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2
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3
Factors associated with hospitalization and neonatal mortality in a cohort of newborns from the Unified Health System in São Paulo.圣保罗统一卫生系统新生儿队列中与住院和新生儿死亡率相关的因素。
Rev Bras Epidemiol. 2020;23:e200088. doi: 10.1590/1980-549720200088. Epub 2020 Jul 27.
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Incidence and determinants of neonatal near miss in south Ethiopia: a prospective cohort study.埃塞俄比亚南部新生儿近死胎发生率及其决定因素：一项前瞻性队列研究。
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The adverse maternal and perinatal outcomes of adolescent pregnancy: a cross sectional study in Hebei, China.青少年妊娠的不良母婴围产结局：中国河北的一项横断面研究。
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6
[Profile of service providers in high-risk neonatal care in the databases of the Brazilian Unified National Health System].
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7
Social, biological, and programmatic factors linking adolescent pregnancy and early childhood undernutrition: a path analysis of India's 2016 National Family and Health Survey.社会、生物和计划因素将青少年怀孕与儿童早期营养不良联系起来：对印度 2016 年国家家庭健康调查的路径分析。
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Incidence and recurrence risk of low birth weight in Northern Tanzania: A registry based study.坦桑尼亚北部低出生体重的发生率和复发风险：基于登记的研究。
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A Call for Eminence Obstetrics Care by Way of "Neonatal Near Miss" Events (NNM): A Hospital-Based Case-Control Study.通过“新生儿近距离脱险”事件（NNM）呼吁卓越的产科护理：一项基于医院的病例对照研究。
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Neonatal near miss determinants at a maternity hospital for high-risk pregnancy in Northeastern Brazil: a prospective study.巴西东北部一家高危妊娠产妇医院的新生儿接近错失决定因素：一项前瞻性研究。
BMC Pregnancy Childbirth. 2018 Oct 12;18(1):401. doi: 10.1186/s12884-018-2020-x.

巴西青少年产妇新生儿中新生儿近危的相关因素。

Associated factors of neonatal near miss among newborns of adolescent mothers in Brazil.

机构信息

Universidade Federal do Espírito Santo, Departamento de Medicina Social, Programa de Pós-graduação em Saúde Coletiva, Vitória, ES, Brazil.

Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública Sérgio Arouca, Rio de Janeiro, RJ, Brazil.

出版信息

Rev Esc Enferm USP. 2022 May 30;56:e20210359. doi: 10.1590/1980-220X-REEUSP-2021-0359en. eCollection 2022.

DOI:10.1590/1980-220X-REEUSP-2021-0359en
PMID:35652629
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10081653/
Abstract

OBJECTIVE

To identify the associated factors of neonatal near miss among newborns of Brazilian adolescents and to compare their occurrence in young women aged 12 to 16 years and 17 to 19 years.

METHOD

Cross-sectional, hospital-based study, using data from the study Nascer no Brasil ("Birth in Brazil") on puerperal adolescents and their newborns in all regions of Brazil. Multiple and univariate logistic regression were employed to identify the associated factors of neonatal near miss.

RESULTS

The following factors were found to be associated to neonatal near miss among newborns of adolescent mothers: public source of payment (OR = 4.57, 95% CI = 2.02-10.32), having to seek help in different maternity hospitals (OR = 1.52; 95% CI = 1.05-2.20), and maternal near miss (OR = 5.92; 95% CI = 1.94-18.05), in addition to a record of low weight in a previous pregnancy (OR = 3.12; 95% CI = 1.61-6.04) and twin pregnancy (OR = 7.49; 95% CI = 3.28-16.82).

CONCLUSION

Neonatal near miss affected newborns of adolescent mothers in both age groups equally. Also, the determinant factors of neonatal near miss can be mostly reduced with qualified prenatal, labor, and birth care.

摘要

目的

确定巴西青少年新生儿近危儿的相关因素，并比较 12-16 岁和 17-19 岁年轻女性的发生率。

方法

这是一项基于医院的横断面研究，使用巴西青春期产妇及其新生儿研究（Nascer no Brasil）的数据，该研究在巴西所有地区开展。采用多变量和单变量逻辑回归来确定新生儿近危儿的相关因素。

结果

以下因素与青少年母亲新生儿的近危儿状态相关：公共支付来源（OR=4.57，95%CI=2.02-10.32）、不得不在不同的产科医院寻求帮助（OR=1.52；95%CI=1.05-2.20）、母亲接近危象（OR=5.92；95%CI=1.94-18.05），此外，既往妊娠体重偏低（OR=3.12；95%CI=1.61-6.04）和双胎妊娠（OR=7.49；95%CI=3.28-16.82）的记录。

结论

新生儿近危儿影响了两个年龄组的青少年母亲的新生儿。此外，新生儿近危儿的决定因素主要可以通过优质的产前、分娩和产后护理来降低。