Longitudinal study of the mother and child population in an urban region of southern Brazil, 1993: methodological aspects and preliminary results

Longitudinal study of the mother and child population in an urban region of southern Brazil, 1993: methodological aspects and preliminary results

Revista de Saúde Pública, January 2003

9008920

Cesar G. Victora, Fernando C. Barros, Ricardo Halpern, Ana M. B. Menezes, Bernardo L. Horta, Elaine Tomasi, Elizabeth Weiderpass, Juraci A. Cesar, Maria Teresa Olinto, Paula R. V. Guimarães, Maria del Mar Garcia, J. Patrick Vaughan

All babies born in the hospitals of the city of Pelotas, Brazil, in 1982 were studied soon after delivery and followed up prospectively during the first years of their lives. In 1993, this study was repeated with a similar methodology, with the aim of assessing eventual changes in the level of maternal and child health. All five maternity hospitals in the city were visited daily and the 5,304 babies born included in the study. They were weighed and measured, and their gestational age was assessed using the Dubowitz method. Their mothers were examined and interviewed regarding a large number of risk factors. The mortality of these children was studied through the surveillance of all hospitals, cemeteries and death registries, and all hospital admissions were also recorded. Two nested case-control studies were carried out to assess risk factors for mortality and hospital morbidity. A systematic sample of 655 children were examined at home at one and three months of age, and these infants, as well as another sample of 805 children including all low-birthweight babies were also examined at the ages of six and twelve months. Their psychomotor development was also assessed. Losses to follow-up were only 6.6% at twelve months. Relative to the 1982 indicators, perinatal mortality fell by about 30% and infant mortality by almost 50%. The median duration of breastfeeding increased from 3.1 to 4.0 months. On the other hand, there was little change in the prevalences of low birthweight or of length for age at twelve months. The article that refers this abstract describes the methodology of the study and forthcoming publications will present detailed results.