Perinatal outcomes from preterm and early term births in a multicenter cohort of low risk nulliparous women
| Autor: | Souza, Renato T., Costa, Maria L., Mayrink, Jussara, Feitosa, Francisco E., Rocha Filho, Edilberto A., Leite, Débora F., Vettorazzi, Janete, Calderon, Iracema M. [UNESP], Sousa, Maria H., Passini, Renato, Baker, Philip N., Kenny, Louise, Cecatti, Jose G., Parpinelli, Mary A., Fernandes, Karayna G., Galvão, Rafael B., Guida, José Paulo, Santana, Danielly S., de Lucena, Daisy, Sousa, Benedita, Melo, Elias F., Anacleto, Danilo, Pfitscher, Lucia, Brust, Luiza, Cassettari, Bianca F. [UNESP], Franchini, Kleber G., Pacagnella, Rodolfo C. |
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| Přispěvatelé: | Universidade Estadual de Campinas (UNICAMP), MEAC – School Maternity of the Federal University of Ceará, Universidade Federal de Pernambuco (UFPE), Federal University of RS, Universidade Estadual Paulista (Unesp), Jundiai School of Medicine, University of Leicester, University of Liverpool |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Multivariate analysis Term Birth Epidemiology Population lcsh:Medicine Article Young Adult 03 medical and health sciences Medical research 0302 clinical medicine Pregnancy Risk Factors medicine Humans Longitudinal Studies Prospective Studies 030212 general & internal medicine lcsh:Science Prospective cohort study education education.field_of_study 030219 obstetrics & reproductive medicine Multidisciplinary Fatores de risco Obstetrics business.industry Mortality rate lcsh:R Infant Newborn Infant Low Birth Weight Prognosis Parity Mulheres Relative risk Cohort Premature Birth Gravidez Female lcsh:Q business Brazil Trabalho de parto prematuro Full Term Birth |
| Zdroj: | Scopus Repositório Institucional da UNESP Universidade Estadual Paulista (UNESP) instacron:UNESP SCIENTIFIC REPORTS Repositório Institucional da UFRGS Universidade Federal do Rio Grande do Sul (UFRGS) instacron:UFRGS Scientific Reports, Vol 10, Iss 1, Pp 1-11 (2020) Scientific Reports |
| Popis: | Made available in DSpace on 2020-12-12T02:08:24Z (GMT). No. of bitstreams: 0 Previous issue date: 2020-12-01 Preterm birth is the major contributor for neonatal and under-five years mortality rates and also accounts for a short- and long-term adverse consequences up to adulthood. Perinatal outcomes may vary according to lots of factors as preterm subtype, late prematurity, which account for the vast majority of cases, country and population characteristics. An under-recognition of the perinatal outcomes and its associated factors might have underpowered strategies to provide adequate care and prevent its occurrence. We aim to estimate the frequency of maternal and perinatal outcomes in women with different categories of preterm and term births, factors associated with poorer perinatal outcomes and related management interventions. A multicentre prospective cohort in five maternities in Brazil between 2015 and 2018. Nulliparous low-risk women with singletons were included. Comprehensive data were collected during three antenatal visits (at 19–21weeks, 27–29 weeks and 37–39 weeks). Maternal and perinatal outcomes were also collected according to maternal and neonatal medical records. Women who had spontaneous (sPTB) and provider-initiated (pi-PTB) preterm birth were compared to those who had term birth. Also, late preterm birth (after 34 weeks), and early term (37–38 weeks) were compared to full term birth (39–40 weeks). Bivariate analysis estimated risk ratios for maternal and adverse outcomes. Finally, a multivariate analysis was conducted to address factors independently associated with any adverse perinatal outcome (APO). In total, 1,165 women had outcome data available, from which 6.7% had sPTB, 4.0% had pi-PTB and 89.3% had a term birth. sPTB and pi-PTb were associated with poorer perinatal outcomes, as well as late sPTB, late pi-PTB and early term neonates. pi-PTB (RRadj 8.12, 95% CI [2.54–25.93], p-value 0.007), maternal weight gain between 20 and 27 weeks |
| Databáze: | OpenAIRE |
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