Burden of early-term birth on adverse infant outcomes: a population-based cohort study in Brazil

Detalhes bibliográficos
Autor(a) principal: Leal, Maria do Carmo
Data de Publicação: 2017
Outros Autores: Esteves-Pereira, Ana Paula, Nakamura-Pereira, Marcos, Domingues, Rosa Maria Soares Madeira, Dias, Marcos Augusto Bastos, Moreira, Maria Elisabeth, Theme-Filha, Mariza, da Gama, Silvana Granado Nogueira
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
DOI: 10.1136/bmjopen-2017-017789
Texto Completo: https://www.arca.fiocruz.br/handle/icict/31407
Resumo: Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil.
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spelling Leal, Maria do CarmoEsteves-Pereira, Ana PaulaNakamura-Pereira, MarcosDomingues, Rosa Maria Soares MadeiraDias, Marcos Augusto BastosMoreira, Maria ElisabethTheme-Filha, Marizada Gama, Silvana Granado Nogueira2019-02-04T17:43:00Z2019-02-04T17:43:00Z2017LEAL, Maria do Carmo et al. Burden of early-term birth on adverse infant outcomes: a population-based cohort study in Brazil. BMJ Open, v. 7, n. 12, p. 1-11, 2017.2044-6055https://www.arca.fiocruz.br/handle/icict/3140710.1136/bmjopen-2017-017789engBMJBurden of early-term birth on adverse infant outcomes: a population-based cohort study in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil.Objectives To estimate the national rate of early-term live births in Brazil and to evaluate the effect of birth at 37 and 38 weeks’ gestation, as compared with 39 and 40 weeks’ gestation on infant outcomes according to precursors of birth and the existence of maternal/fetal medical conditions. Design National perinatal population-based cohort study. Setting 266 maternity services located in the five Brazilian macroregions. Participants 18 652 singleton live newborns from 37 0/7 to 40 6/7 weeks of gestation. Main outcome measures Resuscitation in delivery room, oxygen therapy, transient tachypnoea, admission to neonatal intensive care unit (NICU), hypoglycaemia, use of antibiotics, phototherapy, phototherapy after hospital discharge, neonatal death and breastfeeding. Results Early terms accounted for 35% (95% CI 33.4% to 36.7%) of all live births. Among provider-initiated births in women without medical conditions, infants of 37 and 38 weeks’ gestation had higher odds of oxygen therapy (adjusted OR (AOR) 2.93, 95% CI 1.72 to 4.98 and AOR 1.9295% CI 1.18 to 3.13), along with admission to NICU (AOR 2.01, 95% CI 1.18 to 3.41 and AOR 1.56, 95% CI 1.02 to 2.60), neonatal death (AOR 14.40, 95% CI 1.94 to 106.69 and AOR 13.76,95% CI 2.84 to 66.75), hypoglycaemia in the first 48hours of life (AOR 7.86, 95% CI 1.95 to 31.71 and AOR 5.76, 95% CI 1.63 to 20.32), transient tachypnoea (AOR 2.98, 95% CI 1.57 to 5.65 and AOR 2.12, 95% CI 1.00 to 4.48) and the need for phototherapy within the first 72hours of life (AOR 3.59, 95% CI 1.95 to 6.60 and AOR 2.29, 95% CI 1.49 to 3.53), yet lower odds of breastfeeding up to 1hour after birth (AOR 0.67, 95% CI 0.53 to 0.86 and AOR 0.87, 95% CI 0.76 to 0.99) and exclusive breastfeeding during hospital stay (AOR 0.68, 95% CI 0.51 to 0.89 and AOR 0.84, 95% CI 0.71 to 0.99). Conclusion Birth at 37 and 38 weeks’ gestation increased the risk of most adverse infant outcomes analysed, especially among provider-initiated births and should be avoided before 39 weeks’ gestation in healthy pregnancies.Caesarean sectionEarly term birthGestational ageNeonatal outcomesinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/31407/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALBurden of early-term_Rosa_Domingues_INI_2017.pdfBurden of early-term_Rosa_Domingues_INI_2017.pdfapplication/pdf349281https://www.arca.fiocruz.br/bitstream/icict/31407/2/Burden%20of%20early-term_Rosa_Domingues_INI_2017.pdfad970849d1805edcc1b125e7eca7ede0MD52TEXTBurden of early-term_Rosa_Domingues_INI_2017.pdf.txtBurden of early-term_Rosa_Domingues_INI_2017.pdf.txtExtracted 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dc.title.pt_BR.fl_str_mv Burden of early-term birth on adverse infant outcomes: a population-based cohort study in Brazil
title Burden of early-term birth on adverse infant outcomes: a population-based cohort study in Brazil
spellingShingle Burden of early-term birth on adverse infant outcomes: a population-based cohort study in Brazil
Leal, Maria do Carmo
Caesarean section
Early term birth
Gestational age
Neonatal outcomes
title_short Burden of early-term birth on adverse infant outcomes: a population-based cohort study in Brazil
title_full Burden of early-term birth on adverse infant outcomes: a population-based cohort study in Brazil
title_fullStr Burden of early-term birth on adverse infant outcomes: a population-based cohort study in Brazil
title_full_unstemmed Burden of early-term birth on adverse infant outcomes: a population-based cohort study in Brazil
title_sort Burden of early-term birth on adverse infant outcomes: a population-based cohort study in Brazil
author Leal, Maria do Carmo
author_facet Leal, Maria do Carmo
Esteves-Pereira, Ana Paula
Nakamura-Pereira, Marcos
Domingues, Rosa Maria Soares Madeira
Dias, Marcos Augusto Bastos
Moreira, Maria Elisabeth
Theme-Filha, Mariza
da Gama, Silvana Granado Nogueira
author_role author
author2 Esteves-Pereira, Ana Paula
Nakamura-Pereira, Marcos
Domingues, Rosa Maria Soares Madeira
Dias, Marcos Augusto Bastos
Moreira, Maria Elisabeth
Theme-Filha, Mariza
da Gama, Silvana Granado Nogueira
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Leal, Maria do Carmo
Esteves-Pereira, Ana Paula
Nakamura-Pereira, Marcos
Domingues, Rosa Maria Soares Madeira
Dias, Marcos Augusto Bastos
Moreira, Maria Elisabeth
Theme-Filha, Mariza
da Gama, Silvana Granado Nogueira
dc.subject.en.pt_BR.fl_str_mv Caesarean section
Early term birth
Gestational age
Neonatal outcomes
topic Caesarean section
Early term birth
Gestational age
Neonatal outcomes
description Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil.
publishDate 2017
dc.date.issued.fl_str_mv 2017
dc.date.accessioned.fl_str_mv 2019-02-04T17:43:00Z
dc.date.available.fl_str_mv 2019-02-04T17:43:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv LEAL, Maria do Carmo et al. Burden of early-term birth on adverse infant outcomes: a population-based cohort study in Brazil. BMJ Open, v. 7, n. 12, p. 1-11, 2017.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/31407
dc.identifier.issn.pt_BR.fl_str_mv 2044-6055
dc.identifier.doi.none.fl_str_mv 10.1136/bmjopen-2017-017789
identifier_str_mv LEAL, Maria do Carmo et al. Burden of early-term birth on adverse infant outcomes: a population-based cohort study in Brazil. BMJ Open, v. 7, n. 12, p. 1-11, 2017.
2044-6055
10.1136/bmjopen-2017-017789
url https://www.arca.fiocruz.br/handle/icict/31407
dc.language.iso.fl_str_mv eng
language eng
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dc.publisher.none.fl_str_mv BMJ
publisher.none.fl_str_mv BMJ
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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instacron_str FIOCRUZ
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