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[Prenatal care, low birth weight and prematurity in São Paulo State, Brazil, 2000]

Samuel Kilsztajn1, Anacláudia Rossbach, Manuela Santos Nunes do Carmo

  • 1Laboratorio de Economia Social do Programa de Estudos Pós-Graduados em Economia Política da Pontifícia Universidade Católica de São Paulo, São Paulo, SP, Brasil. skil@pucsp.br

Revista De Saude Publica
|June 7, 2003
PubMed

Insights

More prenatal visits are linked to lower rates of low birth weight and prematurity in São Paulo. Increasing access to prenatal care for at-risk mothers can reduce infant mortality and perinatal deaths.

Area of Science:

  • Public Health
  • Perinatal Medicine
  • Epidemiology

Context:

  • Infant mortality and neonatal mortality trends in São Paulo.
  • Analysis of birth weight and gestational term impacts on mortality.
  • Investigating the influence of prenatal care on infant outcomes.

Purpose:

  • To assess the role of prenatal visit frequency in determining infant and neonatal mortality.
  • To analyze historical trends in mortality rates based on birth weight and delivery term.
  • To identify factors influencing low birth weight and prematurity.

Summary:

  • Data from the Seade Institute of Vital Statistics were analyzed, considering maternal age, marital status, education, and childbirth order.
  • Sixteen distinct groups were formed to examine the relationship between these factors and the prevalence of low birth weight/preterm birth.
  • A significant inverse correlation was found: more prenatal visits correlated with lower prevalence of low birth weight and prematurity across all analyzed groups.

Impact:

  • Increased prenatal visits showed a reduction in the disparity of low birth weight/preterm prevalence among different risk groups.
  • Enhancing prenatal visit frequency and accessibility for high-risk women is projected to decrease intrauterine growth retardation, prematurity, and related perinatal deaths.
  • This study underscores the critical role of accessible, comprehensive prenatal care in mitigating infant mortality in São Paulo.
Abstract

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