Idade materna e mortalidade infantil: efeitos nulos, biológicos ou socioeconômicos?

Lima, Luciana Conceição de

doi:10.1590/s0102-30982010000100012

Cited by 15 publications

(24 citation statements)

References 54 publications

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“…The study population consisted of 15 Table 1) showed higher odds of death (p < 0.05) among infants of mothers < 20 years or ≥ 35 years of age, with low schooling, without a spouse/ companion at the time of the child's birth, among Black/Brown/Indigenous newborns, and among those of mothers with insufficient number of prenatal visits, primiparous mothers, or mothers with a history of stillbirth, and infants born of multiple pregnancies. Cesarean delivery appeared as a protective factor.…”

Section: Resultsmentioning

confidence: 99%

“…The association between this outcome and advanced maternal age may reflect the increase in the proportion of Brazilian mothers in this age bracket and may represent the biological disadvantages of late pregnancy, generally accompanied by more schooling and higher socioeconomic status, stable marital status, and planned/desired pregnancy 15 . Studies have shown higher odds of gestational diabetes and hypertension with increasing maternal age 16,17 , both of which have direct implications for infant survival.…”

Section: Discussionmentioning

confidence: 99%

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Risk factors for infant mortality in a municipality in southern Brazil: a comparison of two cohorts using hierarchical analysis

et al. 2012

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This study compared risk factors for infant mortality in 2000-2001 and 2007-2008 in Londrina, Paraná State, Brazil. Data on live births and infant deaths were linked in a single database, and a hierarchical regression model was used. Distal risk factors for infant mortality in 2000-2001 were maternal age < 20 or ≥ 35 years and lower maternal schooling. In 2007-2008, maternal age ≥ 35 or < 20 years were risk factors, while low schooling appeared as a protective factor. The following intermediate factors were associated with increased infant mortality in 2000-2001: multiple pregnancy, history of stillbirth, and insufficient number of prenatal visits, while cesarean delivery was a protective factor. Multiple pregnancy was the only intermediate risk factor in 2007-2008. All of the proximal factors were associated with higher infant mortality in 2000-2001, but only gestational age and 5-minute Apgar in 2007-2008. The risk factors for infant mortality changed from the first to the second cohort, which may be related to the expansion of social policies and primary care and changes in the reproductive and social patterns of Brazilian women.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Risk factors for infant mortality in a municipality in southern Brazil: a comparison of two cohorts using hierarchical analysis

et al. 2012

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“…In the last decades, the fertility rate among women of more than 20 years of age dropped, but among those under 20 years of age the rate in Latin American and Caribbean countries increased. Maternal age by the time of delivery is an important factor related to infant death, but there is no consensus about the extremes of age because these depend on several behavioral, socio-economic, and biological factors (13) . In this study the largest number of infant deaths was among mothers of more than 20 years old, in both the neonatal and post-neonatal components.…”

Section: Discussionmentioning

confidence: 99%

Mortality among children under the age of one: analysis of cases after discharge from maternity *

Santos

Ferrari

Bertolozzi

et al. 2016

Rev. esc. enferm. USP

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Objective:To analyze infant death after discharge from maternity in the time period between 2000 and 2013. Method: A cross-sectional retrospective quantitative study in a municipality northward in the state of Paraná. Data were analyzed using the SPSS®, and were subjected to Chi-square test, logistical regression, 95% confidence interval, and a significance level of p<0.05. Results: Two hundred forty-nine children were born, discharged from maternity and subsequently died; 10.1% in the neonatal period and 89.9% in the post-neonatal period. Pregnancy follow-up, birth, and child monitoring took place mainly in the public health system. There was a statistically significant association between the infant component and place of delivery (p=0.002; RR=1.143; IC95%=1.064-1.229), and a lower number of childcare medical visits (p=0.001; RR=1.294; IC95%=1.039-1.613). The causes of death in the neonatal period were perinatal conditions (40%); external causes (32%); and congenital malformations (20%). In the post-neonatal period, congenital malformations (29.9%), external causes (24.1%); and infectious-parasitic diseases (11.2%) were the causes of death. Conclusion: Virtually all children were born in conditions of good vitality that were worsened due to potentially preventable diseases that led to death.

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“…Em função da associação entre maternidade tardia e possíveis riscos inerentes à idade da mãe, observa-se que a gestação, neste contexto, está mais vinculada ao serviço especializado de médicos, psicólogos e outros profi ssionais da saúde (Moreira & Rasera, 2010;Schupp, 2006). Em contrapartida, estudos indicam que há benefícios na maternidade em idade avançada (Lima, 2010;Souza et al, 2011;Zavaschi et al, 1999). Apesar dos riscos explicitados pela medicina e da multiplicidade de tarefas da mulher, observa-se que as gestantes tardias têm maiores condições econômicas, sociais e emocionais para se tornarem mães.…”

Section: Las Múltiples Funciones De La Mujer Contemporánea Y La Materunclassified

“…Elas usufruem de uma rede de apoio importante, conquistada por meio do exercício de diversas atividades desempenhadas anteriormente e parecem conciliar com maior equilíbrio suas tarefas domésticas e laborais (Souza et al, 2011). Mulheres com mais de 35 anos podem usufruir de um nível socioeconômico mais elevado, bem como dispor de condições comportamentais e emocionais mais estáveis, características essenciais para uma boa gestação (Lima, 2010). Desta forma, faz-se necessário entender o cotidiano da mulher que exerce múltiplos papéis e que opta pela maternidade tardia, uma vez que esta é uma situação recorrente vivenciada por muitas mulheres na contemporaneidade.…”

Section: Las Múltiples Funciones De La Mujer Contemporánea Y La Materunclassified

A multiplicidade de papéis da mulher contemporânea e a maternidade tardia

2014

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ResumoA mulher atual assumiu muitos papéis antes desempenhados pelos homens, o que trouxe mudanças não apenas para sua rotina, mas também para seus projetos de vida. A maternidade tem sofrido o impacto dessas mudanças. Investigaram-se os múltiplos papéis exercidos pela mulher contemporânea e a relação dessa multiplicidade de papéis com a maternidade tardia. Utilizaram-se dois instrumentos: fi cha de dados sociodemográfi cos e entrevista semiestruturada sobre a multiplicidade de papéis da mulher e sobre maternidade. Construíram-se três categorias a partir da análise de conteúdo: multiplicidade de papéis da mulher contemporânea, refl exões sobre maternidade e maternidade tardia versus rotina atual. Se por um lado, as mulheres sofrem prejuízos em função do excesso de tarefas, por outro, elas se sentem felizes por ocuparem seus postos de trabalho. A maternidade tardia é uma opção para mulheres que trabalham e que mantém relações estáveis com seus companheiros. Entretanto, observaram-se sentimentos como medo, insegurança e ambivalência em relação à maternidade tardia. Palavras-chave:Mulher, maternidade tardia, família. The Multiple Roles of Contemporary Women and Late Motherhood AbstractWomen currently have taken on many roles, previously fi lled by men, which not only changed their everyday lives but also impacted their life projects. Motherhood has been impacted in important ways by this change. We investigated the multiple roles played by contemporary woman and the relation between this multiplicity of roles and late motherhood. Two instruments were used: a socio-demographic profi le and a semi-structured interview about the multiple roles of women and motherhood. We constructed three categories based on content analysis of the interviews: the multiple roles of contemporary women; refl ections on motherhood; and late motherhood's impact on current routine. If, on one hand, women are negatively affected due to the additional workload, on the other they feel happy to have developed a career. Late motherhood is an option for women who intend to develop their careers and maintain stable relationships with their partners. However, the women also reported feelings such as fear, insecurity and ambivalence related to late motherhood.

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Idade materna e mortalidade infantil: efeitos nulos, biológicos ou socioeconômicos?

Cited by 15 publications

References 54 publications

Risk factors for infant mortality in a municipality in southern Brazil: a comparison of two cohorts using hierarchical analysis

Risk factors for infant mortality in a municipality in southern Brazil: a comparison of two cohorts using hierarchical analysis

Mortality among children under the age of one: analysis of cases after discharge from maternity *

A multiplicidade de papéis da mulher contemporânea e a maternidade tardia

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