Associations of Gestational Weight Gain with Perinatal Outcomes in Western Brazilian Amazon

Mosquera, Paola Soledad; Malta, Maíra Barreto; Damasceno, Ana Alice de Araújo; Neves, Paulo Augusto Ribeiro; Matijasevich, Alícia; Cardoso, Marly Augusto

doi:10.1007/s10995-022-03480-9

Cited by 5 publications

(4 citation statements)

References 28 publications

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“…Final gestational weight was obtained from medical records, which was measured moments before delivery by the nursing team of the maternity hospital, as detailed in a previous publication 17 . A scale by Welmy (Santa Bárbara d'Oeste, Brazil) was used, model W-200A LED, with a 200-kg capacity and a 0.05-kg variation.…”

Section: Methodsmentioning

confidence: 99%

Adolescent pregnancy in Cruzeiro do Sul, Acre, Brazil: socioeconomic characteristics, prenatal and obstetric care

Damasceno,

Cardoso,

Cardoso

et al. 2024

Ciênc. saúde coletiva

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The present study aimed to investigate the socioeconomic and obstetric characteristics of adolescent mothers and the complications they cause to maternal and neonatal health. This baseline data analysis of the MINA-Brazil birth cohort was conducted in the municipality of Cruzeiro do Sul, state of Acre, Brazil. The chi-square test was used to compare characteristics of adolescent and adult postpartum women, and multiple Poisson regression models with robust variance were used to assess associated factors. Among the postpartum women, 26.2% (95%CI: 24.0-28.4) were adolescents. Factors associated with childbirth in adolescence included: nine years or less of schooling (adjPR:1.36; 95%CI: 1.14-1.61), belongs to the lowest quartiles of the wealth index (1st quartile: adjPR:1.40; 95%CI: 1.08-1.80) (2nd quartile: adjPR:1.37; 95%CI: 1.08-1.74), primigravidae (adjPR:3.69; 95%CI: 2.98-4.57), low pre-pregnancy BMI (adjPR:1.28; CI95%: 1.04-1.57), urinary tract infection during pregnancy (adjPR:1.25; CI95%: 1.07-1.46) and less than six prenatal consultations (adjPR:1.42; 95%CI: 1.21-1.66). Poverty, little schooling, primigravidae, low pre-pregnancy BMI, urinary tract infection during pregnancy and few prenatal consultations were associated with childbirth during adolescence in a municipality in the Northern region of Brazil.

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Section: Methodsmentioning

confidence: 99%

Adolescent pregnancy in Cruzeiro do Sul, Acre, Brazil: socioeconomic characteristics, prenatal and obstetric care

Damasceno,

Cardoso,

Cardoso

et al. 2024

Ciênc. saúde coletiva

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“…Também foi coletada informação sobre o peso gestacional final a partir dos registros nos prontuários, aferido momentos antes do parto pela equipe de enfermagem na própria maternidade, conforme descrito em publicação anterior 17 . A balança utilizada era da fabricante Welmy (Santa Bárbara d'Oeste, Brasil), modelo W-200A LED, com capacidade para 200 kg e variação de 0,05 kg.…”

Section: Métodounclassified

Parturientes adolescentes em Cruzeiro do Sul, Acre, Brasil: características socioeconômicas e obstétricas

Damasceno,

Cardoso,

Cardoso

et al. 2024

Ciênc. saúde coletiva

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Resumo O objetivo do estudo foi investigar as características socioeconômicas e obstétricas de parturientes adolescentes e suas complicações sobre a saúde materna e neonatal. Trata-se de uma análise de dados da linha de base da coorte de nascimentos MINA-Brasil conduzida no município de Cruzeiro do Sul, estado do Acre. Utilizou-se teste qui-quadrado para comparar características das puérperas adolescentes com as adultas e modelos múltiplos de regressão de Poisson com variância robusta para avaliar fatores associados. Entre as puérperas estudadas, 26,2% (IC95%: 24,0-28,4) eram adolescentes. Os fatores associados ao parto na adolescência foram ter nove anos ou menos de estudo (RPaj:1,36; IC95%: 1,14-1,61), pertencer aos menores quartis do índice de riqueza (1° quartil: RPaj:1,40; IC95%: 1,08-1,80) (2° quartil: RPaj:1,37; IC95%: 1,08-1,74), ser primigesta (RPaj:3,69; IC95%: 2,98-4,57), baixo IMC pré-gestacional (RPaj:1,28; IC95%: 1,04-1,57), infecção urinária na gravidez (RPaj:1,25; IC95%: 1,07-1,46) e menos de seis consultas de pré-natal (RPaj:1,42; IC95%: 1,21-1,66). Pobreza, baixa escolaridade, primigestação, baixo IMC pré-gestacional, infecção urinária na gestação e menor número de consultas de pré-natal foram associados ao parto na adolescência em município da região Norte do Brasil.

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“…Modifiable risk factors for foetal growth constraint are particularly important in low-resource settings worldwide, which face concurrent burdens of non-communicable and infectious diseases [ 6 ]. For instance, in a birth cohort in the Brazilian Amazon [ 7 ], we have observed frequent patterns of inadequate gestational weight gain (GWG) [ 8 ] in association with blood pressure levels in pregnant women [ 9 ]. Living in a malaria endemic area, participants affected mostly by Plasmodium vivax infections during pregnancy delivered babies with significantly lower birth weight and length [ 10 ].…”

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confidence: 99%

Improved estimates of foetal growth are associated with perinatal outcomes: A latent modelling approach in a population-based birth cohort

Lourenço,

Neves,

Cardoso

et al. 2023

J Glob Health

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Background We aimed to estimate latent foetal growth conditions and explore their determinants among maternal characteristics and ultrasound biometric parameters. We additionally investigated the influence of foetal growth conditions on perinatal variables. Methods We used data from live-born singletons in the Maternal and Child Health and Nutrition in Acre, Brazil (MINA-Brazil Study) population-based birth cohort. Maternal and perinatal characteristics were assessed in medical records from the maternity hospital and interviews with participants from July 2015 to June 2016. A sub-sample went through ultrasound examinations during the antenatal period, with assessment of foetal head and abdominal circumferences, and femur length. We estimated latent foetal growth conditions with a structural equation modelling framework, informed by the child’s birth weight z-scores (BWZ) and birth length z-scores (BLZ) according to gestational age. Odds ratios and 95% confidence intervals (CIs) for the occurrence of perinatal events were estimated according to linear predictions of the latent variable. Results We included 1253 participants. Latent foetal growth conditions explained 88.3% of BWZ and 53.7% of BLZ variation. Maternal elevated blood pressure, primiparity, smoking, malaria, and insufficient gestational weight gain negatively impacted foetal growth conditions. In the subsample (n = 499), ultrasound biometric parameters assessed at 28 weeks were positively associated with the latent variable, with the largest contribution from foetal abdominal circumference. Each standardised unit of predicted foetal growth conditions halved the chance for preterm birth (95% CI = 0.26, 0.74) and longer hospital stay (>3 days) (95% CI = 0.28, 0.88). Conversely, BWZ and BLZ were not independently associated with these perinatal variables in separate logistic regression models. Conclusions Latent foetal growth conditions jointly encompassing weight gain and linear growth during gestation were negatively influenced by a scenario of dual burden of maternal morbidities, with perinatal implications.

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Associations of Gestational Weight Gain with Perinatal Outcomes in Western Brazilian Amazon

Cited by 5 publications

References 28 publications

Adolescent pregnancy in Cruzeiro do Sul, Acre, Brazil: socioeconomic characteristics, prenatal and obstetric care

Adolescent pregnancy in Cruzeiro do Sul, Acre, Brazil: socioeconomic characteristics, prenatal and obstetric care

Parturientes adolescentes em Cruzeiro do Sul, Acre, Brasil: características socioeconômicas e obstétricas

Improved estimates of foetal growth are associated with perinatal outcomes: A latent modelling approach in a population-based birth cohort

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