scholarly journals Risk-factors for antepartum fetal deaths in the city of São Paulo, Brazil

2007 ◽  
Vol 41 (1) ◽  
pp. 35-43 ◽  
Author(s):  
Marcia Furquim de Almeida ◽  
Gizelton Pereira Alencar ◽  
Hillegonda Maria Dutilh Novaes ◽  
Ivan França Jr ◽  
Arnaldo Augusto Franco de Siqueira ◽  
...  
Keyword(s):  
Risk Factors ◽  
Prenatal Care ◽  
Intrauterine Growth Restriction ◽  
Population Based ◽  
Sao Paulo ◽  
Growth Restriction ◽  
Fetal Mortality ◽  
São Paulo ◽  
Intrauterine Growth ◽  
The City

OBJECTIVE: To assess risk factors for antepartum fetal deaths. METHODS: A population-based case-control study was carried out in the city of São Paulo from August 2000 to January 2001. Subjects were selected from a birth cohort from a linked birth and death certificate database. Cases were 164 antepartum fetal deaths and controls were drawn from a random sample of 313 births surviving at least 28 days. Information was collected from birth and death certificates, hospital records and home interviews. A hierarchical conceptual framework guided the logistic regression analysis. RESULTS: Statistically significant factors associated with antepartum fetal death were: mother without or recent marital union; mother's education under four years; mothers with previous low birth weight infant; mothers with hypertension, diabetes, bleeding during pregnancy; no or inadequate prenatal care; congenital malformation and intrauterine growth restriction. The highest population attributable fractions were for inadequacy of prenatal care (40%), hypertension (27%), intrauterine growth restriction (30%) and absence of a long-standing union (26%). CONCLUSIONS: Proximal biological risk factors are most important in antepartum fetal deaths. However, distal factors - mother's low education and marital status - are also significant. Improving access to and quality of prenatal care could have a large impact on fetal mortality.

scholarly journals Intra-urban differentials of fetal mortality in clusters of social vulnerability in São Paulo Municipality, Brazil

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Lays Janaina Prazeres Marques ◽  
Zilda Pereira da Silva ◽  
Bárbara Laisa Alves Moura ◽  
Rossana Pulcineli Vieira Francisco ◽  
Marcia Furquim de Almeida
Keyword(s):  
Birth Weight ◽  
Linear Regression ◽  
Prenatal Care ◽  
Social Vulnerability ◽  
Causes Of Death ◽  
Sao Paulo ◽  
Fetal Mortality ◽  
São Paulo ◽  
Stillbirth Rate ◽  
The City

AbstractThis study aimed to analyze the distribution of stillbirths by birth weight, type of death, the trend of Stillbirth Rate (SBR), and avoidable causes of death, according to social vulnerability clusters in São Paulo Municipality, 2007–2017. Social vulnerability clusters were created with the k-means method. The Prais-Winsten generalized linear regression was used in the trend of SBR by < 2500 g,  ≥ 2500 g, and total deaths analysis. The Brazilian list of avoidable causes of death was adapted for stillbirths. There was a predominance of antepartum stillbirths (70%). There was an increase in SBR with the growth of social vulnerability from the center to the outskirts of the city. The cluster with the highest vulnerability presented SBR 69% higher than the cluster with the lowest vulnerability. SBR ≥ 2500 g was decreasing in the clusters with the high vulnerability. There was an increase in SBR of avoidable causes of death of the cluster from the lowest to the highest vulnerability. Ill-defined causes of death accounted for 75% of deaths in the highest vulnerability area. Rates of fetal mortality and avoidable causes of death increased with social vulnerability. The trend of reduction of SBR ≥ 2500 g may suggest improvement in prenatal care in areas of higher vulnerability.

Risk Factors for Intrauterine Growth Restriction: 9 Years Analysis in Tertiary Care Hospital

2019 ◽  
Vol 2 (1) ◽  
pp. 77-82
Author(s):  
Abha Shrestha ◽  
N Pradhan ◽  
B Kayastha
Keyword(s):  
Risk Factors ◽  
Intrauterine Growth Restriction ◽  
Tertiary Care ◽  
Adult Life ◽  
Growth Restriction ◽  
Optimal Time ◽  
Care Hospital ◽  
Singleton Pregnancy ◽  
Maternal Risk ◽  
Intrauterine Growth

Background: Intrauterine growth restricted (IUGR) fetuses are at higher risk of developing neonatal complications and also known to develop metabolic syndrome in adult life. So, an early antenatal detection, choosing the optimal time and method of delivery and intervention when required could minimize the risk significantly. Objective: To find out the prenatal outcome and the maternal and placental risk factors. Methods: A prospective study was conducted from January 2010 to January 2019, at a Teaching Hospital. A singleton pregnancy, above 28 weeks of gestation with clinical diagnosis of IUGR and confirmed by ultrasonography were included in the study. The statistical analysis was performed by Statistical Package of Social Sciences (SPSS) 23.0 software. Results: Maternal risk factors like low pregnancy body mass index, preeclampsia, anaemia, hypothyroidism and placental factors like retro placental hemorrhage were mainly responsible for intrauterine growth restriction. Conclusions: The early identification of risk factors and management of the same antenatal is an important issue to prevent adverse prenatal outcomes associated with IUGR.

scholarly journals Parental factors associated with intrauterine growth restriction

2015 ◽  
Vol 143 (11-12) ◽  
pp. 701-706 ◽  
Author(s):  
Monica Hăşmăşanu ◽  
Sorana Bolboacă ◽  
Tudor Drugan ◽  
Melinda Matyas ◽  
Gabriela Zaharie
Keyword(s):  
Risk Factors ◽  
Intrauterine Growth Restriction ◽  
Newborn Infants ◽  
Significant Risk ◽  
Growth Restriction ◽  
University Hospital ◽  
Control Group ◽  
Parental Factors ◽  
Intrauterine Growth ◽  
Significant Difference

Introduction. Linear growth failure is caused by multiple factors including parental factors. Objective. The aim of this study was to evaluate parental risk factors for intrauterine growth restriction (IUGR) on a population of Romanian newborn infants in a tertiary level maternity facility for a period of 2.5 years. Methods. A retrospective matched case-control study was conducted in the Emergency County Hospital of Cluj-Napoca, a university hospital in North-Western Romania. The sample was selected from 4,790 infants admitted to the Neonatal Ward at 1st Gynecology Clinic between January 2012 and June 2014. Results. The age of mothers was significantly lower in the IUGR group compared to controls (p=0.041). A significantly higher percentage of mothers had hypertension in the IUGR group compared to those in the control group (p<0.05). No other significant differences were identified with regard to the investigated characteristics of mothers between IUGR infants compared to controls (p>0.13). The age of fathers of infants with IUGR proved significantly lower compared to controls (p=0.0278). The analysis of infants? comorbidities revealed no significant difference between groups for respiratory distress, hyperbilirubinemia, hypocalcaemia, and heart failure (p>0.27). Intracranial hemorrhage, necrotizing enterocolitis and hypoglycemia were significantly higher in the IUGR group compared to controls. The logistic regression identified hypertension as a significant risk factor for IUGR (OR=2.4, 95% CI [1.3-4.5]). Conclusion. Although the age of the mothers and fathers proved significantly lower in the IUGR group compared to controls, only hypertension in the mothers proved significant risk factors for IUGR.

scholarly journals Monochorionic twin pregnancies increases perinatal risk and is a high risk factor of selective intrauterine growth restriction

2019 ◽  
Author(s):  
Jie Chen ◽  
Yue Lian Yang
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
High Risk ◽  
Intrauterine Growth Restriction ◽  
Growth Restriction ◽  
Prenatal Health ◽  
Monochorionic Twin ◽  
Intrauterine Growth ◽  
High Risk Factor ◽  
Twin Pregnancies

Abstract Background Twins pregnancy can cause a lot of disease, especially monochorionic twin pregnancies, the prenatal infant will have many diseases and have high mortality rate. According to analysis and compare of the twin pregnancy, especially pregnant woman and puerpera’s situation and complication and baby’s situation; we hope we can find the reason which causes the fetus growth restrain of monochorionic twin pregnancies. So we can provide some reference for the prenatal health care, complication prevention and prenatal outcome. Methods We divided 489 cases of twin pregnancies into two groups: monochorionic twin and dichorionic twin and compared the clinical features of them. At last, we used the logistic regression analysis method to analyze the risk factors of selective intrauterine growth restriction(sIUGR). Results The incidences of premature rupture of membranes and sIUGR were significant higher in monochorionic twin and twin-twin transfusion syndrome (TTTS) only exists in monochorionic twin. The weight of the newborn babies(both big and small babies)were significant lower in Monochorionic twin. The neonatal transfer rate was significant higher in monochorionic twin. Gestational weeks and weight of newborn babies are the high risk factors of sIUGR. Conclusions The type of chorion has a great influence to the pregnant period and the ending of maternal women. Monochorionic is a high risk factor of the sIUGR, which means that the main cause of sIUGR is from placenta, so it is a kind of “placental origin disease”.

Risk Factors for Low Muscle Mass in a Population-based Prospective Cohort of Brazilian Community-dwelling Older Women: The São Paulo Ageing & Health (SPAH) Study

2020 ◽  
Vol 23 (3) ◽  
pp. 503-510
Author(s):  
Ketty L.L.L. Machado ◽  
Diogo S. Domiciano ◽  
Luana G. Machado ◽  
Jaqueline B. Lopes ◽  
Camille P. Figueiredo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older Women ◽  
Muscle Mass ◽  
Prospective Cohort ◽  
Population Based ◽  
Sao Paulo ◽  
Community Dwelling ◽  
São Paulo

scholarly journals Seroprevalence and risk factors for toxoplasmosis and neosporosis in the dog population of Ibiúna, São Paulo, Brazil

2015 ◽  
Vol 36 (6) ◽  
pp. 3777 ◽  
Author(s):  
Roberta Mascolli ◽  
Francisco Rafael Martins Soto ◽  
Fernanda Bernardi ◽  
Fumio Honma Ito ◽  
Sônia Regina Pinheiro ◽  
...  
Keyword(s):  
Risk Factors ◽  
Sexual Activity ◽  
Neospora Caninum ◽  
Sao Paulo ◽  
Immunofluorescence Assay ◽  
São Paulo ◽  
Rodent Control ◽  
Raw Meat ◽  
Increased Risk ◽  
The City

This study aimed to determine the prevalence of dogs seropositive for Toxoplasma gondii and Neospora caninum (Apicomplexa) and the risk factors associated with seropositivity in the dog population of Ibiúna, São Paulo, Brazil. A total of 570 animals were examined in the 48 neighborhoods of the city from September 2007 to March 2008. Serological diagnosis of T. gondii and N. caninum infections was performed using indirect immunofluorescence assay (IFA), with endpoint titers of 1:64 for T. gondii and 1:50 for N. caninum. Of the 570 animals examined, 314 (55.1%; 95% CI = 50.9?59.2%) were seropositive for T. gondii and 40 (7.02%; 95% CI = 5.1?9.4%) for N. caninum. The variables presence of rodents (OR = 2.05), ingestion of raw meat (OR= 2.47), and prior sexual activity (OR = 1.79) were identified as risk factors for toxoplasmosis, whereas only prior sexual activity (OR = 3.29) was associated with an increased risk for neosporosis. Both T. gondii and N. caninum infections were detected by IFA in the dog population of Ibiúna. Rodent control and not feeding raw meat to dogs are important to reduce the risk of infection by T. gondii and N. caninum in the region.

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