scholarly journals Breastfeeding and feeding patterns in three birth cohorts in Southern Brazil: trends and differentials

2008 ◽  
Vol 24 (suppl 3) ◽  
pp. s409-s416 ◽  
Author(s):  
Cesar G. Victora ◽  
Alicia Matijasevich ◽  
Iná S. Santos ◽  
Aluisio J. D. Barros ◽  
Bernardo L. Horta ◽  
...  

Breastfeeding is fundamental for child health. Changes in the duration of breastfeeding are compared for three population-based cohorts of children born in 1982, 1993 and 2004 in the city of Pelotas, Southern Brazil. Samples of the 1982 and 1993 children and all of the children from the 2004 cohort study were sought at home when they were aged around 12 months. Both the duration of breastfeeding and the stage at which different kind of foods were regularly introduced were investigated. The median duration of breastfeeding increased from 3.1 to 6.8 months in this period. Exclusive breastfeeding at three months was practically non-existent in 1982 and had reached one third of infants by 2004. The increase was faster after 1993, suggesting an important impact made by promotion activities. Up to about 6-9 months, breastfeeding was more prevalent in high-income families, but after this age it became more common among the poor. Low birth weight babies were breastfeed for shorter durations. The duration of breastfeeding is still far short of international recommendations, justifying further campaigns. Special attention should be given to low birth weight babies and those from low-income families.

2020 ◽  
Vol 2 (1) ◽  
pp. 18-21
Author(s):  
Dina Dewi Anggraini ◽  
Martha Kahi Juwa

Jaundice is a yellow stain on the skin, sclera, or mucous membranes as a result of excessive accumulation of bilirubin in the tissues. Low birth weight babies (LBW) are defined as birth weight 2,500 grams or less. In infants with low birth weight can experience various complications, one of which is hyperbilirubinemia (jaundice). This study aims to determine the relationship of Low Birth Weight Babies (LBW) with the incidence of jaundice in Bhayangkara Hospital in the city of Kediri. The research design used is correlational analytic research. The method used is a cross sectional approach. The sampling technique was carried out in total sampling as many as 105 samples of infants with LBW. Research data is taken from medical records. Data were analyzed univariately and bivariately using Spearman's Rho test. The results of the study showed that out of 105 infants with low birth weight who experienced physiological jaundice as many as 75 infants (71.4%) and pathological jaundice as many as 30 infants (28.6%). The results of the Spearman Rh Rho test analysis showed that the p value = 0.067 or less than α = 0.05 (0.067 0.05), which means that H0 is rejected and H1 is accepted, meaning that there is a relationship between the incidence of LBW and neonatal jaundice in Bhayangkara Hospital in the City Kediri in 2018. The strength of the relationship is based on the correlation coefficient of 0.196 which means that there is a moderate relationship between the incidence of LBW and jaundice in Bhayangkara Hospital in Kota Kadiri in 2018.


2008 ◽  
Vol 20 (2) ◽  
pp. 152-158 ◽  
Author(s):  
Latifah A. Rahman ◽  
Noran N. Hairi ◽  
Nooriah Salleh

The purpose of this study was to investigate the association between pregnancy-induced hypertension and low birth weight. A population-based case control study was conducted. Antenatal mothers who attended the government health centers in the district of Kuala Muda, Kedah, Malaysia from June 2003 to May 2004 were recruited. Cases were 312 mothers who delivered low birth weight babies, and controls were 312 mothers who delivered normal birth weight babies. Face-to-face interviews using a structured questionnaire and a review of medical records were carried out. After controlling for important confounders such as gestational age at delivery, maternal age, ethnicity, education, parity, and previous history of abortion, pregnancy-induced hypertension was found to be an independent risk factor (adjusted odds ratio = 5.06; 95% confidence interval: 2.63, 9.71) for low birth weight. There was a significant association of pregnancy-induced hypertension with low birth weight. Women who delivered low birth weight babies were 5 times more likely to have had pregnancy-induced hypertension.


2009 ◽  
Vol 42 (2) ◽  
pp. 243-253 ◽  
Author(s):  
CLÉCIO HOMRICH DA SILVA ◽  
MARILYN AGRANONIK ◽  
ANTÔNIO AUGUSTO MOURA DA SILVA ◽  
HELOISA BETTIOL ◽  
MARCO ANTONIO BARBIERI ◽  
...  

SummaryThe strong association of very low birth weight (VLBW; <1500 g) with infant mortality is well known. There are no data related to VLBW trends in Brazil although findings from some large surveys carried out in small- and medium-sized cities have demonstrated an increase in low birth weight (LBW; <2500 g) rates over the last 30 years. The aim of this study was to evaluate the secular trend of VLBW in the city of Porto Alegre, a large city in a developed area in southern Brazil, and the potential determinants of this trend during the 1990s and early 2000s. This is a registry-based study. Data were obtained from birth certificates of all live births in the city from 1994 to 2005. The variables analysed were: VLBW as the dependent variable and maternal age and schooling, type of delivery, type of hospital, number of live births, gestational age, newborn gender and unemployment rate. The incidence ratio rate (IRR) using Poisson regression was calculated to identify possible trends in VLBW rates. Poisson regressions were performed in order to assess the influence of some independent variables on VLBW. A total of 257,740 singleton newborns were delivered in the city during the period, with a steady reduction in the total number of live births per year from 23,296 in 1994 to 18,325 in 2005. The results showed a small but significant increase in VLBW (p for trend=0.049). There was a significant trend towards adequacy for gestational age per birth weight, suggesting a reduction in rates of intrauterine growth restriction (IUGR) (p<0.001). The findings showed a significant increase of 1% per year in the probability of VLBW. The main risk factors were related to VLBW mothers with low levels of schooling, public hospitals and multiparity and nulliparity. After adjustment, nulliparity remained as a significant risk factor. The interaction between type of hospital and type of delivery indicated that the probability for VLBW was 3.6 times higher (p<0.001) among those born in public hospitals by Caesarean section than those born in private hospitals by vaginal delivery. The results show that southern Brazil is going through a demographic transition characterized by a significant decrease in number of live births associated with a small increase in VLBW rates, a decrease in IUGR rates and stabilization of LBW.


2008 ◽  
Vol 24 (suppl 3) ◽  
pp. s390-s398 ◽  
Author(s):  
Fernando C. Barros ◽  
Cesar G. Victora ◽  
Alicia Matijasevich ◽  
Iná S. Santos ◽  
Bernardo L. Horta ◽  
...  

Three birth cohort studies from 1982, 1993 and 2004, in Pelotas, Southern Brazil provided the data for this study of trends in preterm births, low birth weight, and intrauterine growth restriction. We found a slight increase in the period in the low birth weight prevalence from 9% to 10%. Intrauterine growth restriction decreased from 14.8% in 1982 to 9.4% in 1993, and subsequently increased to 12% in 2004, whereas preterm births increased markedly, from 6.3% in 1982 to 14.7% in 2004. This striking increment could not be explained by changes in maternal characteristics, as mothers in 2004 were heavier, smoked less during pregnancy and attended antenatal clinics more often and earlier than those of previous cohorts. However, pregnancy interruptions due either to caesarean sections or to inductions significantly increased. Caesareans increased from 28% in 1982 to 45% in 2004, and inductions were 2.5% in 1982 but 11.1% in 2004. The increase in preterms could be partially explained by the growing number of pregnancy interruptions, but there must be other causes since this increase was also observed among babies born by non-induced vaginal deliveries.


2008 ◽  
Vol 24 (suppl 3) ◽  
pp. s444-s450 ◽  
Author(s):  
Ricardo Halpern ◽  
Aluísio J. D. Barros ◽  
Alicia Matijasevich ◽  
Iná S. Santos ◽  
Cesar G. Victora ◽  
...  

Two cohorts of children born in the city of Pelotas, Southern Brazil, in 1993 and 2004, were compared in terms of neuro-psychomotor development at the age of 12 months. Children were evaluated using the Denver II screening test. Analyses were performed using the Poisson regression technique. The prevalence of suspected developmental delay fell from 37,1% in 1993 to 21.4% in 2004 and was inversely proportional to family income and birth weight. Among children born weighing under 2,000 g, there was a fourfold reduction in the prevalence of developmental delay between 1993 and 2004. With regard to family income, the poorest group showed the greatest reduction between the two cohorts - a 30% reduction in risk. Our results confirm the influence of income and birth weight on child development. The decrease in the prevalence of developmental delay in the last decade reflects, among other factors, improvements in neonatal care, increased coverage of developmental monitoring in the first year of life, and longer breastfeeding duration. Despite this reduction, the prevalence of developmental delay is still high, reinforcing the need for early diagnosis and intervention.


2008 ◽  
Vol 24 (suppl 3) ◽  
pp. s399-s408 ◽  
Author(s):  
Alicia Matijasevich ◽  
Iná S. Santos ◽  
Aluísio J. D. Barros ◽  
Ana M. B. Menezes ◽  
Elaine P. Albernaz ◽  
...  

Trends in perinatal mortality were studied in the city of Pelotas, Southern Brazil, using three population-based cohort studies carried out in 1982, 1993 and 2004. The objective of the present study was to analyze trends and differences in perinatal mortality during the 1982-2004 period. All hospital deliveries and perinatal deaths were monitored through daily visits to maternity wards. Cause of death was determined using information from hospital records and by interviewing physicians. Perinatal mortality fell by 43% in the two decades, with a greater reduction between 1982 and 1993. Intrapartum fetal deaths decreased by 72% and deaths from asphyxia fell from 4.5 per thousand in 1982 to 1.4 per thousand in 2004. In conclusion, reductions in perinatal mortality were also seen across all birth weight categories between 1982 and 1993, but the same was not true for the 1993 to 2004 period, when mortality increased in several categories above 2,000g.


2019 ◽  
Vol 48 (Supplement_1) ◽  
pp. i72-i79 ◽  
Author(s):  
Iná S Santos ◽  
Fernando C Barros ◽  
Bernardo L Horta ◽  
Ana M B Menezes ◽  
Diego Bassani ◽  
...  

Abstract Background Brazil has made substantial improvements in the duration of breastfeeding. We use data from four population-based cohorts to examine how trends and inequalities in breastfeeding indicators changed over time in a Brazilian city. Methods Data from four birth cohorts, each including all births in a calendar year (1982, 1993, 2004 and 2015) in the city of Pelotas were used. Information on breastfeeding was collected when children were aged between 3 and 20 months. The prevalences of continued breastfeeding at 1 year of age and of exclusive breastfeeding at 3 months were calculated according to family income, maternal skin colour and sex. Results Prevalence of breastfeeding at 12 months increased from 16% to 41% in the 33-year period. The prevalence of exclusive breastfeeding at 3 months increased from 7% in 1993 to 45% in 2015. Increases in exclusive breastfeeding at 3 months were seen in all socioeconomic groups, but the 2015 rates remain highest (57.2%) among the women in the richest quintile, and lowest among those in the poorest quintile (34.6%). Black mothers were more likely to breastfeed at 12 months than Whites in the four cohorts. In the earlier cohorts, breastfeeding at 12 months was more common among the poor, but by 2015 these differences had disappeared. Conclusions There were important positive changes in breastfeeding practices during this period, but less than half of the children in 2015 were receiving the full benefits of breast milk. Improved breastfeeding practices are being adopted by high-income women to a greater extent than by poor women.


2020 ◽  
Vol 2 (2) ◽  
pp. 66-71
Author(s):  
Parti ◽  
Sumiati Malik ◽  
Nurhayati

Most causes of infant death are problems that occur in newborn/neonatal (0-28 days old), Low Birth Weight Babies (LBW) is one of the factors which has a contribution to infant mortality, especially in the neonatal period. Infant Mortality Rate (IMR) is a benchmark in determining the degree of public health, both at the National and Provincial levels. This study aimed to determine the effect of the Kangaroo Mother Care Method (KMC) on the prevention of hypothermia in low birth weight infants at Morowali District Hospital in 2019. The type of research used was a quasi-experiment. The population is all low birth weight babies born from May to July 2019. The sample in this study was all newborns with low birth weight born from May to July 2019, totaling 30 babies. There is a difference (influence) on the baby's body temperature before and after KMC with a p-value=0,000. The kangaroo mother care can continue to be affiliated considering its benefits for both infants and mothers, as well as increasing the ability of health workers in conducting KMC so that they can provide in-house training for mothers to be carried out at home.


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