Adverse birth outcomes and associated factors among newborns delivered in Sao Tome & Principe

Bibliographic Details
Main Author: Vasconcelos, Alexandra
Publication Date: 2023
Other Authors: Sousa, Swasilanne, Bandeira, Nelson, Alves, Marta, Papoila, Ana Luísa, Pereira, Filomena, Machado, Maria Céu
Format: Article
Language: eng
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: http://hdl.handle.net/10362/164756
Summary: Publisher Copyright: Copyright: © 2023 Vasconcelos et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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spelling Adverse birth outcomes and associated factors among newborns delivered in Sao Tome & PrincipeA case–control studyRG Gynecology and obstetricsRJ101 Child Health. Child health servicesObstetrics and GynaecologyPediatrics, Perinatology, and Child HealthSDG 3 - Good Health and Well-beingSDG 10 - Reduced InequalitiesSDG 1 - No PovertyPublisher Copyright: Copyright: © 2023 Vasconcelos et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.Background: Newborns with one-or-more adverse birth outcomes (ABOs) are at greater risk of mortality or long-term morbidity with health impacts into adulthood. Hence, identifying ABO-associated factors is crucial for devising relevant interventions. For this study, ABOs were defined as prematurity (PTB) for gestational age <37 weeks, low birth weight (LBW) <2.5 kg, macrosomia >4 kg, asphyxia for a 5-minute Apgar score <7, congenital anomalies, and neonatal sepsis. This study aimed to assess factors associated with ABOs among babies delivered at the only hospital of Sao Tome & Principe (STP), a resource-constrained sub-Saharan-Central African country. Methods: A hospital-based unmatched case–control study was conducted among newborns from randomly selected mothers. Newborns with one-or-more ABO were the cases (ABO group), while healthy newborns were the controls (no-ABO group). Data were collected by a face-to-face interview and abstracted from antenatal care (ANC) pregnancy cards and medical records. Multivariable logistic regression analysis was performed to identify ABO-associated factors considering a level of significance of α = 0.05. Results: A total of 519 newborns (176 with ABO and 343 no-ABO) were enrolled. The mean gestational age and birthweight of cases and controls were 36 (SD = 3.7) weeks with 2659 (SD = 881.44) g and 39.6 (SD = 1.0) weeks with 3256 (SD = 345.83) g, respectively. In the multivariable analysis, twin pregnancy [aOR 4.92, 95% CI 2.25–10.74], prolonged rupture of membranes [aOR 3.43, 95% CI 1.69–6.95], and meconium- fluid [aOR 1.59, 95% CI 0.97–2.62] were significantly associated with ABOs. Eight or more ANC contacts were found to be protective [aOR 0.33, 95% CI 0.18–0.60, p<0.001]. Conclusion: Modifiable factors were associated with ABOs in this study and should be considered in cost-effective interventions. The provision of high-quality ANC should be a priority. Twin pregnancies and intrapartum factors such as prolonged rupture of membranes and meconium-stained amniotic fluid are red flags for ABOs that should receive prompt intervention and follow-up.Individual Health Care (IHC)Global Health and Tropical Medicine (GHTM)Instituto de Higiene e Medicina Tropical (IHMT)NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNVasconcelos, AlexandraSousa, SwasilanneBandeira, NelsonAlves, MartaPapoila, Ana LuísaPereira, FilomenaMachado, Maria Céu2024-03-12T00:16:32Z2023-072023-07-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article19application/pdfhttp://hdl.handle.net/10362/164756eng1932-6203PURE: 83057293https://doi.org/10.1371/journal.pone.0276348info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2025-04-14T01:37:19Zoai:run.unl.pt:10362/164756Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T17:49:57.280228Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Adverse birth outcomes and associated factors among newborns delivered in Sao Tome & Principe
A case–control study
title Adverse birth outcomes and associated factors among newborns delivered in Sao Tome & Principe
spellingShingle Adverse birth outcomes and associated factors among newborns delivered in Sao Tome & Principe
Vasconcelos, Alexandra
RG Gynecology and obstetrics
RJ101 Child Health. Child health services
Obstetrics and Gynaecology
Pediatrics, Perinatology, and Child Health
SDG 3 - Good Health and Well-being
SDG 10 - Reduced Inequalities
SDG 1 - No Poverty
title_short Adverse birth outcomes and associated factors among newborns delivered in Sao Tome & Principe
title_full Adverse birth outcomes and associated factors among newborns delivered in Sao Tome & Principe
title_fullStr Adverse birth outcomes and associated factors among newborns delivered in Sao Tome & Principe
title_full_unstemmed Adverse birth outcomes and associated factors among newborns delivered in Sao Tome & Principe
title_sort Adverse birth outcomes and associated factors among newborns delivered in Sao Tome & Principe
author Vasconcelos, Alexandra
author_facet Vasconcelos, Alexandra
Sousa, Swasilanne
Bandeira, Nelson
Alves, Marta
Papoila, Ana Luísa
Pereira, Filomena
Machado, Maria Céu
author_role author
author2 Sousa, Swasilanne
Bandeira, Nelson
Alves, Marta
Papoila, Ana Luísa
Pereira, Filomena
Machado, Maria Céu
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Individual Health Care (IHC)
Global Health and Tropical Medicine (GHTM)
Instituto de Higiene e Medicina Tropical (IHMT)
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
RUN
dc.contributor.author.fl_str_mv Vasconcelos, Alexandra
Sousa, Swasilanne
Bandeira, Nelson
Alves, Marta
Papoila, Ana Luísa
Pereira, Filomena
Machado, Maria Céu
dc.subject.por.fl_str_mv RG Gynecology and obstetrics
RJ101 Child Health. Child health services
Obstetrics and Gynaecology
Pediatrics, Perinatology, and Child Health
SDG 3 - Good Health and Well-being
SDG 10 - Reduced Inequalities
SDG 1 - No Poverty
topic RG Gynecology and obstetrics
RJ101 Child Health. Child health services
Obstetrics and Gynaecology
Pediatrics, Perinatology, and Child Health
SDG 3 - Good Health and Well-being
SDG 10 - Reduced Inequalities
SDG 1 - No Poverty
description Publisher Copyright: Copyright: © 2023 Vasconcelos et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
publishDate 2023
dc.date.none.fl_str_mv 2023-07
2023-07-01T00:00:00Z
2024-03-12T00:16:32Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/164756
url http://hdl.handle.net/10362/164756
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1932-6203
PURE: 83057293
https://doi.org/10.1371/journal.pone.0276348
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 19
application/pdf
dc.source.none.fl_str_mv reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron:RCAAP
instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
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reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
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