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Complications in adolescent pregnancy: systematic review of the literature.青少年怀孕的并发症:文献系统综述
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Birth in Brazil survey: neonatal mortality, pregnancy and childbirth quality of care.巴西出生情况调查:新生儿死亡率、妊娠及分娩护理质量
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[Spatial analysis of live birth clusters in Unified Health System (SUS) and private hospitals in the municipality of São Paulo, Brazil].[巴西圣保罗市统一卫生系统(SUS)和私立医院活产聚集的空间分析]
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When is birthweight at term abnormally low? A systematic review and meta-analysis of the association and predictive ability of current birthweight standards for neonatal outcomes.足月时的低体重儿是如何界定的?一项关于当前新生儿结局的出生体重标准的关联性和预测能力的系统评价和荟萃分析。
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低出生体重及其相关因素。

Low birth weight and its associated factors.

作者信息

Moreira Andreia Ielpo Magalhães, Sousa Paulo Roberto Moreira de, Sarno Flavio

机构信息

Instituto Israelita de Responsabilidade Social, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.

Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.

出版信息

Einstein (Sao Paulo). 2018 Nov 8;16(4):eAO4251. doi: 10.31744/einstein_journal/2018AO4251.

DOI:10.31744/einstein_journal/2018AO4251
PMID:30427482
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6223941/
Abstract

OBJECTIVE

To calculate the frequency and evaluate the factors associated with low birth weight.

METHODS

A retrospective study, with data from pregnant women who participated in the Programa de Atenção às Gestantes do Programa Einstein na Comunidade de Paraisópolis, between 2011 and 2014, and who returned for the postpartum evaluation of their newborns. Variables related to the pregnant woman, pregnancy, and newborn were evaluated. The outcome variable was low birth weight, defined as <2.5kg. The associations between the independent variables and low birth weight were assessed by χ2 and Mann-Whitney tests. Logistic regression models analyzed the combined effects of the independent variables on low birth weight.

RESULTS

Data of 794 pregnant women and their newborns (52.1% males) were analyzed. The age of pregnant women varied from 13 to 44 years (median of 24 years), and the majority reported being married or living in cohabitation (74.7%), and having between 9 to 11 years of schooling (53.4%). The proportion of low birth weight was 7.6% (newborn mean weight of 3.2kg) and, in multivariate analysis, presence of twinning, age group of the pregnant women (showing protection for low birth weight between ages ≥18 years and <35 years), and cesarean section were associated with low birth weight.

CONCLUSION

The proportion of low birth weight was 7.6% and twining, age of the pregnant woman, and cesarean delivery were associated with the occurrence of low birth weight.

摘要

目的

计算低出生体重的发生率并评估与之相关的因素。

方法

一项回顾性研究,数据来自于2011年至2014年间参与爱因斯坦社区孕妇关爱项目且返回进行新生儿产后评估的孕妇。对与孕妇、妊娠和新生儿相关的变量进行评估。结局变量为低出生体重,定义为<2.5kg。通过χ2检验和曼-惠特尼检验评估自变量与低出生体重之间的关联。逻辑回归模型分析自变量对低出生体重的综合影响。

结果

分析了794名孕妇及其新生儿的数据(52.1%为男性)。孕妇年龄在13至44岁之间(中位数为24岁),大多数报告已婚或同居(74.7%),且接受9至11年教育(53.4%)。低出生体重的比例为7.6%(新生儿平均体重为3.2kg),在多变量分析中双胎妊娠、孕妇年龄组(显示≥18岁且<35岁之间对低出生体重有保护作用)以及剖宫产与低出生体重相关。

结论

低出生体重的比例为7.6%,双胎妊娠、孕妇年龄和剖宫产与低出生体重的发生相关。