TY - JOUR
T1 - Mothers and their pregnancies
T2 - A comparison of three population-based cohorts in Southern Brazil
AU - Santos, Iná S.
AU - Barros, Aluísio J D
AU - Matijasevich, Alicia
AU - Tornasi, Elaine
AU - Medeiros, Ricardo S.
AU - Domingues, Marlos R.
AU - Bertoldi, Andréa D.
AU - Barros, Fernando C.
AU - Victora, Cesar G.
PY - 2008
Y1 - 2008
N2 - Mothers from the 1982, 1993 and 2004 Pelotas birth cohorts were compared across biological, socioeconomic, demographic and reproductive characteristics. Women in the 2004 cohort had higher levels of education, gained more weight during pregnancy, and were heavier at the beginning and end of their pregnancy than mothers who gave birth in 1993 and 1982. There was an important increase in obesity rates (body mass index > 30kg/m2) over the 22 years of the study. Mean parity decreased from 1.3 in 1982 to 1.1 in 2004, with a growing proportion of primiparas and a decline in the proportion of women with ≥ 4 children. The mean birth interval increased from 33.5 months in 1982 to 65.7 in 2004. Smoking during pregnancy decreased from 35.6% in 1982 to 25.1% in 2004. As with other characteristics, the change in smoking status differed according to income, with higher reductions among the wealthiest (from 24.9% to 8.7%) than among the poorest mothers (from 43.7% to 33.6%). In general terms, between 1993 and 2004 there was a decrease in the prevalence of maternal risk factors for unfavorable perinatal outcomes.
AB - Mothers from the 1982, 1993 and 2004 Pelotas birth cohorts were compared across biological, socioeconomic, demographic and reproductive characteristics. Women in the 2004 cohort had higher levels of education, gained more weight during pregnancy, and were heavier at the beginning and end of their pregnancy than mothers who gave birth in 1993 and 1982. There was an important increase in obesity rates (body mass index > 30kg/m2) over the 22 years of the study. Mean parity decreased from 1.3 in 1982 to 1.1 in 2004, with a growing proportion of primiparas and a decline in the proportion of women with ≥ 4 children. The mean birth interval increased from 33.5 months in 1982 to 65.7 in 2004. Smoking during pregnancy decreased from 35.6% in 1982 to 25.1% in 2004. As with other characteristics, the change in smoking status differed according to income, with higher reductions among the wealthiest (from 24.9% to 8.7%) than among the poorest mothers (from 43.7% to 33.6%). In general terms, between 1993 and 2004 there was a decrease in the prevalence of maternal risk factors for unfavorable perinatal outcomes.
KW - Cohort studies
KW - Parity
KW - Reproductive medicine
KW - Smoking
UR - http://www.scopus.com/inward/record.url?scp=52249121035&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=52249121035&partnerID=8YFLogxK
M3 - Article
C2 - 18797713
AN - SCOPUS:52249121035
SN - 0102-311X
VL - 24
JO - Cadernos de saúde pública / Ministério da Saúde, Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública.
JF - Cadernos de saúde pública / Ministério da Saúde, Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública.
IS - SUPPL.3
ER -