Please use this identifier to cite or link to this item:
https://www.arca.fiocruz.br/handle/icict/30849
Type
ArticleCopyright
Restricted access
Embargo date
2030-01-01
Sustainable Development Goals
03 Saúde e Bem-EstarCollections
- IOC - Artigos de Periódicos [12973]
Metadata
Show full item record
PRENATAL CARE EFFECTIVENESS AND UTILIZATION IN BRAZIL
saúde infantil
baixo peso de nascimento
nascimento prematuro
desfechos do nascimento
regressão quantílica
Brasil
low birth weight
preterm birth
quantile regression
birth outcomes
infant health
Brazil
Author
Affilliation
University of Iowa. College of Public Health. Dept. of Health Management and Policy. Iowa City, IA, USA.
University of Iowa. College of Medicine. Department of Pediatrics. Iowa City, IA, USA.
Latin American Collaborative Study of Congenital Malformations) at CEMIC. Buenos Aires, Argentina / Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Estudo Colaborativo Latino-americano de Má Formação Congênita. Rio de Janeiro, RJ, Brasil.
ECLAMC at Imbice. La Plata, Argentina.
Health Policy & Management. School of Rural Public Health. Texas A&M Health Science Center. College Station, TX, USA.
University of Iowa. College of Medicine. Department of Pediatrics. Iowa City, IA, USA.
Latin American Collaborative Study of Congenital Malformations) at CEMIC. Buenos Aires, Argentina / Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Estudo Colaborativo Latino-americano de Má Formação Congênita. Rio de Janeiro, RJ, Brasil.
ECLAMC at Imbice. La Plata, Argentina.
Health Policy & Management. School of Rural Public Health. Texas A&M Health Science Center. College Station, TX, USA.
Abstract
The impact of prenatal care use on birth outcomes has been understudied in South American countries. This study assessed the effects of various measures of prenatal care use on birth weight (BW) and gestational age outcomes using samples of infants born without and with common birth defects from Brazil, and evaluated the demand for prenatal care. Prenatal visits improved BW in the group without birth defects through increasing both fetal growth rate and gestational age, but prenatal care visits had an insignificant effect on BW in the group with birth defects when adjusting for gestational age. Prenatal care delay had no effects on BW in both infant groups but increased preterm birth risk in the group without birth defects. Inadequate care versus intermediate care also increased LBW risk in the group without birth effects. Quantile regression analyses revealed that prenatal care visits had larger effects at low compared with high BW quantiles. Several other prenatal factors and covariates such as multivitamin use and number of previous live births had significant effects on the studied outcomes. The number of prenatal care visits was significantly affected by several maternal health and fertility indicators. Significant geographic differences in utilization were observed as well. The study suggests that more frequent use of prenatal care can increase BW significantly in Brazil, especially among pregnancies that are uncomplicated with birth defects but that are at high risk for low birth weight. Further research is needed to understand the effects of prenatal care use for pregnancies that are complicated with birth defects.
Keywords in Portuguese
Cuidados pré-nataissaúde infantil
baixo peso de nascimento
nascimento prematuro
desfechos do nascimento
regressão quantílica
Brasil
Keywords
Prenatal carelow birth weight
preterm birth
quantile regression
birth outcomes
infant health
Brazil
Share