Maternal age, social changes, and pregnancy outcome in Ribeirão Preto, southeast Brazil, in 1978-79 and 1994

Datos Bibliográficos

ID5230605
AutoresMarcelo Zubaran Goldani (0000-0002-7414-5443, Universidade de São Paulo), Heloísa Bettiol (0000-0001-8744-4373, Universidade de São Paulo), Marco A Barbieri (0000-0001-8060-1428, Universidade de São Paulo), Andrew Tomkins (0000-0002-1611-9255, University College of London, UK)
Año2000
Volumen16
Número4
Páginas1041-1047
Fecha de publicación2000-12-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaCadernos de Saude Publica (JOURNAL)
Identificadores de la revistaISSN: 0102-311X • E-ISSN: 1678-4464
EditorialFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/s0102-311x2000000400022
PMID11175527
OpenAlexW2131894582
SCIELO_PIDS0102-311X2000000400022
IdiomaEN
Citas recibidas6
Referencias citadas20

This study focused on changes in demographic, social, and health-care patterns and pregnancy outcome related to maternal age from 1978-79 to 1994 in Ribeirão Preto, São Paulo State, Brazil. Information on pregnancy outcome was obtained from two cohorts of singleton live births, 6,681 births in 1978/79 and 2,839 births in 1994. A standardized questionnaire was submitted to mothers after delivery, and demographic information was collected from official records. There was a significant increase in teenage pregnancies (from 5.1% to 7.4%) and a decrease in infant mortality (36/1,000 to 17/1,000). There were significant decreases in the proportion of mothers with low schooling (24.5% to 14.4%), smoking (28.9% to 21.%), and multiparity (14.7% to 9.0%). Prenatal coverage improved (from 23.4% to 9.0% of patients with fewer than 4 prenatal visits), while cesareans increased (from 30.6% to 50.8%), as did preterm delivery (7.2% to 13.6%) and low birthweight (7.2% to 10.6%). Despite significant improvements in some maternal characteristics, the proportion of teenage pregnancies, preterm deliveries, low birthweight, and cesareans increased, raising concerns about the health costs and consequences for mothers and infants

Environmental health · Low birth weight · Obstetrics · Population · Pregnancy · Prenatal care · Singleton · Demography · Food Security and Health in Diverse Populations · Global Maternal and Child Health · Maternal and Neonatal Healthcare · Medicine