Journal Article

The relationship between the different low birth weight strata of newborns with infant mortality and the influence of the main health determinants in the extreme south of Brazil

Nunes, Marina, da Silva, Clécio Homrich, Goldani, Marcelo Zubaran, Hirakata, Vânia Naomi, de Souza Buriol, Viviane Costa, Vilanova, Cássia Simeão

2019

Overview

Background Low birth weight (LBW) newborns present different health outcomes when classified in different birth weight strata. This study evaluated the relationship of birth weight with Infant mortality (IM) through the influence of biological, social, and health care factors in a time series. Methods Retrospective cohort study with data collected from Information Systems (Live Births and Mortality). The mortality trends were performed for each birth weight stratum: extremely low, < 1000 g; very low, 1000–1499 g; low, 1500–2499 g; insufficient, 2500–2999 g; adequate, 3000–3900 g; and macrosomia, > 4000 g. Chi-square tests analyzed IM rates. Sequential Poisson regression analyzed the impact of the determinant factors. Results A total of 277,982 newborns were included in the study and 2088 died before their first year. There was a tendency for a decrease in mortality in all strata of weight. With the exception of macrosomics, all other strata had a higher risk for IM when compared with adequate birth weight. Extremely LBW newborns presented higher risk for mortality when born in a public hospital. A higher percentage of infant deaths were associated with lower maternal age and lower schooling for all strata. Prenatal care with less than three visits demonstrated a risk for IM in low, insufficient, and adequate birth weight strata. The cesarean section was a protective factor for IM in Extremely and Very LBW strata and it was a risk factor in adequate birth weight stratum. Conclusions LBW had a greater association with IM, especially those children of younger mothers and those born in public hospitals.

• Publisher: BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
• Subject: Adolescent / Adult / Age / Analysis / Birth Weight / Brazil / Cesarean section / Cesarean Section - statistics & numerical data / Child / Child health / Childbirth & labor / Children & youth / Childrens health / Confidence intervals / Educational Status / Epidemiology / Female / Fetal Macrosomia / Gestational Age / Health / Health Services Research / Humans / Impact analysis / Infant / Infant Mortality / Infant, Extremely Low Birth Weight / Infant, Low Birth Weight / Infant, Newborn / Infant, Very Low Birth Weight / Infants / Information Systems / Low birth weight / Maternal & child health / Maternal Age / Maternal and child health / Medicine / Medicine & Public Health / Mortality / Mortality risk / Multiple births / Neonates / Newborn infants / Patient outcomes / Pregnancy / Pregnant women / Prenatal care / Protective Factors / Public Health / Public hospitals / Regression Analysis / Research Methodology / Risk analysis / Risk Factors / Strata / Studies / Trends / Weight / Weight at birth / Young Adult