Changes in perinatal health in two birth cohorts (1997/1998 and 2010) in São Luís, Maranhão State, Brazil

Detalhes bibliográficos
Autor(a) principal: Antônio Augusto Moura da Silva
Data de Publicação: 2015
Outros Autores: Rosângela Fernandes Lucena Batista, Vanda Maria Ferreira Simões, Erika Barbara Abreu Fonseca Thomaz, Cecília Cláudia Costa Ribeiro, Fernando Lamy Filho, Zeni Carvalho Lamy, Maria Teresa Seabra Soares de Britto e Alves, Flávia Helen Furtado Loureiro, Viviane Cunha Cardoso, Heloisa Bettiol, Marco Antonio Barbieri
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5929
Resumo: The objective of this study was to analyze changes in perinatal health in two birth cohorts started in 1997/1998 and 2010, respectively, in São Luís, Maranhão State, Brazil. A total of 2,493 live born infants were included in 1997/1998 and 5,166 in 2010. Low birth weight (LBW) rate did not change (8.5% in 1997/1998 and 8.6% in 2010). Preterm birth (PTB) rate also remained stable (13.2% in 1997/1998 and 13% in 2010). Teenage deliveries and births to single mothers decreased. Maternal schooling and prenatal care coverage increased. Intrauterine growth restriction (IUGR) decreased from 13.3% to 10.6% (p < 0.001). The perinatal mortality rate decreased from 36.6 to 20.7 per 1,000 (p < 0.001) and the infant mortality rate (IMR) dropped from 28.5 to 12.8 per 1,000 (p < 0.001). The cesarean rate increased from 34.1% to 47.5% (p < 0.001). In conclusion, despite favorable changes in socio-demographic, behavioral, and health service factors and decreasing rates of IUGR and perinatal and infant mortality, LBW and PTB remained stable, while the cesarean rate increased.
id FIOCRUZ-5_3e7f4e7146378adeef320029c8fc0ccc
oai_identifier_str oai:ojs.teste-cadernos.ensp.fiocruz.br:article/5929
network_acronym_str FIOCRUZ-5
network_name_str Cadernos de Saúde Pública
repository_id_str
spelling Changes in perinatal health in two birth cohorts (1997/1998 and 2010) in São Luís, Maranhão State, BrazilLow Birth Weight InfantPremature BirthFetal Growth RetardationCesarean SectionCohort StudiesThe objective of this study was to analyze changes in perinatal health in two birth cohorts started in 1997/1998 and 2010, respectively, in São Luís, Maranhão State, Brazil. A total of 2,493 live born infants were included in 1997/1998 and 5,166 in 2010. Low birth weight (LBW) rate did not change (8.5% in 1997/1998 and 8.6% in 2010). Preterm birth (PTB) rate also remained stable (13.2% in 1997/1998 and 13% in 2010). Teenage deliveries and births to single mothers decreased. Maternal schooling and prenatal care coverage increased. Intrauterine growth restriction (IUGR) decreased from 13.3% to 10.6% (p < 0.001). The perinatal mortality rate decreased from 36.6 to 20.7 per 1,000 (p < 0.001) and the infant mortality rate (IMR) dropped from 28.5 to 12.8 per 1,000 (p < 0.001). The cesarean rate increased from 34.1% to 47.5% (p < 0.001). In conclusion, despite favorable changes in socio-demographic, behavioral, and health service factors and decreasing rates of IUGR and perinatal and infant mortality, LBW and PTB remained stable, while the cesarean rate increased.El objetivo de este estudio fue analizar los cambios de la salud perinatal en dos cohortes de nacimiento realizadas en 1997/1998 y 2010 en São Luís, Maranhão, Brasil. Un total de 2.493 niños nacidos vivos fueron incluidos en 1997/1998 y 5.166 en 2010. La tasa de bajo peso al nacer (BPN) no cambió (8,5% y 8,6%). La tasa del nacimiento prematuro (TNP) también se mantuvo estable (13,2% y 13%). Los nacimientos entre adolescentes y madres solteras disminuyeron. La escolaridad de la madre y la cobertura de atención prenatal aumentaron. La tasa de restricción del crecimiento intrauterino (RCIU) se redujo de un 13,3% a un 10,6% (p < 0,001). La tasa de mortalidad perinatal disminuyó de 36,6 a 20,7 por mil (p < 0,001), y la tasa de mortalidad infantil (TMI) se redujo de 28,5 a 12,8 por mil (p < 0,001). La tasa de cesárea (TC) aumentó de 34,1% a 47,5% (p < 0,001). A pesar de los cambios favorables en factores sociodemográficos, de conducta y de servicios de salud, y de la reducción de RCIU, mortalidad perinatal e infantil, las tasas de BPN y el PTB se mantuvieron estables, mientras que la TC aumentó.O objetivo deste estudo foi analisar as mudanças na saúde perinatal em duas coortes de nascimento realizadas em 1997/1998 e 2010, em São Luís, Maranhão, Brasil. Um total de 2.493 nascidos vivos foi incluído em 1997/1998 e 5.166 em 2010. A taxa de baixo peso ao nascer (BPN) não se modificou (8,5% em 1997/1998 e 8,6% em 2010). A taxa de nascimento pré-termo (NPT) também permaneceu estável (13,2% em 1997/1998 e 13% em 2010). Nascimentos em adolescentes e em mulheres sem companheiro decresceram. A escolaridade materna e a cobertura do pré-natal aumentaram. A taxa de restrição de crescimento intrauterino (RCIU) diminuiu de 13,3% para 10,6% (p < 0,001). A taxa de mortalidade perinatal foi reduzida de 36,6 para 20,7 por mil (p < 0,001) e a taxa de mortalidade infantil diminuiu de 28,5 para 12,8 por mil (p < 0,001). A taxa de cesárea (TC) aumentou de 34,1% para 47,5% (p < 0,001). Apesar das mudanças favoráveis nas variáveis sociodemográficas, comportamentais e de serviços de saúde e da redução nas taxas de RCIU, mortalidade perinatal e infantil, as taxas de BPN e NPT permaneceram estáveis, enquanto a TC aumentou.Reports in Public HealthCadernos de Saúde Pública2015-07-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5929Reports in Public Health; Vol. 31 No. 7 (2015): JulyCadernos de Saúde Pública; v. 31 n. 7 (2015): Julho1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5929/12433https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5929/12434Antônio Augusto Moura da SilvaRosângela Fernandes Lucena BatistaVanda Maria Ferreira SimõesErika Barbara Abreu Fonseca ThomazCecília Cláudia Costa RibeiroFernando Lamy FilhoZeni Carvalho LamyMaria Teresa Seabra Soares de Britto e AlvesFlávia Helen Furtado LoureiroViviane Cunha CardosoHeloisa BettiolMarco Antonio Barbieriinfo:eu-repo/semantics/openAccess2024-03-06T15:29:01Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/5929Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:06:47.106035Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Changes in perinatal health in two birth cohorts (1997/1998 and 2010) in São Luís, Maranhão State, Brazil
title Changes in perinatal health in two birth cohorts (1997/1998 and 2010) in São Luís, Maranhão State, Brazil
spellingShingle Changes in perinatal health in two birth cohorts (1997/1998 and 2010) in São Luís, Maranhão State, Brazil
Antônio Augusto Moura da Silva
Low Birth Weight Infant
Premature Birth
Fetal Growth Retardation
Cesarean Section
Cohort Studies
title_short Changes in perinatal health in two birth cohorts (1997/1998 and 2010) in São Luís, Maranhão State, Brazil
title_full Changes in perinatal health in two birth cohorts (1997/1998 and 2010) in São Luís, Maranhão State, Brazil
title_fullStr Changes in perinatal health in two birth cohorts (1997/1998 and 2010) in São Luís, Maranhão State, Brazil
title_full_unstemmed Changes in perinatal health in two birth cohorts (1997/1998 and 2010) in São Luís, Maranhão State, Brazil
title_sort Changes in perinatal health in two birth cohorts (1997/1998 and 2010) in São Luís, Maranhão State, Brazil
author Antônio Augusto Moura da Silva
author_facet Antônio Augusto Moura da Silva
Rosângela Fernandes Lucena Batista
Vanda Maria Ferreira Simões
Erika Barbara Abreu Fonseca Thomaz
Cecília Cláudia Costa Ribeiro
Fernando Lamy Filho
Zeni Carvalho Lamy
Maria Teresa Seabra Soares de Britto e Alves
Flávia Helen Furtado Loureiro
Viviane Cunha Cardoso
Heloisa Bettiol
Marco Antonio Barbieri
author_role author
author2 Rosângela Fernandes Lucena Batista
Vanda Maria Ferreira Simões
Erika Barbara Abreu Fonseca Thomaz
Cecília Cláudia Costa Ribeiro
Fernando Lamy Filho
Zeni Carvalho Lamy
Maria Teresa Seabra Soares de Britto e Alves
Flávia Helen Furtado Loureiro
Viviane Cunha Cardoso
Heloisa Bettiol
Marco Antonio Barbieri
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Antônio Augusto Moura da Silva
Rosângela Fernandes Lucena Batista
Vanda Maria Ferreira Simões
Erika Barbara Abreu Fonseca Thomaz
Cecília Cláudia Costa Ribeiro
Fernando Lamy Filho
Zeni Carvalho Lamy
Maria Teresa Seabra Soares de Britto e Alves
Flávia Helen Furtado Loureiro
Viviane Cunha Cardoso
Heloisa Bettiol
Marco Antonio Barbieri
dc.subject.por.fl_str_mv Low Birth Weight Infant
Premature Birth
Fetal Growth Retardation
Cesarean Section
Cohort Studies
topic Low Birth Weight Infant
Premature Birth
Fetal Growth Retardation
Cesarean Section
Cohort Studies
description The objective of this study was to analyze changes in perinatal health in two birth cohorts started in 1997/1998 and 2010, respectively, in São Luís, Maranhão State, Brazil. A total of 2,493 live born infants were included in 1997/1998 and 5,166 in 2010. Low birth weight (LBW) rate did not change (8.5% in 1997/1998 and 8.6% in 2010). Preterm birth (PTB) rate also remained stable (13.2% in 1997/1998 and 13% in 2010). Teenage deliveries and births to single mothers decreased. Maternal schooling and prenatal care coverage increased. Intrauterine growth restriction (IUGR) decreased from 13.3% to 10.6% (p < 0.001). The perinatal mortality rate decreased from 36.6 to 20.7 per 1,000 (p < 0.001) and the infant mortality rate (IMR) dropped from 28.5 to 12.8 per 1,000 (p < 0.001). The cesarean rate increased from 34.1% to 47.5% (p < 0.001). In conclusion, despite favorable changes in socio-demographic, behavioral, and health service factors and decreasing rates of IUGR and perinatal and infant mortality, LBW and PTB remained stable, while the cesarean rate increased.
publishDate 2015
dc.date.none.fl_str_mv 2015-07-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5929
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5929
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5929/12433
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5929/12434
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
application/pdf
dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 31 No. 7 (2015): July
Cadernos de Saúde Pública; v. 31 n. 7 (2015): Julho
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
_version_ 1798943380249509888

Registros relacionados