Peso al nacer por edad gestacional en una cohorte de nacidos vivos en Rio Branco, Acre
Palabras clave:
Peso al nascer, Recién Nacido de Bajo Peso, Edad gestacionalResumen
El objetivo de este estudio fue estimar el peso al nacer por edad gestacional en una cohorte de nacimientos vivos en Rio Branco, Acre, y analizar los factores asociados con el nacimiento de pequeños para la edad gestacional y grandes para la edad gestacional. Para esto, se realizó un estudio transversal basado en la población con 1177 recién nacidos de una cohorte materna e infantil en Río Branco, capital del estado de Acre, Brasil. La recolección de datos ocurrió en los dos únicos hospitales de maternidad en la capital. La edad gestacional al nacer se calculó restando la fecha de nacimiento del niño de la fecha de la última menstruación presente en la Declaración de Nacimiento Vivo y confirmada en la tarjeta de la mujer embarazada. Los recién nacidos que pesaron por debajo del percentil 10 se clasificaron como pequeños para la edad gestacional (SGA), aquellos entre el percentil 10 y 90 como adecuados para la edad gestacional (AGA) y aquellos que pesaron más del percentil 90 como grandes para la edad gestacional (GIG) Los factores asociados con el nacimiento de SGA y GIG se identificaron mediante regresión logística múltiple. La prevalencia de AGA fue 77.0% (IC 95%: 74.6% a 79.4%), SGA 9.2% (IC 95%: 7.7% a 10.8%) y GIG 13.8 % (IC 95%: 11,9% a 15,9%). Factores asociados con el nacimiento de pequeños para la edad gestacional: tabaquismo pasivo durante el embarazo, número de hijos y menor educación materna; y se asociaron con el nacimiento de grandes para la edad gestacional, edad materna igual o mayor a 25 años, diabetes gestacional.
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