巴西马拉尼昂州圣路易斯两个出生队列（1997/1998年和2010年）围产期健康状况的变化。
Changes in perinatal health in two birth cohorts (1997/1998 and 2010) in São Luís, Maranhão State, Brazil.
作者信息
Silva Antônio Augusto Moura da, Batista Rosângela Fernandes Lucena, Simões Vanda Maria Ferreira, Thomaz Erika Barbara Abreu Fonseca, Ribeiro Cecília Cláudia Costa, Lamy-Filho Fernando, Lamy Zeni Carvalho, Alves Maria Teresa Seabra Soares de Britto e, Loureiro Flávia Helen Furtado, Cardoso Viviane Cunha, Bettiol Heloisa, Barbieri Marco Antonio
机构信息
Centro de Ciências Biológicas e da Saúde, Universidade Federal do Maranhão, São Luís, Brasil.
Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, Brasil.
出版信息
Cad Saude Publica. 2015 Jul;31(7):1437-50. doi: 10.1590/0102-311X00100314.
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.
本研究的目的是分析分别于1997/1998年和2010年在巴西马拉尼昂州圣路易斯启动的两个出生队列中的围产期健康变化。1997/1998年共纳入2493例活产婴儿，2010年为5166例。低出生体重（LBW）率没有变化（1997/1998年为8.5%，2010年为8.6%）。早产（PTB）率也保持稳定（1997/1998年为13.2%，2010年为13%）。青少年分娩和单亲母亲生育减少。产妇受教育程度和产前保健覆盖率提高。宫内生长受限（IUGR）从13.3%降至10.6%（p<0.001）。围产期死亡率从每1000例36.6例降至20.7例（p<0.001），婴儿死亡率（IMR）从每1000例28.5例降至12.8例（p<0.001）。剖宫产率从34.1%升至47.5%（p<0.001）。总之，尽管社会人口学、行为和卫生服务因素发生了有利变化，IUGR以及围产期和婴儿死亡率有所下降，但LBW和PTB保持稳定，而剖宫产率上升。
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