Gestational age: comparing estimation methods and live births’ profile

Autor: Eliana de Aquino Bonilha, Margarida Maria Tenório de Azevedo Lira, Marina de Freitas, Célia Maria Castex Aly, Patrícia Carla dos Santos, Denise Yoshie Niy, Carmen Simone Grilo Diniz
Jazyk: English<br />Portuguese
Rok vydání: 2023
Předmět:
Zdroj: Revista Brasileira de Epidemiologia, Vol 26 (2023)
Druh dokumentu: article
ISSN: 1980-5497
DOI: 10.1590/1980-549720230016
Popis: ABSTRACT Objective: To identify factors associated with the definition of the gestational age (GA) estimation method recorded in the live birth certificate (LBC), and to compare the results obtained according to the method in the city of São Paulo (CSP), between 2012 and 2019. Methods: Cross-sectional population-based study using the Live Birth Information System. Descriptive and comparative analysis was performed according to the GA estimation method, followed by a univariate and multivariate logistic regression model to identify the predictor variables of the method used. Results: The estimation of GA by the date of the last menstrual period (LMP) (39.9%) was lower than that obtained by other methods (OM) (60.1%) — physical examination and ultrasound, between 2012–2019. LMP registration in the LBC increased with the mother's age, it was higher among women who were white, more educated and with partners, in cesarean sections and with private funding. In the logistic regression, public funding was 2.33 times more likely than private funding to use OM. The proportion of preterm infants (
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