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

Datos Bibliográficos

ID5224265
AutoresAntonio Augusto Moura Da Silva (0000-0003-4968-5138, Universidade Federal do Maranhão), Rosângela Fernandes Lucena Batista (0000-0002-1529-0165, Universidade Federal do Maranhão), Vanda Maria Ferreira Simões (0000-0001-8351-1348, Universidade Federal do Maranhão), Patrícia Da Silva Sousa (0000-0002-0717-2388), Erika Bárbara Abreu Fonseca Thomaz (0000-0003-4156-4067, Universidade Federal do Maranhão), Cecilia Cláudia Costa Ribeiro (0000-0003-0041-7618, Universidade Federal do Maranhão), Fernando Lamy Filho (0000-0002-7858-4195, Universidade Federal do Maranhão), Zeni Carvalho Lamy (0000-0002-9332-0542, Universidade Federal do Maranhão), Maria Teresa Seabra Soares Britto E Alves (0000-0002-4806-7752, Universidade Federal do Maranhão), Flávia Helen Furtado Loureiro (0000-0001-5847-6130, Universidade Federal do Maranhão), Viviane Cunha Cardoso (0000-0002-2677-5600, 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)
Año2015
Volumen31
Número7
Páginas1437-1450
Fecha de publicación2015-07-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaCadernos de Saude Publica (JOURNAL)
Identificadores de la revistaISSN: 0102-311X • E-ISSN: 1678-4464
EditorialFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311x00100314
PMID26248099
OpenAlexW1528087853
SCIELO_PIDS0102-311X2015000701437
IdiomaEN
Citas recibidas20
Referencias citadas38

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

Geography · Sociology · State (computer science) · Breastfeeding Practices and Influences · Child Nutrition and Water Access · Demography · Maternal and Neonatal Healthcare · Medicine