Temporal and Spatial Trends of Adverse Pregnancy and Birth Outcomes in a Sample of Births from a Public Hospital in Chile
| Primer Autor |
Ossa, Ximena
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| Co-autores |
Blanco, Estela
Ruiz-Rudolph, Pablo
Yohannessen, Karla
Ayala, Salvador
Quinteros, Maria Elisa
Delgado-Saborit, Juana Maria
Blazquez, Carola A.
Iglesias, Veronica
Zapata, Diana Alcantara
Bartington, Suzanne E.
Harrison, Roy M.
|
| Título |
Temporal and Spatial Trends of Adverse Pregnancy and Birth Outcomes in a Sample of Births from a Public Hospital in Chile
|
| Editorial |
SPRINGER
|
| Revista |
JOURNAL OF URBAN HEALTH-BULLETIN OF THE NEW YORK ACADEMY OF MEDICINE
|
| Lenguaje |
en
|
| Resumen |
Understanding temporal and spatial trends in pregnancy and birth outcomes within an urban area is important for the monitoring of health indicators of a population. We conducted a retrospective cohort study of all births in the public hospital of Temuco, a medium-sized city in Southern Chile between 2009 and 2016 (n = 17,237). Information on adverse pregnancy and birth outcomes, as well as spatial and maternal characteristics (insurance type, employment, smoking, age, and overweight/obesity), was collected from medical charts. Home addresses were geocoded and assigned to neighborhood. We tested whether births and prevalence of adverse pregnancy outcomes changed over time, whether birth events were spatially clustered (Moran's I statistic), and whether neighborhood deprivation was correlated to outcomes (Spearman's rho). We observed decreases in eclampsia, hypertensive disorders of pregnancy, and small for gestational age, while gestational diabetes, preterm birth, and low birth weight increased over the study period (all p < 0.01 for trend), with little changes after adjusting for maternal characteristics. We observed neighborhood clusters for birth rate, preterm birth, and low birth weight. Neighborhood deprivation was negatively correlated with low birth weight and preterm birth, but not correlated with eclampsia, preeclampsia, hypertensive disorders of pregnancy, small for gestational age, gestational diabetes, nor stillbirth. Several encouraging downward trends and some increases in adverse pregnancy and birth outcomes, which, overall, were not explained by changes in maternal characteristics were observed. Identified clusters of higher adverse birth outcomes may be used to evaluate preventive health coverage in this setting.
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| Fecha Publicación |
2023
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| Tipo de Recurso |
artículo original
|
| doi |
10.1007/s11524-023-00733-y
|
| Formato Recurso |
PDF
|
| Palabras Claves |
Pregnancy complication
Birth outcomes
Temporal trends
Spatial analysis
Chile
|
| Ubicación del archivo | |
| Categoría OCDE |
Salud pública, ambiental y ocupacional
Medicina general e interna
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| Materias |
Complicación del embarazo
Resultados del nacimiento
Tendencias temporales
Análisis espacial
Chile
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| Página de inicio (Recomendado-único) |
513.0
|
| Página final (Recomendado-único) |
524
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| Identificador del recurso (Mandatado-único) |
artículo original
|
| Versión del recurso (Recomendado-único) |
versión publicada
|
| Derechos de acceso |
restringido
|
| Access Rights |
restringido
|
| Id de Web of Science |
WOS:000992409300001
|
| ISSN |
1099-3460
|
| Tipo de ruta |
verde / hibrido
|
| Categoría WOS |
Salud pública, ambiental y ocupacional
Medicina general e interna
|
| Referencia del Financiador (Mandatado si es aplicable-repetible) |
ANID DPI20140093
CONICYT NE/N000919/1
ANID FONIS SA18I0069
ANID-MILENIO NCS2021_013
CIUCSD CIDEGENT/2019/064
ANID 21191111
NIH U2R TWOIOI 14
ANID CONICYT NE/N000919/1
ANID MILENIO NCS2021_013
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