Difference of Socioeconomic Factors among Mothers of Preterm and Full-Term Infant

Authors

  • Larissa Carcavalli
  • Iury Almeida Rocha
  • Amanda Freitas Valentim
  • Márcia Gomes Penido
  • Erika Maria Parlato
  • Isabela Almeida Pordeus
  • Júnia Maria Serra-Negra

Keywords:

Breast Feeding, Infant, Premature Birth, Term Birth, Socioeconomic Factors

Abstract

Objective: To analyze the difference of socioeconomic factors among mothers of preterm and full-term infants. Material and Methods: A cross-sectional retrospective study was developed with 250 mothers of children aged three to five years. The sample was divided into two groups: 125 mothers of preterm infants from the referral center of a public hospital in the city of Belo Horizonte, Brazil and 125 mothers of children born full-term at a daycare center within the same city. A pre-tested questionnaire was used to collect socioeconomic data and type of breastfeeding. To verify if there was association between the dependent variable gestational age at birth and the independent variables, the chi-square test was used. A final model with multiple Poisson regression estimated prevalence ratio values for each independent variable was developed. Results: The final multiple regression model showed that mothers that have a low monthly income of up to USD 450.28 (PR = 1.979, 95% CI = 1.082–3.620), used drugs, cigarettes, or alcohol during their pregnancy (PR = 4.095, 95% CI = 2.422–6.921), and did not breastfeed (PR = 2.294, 95% CI = 1.205– 4.369) were more likely to give birth to preterm infants. Conclusion: Low monthly family income, use of drugs, alcohol, or smoking during pregnancy and absence of breastfeeding were more frequent on mothers of preterm infants.

References

Blencowe H, Cousens S, Chou D, Oestergaard M, Say L, Moller AB, et al. Born too soon: the global epidemiology of 15 million preterm births. Reprod Health 2013; 10(Suppl 1):S2. https://doi.org/10.1186/1742-4755-10-S1-S2

Blencowe H, Cousens S, Oestergaard M, Chou D, Moller AB, Narwal R, et al. National, regional and worldwide estimates of preterm birth rates in the year 2010 with time trends for selected countries since 1990: a systematic analysis. Lancet 2012; 379(9832):2162-72. https://doi.org/10.1016/S0140-6736(12)60820-4

Liu L, Johnson HL, Cousens MA, Perin J, Scott S, Lawn JE, et al. Global, regional, and national causes of child mortality in 2000-2010: an updated systematic analysis. Lancet 2012; 379(9832):2151-61. https://doi.org/10.1016/S0140-6736(12)60560-1

Victora CG, Aquino EM, Leal MC, Monteiro CA, Barros FC, Szwarcwald CL. Maternal and child health in Brazil: progress and challenges. Lancet 2011; 377(9780):1863-76. https://doi.org/10.1016/S0140-6736(11)60138-4

Matijasevich A, Silveira MF, Matos ACG, Rabello Neto D, Fernandes RM, Maranhão AG, et al. Corrected estimates of the prevalence of preterm births in Brazil, 2000 to 2011. Epidemiol Serv Saude 2013; 22(4):557-64. https://doi.org/10.5123/S1679-49742013000400002

Amjad S, MacDonald I, Chambers T, Osornio-Vargas A, Chandra S, Voaklander D, et al. Social determinants of health and adverse maternal and birth outcomes in adolescent pregnancies: a systematic review and meta-analysis. Paediatr Perinat Epidemiol 2019; 33(1):88-99. https://doi.org/10.1111/ppe.12529

Oliveira KA, Araújo EM, Oliveira KA, Casotti CA, Silva CALD, Santos DBD. Association between race/skin color and premature birth: a systematic review with meta-analysis. Rev Saude Publica 2018; 52:26. https://doi.org/10.11606/S1518-8787.2018052000406

Silveira MF, Santos IS, Barros AJ, Matijasevich A, Barros FC, Victora CG. Increase in preterm births in Brazil: review of population-based studies. Rev Saude Publica 2008; 42(5):957-64. https://doi.org/10.1590/S0034-89102008000500023

Santos IS, Matijasevich A, Gorgot LR, Valle NC, Menezes AM. Avoidable infant deaths in the 1993 and 2004 Pelotas birth cohorts, Rio Grande do Sul State, Brazil. Cad Saude Publica 2014; 30(11):2331-43. https://doi.org/10.1590/0102-311X00129413

Harrison MS, Goldenberg RL. Global burden of prematurity. Semin Fetal Neonatal Med 2016; 21(2):74-9. https://doi.org/10.1016/j.siny.2015.12.007

Mickey J, Greenland S. A study of the impact of confounder-selection criteria on effect estimation. Am J Epidemiol 1989; 129(1):125-37. https://doi.org/10.1093/oxfordjournals.aje.a115101

DeFranco EA, Lian M, Muglia LA, Schootman M. Area-level poverty and preterm birth risk: a population-based multilevel analysis. BMC Public Health 2008; 8:316. https://doi.org/10.1186/1471-2458-8-316

Lynch JW, Smith GD, Kaplan GA, House JS. Income inequality and mortality: importance to health of individual income, psychosocial environment, or material conditions. BMJ 2000; 320(7243):1200-4. https://doi.org/10.1136/bmj.320.7243.1200

Nagahawatte NT, Goldenberg R. Poverty, maternal health and adverse pregnancy outcomes. Ann N Y Acad Sci 2008; 1136:80-5. https://doi.org/10.1196/annals.1425.016

Quinlivan JA, Evans SF. The impact of continuing illegal drug use on teenage pregnancy outcomes - a prospective cohort study. BJOG 2003; 109(10):1148-53. https://doi.org/10.1111/j.1471-0528.2002.01536.x

World Health Organization. Department of Child and Adolescent Health and Development. Adolescent Pregnancy: Issues in Adolescent Health and Development. Geneva: WHO; 2004. 86p.

Delpisheh A, Attia E, Drammond S, Brabin BJ. Adolescent smoking in pregnancy and birth outcomes. Eur J Public Health 2006; 16(2):168-72. https://doi.org/10.1093/eurpub/cki219

Goldenberg RL, Culhane JF, Iams JD, Romero R. Epidemiology and causes of preterm birth. Lancet 2008; 371(9606):75-84. https://doi.org/10.1016/S0140-6736(08)60074-4

Baer RJ, Chambers CD, Ryckman KK, Oltman SP, Rand L, Jelliffe-Pawlowski LL. Risk of preterm and early term birth by maternal drug use. J Perinatol 2019; 39(2):286-94. https://doi.org/10.1038/s41372-018-0299-0

Dos Santos JF, de Melo Bastos Cavalcante C, Barbosa FT, Gitaí DLG, Duzzioni M, Tilelli CQ, et al. Maternal, fetal and neonatal consequences associated with the use of crack cocaine during the gestational period: a systematic review and meta-analysis. Arch Gynecol Obstet 2018; 298(3):487-503. https://doi.org/10.1007/s00404-018-4833-2

Arvedson J, Clark H, Lazarus C, Schooling T, Frymark T. Evidence-based systematic review: effects of oral motor interventions on feeding and swallowing in preterm infants. Am J Speech Lang Pathol 2010; 19(4):321-40. https://doi.org/10.1044/1058-0360(2010/09-0067

Yildiz A, Arikan D. The effects of giving pacifiers to premature infants and making them listen to lullabies on their transition period for total oral feeding and sucking success. J Clin Nurs 2012; 21(5-6):644-56. https://doi.org/10.1111/j.1365-2702.2010.03634.x

Nye C. Transitioning premature infants from gavage to breast. Neonatal Netw 2008; 27(1):7-13. https://doi.org/10.1891/0730-0832.27.1.7

Flacking R, Ewald U, Wallin L. Positive effect of kangaroo mother care on long‐term breastfeeding in very preterm infants. J Obstet Gynecol Neonatal Nurs 2011; 40(2):190-7. https://doi.org/10.1111/j.1552-6909.2011.01226.x

Bonnet C, Blondel B, Piedvache A, Wilson E, Bonamy AE, Gortner L, et al. Low breastfeeding continuation to 6 months for very preterm infants: a European multiregional cohort study. Matern Child Nutr 2018; 15(1):e12657. https://doi.org/10.1111/mcn.12657

Carcavalli L, Martins CC, Rocha IA, Parlato EM, Serra-Negra JM. Preterm birth, pacifier use and breastfeeding: is there a relationship? Braz Dent J 2018; 29(4):388-94. https://doi.org/10.1590/0103-6440201801962

Donath SM, Amir LH, ALSPAC Study Team. The relationship between maternal smoking and breastfeeding duration after adjustment for maternal infant feeding intention. Acta Paediatr 2004; 93(11):1514-8. https://doi.org/10.1111/j.1651-2227.2004.tb02639.x

Joseph HM, Emery RL, Bogen DL, Levine MD. The influence of smoking on breast feeding among women who quit smoking during pregnancy. Nicotine Tob Res 2017; 19(5):652-5. https://doi.org/10.1093/ntr/ntw254

Lok KYW, Wang MP, Chan VHS, Tarrant M. Effect to secundary cigarette smoke from household members on breastfeeding duration: a prospective cohort study. Breastfeed Med 2018; 13(6):412-7. https://doi.org/10.1016/S0140-6736(12)60560-1

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Published

2022-03-17

How to Cite

Carcavalli, L. ., Rocha, I. A. ., Valentim, A. F. ., Penido, M. G. ., Parlato, E. M. ., Pordeus, I. A. ., & Serra-Negra, J. M. . (2022). Difference of Socioeconomic Factors among Mothers of Preterm and Full-Term Infant. Pesquisa Brasileira Em Odontopediatria E Clínica Integrada, 20, e5005. Retrieved from https://revista.uepb.edu.br/PBOCI/article/view/1062

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Original Articles