Impact of fetal mortality on prematurity in Argentina: A population based study

Background: It has been observed that the increase in preterm births was accompanied by a decrease in fetal mortality.Objective: To evaluate the relationship between fetal mortality and prematurity in Argentina.Methods: Ecological design. The population included all live births and fetal demise in A...

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Detalles Bibliográficos
Autores principales: Grandi, Carlos, Nascente, Ligia, Cardoso, Viviane
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2017
Materias:
mortalidad fetal
prematuro
mortalidad neonatal
tendencias
diseño ecológico
mortality
premature
neonatal mortality
trends
ecological design
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/17013
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
id I10-R327-article-17013
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic mortalidad fetal
prematuro
mortalidad neonatal
tendencias
diseño ecológico
mortality
premature
neonatal mortality
trends
ecological design
spellingShingle mortalidad fetal
prematuro
mortalidad neonatal
tendencias
diseño ecológico
mortality
premature
neonatal mortality
trends
ecological design
Grandi, Carlos
Nascente, Ligia
Cardoso, Viviane
Impact of fetal mortality on prematurity in Argentina: A population based study
topic_facet mortalidad fetal
prematuro
mortalidad neonatal
tendencias
diseño ecológico
mortality
premature
neonatal mortality
trends
ecological design
author Grandi, Carlos
Nascente, Ligia
Cardoso, Viviane
author_facet Grandi, Carlos
Nascente, Ligia
Cardoso, Viviane
author_sort Grandi, Carlos
title Impact of fetal mortality on prematurity in Argentina: A population based study
title_short Impact of fetal mortality on prematurity in Argentina: A population based study
title_full Impact of fetal mortality on prematurity in Argentina: A population based study
title_fullStr Impact of fetal mortality on prematurity in Argentina: A population based study
title_full_unstemmed Impact of fetal mortality on prematurity in Argentina: A population based study
title_sort impact of fetal mortality on prematurity in argentina: a population based study
description Background: It has been observed that the increase in preterm births was accompanied by a decrease in fetal mortality.Objective: To evaluate the relationship between fetal mortality and prematurity in Argentina.Methods: Ecological design. The population included all live births and fetal demise in Argentina between 2003 and 2013. Outcomes: total fetal mortality rate (TFMR), fetal mortality rate by birth weight, fetal mortality rate, neonatal mortality rate, perinatal mortality rate, trends in fetal mortality rates specific for gestational age (GA), and prematurity (<37+ 0 weeks). Independent variables: age (<19 and > 35 years), education <8 years, with partner, parity 1 and > 4, multiple pregnancy and birth rate. Statistical analysis: linear regression analysis adjusted for covariates.Results: TFMR showed an annual reduction of 0.18 per thousand births that decreased with the increase of GA, being the largest reduction below 28+0 weeks (68%), while prematurity increased 0.07% per year, being the largest increase (0.75%) between 32+0 and 36+6 weeks. Linear regression model showed an inverse relationship between TFMR and prematurity (adjusted R2 0.76, p = 0.010), being the highest between 32+0 and 36+6 weeks (adjusted R2 = 0.98, p < 0.001).Conclusions: The reduction in fetal mortality was associated with the observed increase in preterm births in Argentina.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2017
url https://revistas.unc.edu.ar/index.php/med/article/view/17013
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AT cardosoviviane impactoffetalmortalityonprematurityinargentinaapopulationbasedstudy
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AT nascenteligia impactodelamortalidadfetalsobrelaprematurezenargentinaestudiopoblacional
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first_indexed 2024-09-03T20:58:32Z
last_indexed 2024-09-03T20:58:32Z
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spelling I10-R327-article-170132024-08-27T18:20:38Z Impact of fetal mortality on prematurity in Argentina: A population based study Impacto de la mortalidad fetal sobre la prematurez en Argentina: estudio poblacional Grandi, Carlos Nascente, Ligia Cardoso, Viviane mortalidad fetal prematuro mortalidad neonatal tendencias diseño ecológico mortality premature neonatal mortality trends ecological design Background: It has been observed that the increase in preterm births was accompanied by a decrease in fetal mortality.Objective: To evaluate the relationship between fetal mortality and prematurity in Argentina.Methods: Ecological design. The population included all live births and fetal demise in Argentina between 2003 and 2013. Outcomes: total fetal mortality rate (TFMR), fetal mortality rate by birth weight, fetal mortality rate, neonatal mortality rate, perinatal mortality rate, trends in fetal mortality rates specific for gestational age (GA), and prematurity (<37+ 0 weeks). Independent variables: age (<19 and > 35 years), education <8 years, with partner, parity 1 and > 4, multiple pregnancy and birth rate. Statistical analysis: linear regression analysis adjusted for covariates.Results: TFMR showed an annual reduction of 0.18 per thousand births that decreased with the increase of GA, being the largest reduction below 28+0 weeks (68%), while prematurity increased 0.07% per year, being the largest increase (0.75%) between 32+0 and 36+6 weeks. Linear regression model showed an inverse relationship between TFMR and prematurity (adjusted R2 0.76, p = 0.010), being the highest between 32+0 and 36+6 weeks (adjusted R2 = 0.98, p < 0.001).Conclusions: The reduction in fetal mortality was associated with the observed increase in preterm births in Argentina. AntecedentesSe ha observado que el aumento de nacimientos prematuros fue acompañado por una disminución en la mortalidad fetal.ObjetivoEvaluar la relación entre la mortalidad fetal y la prematurez en Argentina.Material y MétodosDiseño ecológico; la población incluyó a todos los nacidos vivos y muertos de Argentina entre 2003 y 2013.Variables Resultado: tasa de mortalidad fetal total (TMFT), tasa de mortalidad fetal por peso, razón de mortalidad fetal, tasa de mortalidad neonatal, tasa de mortalidad perinatal, tendencias de las tasas de mortalidad fetal específicas por edad gestacional (EG), y Prematurez (PP,<37+0 semanas). Variables independientes: edad (<19 y > 35 años), educación <8 años, con pareja, paridad 1 y > 4, embarazo múltiple y tasa de natalidad.Análisis estadístico: análisis de regresión lineal ajustado para covariados.ResultadosLa TMFT mostró una reducción anual del 0,18 por mil y disminución con el aumento de la EG, siendo la mayor reducción en menores a 28+0 semanas (68%), mientras que el parto prematuro aumentó 0,07% por año, siendo el mayor incremento (0,75%) entre la 32+0 y 36+6 semanas. La regresión lineal mostró un R2 ajustado de 0,76 (p = 0,010) y la mayor relación inversa entre la TMFT y el PP se observó en prematuros entre 32+0 a 36+6 semanas (R2 = 0,98, p = <0,001).ConclusionesLa reducción de la mortalidad fetal se asoció con el incremento observado de los nacimientos vivos prematuros en la Argentina.  Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2017-12-08 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf application/msword https://revistas.unc.edu.ar/index.php/med/article/view/17013 10.31053/1853.0605.v74.n4.17013 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 74 No. 4 (2017); 386-392 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 74 Núm. 4 (2017); 386-392 Revista da Faculdade de Ciências Médicas de Córdoba; v. 74 n. 4 (2017); 386-392 1853-0605 0014-6722 10.31053/1853.0605.v74.n4 spa https://revistas.unc.edu.ar/index.php/med/article/view/17013/19676 https://revistas.unc.edu.ar/index.php/med/article/view/17013/26493 Derechos de autor 2017 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0

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