Document Detail

Maternal age, social changes, and pregnancy outcome in Ribeirão Preto, southeast Brazil, in 1978-79 and 1994.
MedLine Citation:
PMID:  11175527     Owner:  NLM     Status:  MEDLINE    
This study focused on changes in demographic, social, and health-care patterns and pregnancy outcome related to maternal age from 1978-79 to 1994 in Ribeirão Preto, São Paulo State, Brazil. Information on pregnancy outcome was obtained from two cohorts of singleton live births, 6,681 births in 1978/79 and 2,839 births in 1994. A standardized questionnaire was submitted to mothers after delivery, and demographic information was collected from official records. There was a significant increase in teenage pregnancies (from 5.1% to 7.4%) and a decrease in infant mortality (36/1,000 to 17/1,000). There were significant decreases in the proportion of mothers with low schooling (24.5% to 14.4%), smoking (28.9% to 21.%), and multiparity (14.7% to 9.0%). Prenatal coverage improved (from 23.4% to 9.0% of patients with fewer than 4 prenatal visits), while cesareans increased (from 30.6% to 50.8%), as did preterm delivery (7.2% to 13.6%) and low birthweight (7.2% to 10.6%). Despite significant improvements in some maternal characteristics, the proportion of teenage pregnancies, preterm deliveries, low birthweight, and cesareans increased, raising concerns about the health costs and consequences for mothers and infants.
M Z Goldani; H Bettiol; M A Barbieri; A Tomkins
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Cadernos de saúde pública     Volume:  16     ISSN:  0102-311X     ISO Abbreviation:  Cad Saude Publica     Publication Date:    2000 Oct-Dec
Date Detail:
Created Date:  2001-02-22     Completed Date:  2001-05-03     Revised Date:  2013-03-18    
Medline Journal Info:
Nlm Unique ID:  8901573     Medline TA:  Cad Saude Publica     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  1041-7     Citation Subset:  IM    
Departamento de Pediatria, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP 14049-900, Brazil.
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MeSH Terms
Age Distribution
Brazil / epidemiology
Cohort Studies
Health Surveys
Infant, Newborn
Maternal Age*
Middle Aged
Pregnancy Outcome / epidemiology*
Social Change*
Socioeconomic Factors

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