Fatores de risco para nascimentos pré-termo em Londrina, Paraná, Brasil

The objective of this study was to identify risk factors associated with pre-term birth among live births in a hospital in Londrina, Paraná State, Brazil. Cases consisted of 328 pre-term births, and controls were 369 births with gestational age greater than 37 weeks. A multiple hierarchical logistic...

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Detalles Bibliográficos
Autores: Silva, Ana Maria Rigo, Almeida, Marcia Furquim de, Matsuo, Tiemi, Soares, Darli Antonio
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2009
País:Brasil
Institución:Fundação Oswaldo Cruz (FIOCRUZ)
Repositorio:Cadernos de Saúde Pública
Idioma:portugués
OAI Identifier:oai:ojs.teste-cadernos.ensp.fiocruz.br:article/4106
Acceso en línea:https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4106
Access Level:acceso abierto
Palabra clave:Nascimento Prematuro
Gravidez
Fatores de Risco
Estudos de Casos e Controles
Descripción
Sumario:The objective of this study was to identify risk factors associated with pre-term birth among live births in a hospital in Londrina, Paraná State, Brazil. Cases consisted of 328 pre-term births, and controls were 369 births with gestational age greater than 37 weeks. A multiple hierarchical logistic regression analysis was carried out. There was a significant correlation (p < 0.05) between pre-term birth and the following variables: socioeconomic status (slum residence); low age of head-of-family; maternal BMI < 19 or > 30 kg/m2; history of prematurity; history of assisted reproduction; mothers in a relationship for less than two years; maternal stress; weekly maternal alcohol consumption; insufficient prenatal care; gestational complications such as bleeding, genital tract infection, altered amniotic fluid volume, high blood pressure, and hospital admission; and twin pregnancy. Regular walks during pregnancy were a protective factor. Improved quality of prenatal care and the identification of the above factors during pregnancy may help reduce premature birth.