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The effect of maternal near miss on adverse infant nutritional outcomes
Zanardi, Dulce M; Moura, Erly C; Santos, Leonor P; Leal, Maria C; Cecatti, Jose G.
Affiliation
  • Zanardi, Dulce M; University of Campinas, School of medicine. School of medicine. BR
  • Moura, Erly C; University of Campinas, School of medicine. School of medicine. BR
  • Santos, Leonor P; University of Campinas, School of medicine. School of medicine. BR
  • Leal, Maria C; University of Campinas, School of medicine. School of medicine. BR
  • Cecatti, Jose G; University of Campinas, School of medicine. School of medicine. BR
Clinics ; 71(10): 593-599, Oct. 2016. tab
Article in English | LILACS | ID: lil-796865
Responsible library: BR1.1
ABSTRACT

OBJECTIVES:

To evaluate the association between self-reported maternal near miss and adverse nutritional status in children under one year of age.

METHODS:

This study is a secondary analysis of a study in which women who took their children under one year of age to the national vaccine campaign were interviewed. The self-reported condition of maternal near miss used the criteria of Intensive Care Unit admission; eclampsia; blood transfusion and hysterectomy; and their potential associations with any type of nutritional disorder in children, including deficits in weight-for-age, deficits in height-for-age, obesity and breastfeeding. The rates of near miss for the country, regions and states were initially estimated. The relative risks of infant adverse nutritional status according to near miss and maternal/childbirth characteristics were estimated with their 95% CIs using bivariate and multiple analyses.

RESULTS:

The overall prevalence of near miss was 2.9% and was slightly higher for the Legal Amazon than for other regions. No significant associations were found with nutritional disorders in children. Only a 12% decrease in overall maternal breastfeeding was associated with near miss. Living in the countryside and child over 6 months of age increased the risk of altered nutritional status by approximately 15%, while female child gender decreased this risk by 30%. Maternal near miss was not associated with an increased risk of any alteration in infant nutritional status.

CONCLUSIONS:

There was no association between maternal near miss and altered nutritional status in children up to one year of age. The risk of infant adverse nutritional status was greater in women living in the countryside, for children over 6 months of age and for male gender.
Subject(s)


Full text: Available Collection: International databases Health context: SDG3 - Target 3.1 Reduce Maternal Mortality Health problem: Obstetric Labor Complications / Hypertension, Pregnancy-Induced Database: LILACS Main subject: Pregnancy Complications / Infant Nutrition Disorders / Near Miss, Healthcare / Maternal Health Type of study: Etiology study / Risk factors Limits: Adult / Female / Humans / Infant / Male / Infant, Newborn / Pregnancy Country/Region as subject: South America / Brazil Language: English Journal: Clinics Journal subject: Medicine Year: 2016 Document type: Article Affiliation country: Brazil Institution/Affiliation country: University of Campinas, School of medicine/BR

Full text: Available Collection: International databases Health context: SDG3 - Target 3.1 Reduce Maternal Mortality Health problem: Obstetric Labor Complications / Hypertension, Pregnancy-Induced Database: LILACS Main subject: Pregnancy Complications / Infant Nutrition Disorders / Near Miss, Healthcare / Maternal Health Type of study: Etiology study / Risk factors Limits: Adult / Female / Humans / Infant / Male / Infant, Newborn / Pregnancy Country/Region as subject: South America / Brazil Language: English Journal: Clinics Journal subject: Medicine Year: 2016 Document type: Article Affiliation country: Brazil Institution/Affiliation country: University of Campinas, School of medicine/BR
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