Risk factors for low birth weight in Rio Grande do Sul State, Brazil: classical and multilevel analysis

The objective of this study was to identify risk factors for low birth weight in singleton live born infants in Rio Grande do Sul State, Brazil, in 2003, based on data from the Information System on Live Births. The study used both classical multivariate and multilevel logistic regression. Risk factors were evaluated at two levels: individual (live births) and contextual (micro-regions). At the individual level the two models showed a significant association between low birth weight and prematurity, number of prenatal visits, congenital anomalies, place of delivery, parity, sex, maternal age, maternal occupation, marital status, schooling, and type of delivery. In the multilevel models, the greater the urbanization of the micro-region, the higher the risk of low birth weight, while in less urbanized micro-regions, single mothers had an increased risk of low birth considering all live births. Low birth weight varied according to micro-region and was associated with individual and contextual characteristics. Although most of the variation in low birth weight occurred at the individual level, the multilevel model identified an important risk factor in the contextual level.

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Fatores associados ao baixo peso ao nascer em crianças do Rio Grande do Sul

Ciência e Natura ◽

10.5902/2179460x40486 ◽

2020 ◽

Vol 42 ◽

pp. e43

Author(s):

Angelica Peripolli ◽

Anaelena Bragança de Moraes ◽

Luciane Flores Jacobi ◽

Roselaine Ruviaro Zanini

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Strong Association ◽

Significant Risk ◽

Rio Grande ◽

Vulnerable Groups ◽

Protective Effects ◽

Rio Grande Do Sul ◽

Live Births ◽

Using Data

In this study were identified and quantified the risk factors associated to live births with low birth weight in Rio Grande do Sul, in 2011 using data from the Information System on Live Births. The prevalence of low birth weight (LBW) was 8.1%. By adjusting logistic regression, two models were proposed. For the first one, the predictors significant risk variables at 5% were: mothers aged 35 or more; nulliparous; with elementary school II or high school; legally separated or divorced; mothers who did not receive prenatal care; birth that occurred outside the hospital; prematurity; female and who had congenital anomaly. The protective effects variables were teenage mothers and who did not work outside the home. The type of delivery was included in the second model proposed, which was more appropriate to estimate the probability of a live birth born underweight. It was possible to conclude that it is important to consider effective actions to vulnerable groups aiming to reduce LBW rates, examining the strong association with infant mortality rates.

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Clinical profile and factors determining outcome of intramural very low birth weight babies in a tertiary care centre: a retrospective study

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20170143 ◽

2017 ◽

Vol 5 (2) ◽

pp. 520

Author(s):

Devi Meenakshi K. ◽

Arasar Seeralar A. T. ◽

Srinivasan Padmanaban

Keyword(s):

Risk Factors ◽

Logistic Regression ◽

Regression Analysis ◽

Birth Weight ◽

Low Birth Weight ◽

Logistic Regression Analysis ◽

Very Low Birth Weight ◽

Tertiary Care ◽

P Value ◽

Increased Risk

Background: Very low birth weight (VLBW) babies are at increased risk of a number of complications both immediate and late. Worldwide it has been observed that these babies contribute to a significant extent to neonatal mortality and morbidity. Aim of the study was to study the risk factors contributing to mortality in VLBW babies and to evaluate the morbidity pattern in these infants.Methods: A retrospective analysis of data retrieved from the case records of VLBW babies admitted in the NICU of Kilpauk Medical College between January 2015 to December 2015. Out of the 2360 intramural babies admitted during the study period, 99 babies were less than 1500 gms. The risk factors for these babies were analyzed for their association with the outcome. Data were statistically analyzed.Results: In present study, we found that sex of the baby, gestational age, obstetric score, birth asphyxia, pulmonary haemorrhage, ROP and presence of shock were found to be associated with increased mortality. By logistic regression analysis it was observed that birth weight of the baby (p value 0.002), duration of stay (p value 0.0006), presence of shock (p<0.0001), were the risk factors significantly associated with poor outcome.Conclusions: Among the maternal and neonatal factors analyzed in the study using logistic regression analysis, birth weight, duration of hospital stay and presence of shock were significantly related to poor outcome. Of these presence of shock was the single most important factor that predicted increased mortality.

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A retrospective study of predisposing factors and outcome of persistant pulmonary hypertension among newborns at rural tertiary care centre

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20205512 ◽

2020 ◽

Vol 8 (1) ◽

pp. 92

Author(s):

B. C. Yelamali ◽

Gangadhar S. Mirji ◽

Mirnalini Rajput

Keyword(s):

Risk Factors ◽

Pulmonary Hypertension ◽

Retrospective Study ◽

Birth Weight ◽

Low Birth Weight ◽

Birth Asphyxia ◽

Male Gender ◽

Predisposing Factors ◽

Positive Pressure ◽

Increased Risk

Background: Persistent pulmonary hypertension in newborns (PPHN) remains a significant cause of perinatal morbidity and mortality. Early recognition of factors that increase the risk of PPHN is of great importance in either to prevent or to treat PPHN optimally. Aim was to study the neonatal predisposing factors, profile and outcome of PPHN.Methods: This retrospective study was conducted in level III neonatal care unit, a rural referral centre of North Karnataka, India from January 2018 to April 2020.Results: During the study period a total of 50 infants with PPHN were identified with the incidence of 5.43/1000 live births. Mean gestation age (±SD) was 38.28±2.49 weeks and mean birth weight (±SD) was 2624±512 gm. The most noted risk factors were meconium aspiration syndrome (42%), birth asphyxia (16%), RDS (10%), positive pressure ventilation at birth (52%) and male gender (62%). Out of 50 infants with PPHN, high mortality was seen in low birth weight babies (66.6%). Use of sildenafil showed increased mortality (56.2%) whereas use of surfactant scored better with decreased mortality of 42.8%.Conclusions: Major risk factors for PPHN are MAS, birth asphyxia, RDS and low birth weight. Poor prognosis is seen in male gender, prematurity and CDH with increased risk of mortality. The use of systemic pulmonary vasodilators can be considered with caution and use of surfactant has a role in management of PPHN.

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Adherences on antihypertensive treatments in patients with systemic hypertension in a Health Unit

Revista de Enfermagem UFPE on line ◽

10.5205/reuol.1001-9535-1-le.0404201003 ◽

2010 ◽

Vol 4 (4) ◽

pp. 1595

Author(s):

Marli Maria Loro ◽

Thiely Samantha Kitzmann ◽

Cleci Schmidt Rosanelli ◽

Adriane Cristina Bernat Kolankiewicz ◽

Gilmar Poli ◽

...

Keyword(s):

Rio Grande ◽

Educational Status ◽

Systemic Hypertension ◽

Patient Acceptance ◽

Health Unit ◽

Rio Grande Do Sul ◽

Treatment Needs ◽

Individual Level ◽

The Individual ◽

Antihypertensive Treatments

ABSTRACTObjective: to identify how adherences occur on antihypertensive treatments in patients with Systemic Hypertension in a Family Health’s strategy Unit, in a northwestern city of Rio Grande Do Sul state. Methodology: this is a qualitative study from descriptive approach. The sample consists of 13 individuals identified by health professionals of the health service. Data collection was through interviews and data were analyzed in light of the content analysis, resulting in a subject of analysis. Ethical aspects were respected recommended by Resolution 196/96, and was approved by the Ethics in Research UNIJUI, on the advice embodied 0153/2008. Results: the depositions yielded a topic of analysis called antihypertensive treatment adherences, which deals about concerning aspects of the understanding HAS patients in respect to adherence treatment needs, because being a pathology, occasionally silent, the carrier has to take active stance in his treatment witch involves drug therapy instead of just drugs. On the research was identified that the individual level of educational instructions didn’t influence on treatment adherence. Conclusion: it is necessary that the subject implement changes in the lifestyle to guarantee the blood pressure controls. Descriptors: hypertension; patient acceptance of health care; therapeutics; health unit; patients; educational status; life style. RESUMOObjetivo: identificar como ocorre a adesão ao tratamento anti-hipertensivo em portadores de Hipertensão Arterial Sistêmica em uma Unidade de Estratégia de Saúde da Família, de um município de região Noroeste do Estado do Rio Grande do Sul. Metodologia: trata-se de um estudo descritivo, de abordagem qualitativa cuja amostra foi composta por 13 indivíduos identificados pelos profissionais de saúde do referido serviço de saúde. A coleta de dados foi por meio da entrevista e os dados foram analisados a luz da análise de conteúdo, resultando em um tema de análise. Foram respeitados os aspectos Éticos preconizado pela resolução 196/96, sendo aprovado pelo Comitê de Ética em Pesquisa da UNIJUI, mediante parecer consubstanciado 0153/2008. Resultados: dos depoimentos resultou um tema de análise denominado Adesão ao Tratamento Anti-hipertensivo, o qual versa acerca de aspectos relativos ao entendimento dos portadores de HAS em relação à necessidade de adesão ao tratamento, pois sendo esta uma patologia ocasionalmente silenciosa, o portador tem que assumir postura ativa no seu tratamento, o qual envolve terapêutica medicamentosa e não medicamentosa. Na pesquisa foi identificado que o grau de instrução dos indivíduos não influenciou na adesão ao tratamento. Conclusão: faz-se necessário que o sujeito implemente mudanças em seu estilo de vida com vistas a garantir o controle dos níveis pressóricos, evitando complicações. Descritores: hipertensão; aceitação pelo paciente de cuidados de saúde; terapêutica; unidade de saúde; portadores.RESUMENObjetivo: identificar como se producen en adhesión el tratamiento anti-hipertensivo en personas con Hipertensión Arterial Sistémica, en una Unidad de Estrategia de Salud Familiar, de un municipio en el noroeste del estado de Rio Grande do Sul. Metodología: estudio cualitativo y descriptivo. La muestra se compone de 13 personas identificadas por los profesionales de la salud del servicio de salud. Los datos fueron recolectados a través de entrevistas y los datos fueron analizados a la luz del análisis de contenido, dando como resultado un objeto de análisis. Los aspectos éticos fueron respetados recomendado por la Resolución 196/96, y fue aprobado por la Comisión de Ética en la Investigación de UNIJUI, con el numero del protocolo 0153/2008. Resultados: de los testimonios resultó un tema de análisis llamado Adhesión al Tratamiento Antihipertensivo, que versa sobre la comprensión de la gente portadora de HAS en relación con la necesidad de adherirse al tratamiento, que es, por veces, una patologia silenciosa, el portador debe adoptar postura activa en su tratamiento, lo que implica terapétutica medicamentosa y no medicamentosa. La búsqueda identificó que el nivel de instrucción de las personas no influyó en la adhesión al tratamiento. Conclusión: el tema es necesario para implementar cambios en su estilo de vida con el control de los niveles presóricos, evitando complicaciones. Descriptores: hipertensión; aceptación de la atención de salud; terapéutica; unidad de salud; personas.

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Reflexivity as a mediating element - The case of Francisco Milanez

Cadernos EBAPE BR ◽

10.1590/1679-395120200027x ◽

2021 ◽

Vol 19 (1) ◽

pp. 152-164

Author(s):

BRUNO DE SOUZA LESSA ◽

FERNANDO DIAS LOPES ◽

CÉLIA ELIZABETE CAREGNATO

Keyword(s):

Rio Grande ◽

Rio Grande Do Sul ◽

Individual Level ◽

Social Lives ◽

Individual Agency ◽

Secondary Role ◽

Brazilian State ◽

Central Argument ◽

The Individual ◽

The Way

Abstract This article aimed to discuss how Pierre Bourdieu’s concept of reflexivity was conceived, and how it influenced and was developed by Bernard Lahire’s in his sociology. To operationalize the way the concept is articulated, but emphasizing its development by Lahire, this paper presents as an empirical case how reflexivity was engendered in José Francisco Bernardes Milanez’ biographical trajectory, a historical environmental activist from the Brazilian state of Rio Grande do Sul. The central argument we defend is that the Bourdieusian-inspired concept of reflexivity has a certain objectivist and structuralist weight, which gives a secondary role to individuals’ reflection capacity and agency. Despite this weight, reflexivity acts as a mediator between structures and their individual agency within actors’ social lives. In this sense, reflexive capacities can be better understood and analyzed by considering the ways individuals connect their daily practices, dialectically and concomitantly, with reflexive processes. This article emphasizes that sociological analyses at the individual level can be potentially more substantive if they consider structure, agency, and reflexivity in an integrated way. Finally, we argue that the conceptual and argumentative association of elements from the two authors helps to avoid false antinomies.

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Factors associated to maternal and child's health in Rio Grande do Sul, Brazil

Revista Brasileira de Saúde Materno Infantil ◽

10.1590/1806-93042017000300007 ◽

2017 ◽

Vol 17 (3) ◽

pp. 527-537 ◽

Cited By ~ 1

Author(s):

Franciele Mattei ◽

Ioná Carreno

Keyword(s):

Birth Weight ◽

Ecological Study ◽

Rio Grande ◽

Spearman Correlation ◽

Rio Grande Do Sul ◽

Regional Health ◽

Cross Sectional ◽

Level Of Education ◽

Live Births ◽

Factors Associated

Abstract Objectives: to analyze the factors associated to maternal and child's health from the Live Births Information System (Sinasc) in Rio Grande do Sul, 2012. Methods: a cross-sectional ecological study with analysis on Sinasc variables from 19 Regional Health Coordinations in Rio Grande do Sul. The variables occurrence frequencies were calculated and analyzed by Spearman correlation. Results: we observed that a higher maternal level of education, the presence of a partner and the adequate number of prenatal consultations reduced the frequency of vaginal delivery, as for the proportion of cesarean section, it was 62%. The frequency of low schooling was associated to prematurity (rho = 0.521, p=0.022) and low birth weight (rho = 0.542, p=0.016). The low prenatal coverage correlated positively with the Apgar score ≤ 7 in the 5th minute (rho = 0.467; p=0.044) and negatively with adequate birth weight (rho = -0.500; p=0.029). Conclusions: this study allows to identify factors associated to maternal and child's health contributing information to the development of actions that qualifies pregnant women's healthcare.

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Sociodemographic risk factors associated with low birthweight in United Arab Emirates

Journal of Biosocial Science ◽

10.1017/s0021932000022409 ◽

1996 ◽

Vol 28 (3) ◽

pp. 339-346 ◽

Cited By ~ 6

Author(s):

A. Bener ◽

Y. M. Abdulrazzaq ◽

A. Dawodu

Keyword(s):

Risk Factors ◽

Birth Weight ◽

Low Birth Weight ◽

Antenatal Care ◽

United Arab Emirates ◽

Maternal Smoking ◽

Low Birthweight ◽

Multiple Logistic Regression Analysis ◽

Educational Status ◽

Increased Risk

SummaryThis case-control study was undertaken to determine socio-demographic risk factors for low birth weight in Al-Ain (United Arab Emirates) over a 12-month period in 1992–93. A total of 3485 live births occurred of which 293 (8·4%) were low birth weight. The risk factors considered were mother's occupation, house conditions, place of residence (urban or rural), maternal smoking habits, antenatal care, availability of help in the home, maternal BMI and educational status. Multiple logistic regression analysis showed that mother's occupation, maternal smoking, antenatal care, and lack of help in the home were associated with increased risk of low birth weight.

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Risk factors for the increasing trend in low birth weight among live births born by vaginal delivery, Brazil

Revista de Saúde Pública ◽

10.1590/s0034-89102000000600006 ◽

2000 ◽

Vol 34 (6) ◽

pp. 596-602 ◽

Cited By ~ 30

Author(s):

Marco A Barbieri ◽

Antônio AM Silva ◽

Heloisa Bettiol ◽

Uilho A Gomes

Keyword(s):

Risk Factors ◽

Birth Weight ◽

Low Birth Weight ◽

Cesarean Section ◽

Vaginal Delivery ◽

Preterm Infants ◽

Southeastern Brazil ◽

Socioeconomic Differences ◽

Live Births ◽

Vaginal Deliveries

OBJECTIVE: To identify risk factors for low birth weight (LBW) among live births by vaginal delivery and to determine if the disappearance of the association between LBW and socioeconomic factors was due to confounding by cesarean section. METHODS: Data were obtained from two population-based cohorts of singleton live births in Ribeirão Preto, Southeastern Brazil. The first one comprised 4,698 newborns from June 1978 to May 1979 and the second included 1,399 infants born from May to August 1994. The risks for LBW were tested in a logistic model, including the interaction of the year of survey and all independent variables under analysis. RESULTS: The incidence of LBW among vaginal deliveries increased from 7.8% in 1978--79 to 10% in 1994. The risk was higher for: female or preterm infants; newborns of non-cohabiting mothers; newborns whose mothers had fewer prenatal visits or few years of education; first-born infants; and those who had smoking mothers. The interaction of the year of survey with gestational age indicated that the risk of LBW among preterm infants fell from 17.75 to 8.71 in 15 years. The mean birth weight decreased more significantly among newborns from qualified families, who also had the highest increase in preterm birth and non-cohabitation. CONCLUSIONS: LBW among vaginal deliveries increased mainly due to a rise in the proportion of preterm births and non-cohabiting mothers. The association between cesarean section and LBW tended to cover up socioeconomic differences in the likelihood of LBW. When vaginal deliveries were analyzed independently, these socioeconomic differences come up again.

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SAT-103 Extrauterine Growth Restriction (EUGR) in Preterm Infants: Incidence, Risk Factors, Nutrition, Auxological and Neurological Outcome.A Retrospective Study from 2010 to 2016

Journal of the Endocrine Society ◽

10.1210/jendso/bvaa046.1219 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

Author(s):

Marta Del Pistoia ◽

Maria Giulia Tozzi ◽

Alessandra Carmignani ◽

Massimiliano Ciantelli ◽

Rosa Teresa Scaramuzzo ◽

...

Keyword(s):

Risk Factors ◽

Birth Weight ◽

Low Birth Weight ◽

Preterm Infants ◽

Enteral Feeding ◽

Gestational Age ◽

Minimum Weight ◽

Gradual Improvement ◽

Increased Risk

Abstract EUGR is still a serious problem in very low birth weight preterm infants. The gradual improvement in neonatal intensive care has allowed the survival of newborns with increasing low weight and gestational age, with a higher incidence of major nutritional problems and diseases (Goldenberg 2008). EUGR was defined as growth parameters ≤ 10° centile at discharge, compared to the expected intrauterine growth for post-menstrual age. Recently EUGR was defined, in a dynamic way, as the reduction in anthropometric parameters z-score between birth and discharge >1SD (Griffin 2016). Aims of our study were to evaluate: the incidence of EUGR, the nutritional intake, the main risk factors, the auxological and neurological outcome. We enrolled 346 newborns admitted to our NICU from 2010 to 2016 with gestational age (GA) at birth < 30 weeks and/or birth weight <1500 gr. Infants with malformations or syndromes were excluded. The incidence of EUGR was 73.1% for weight, 66.3% for length and 39.3% for head circumference. We observed a decrease in SD mainly during the first 14 days of life. From two weeks to discharge, no significant catch-up growth was observed. Risk factors for EUGR were: male gender, reduced GA (p=0.000), low birth weight (p=0.000), lower minimum weight achieved (p=0.000), more time to recover birth weight (p=0.000), lower growth rate per day (p=0.001), longer period of total parenteral nutrition (p=0.008), later onset of minimal enteral feeding (p=0.006), later achievement of the full enteral feeding (p=0.000), cesarean section (p=0.006), incomplete corticosteroid prophylaxis (p=0.025), postnatal steroids use (p=0.000), mechanical ventilation (p=0.000), pulmonary bronchodysplasia (p= 0.000), leukomalacia (p=0.06), patent ductus arteriosus (p=0.000), retinopathy of prematurity (p= 0.008), late onset sepsis (p= 0.09). In 197 patients post-discharge clinical follow up at 1, 3 and 24 months of correct age (CA) was performed. Around 88% of all our sample showed normal neurological development. 12% at 1 and 3 months had abnormal general movements (both writhing and fidgety movements) or absent (p = 0.001). At 24 months CA patients with abnormal/absent fidgety movements had neurological disabilities and 83% were EUGR. At 24 months, 17% had weight <10th centile and all were EUGR. 25% showed an overgrowth (weight >75th centile) with a probably increased risk of metabolic disease later in life. The incidence of EUGR increased over the years due to the augmentation in preterm births with lower GA. The first 14 days of life were a critical period and nutrition is known to be mandatory to promote newborns’ growth (Asbury 2019). The EUGR condition negatively affected the neurological (Chien 2018) and auxological (Takayanagi 2018, Wood 2018) outcome of preterm infants and the early recognition of this condition is extremely important in order to implement a careful and prolonged follow-up.

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