Factors associated with low birthweight

A case-control study in a city of Minas Gerais

Datos Bibliográficos

ID16780368
AutoresÉrica Cesário Defilipo (0000-0003-1021-2886, Universidade Federal de Juiz de Fora), Paula Silva de Carvalho Chagas (0000-0002-4312-0403, Universidade Federal de Juiz de Fora), Andreia Peraro-Nascimento (0000-0002-5232-4694, Universidade Federal de Juiz de Fora), Luis Claudio Ribeiro (0000-0002-8470-7817, Universidade Federal de Juiz de Fora)
Año2020
Volumen54
Páginas71
Fecha de publicación2020-07-31
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaRevista de Saúde Pública (JOURNAL)
Identificadores de la revistaISSN: 0034-8910 • E-ISSN: 0034-8910
EditorialUniversidade de São Paulo. Agência de Bibliotecas e Coleções Digitais (PUBLISHER)
DOI10.11606/s1518-8787.2020054002065
PMID32696809
OpenAlexW3043620697
IdiomaEN
Citas recibidas3
Referencias citadas10

OBJECTIVE: To analyze the many factors regarding socioeconomic and healthcare-related variables linked to maternal diseases and the possible impact of the environmental disaster of Mariana, given the prenatal exposure to different water sources for human consumption that were associated with low birthweight in full-term live births in the Municipal Hospital of Governador Valadares, Minas Gerais. METHODS: Case-control study, carried out with live births at the Municipal Hospital of Governador Valadares, from May 2017 to July 2018. The case group consisted of full-term live births and low birthweight, and the control group consisted of full-term live births with adequate weight, matched by gender and date of birth. For each case, two controls were selected. Data collection was performed through interviews with the puerperal women, and complementary information was obtained by analyzing the prenatal card and medical records. For data analysis, logistic regression was performed. RESULTS: The study included 65 live births from the case group and 130 from the control group. After the analysis was adjusted for other factors under study, we found that the higher risks of low birthweight are associated with the first childbirth (OR = 2.033; 95%CI = 1.047–3.948; p = 0.036), smoking during pregnancy (OR = 2.850; 95%CI = 1.013–8.021; p = 0.047) and consumption of water supplied by the municipalities affected by the tailings from the Fundão dam failure (RC = 2.444; 95%CI = 1.203–4.965; p = 0.013). CONCLUSIONS: The variables “water consumed during pregnancy,” “previous pregnancies” and “maternal smoking” were associated with low birthweight in the population studied. The importance of epidemiological studies that assess water quality and its adverse health effects is reinforced, as well as greater prenatal control of first-time pregnant women and greater support of policies against smoking, especially during pregnancy

Childbirth · Environmental health · Full Term · Logistic regression · Low birth weight · Obstetrics · Population · Pregnancy · Prenatal care · Socioeconomic status · Demography · Global Maternal and Child Health · Injury Epidemiology and Prevention · Maternal and Neonatal Healthcare · Medicine