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VULNERABLE NEWBORN TYPES: ANALYSIS OF POPULATION-BASED REGISTRIES FOR 165 MILLION BIRTHS IN 23 COUNTRIES, 2000–2021
Recém-nascido
Nascimento prematuro
Tamanho para idade gestacional
Nascimento Prematuro
Recém-Nascido Pequeno para a Idade Gestacional
Author
Suárez-Idueta, Lorena
Yargawa, Judith
Blencowe, Hannah
Bradley, Ellen
Okwaraji, Yemisrach B.
Pingray, Veronica
Gibbons, Luz
Gordon, Adrienne
Warrilow, Kara
Paixão, Enny S.
Falcão, Ila Rocha
Lisonkova, Sarka
Wen, Qi
Mardones, Francisco
Caulier-Cisterna, Raúl
Velebil, Petr
Jírová, Jitka
Horváth-Puhó, Erzsebet
Sørensen, Henrik Toft
Sakkeus, Luule
Abuladze, Lili
Gissler, Mika
Heidarzadeh, Mohammad
Moradi-Lakeh, Maziar
Yunis, Khalid A.
Bizri, Ayah Al
Karalasingam, Shamala D.
Jeganathan, Ravichandran
Barranco, Arturo
Broeders, Lisa
Dijk, Aimée E. van
Huicho, Luis
Quezada-Pinedo, Hugo Guillermo
Cajachagua-Torres, Kim Nail
Alyafei, Fawziya
AlQubaisi, Mai
Cho, Geum Joon
Kim, Ho Yeon
Razaz, Neda
Söderling, Jonas
Smith, Lucy K.
Kurinczuk, Jennifer
Lowry, Estelle
Rowland, Neil
Wood30, Rachael
Monteath, Kirsten
Pereyra, Isabel
Pravia, Gabriella
Ohuma, Eric O.
Lawn, Joy E.
Yargawa, Judith
Blencowe, Hannah
Bradley, Ellen
Okwaraji, Yemisrach B.
Pingray, Veronica
Gibbons, Luz
Gordon, Adrienne
Warrilow, Kara
Paixão, Enny S.
Falcão, Ila Rocha
Lisonkova, Sarka
Wen, Qi
Mardones, Francisco
Caulier-Cisterna, Raúl
Velebil, Petr
Jírová, Jitka
Horváth-Puhó, Erzsebet
Sørensen, Henrik Toft
Sakkeus, Luule
Abuladze, Lili
Gissler, Mika
Heidarzadeh, Mohammad
Moradi-Lakeh, Maziar
Yunis, Khalid A.
Bizri, Ayah Al
Karalasingam, Shamala D.
Jeganathan, Ravichandran
Barranco, Arturo
Broeders, Lisa
Dijk, Aimée E. van
Huicho, Luis
Quezada-Pinedo, Hugo Guillermo
Cajachagua-Torres, Kim Nail
Alyafei, Fawziya
AlQubaisi, Mai
Cho, Geum Joon
Kim, Ho Yeon
Razaz, Neda
Söderling, Jonas
Smith, Lucy K.
Kurinczuk, Jennifer
Lowry, Estelle
Rowland, Neil
Wood30, Rachael
Monteath, Kirsten
Pereyra, Isabel
Pravia, Gabriella
Ohuma, Eric O.
Lawn, Joy E.
Affilliation
Mexican Society of Public Health. Mexico City, Mexico.
Maternal, Adolescent, Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK.
Maternal, Adolescent, Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK.
Maternal, Adolescent, Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK.
Maternal, Adolescent, Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK.
Department of Mother & Child Health. Institute for Clinical Effectiveness and Health Policy. Buenos Aires, Argentina.
Department of Mother & Child Health. Institute for Clinical Effectiveness and Health Policy. Buenos Aires, Argentina.
Faculty of Medicine and Health. University of Sydney. Sydney, New South Wales, Australia.
Centre for Research Excellence in Stillbirth. MRI-UQ. Mater Research Institute. The University of Queensland. Brisbane, Queensland, Australia.
Maternal, Adolescent, Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para Saúde (CIDACS). Salvador, BA, Brasil.
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para Saúde (CIDACS). Salvador, BA, Brasil.
Department of Obstetrics & Gynaecology. University of British Columbia. Vancouver, British Columbia, Canada.
Department of Obstetrics & Gynaecology. University of British Columbia. Vancouver, British Columbia, Canada.
Pontificia Universidad Católica de Chile. Santiago, Chile.
Pontificia Universidad Católica de Chile. Santiago, Chile.
Department of Obstetrics and Gynaecology. Institute for the Care of Mother and Child. Prague, Czech Republic.
Department of Data Analysis. Institute of Health Information and Statistics of the Czech Republic. Prague, Czech Republic.
Department of Clinical Epidemiology. Aarhus University. Aarhus N, Denmark.
Department of Clinical Epidemiology. Aarhus University. Aarhus N, Denmark.
School of Governance. Law and Society. Estonian Institute for Population Studies. Tallinn University. Tallinn, Estonia.
School of Governance. Law and Society. Estonian Institute for Population Studies. Tallinn University. Tallinn, Estonia.
Department of Knowledge Brokers. THL Finnish Institute for Health and Welfare. Helsinki, Finland.
Department of Paediatrics. Alzahra Hospital. Tabriz, Iran.
Department of Community Medicine. Preventive Medicine and Public Health Research Centre. Iran University of Medical Sciences. Tehran, Iran.
Department of Paediatrics and Adolescent Medicine. American University of Beirut. Beirut, Lebanon.
Department of Paediatrics and Adolescent Medicine. American University of Beirut. Beirut, Lebanon.
Department of Obstetrics and Gynaecology. Faculty of Medicine. University of Cyberjaya. Cyberjaya, Malaysia.
Department of Obstetrics & Gynaecology. Hospital Sultanah Aminah. Ministry of Health. Johor Bahru, Malaysia.
Directorate of Health Information. Ministry of Health. Mexico City, Mexico.
Perined. Utrecht, The Netherlands.
Perined. Utrecht, The Netherlands.
Centro de Investigación en Salud Materna e Infantil. Centro de Investigación para el Desarrollo Integral y Sostenible and School of Medicine. Universidad Peruana.
The Generation R Study Group. Department of Paediatrics. Division of Neonatology. Erasmus MC - Sophia Children's Hospital. University Medical Centre Rotterdam. Rotterdam, The Netherlands.
The Generation R Study Group. Department of Paediatrics. Division of Neonatology. Erasmus MC - Sophia Children's Hospital. University Medical Centre Rotterdam. Rotterdam, The Netherlands.
Hamad Medical Corporation. Doha, Qatar.
Hamad Medical Corporation. Doha, Qatar.
Department of Obstetrics and Gynaecology. Korea University College of Medicine. Seoul, South Korea.
Department of Obstetrics and Gynaecology. Korea University College of Medicine. Seoul, South Korea.
Clinical Epidemiology Division. Department of Medicine Solna. Karolinska Institutet. Stockholm, Sweden
Clinical Epidemiology Division. Department of Medicine Solna. Karolinska Institutet. Stockholm, Sweden
Department of Health Sciences. College of Life Sciences. University of Leicester. Leicester, UK.
National Perinatal Epidemiology Unit. Nuffield Department of Population Health. University of Oxford. Oxford, UK.
School of Natural and Built Environment. Queen's University Belfast. Belfast, UK.
Queen's Management School. Queen's University Belfast. Belfast, UK.
Public Health Scotland. Edinburgh, UK / Usher Institute. University of Edinburgh. Edinburgh, UK.
Department of Maternity and Sexual Health Team. Public Health Scotland, Edinburgh. UK.
Catholic University of the Maule. Región del Maule, Chile / Department of Wellness and Health. Catholic University of Uruguay. Montevideo, Uruguay.
Department of Wellness and Health. Catholic University of Uruguay. Montevideo, Uruguay.
Maternal, Adolescent, Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK.
Maternal, Adolescent, Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK.
Maternal, Adolescent, Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK.
Maternal, Adolescent, Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK.
Maternal, Adolescent, Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK.
Maternal, Adolescent, Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK.
Department of Mother & Child Health. Institute for Clinical Effectiveness and Health Policy. Buenos Aires, Argentina.
Department of Mother & Child Health. Institute for Clinical Effectiveness and Health Policy. Buenos Aires, Argentina.
Faculty of Medicine and Health. University of Sydney. Sydney, New South Wales, Australia.
Centre for Research Excellence in Stillbirth. MRI-UQ. Mater Research Institute. The University of Queensland. Brisbane, Queensland, Australia.
Maternal, Adolescent, Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para Saúde (CIDACS). Salvador, BA, Brasil.
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para Saúde (CIDACS). Salvador, BA, Brasil.
Department of Obstetrics & Gynaecology. University of British Columbia. Vancouver, British Columbia, Canada.
Department of Obstetrics & Gynaecology. University of British Columbia. Vancouver, British Columbia, Canada.
Pontificia Universidad Católica de Chile. Santiago, Chile.
Pontificia Universidad Católica de Chile. Santiago, Chile.
Department of Obstetrics and Gynaecology. Institute for the Care of Mother and Child. Prague, Czech Republic.
Department of Data Analysis. Institute of Health Information and Statistics of the Czech Republic. Prague, Czech Republic.
Department of Clinical Epidemiology. Aarhus University. Aarhus N, Denmark.
Department of Clinical Epidemiology. Aarhus University. Aarhus N, Denmark.
School of Governance. Law and Society. Estonian Institute for Population Studies. Tallinn University. Tallinn, Estonia.
School of Governance. Law and Society. Estonian Institute for Population Studies. Tallinn University. Tallinn, Estonia.
Department of Knowledge Brokers. THL Finnish Institute for Health and Welfare. Helsinki, Finland.
Department of Paediatrics. Alzahra Hospital. Tabriz, Iran.
Department of Community Medicine. Preventive Medicine and Public Health Research Centre. Iran University of Medical Sciences. Tehran, Iran.
Department of Paediatrics and Adolescent Medicine. American University of Beirut. Beirut, Lebanon.
Department of Paediatrics and Adolescent Medicine. American University of Beirut. Beirut, Lebanon.
Department of Obstetrics and Gynaecology. Faculty of Medicine. University of Cyberjaya. Cyberjaya, Malaysia.
Department of Obstetrics & Gynaecology. Hospital Sultanah Aminah. Ministry of Health. Johor Bahru, Malaysia.
Directorate of Health Information. Ministry of Health. Mexico City, Mexico.
Perined. Utrecht, The Netherlands.
Perined. Utrecht, The Netherlands.
Centro de Investigación en Salud Materna e Infantil. Centro de Investigación para el Desarrollo Integral y Sostenible and School of Medicine. Universidad Peruana.
The Generation R Study Group. Department of Paediatrics. Division of Neonatology. Erasmus MC - Sophia Children's Hospital. University Medical Centre Rotterdam. Rotterdam, The Netherlands.
The Generation R Study Group. Department of Paediatrics. Division of Neonatology. Erasmus MC - Sophia Children's Hospital. University Medical Centre Rotterdam. Rotterdam, The Netherlands.
Hamad Medical Corporation. Doha, Qatar.
Hamad Medical Corporation. Doha, Qatar.
Department of Obstetrics and Gynaecology. Korea University College of Medicine. Seoul, South Korea.
Department of Obstetrics and Gynaecology. Korea University College of Medicine. Seoul, South Korea.
Clinical Epidemiology Division. Department of Medicine Solna. Karolinska Institutet. Stockholm, Sweden
Clinical Epidemiology Division. Department of Medicine Solna. Karolinska Institutet. Stockholm, Sweden
Department of Health Sciences. College of Life Sciences. University of Leicester. Leicester, UK.
National Perinatal Epidemiology Unit. Nuffield Department of Population Health. University of Oxford. Oxford, UK.
School of Natural and Built Environment. Queen's University Belfast. Belfast, UK.
Queen's Management School. Queen's University Belfast. Belfast, UK.
Public Health Scotland. Edinburgh, UK / Usher Institute. University of Edinburgh. Edinburgh, UK.
Department of Maternity and Sexual Health Team. Public Health Scotland, Edinburgh. UK.
Catholic University of the Maule. Región del Maule, Chile / Department of Wellness and Health. Catholic University of Uruguay. Montevideo, Uruguay.
Department of Wellness and Health. Catholic University of Uruguay. Montevideo, Uruguay.
Maternal, Adolescent, Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK.
Maternal, Adolescent, Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK.
Abstract
Objective: To examine the prevalence of novel newborn types among 165 million live births in 23 countries from 2000 to 2021. Design: Population-based, multi-country analysis. Setting: National data systems in 23 middle- and high-income countries. Population: Liveborn infants. Methods: Country teams with high-quality data were invited to be part of the Vulnerable Newborn Measurement Collaboration. We classified live births by six newborn types based on gestational age information (preterm <37 weeks versus term ≥37 weeks) and size for gestational age defined as small (SGA, <10th centile), appropriate (10th-90th centiles), or large (LGA, >90th centile) for gestational age, according to INTERGROWTH-21st standards. We considered small newborn types of any combination of preterm or SGA, and term + LGA was considered large. Time trends were analysed using 3-year moving averages for small and large types. Main outcome measures: Prevalence of six newborn types. Results: We analysed 165 017 419 live births and the median prevalence of small types was 11.7% - highest in Malaysia (26%) and Qatar (15.7%). Overall, 18.1% of newborns were large (term + LGA) and was highest in Estonia 28.8% and Denmark 25.9%. Time trends of small and large infants were relatively stable in most countries. Conclusions: The distribution of newborn types varies across the 23 middle- and high-income countries. Small newborn types were highest in west Asian countries and large types were highest in Europe. To better understand the global patterns of these novel newborn types, more information is needed, especially from low- and middle-income countries.
Keywords in Portuguese
Baixo peso de nascimentoRecém-nascido
Nascimento prematuro
Tamanho para idade gestacional
DeCS
Recém-Nascido de Baixo PesoNascimento Prematuro
Recém-Nascido Pequeno para a Idade Gestacional
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