94af73cf8MD52TEXTBrazilian Multicentre Study on Preterm Birth (EMIP).pdf.txtBrazilian Multicentre Study on Preterm Birth (EMIP).pdf.txtExtracted texttext/plain52889https://www.arca.fiocruz.br/bitstream/icict/9619/3/Brazilian%20Multicentre%20Study%20on%20Preterm%20Birth%20%28EMIP%29.pdf.txt64d3e7ecd2453807fc569d45df43d3a9MD53icict/96192018-04-04 08:26:28.68oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352018-04-04T11:26:28Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv Brazilian multicentre study on preterm birth (EMIP): prevalence and factors associated with spontaneous preterm birth
title Brazilian multicentre study on preterm birth (EMIP): prevalence and factors associated with spontaneous preterm birth
spellingShingle Brazilian multicentre study on preterm birth (EMIP): prevalence and factors associated with spontaneous preterm birth
Passini Junior, Renato
Coeficiente de Natalidade
Prematuro
Trabalho de Parto Prematuro
Recém-Nascido
title_short Brazilian multicentre study on preterm birth (EMIP): prevalence and factors associated with spontaneous preterm birth
title_full Brazilian multicentre study on preterm birth (EMIP): prevalence and factors associated with spontaneous preterm birth
title_fullStr Brazilian multicentre study on preterm birth (EMIP): prevalence and factors associated with spontaneous preterm birth
title_full_unstemmed Brazilian multicentre study on preterm birth (EMIP): prevalence and factors associated with spontaneous preterm birth
title_sort Brazilian multicentre study on preterm birth (EMIP): prevalence and factors associated with spontaneous preterm birth
author Passini Junior, Renato
author_facet Passini Junior, Renato
Cecatti, Jose G.
Lajos, Giuliane J.
Tedesco, Ricardo P.
Nomura, Marcelo L.
Dias, Tabata Z.
Haddad, Samira M.
Rehder, Patricia M.
Pacagnella, Rodolfo C.
Costa, Maria L.
Sousa, Maria H.
author_role author
author2 Cecatti, Jose G.
Lajos, Giuliane J.
Tedesco, Ricardo P.
Nomura, Marcelo L.
Dias, Tabata Z.
Haddad, Samira M.
Rehder, Patricia M.
Pacagnella, Rodolfo C.
Costa, Maria L.
Sousa, Maria H.
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Passini Junior, Renato
Cecatti, Jose G.
Lajos, Giuliane J.
Tedesco, Ricardo P.
Nomura, Marcelo L.
Dias, Tabata Z.
Haddad, Samira M.
Rehder, Patricia M.
Pacagnella, Rodolfo C.
Costa, Maria L.
Sousa, Maria H.
dc.subject.decs.pt_BR.fl_str_mv Coeficiente de Natalidade
Prematuro
Trabalho de Parto Prematuro
Recém-Nascido
topic Coeficiente de Natalidade
Prematuro
Trabalho de Parto Prematuro
Recém-Nascido
description Universidade de Campinas. Faculdade de Ciências Médicas. Departamento de Obstetrícia e Ginecologia. Campinas, SP, Brasil.
publishDate 2014
dc.date.issued.fl_str_mv 2014
dc.date.accessioned.fl_str_mv 2015-03-04T16:42:56Z
dc.date.available.fl_str_mv 2015-03-04T16:42:56Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv PASSINI JUNIOR, Renato. et al. Brazilian multicentre study on preterm birth (EMIP): prevalence and factors associated with spontaneous preterm birth. PLos ONE., San Francisco, v. 9, n. 10, 2014.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/9619
dc.identifier.doi.none.fl_str_mv 10.1371/journal.pone.0109069
identifier_str_mv PASSINI JUNIOR, Renato. et al. Brazilian multicentre study on preterm birth (EMIP): prevalence and factors associated with spontaneous preterm birth. PLos ONE., San Francisco, v. 9, n. 10, 2014.
10.1371/journal.pone.0109069
url https://www.arca.fiocruz.br/handle/icict/9619
dc.language.iso.fl_str_mv eng
language eng
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eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Public Library of Science
publisher.none.fl_str_mv Public Library of Science
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
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reponame_str Repositório Institucional da FIOCRUZ (ARCA)
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