| Literature DB >> 26248099 |
Antônio Augusto Moura da Silva1, Rosângela Fernandes Lucena Batista1, Vanda Maria Ferreira Simões1, Erika Barbara Abreu Fonseca Thomaz1, Cecília Cláudia Costa Ribeiro1, Fernando Lamy-Filho1, Zeni Carvalho Lamy1, Maria Teresa Seabra Soares de Britto e Alves1, Flávia Helen Furtado Loureiro1, Viviane Cunha Cardoso2, Heloisa Bettiol2, Marco Antonio Barbieri2.
Abstract
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.Entities:
Mesh：
Year: 2015 PMID： 26248099 DOI： 10.1590/0102-311X00100314
Source DB: PubMed Journal: Cad Saude Publica ISSN： 0102-311X Impact factor: 1.632