Sociodemographic profile of primiparous mothers from nine birth cohorts in three Brazilian cities

Abstract

Fertility reduction is a phenomenon observed in demographic transition. The demographic changes noted in female fertility represent a need for adjustment on health services regarding female health and family planning support. Thus, this study aimed to perform a descriptive analysis by tracing the sociodemographic profile of primiparous mothers belonging to nine Brazilian birth cohorts, in three cities from different states. Standardized questionnaires were applied to assess reproductive characteristics and covariables. Primiparous mothers were defined as women whose child included in birth cohorts was their firstborn child. Sample description was performed using analysis of variance (continuous variables) and chi-square (categorical variables). In total, 44,615 women were included in the analyses and 41.8% (95%CI: 41.3; 42.2) were categorized as primiparous. The primiparity rates were the lowest in Ribeirão Preto (São Paulo State) 1978 (32%; 95%CI: 30.9; 33.1) and the highest in most recent cohorts, reaching up to 50% of the participants (São Luís - Maranhão State 2010: 47.2%; 95%CI: 45.8; 48.6; Ribeirão Preto 2010: 50.2%; 95%CI: 49.1; 51.4); Pelotas (Rio Grande do Sul State) 2015: 49.4% (95%CI: 47.9; 50.9). Primiparous mothers’ age and schooling increased over the years in all cohorts. Maternal age at the first childbirth behaved similarly in the three studied cities. There was an increase in the proportion of first-time mothers that were older, higher educated and belonged to richer income groups. Also, the proportion of teenage mothers (aged 15 years or younger) increased until the early 2000’s and started decreasing around the years 2010, especially among women in the poorer income groups.

Fertilidade Em Pacientes Com Trauma Raquimedular Prévio

“…Clinicamente, apresenta-se com cefaleia, eritema cutâneo, ansiedade, taquicardia, hipertensão arterial, bradicardia, sudorese, piloereção, midríase, arritmias cardíacas, congestão nasal, espasmos musculares e, mais raramente, convulsões e coma 6 . Trata-se de uma emergência médica, que pode evoluir com hemorragia cerebral, descolamento de retina, convulsões e até mesmo morte materna, (é a causa mais frequente de morte durante o parto de gestantes com lesão medular) caso não seja diagnosticada e tratada precocemente 7,8 . Além disso, pode provocar hipoxemia fetal, por vasoconstrição uteroplacentária 6,7 .…”

Prenatal care among adolescent women in the extreme South of Brazil: coverage and associated factors

“…No important maternal and child health outcome is exempt from the influence of maternal schooling. 30 Generally, the higher the mother's schooling level, the better her health indicators and those of her offspring. 7,29,30 Although the effect of schooling on the adequacy of prenatal care is more evident when it includes older mothers, therefore with higher education, the results obtained here show that this is already found in adolescence, even with few study years.…”

Assistência pré-natal entre adolescentes no extremo sul do Brasil: adequação e fatores associados

“…Não há desfecho importante em saúde maternoinfantil que não sofra influência da escolaridade materna. 30 No geral, quanto maior o nível de escolaridade da mãe, melhor os seus indicadores de saúde e, também, dos seus filhos. 7,29,30 Embora o efeito da escolaridade sobre a adequação do pré-natal seja mais evidente quando inclui mães de maior idade, portanto de maior escolaridade, os resultados aqui obtidos mostram que isto já se faz presente na adolescência, mesmo com poucos anos de estudo.…”