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FATORES ASSOCIADOS AO BAIXO PESO AO NASCER

Authors: Emília Coutinho; Lúcia Araújo; Carlos Pereira; João Duarte; Paula Nelas; Claúdia Chaves;

FATORES ASSOCIADOS AO BAIXO PESO AO NASCER

Abstract

Abstract.FACTORS ASSOCIATED WITH LOW BIRTHWEIGHTFramework: The low birthweight is a risk factor for neonatal morbidity and mortality and a general indicator of health status of a population. It can be associated to low levels of socioeconomic development, prenatal care and maternal charateristics.Objectives: Analyze the influence of sociodemographic, obstetric and prenatal care variables to low birthweight. Participants: 1846 post-partum women, where only 161 had newborns with low birthweight.Methods: This is a wide-ranging, descriptive-correlacional and forward-looking study with a non-probable intentional sample. It was used a questionnaire, applied between March 2010 and May 2012, in 26 Portuguese institutions of public health.Results: The low birthweight was associated: ≥ 41 weeks (p=0,000), without obstetric risk (p=0,001), without obstetric risk/unplanned pregnancy (p=0,036), obstetric risk/maternal age risk (p=0,007), without sociodemographic risk/gestacional age without risk (p=0,000), sociodemographic risk/gestacional age without risk (p=0,007), risk on prenatal care/maternal age risk(p=0,020), prenatal care without risk/gestacional age without risk (p=0,000), maternal age risk/risk number of pregnancies (p=0,021), low education/income ≤1000€ (p=0,036), low education/ unemployment (p=0,044), risk number of children/gestational age without risk (p=0,000), pregnancy diseases /gestational age without risk (p=0,000), previous diseases/gestational age without risk (p=0,000), and with a margin error of 10%, low education (p=0,074) and unplanned pregnancy (p=0,089). The prevalence of LBW was 8.7%.Conclusion: The determination of the factors that contribute to the appearance of low birthweight is essential for the planning, implementation and development of actions related to maternal and children health.Key-words: Low Birth Weight, Newborn, Risk Factors, Sociodemographic Factors; Prenatal care, Pregnancy.Resumen.Enquadramento: O baixo peso ao nascer é um fator de risco para a morbi-mortalidade neonatal, e um indicador geral do nível de saúde de uma população. Associa-se a baixos níveis de desenvolvimento socioeconómico, características maternas e de assistência materno-infantil.Objetivos: Analisar a influência das variáveis sociodemográficas, obstétricas e de assistência pré-natal ao baixo peso ao nascer.Participantes: 1846 puérperas, em que 161 apresentam recém-nascidos de baixo peso ao nascer.Métodos: Estudo transversal, descritivo correlacional e prospetivo com uma amostra não probabilística intencional. Foi utilizado um questionário aplicado entre Março de 2010 e Maio de 2012, em 26 instituições de saúde públicas portuguesas.Resultados: O baixo peso ao nascer, foi associado a: idade gestacional ≥41semanas (p<0,001), idade materna de risco*número gestações de risco (p=0,021); baixa escolaridade*rendimentos ≤1000€ (p=0,036), baixa escolaridade*desemprego (p=0,044), número filhos de risco*idade gestacional de termo (p<0,001), patologias na gravidez*idade gestacional de termo (p<0,001), patologias prévias*idade gestacional de termo(p<0,001), e com erro de 10% à baixa escolaridade (p=0,074) e não planeamento da gravidez (p=0,089). A prevalência de BPN foi de 8,7%.Conclusão: A determinação dos fatores que favorecem o aparecimento do baixo peso ao nascer é fundamental para o planeamento e desenvolvimento de ações no âmbito da saúde materno-infantil.Palavras-chave: Baixo Peso ao Nascer; Recém-nascido; Fatores de Risco; Fatores Sociodemográficos; Assistência pré-natal; Gravidez.

Country
Portugal
Keywords

Sociodemographic Factors, baixo peso ao nascer, Fatores de risco, Baixo peso ao nascer, recém-nascido, Recém-nascido, Newborn, fatores de risco, BF1-990, Assistência pré-natal, Risk factors, Pregnancy, fatores sociodemográficos, Low birth weight, Gravidez, Psychology, Prenatal care, assistência pré-natal, Fatores sociodemográficos, gravidez

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selected citations
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This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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