Risk stratification for small for gestational age for the Brazilian population: a secondary analysis of the Birth in Brazil study
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2020 |
| Outros Autores: | , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/44355 |
Resumo: | Birth in Brazil study database is not available in data repositories, but any data required can be provided by the Birth in Brazil team after appropriate approval. |
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Souza, Renato T.Vieira, Matias C.Esteves-Pereira, Ana PaulaDomingues, Rosa Maria Soares MadeiraMoreira, Maria Elisabeth LopesCunha Filho, Edson Vieira daSandall, JaneCecatti, Jose G.Leal, Maria do CarmoDias, Marcos Augusto BastosPasupathy, Dharmintra2020-11-09T20:27:52Z2020-11-09T20:27:52Z2020SOUZA, Renato T. et al. Risk stratification for small for gestational age for the Brazilian population: a secondary analysis of the Birth in Brazil study. Scientific Reports, v. 10, p. p. 1-9, 2020.2045-2322https://www.arca.fiocruz.br/handle/icict/4435510.1038/s41598-020-71252-yBirth in Brazil study database is not available in data repositories, but any data required can be provided by the Birth in Brazil team after appropriate approval.Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Ginecologia e Obstetrícia. Campinas, SP, Brasil.Universidade Estadual de Campinas. Campinas, SP, Brasil / King's College London. Faculty of Life Sciences and Medicine. School of Life Course Sciences. Department of Women and Children's Health. London, United Kingdom / Pontifica Universidade Católica do Rio Grande do Sul. Faculdade de Medicina. Hospital São Lucas. Porto Alegre, RS, Brasil.Pontifícia Universidade Católica do Rio Grande do Sul. Faculdade de Medicina. Hospital São Lucas. Porto Alegre, RS, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Departamento de Neonatologia. Rio de Janeiro, RJ, Brasil.Pontifícia Universidade Católica do Rio Grande do Sul. Faculdade de Medicina. Hospital São Lucas. Porto Alegre, RS, Brasil.King's College London. Faculty of Life Sciences and Medicine, School of Life Course Sciences. Department of Women and Children's Health. London, United Kingdom.Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Ginecologia e Obstetrícia. Campinas, SP, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. 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.King's College London. Faculty of Life Sciences and Medicine, School of Life Course Sciences. Department of Women and Children's Health. London, United Kingdom / University of Sydney. Westmead Clinical School. Discipline of Obstetrics, Gynaecology and Neonatology. Sydney, Australia.Risk-stratification screening for SGA has been proposed in high-income countries to prevent perinatal morbidity and mortality. There is paucity of data from middle-income settings. The aim of this study is to explore risk factors for SGA in Brazil and assess potential for risk stratification. This population-based study is a secondary analysis of Birth in Brazil study, conducted in 266 maternity units between 2011 and 2012. Univariate and multivariate logistic regressions were performed, and population attributable fraction estimated for early and all pregnancy factors. We calculated absolute risk, odds ratio, and population prevalence of single or combined factors stratified by parity. Factors associated with SGA were maternal lupus (ORadj 4.36, 95% CI [2.32-8.18]), hypertensive disorders in pregnancy (ORadj 2.72, 95% CI [2.28-3.24]), weight gain < 5 kg (ORadj 2.37, 95% CI [1.99-2.83]), smoking at late pregnancy (ORadj 2.04, 95% CI [1.60-2.59]), previous low birthweight (ORadj 2.22, 95% CI [1.79-2.75]), nulliparity (ORadj 1.81, 95% CI [1.60-2.05]), underweight (ORadj 1.61, 95% CI [1.36-1.92]) and socioeconomic status (SES) < 5th centile (ORadj 1.23, 95% CI [1.05-1.45]). Having two or more risk factors (prevalence of 4.4% and 8.0%) was associated with a 2 and fourfold increase in the risk for SGA in nulliparous and multiparous, respectively. Early and all pregnancy risk factors allow development of risk-stratification for SGA. Implementation of risk stratification coupled with specific strategies for reduction of risk and increased surveillance has the potential to contribute to the reduction of stillbirth in Brazil through increased detection of SGA, appropriate management and timely delivery.engNature ResearchRisk stratification for small for gestational age for the Brazilian population: a secondary analysis of the Birth in Brazil studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txttext/plain1748https://www.arca.fiocruz.br/bitstream/icict/44355/1/license.txt8a4605be74aa9ea9d79846c1fba20a33MD51ORIGINALrenato_souza_et_all.pdfapplication/pdf924002https://www.arca.fiocruz.br/bitstream/icict/44355/2/renato_souza_et_all.pdf086b01e1effc651cd494b4cce7ba8e47MD52TEXTrenato_souza_et_all.pdf.txtrenato_souza_et_all.pdf.txtExtracted texttext/plain42588https://www.arca.fiocruz.br/bitstream/icict/44355/3/renato_souza_et_all.pdf.txt9217d1ac07d2d3f3508c6f14c2c0bdedMD53icict/443552020-11-10 12:06:02.679oai:www.arca.fiocruz.br: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Repositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352020-11-10T15:06:02Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false |
| dc.title.pt_BR.fl_str_mv |
Risk stratification for small for gestational age for the Brazilian population: a secondary analysis of the Birth in Brazil study |
| title |
Risk stratification for small for gestational age for the Brazilian population: a secondary analysis of the Birth in Brazil study |
| spellingShingle |
Risk stratification for small for gestational age for the Brazilian population: a secondary analysis of the Birth in Brazil study Souza, Renato T. |
| title_short |
Risk stratification for small for gestational age for the Brazilian population: a secondary analysis of the Birth in Brazil study |
| title_full |
Risk stratification for small for gestational age for the Brazilian population: a secondary analysis of the Birth in Brazil study |
| title_fullStr |
Risk stratification for small for gestational age for the Brazilian population: a secondary analysis of the Birth in Brazil study |
| title_full_unstemmed |
Risk stratification for small for gestational age for the Brazilian population: a secondary analysis of the Birth in Brazil study |
| title_sort |
Risk stratification for small for gestational age for the Brazilian population: a secondary analysis of the Birth in Brazil study |
| author |
Souza, Renato T. |
| author_facet |
Souza, Renato T. Vieira, Matias C. Esteves-Pereira, Ana Paula Domingues, Rosa Maria Soares Madeira Moreira, Maria Elisabeth Lopes Cunha Filho, Edson Vieira da Sandall, Jane Cecatti, Jose G. Leal, Maria do Carmo Dias, Marcos Augusto Bastos Pasupathy, Dharmintra |
| author_role |
author |
| author2 |
Vieira, Matias C. Esteves-Pereira, Ana Paula Domingues, Rosa Maria Soares Madeira Moreira, Maria Elisabeth Lopes Cunha Filho, Edson Vieira da Sandall, Jane Cecatti, Jose G. Leal, Maria do Carmo Dias, Marcos Augusto Bastos Pasupathy, Dharmintra |
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author author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Souza, Renato T. Vieira, Matias C. Esteves-Pereira, Ana Paula Domingues, Rosa Maria Soares Madeira Moreira, Maria Elisabeth Lopes Cunha Filho, Edson Vieira da Sandall, Jane Cecatti, Jose G. Leal, Maria do Carmo Dias, Marcos Augusto Bastos Pasupathy, Dharmintra |
| description |
Birth in Brazil study database is not available in data repositories, but any data required can be provided by the Birth in Brazil team after appropriate approval. |
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2020 |
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2020-11-09T20:27:52Z |
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2020-11-09T20:27:52Z |
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2020 |
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SOUZA, Renato T. et al. Risk stratification for small for gestational age for the Brazilian population: a secondary analysis of the Birth in Brazil study. Scientific Reports, v. 10, p. p. 1-9, 2020. |
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2045-2322 |
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10.1038/s41598-020-71252-y |
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SOUZA, Renato T. et al. Risk stratification for small for gestational age for the Brazilian population: a secondary analysis of the Birth in Brazil study. Scientific Reports, v. 10, p. p. 1-9, 2020. 2045-2322 10.1038/s41598-020-71252-y |
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