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Maternal genitourinary infections and poor nutritional status increase risk of preterm birth in Gasabo District, Rwanda: a prospective, longitudinal, cohort study

Nsereko, Etienne ; Uwase, Aline ; Mukabutera, Assumpta ; Muvunyi, Claude Mambo ; Rulisa, Stephen ; Ntirushwa, David ; Moreland, Patricia ; Corwin, Elizabeth J ; Santos, Nicole ; Nzayirambaho, Manasse ; Wojcicki, Janet M

BMC Pregnancy and Childbirth, 2020-06, Vol.20 (1), p.345-345, Article 345 [Periódico revisado por pares]

England: BioMed Central Ltd

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Título:
Maternal genitourinary infections and poor nutritional status increase risk of preterm birth in Gasabo District, Rwanda: a prospective, longitudinal, cohort study
Autor: Nsereko, Etienne ; Uwase, Aline ; Mukabutera, Assumpta ; Muvunyi, Claude Mambo ; Rulisa, Stephen ; Ntirushwa, David ; Moreland, Patricia ; Corwin, Elizabeth J ; Santos, Nicole ; Nzayirambaho, Manasse ; Wojcicki, Janet M
Assuntos: Adolescent ; Adult ; Anemia ; Anemia - epidemiology ; Biomarkers ; Birth Weight ; Chlamydia ; Chlamydia infections ; Chlamydia Infections - epidemiology ; Cohort analysis ; Cohort Studies ; Diet ; Disease transmission ; Female ; Gestational age ; Health aspects ; Health facilities ; Hemoglobins ; HIV tests ; Humans ; Identification ; Infant, Low Birth Weight ; Infant, Newborn ; Infection ; Infections ; Laboratories ; Longitudinal Studies ; Malnutrition ; Malnutrition - epidemiology ; Maternal & child health ; Maternal Age ; Maternal Nutritional Physiological Phenomena ; Medical research ; Microscopy ; Middle Aged ; Mortality ; Nutrition ; Nutritional Status ; Pathogens ; Pregnancy ; Pregnant women ; Premature birth ; Premature Birth - epidemiology ; Premature infants ; Prenatal Care ; Prospective Studies ; Proteins ; Risk Factors ; Risk factors preterm birth ; Rwanda ; Rwanda - epidemiology ; Ultrasound imaging ; Urinary tract infections ; Urinary Tract Infections - epidemiology ; Urine ; Vagina ; Women's health ; Womens health ; Young Adult
É parte de: BMC Pregnancy and Childbirth, 2020-06, Vol.20 (1), p.345-345, Article 345
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SourceType-Scholarly Journals-1
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Descrição: Preterm birth (PTB) is a leading cause of early childhood mortality and morbidity, including long-term physical and mental impairment. The risk factors for PTB are complex and include maternal nutritional status and infections. This study aimed to identify potentially modifiable risk factors for targeted interventions to reduce the occurrence of PTB in Rwanda. We conducted a prospective, longitudinal cohort study of healthy pregnant women aged 18 to 49 years. Women at 9-15 gestational weeks were recruited from 10 health centers in Gasabo District, Kigali Province between September and October 2017. Pregnancy age was estimated using ultrasonography and date of last menstruation. Anthropometric and laboratory measurements were performed using standard procedures for both mothers and newborns. Surveys were administered to assess demographic and health histories. Categorical and continuous variables were depicted as proportions and means, respectively. Variables with p < 0.25 in bivariate analyses were included in multivariable logistic regression models to determine independent predictors of PTB. The results were reported as odds ratios (ORs) and 95% confidence intervals (CI), with statistical significance set at p < 0.05. Among 367 participants who delivered at a mean of 38.0 ± 2.2 gestational weeks, the overall PTB rate was 10.1%. After adjusting for potential confounders, we identified the following independent risk factors for PTB: anemia (hemoglobin < 11 g/dl) (OR: 4.27; 95%CI: 1.85-9.85), urinary tract infection (UTI) (OR:9.82; 95%CI: 3.88-24.83), chlamydia infection (OR: 2.79; 95%CI: 1.17-6.63), inadequate minimum dietary diversity for women (MDD-W) score (OR:3.94; CI: 1.57-9.91) and low mid-upper arm circumference (MUAC) < 23 cm (OR: 3.12, 95%CI; 1.31-7.43). indicators of nutritional inadequacy (low MDD-W and MUAC) predicted risk for low birth weight (LBW) but only UTI was associated with LBW in contrast with PTB. Targeted interventions are needed to improve the nutritional status of pregnant women, such as maternal education on dietary diversity and prevention of anemia pre-pregnancy. Additionally, prevention and treatment of maternal infections, especially sexually transmitted infections and UTIs should be reinforced during standard antenatal care screening which currently only includes HIV and syphilis testing.
Editor: England: BioMed Central Ltd
Idioma: Inglês

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Maternal genitourinary infections and poor nutritional status increase risk of preterm birth in Gasabo District, Rwanda: a prospective, longitudinal, cohort study

Nsereko, Etienne ; Uwase, Aline ; Mukabutera, Assumpta ; Muvunyi, Claude Mambo ; Rulisa, Stephen ; Ntirushwa, David ; Moreland, Patricia ; Corwin, Elizabeth J ; Santos, Nicole ; Nzayirambaho, Manasse ; Wojcicki, Janet M

England: BioMed Central Ltd

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