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- Title
Factors associated with neonatal-near miss: birth cohorts in three Brazilian cities - Ribeirão Preto, Pelotas and São Luís, Brazil.
- Authors
Higassiaraguti Rocha, Paulo Ricardo; Bettiol, Heloisa; Cararo Confortin, Susana; Bazo, Gabriel; Gómez Aristizábal, Liliana Yanet; Ferreira Simões, Vanda Maria; Matijasevich, Alicia; Santos, Iná S.; Freitas da Silveira, Mariângela; de Carvalho Cavalli, Ricardo; Moura da Silva, Antônio Augusto; Antonio Barbieri, Marco
- Abstract
The aim of this study was to investigate the association of sociodemographic factors, lifestyle, maternal reproductive profile and prenatal and childbirth care with neonatal near miss (NNM) morbidity in four birth cohorts. This study involved four population-based birth cohorts: Ribeirão Preto (RP) and São Luís (SL) (2010), Pelotas 2004 (PEL04) and 2015 (PEL15). NNM was defined when one or more of the following conditions were present: birthweight <1,500 g, 5-minute Apgar score <7, gestational age <32 weeks, and report of congenital malformations. The covariates were obtained with questionnaires applied to the puerperal women. Some particularities between cohorts were identified. In the RP and SL cohorts, factors of the more distal levels (sociodemographic, lifestyle, and reproductive profile) were associated with NNM. On the other hand, proximal factors related to healthcare were more significant for the occurrence of NNM in PEL. Only the absence of prenatal care was associated with NNM in all cohorts: RP (OR=4.27, 95%CI 2.16-8.45), SL (OR=2.32, 95%CI 1.09-4.94), PEL04 (OR=4.79, 95%CI 1.59-14.46), and PEL15 (OR=5.10, 95%CI 2.60-9.97).
- Subjects
SAO Luis do Maranhao (Brazil); PELOTAS (Rio Grande do Sul, Brazil); COHORT analysis; PRENATAL care; NEONATAL mortality; SOCIODEMOGRAPHIC factors; NEONATOLOGY; INTRAPARTUM care; CHILDBIRTH
- Publication
Revista Ciência & Saúde Coletiva, 2022, Vol 27, Issue 7, p2729
- ISSN
1413-8123
- Publication type
Article
- DOI
10.1590/1413-81232022277.20932021