Atenção à saúde no primeiro ano de vida de uma coorte prospectiva de lactentes prematuros tardios e a termo de Botucatu, São Paulo, 2015-2017

Maria Cristina Heinzle da Silva Machado; Aline Fernanda Palombarini Santiloni; Anna Paula Ferrari; Cristina Maria Garcia de Lima Parada; Maria Antonieta de Barros Leite Carvalhaes; Vera Lúcia Pamplona Tonete

doi:10.1590/s1679-49742021000200014

##article.authors##

Maria Cristina Heinzle da Silva Machado Universidade Estadual Paulista ‘Júlio de Mesquita Filho’ https://orcid.org/0000-0002-5195-1813
Aline Fernanda Palombarini Santiloni Universidade Estadual Paulista ‘Júlio de Mesquita Filho’
Anna Paula Ferrari Universidade Estadual Paulista ‘Júlio de Mesquita Filho’
Cristina Maria Garcia de Lima Parada Universidade Estadual Paulista ‘Júlio de Mesquita Filho’ https://orcid.org/0000-0002-9597-3635
Maria Antonieta de Barros Leite Carvalhaes Universidade Estadual Paulista ‘Júlio de Mesquita Filho’ https://orcid.org/0000-0002-6695-0792
Vera Lúcia Pamplona Tonete Universidade Estadual Paulista ‘Júlio de Mesquita Filho’ https://orcid.org/0000-0002-3620-7519

DOI:

https://doi.org/10.1590/s1679-49742021000200014

Keywords:

Health Care, Premature Birth, Term Birth, Infant, Longitudinal Studies

Abstract

Objective: To compare late preterm and full-term infants and investigate the association between late preterm birth and the use of reference services. Methods: Prospective cohort study, with data collected from the first to twelfth months of life. Maternal and birth characteristics were compared between term and premature live births. The effect of late preterm birth on the usage of outpatient/emergency services, hospitalizations and intensive care unit admissions were evaluated by calculating odds ratios adjusted for potential confounding factors. Results: The 41 late preterm and 540 full-term infants differed in the frequencies of low weight at birth and in non-permanence in rooming-in wards, which were both higher in late-preterm infants. This group had a higher chance of being hospitalized in a neonatal intensive care unit (OR=6.85 – CI_95% 2.56;18.34). Late preterm birth was not associated with the use of other health services. Conclusion: Negative effects of late preterm delivery were only found in the neonatal stage.