[Secular variation of births, weight and length at birth: Local perspective]

Hugo Amigo1, Patricia Bustos2, Claudio Vargas2

  • 1Doctor en Salud Pública, Departamento de Nutrición, Facultad de Medicina, Universidad de Chile, Santiago, Chile.

Insights

Birth rates declined significantly at Limache Hospital between 1974 and 2011, while infant anthropometric measurements, including birth weight and length, showed significant improvements. These trends in birth outcomes are crucial for public health interventions.

Area of Science:

  • Public Health
  • Pediatrics
  • Epidemiology

Background:

  • Analysis of birth outcomes and anthropometric measurements is essential for understanding population health trends.
  • Longitudinal data from a single institution can provide valuable insights into demographic and health shifts.

Purpose of the Study:

  • To analyze trends in live births and anthropometric measurements (birth weight and length) at Limache Hospital from 1974 to 2011.
  • To identify changes in the incidence of low birth weight and low birth length over the study period.

Main Methods:

  • Time series analysis of 17,574 births.
  • Modeling trends using linear and logistic regressions with splines to detect changes by decade.
  • Statistical analysis to assess significance of observed trends.

Main Results:

  • A significant decline in annual births was observed from the 1970s through the 1990s.
  • Mean birth weight increased by 266 grams, and mean birth length increased by 1 cm between the 1970s and 2000-2011.
  • Incidence of low birth weight decreased from 8% to 1.1%, and low birth length decreased from 7.6% to 2.1%.

Conclusions:

  • Live births decreased, while anthropometric measurements at birth improved significantly at Limache Hospital during the study period.
  • Findings highlight the need for targeted public health interventions.
  • Potential selection biases should be considered when interpreting these birth outcome estimates.
Abstract

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