Prenatal follow-up of Haitian and Brazilian women in Mato Grosso

a cross-sectional study of secondary database, with analysis of SINASC birth records in Mato Grosso between 2013 and 2015, of Brazilian children, born from both Brazilian and Haitian mothers. Variables related to the identification of the newborn and the woman, maternal data on gestational history, including information on prenatal follow-up of the last gestation were evaluated, besides the birth characteristics.

Results:

167,820 live births were registered in the state in the period, of which 139 (0.08%) were children of Haitian women. Haitian mothers were older, however with lower schooling when compared to Brazilian mothers. The proportion of mothers of Haitian nationality who had at least 6 prenatal consultations was lower, and the proportion of vaginal births was higher, when compared to Brazilian women. The prevalence of low birth weight among live births of Haitian mothers was also higher.

Conclusions:

the results of this study point to the need to understand these differences, since some indicators have distanced from those advocated by WHO. These findings may contribute to the public policies development aimed at this population.

Key words
Emigration and immigration; Prenatal Care; Childbirth; Health policy; planning and management

	General		Children of Haitian		Children of Brazilian		p ^a a Chi-square test;
	n	%	n	%	n	%
Age group of the mother (years)							<0.001
< 25	79.303	48.1	29	20.9	79.274	48.1
25 to 29	41.862	25.4	61	43.9	41.801	25.4
≥30	43.809	26.6	49	35.3	43.760	26.5
Marital status of mother							not applicable
Single	47.293	28.8	47	33.8	47.246	28.8
Married	46.637	28.4	26	18.7	46.611	28.4
Stable union	68.204	41.5	66	47.5	68.138	41.5
Others	2.289	1.4	-	-	2.289	1.4
Mother's education (years)^b b Variable with incomplete information.
< 5	7.990	4.9	16	11.9	7.974	4.9	<0.001
5 to 11	86.179	52.6	75	56.0	86.104	52.6
≥ 12	69.608	42.5	43	32.1	69.565	42.5
Previous pregnancies^b b Variable with incomplete information.							0.440
None	53319	34.5	41	32.5	53278	34.5
1 - 2	76879	49.8	60	47.6	76819	49.8
≥ 3	24251	15.7	25	19.8	24226	15.7
Number of children born alive^b b Variable with incomplete information.							0.639
None	59.504	38.7	44	34.9	59.460	38.7
1 - 2	77.380	50.3	66	52.4	77.314	50.3
≥ 3	16.939	11.0	16	12.7	16.923	11.0
Number of children dead^b b Variable with incomplete information.							0.292
None	121.415	81.4	103	85.1	121.312	81.4
≥ 1	27.741	18.6	18	14.9	27.723	18.6

	General		Children of Haitian		Children of Brazilian		p ^a a Chi-square test;
	n	%	n	%	n	%
Prenatal onset^b b Variable with incomplete information.							0.112
Up to 3^rd month of gestation	127.222	79.8	95	74.2	127.127	79.9
After the 3^rd month	32.109	20.2	33	25.8	32.076	20.1
Number of prenatal visits^b b Variable with incomplete information.							0.013
< 6	31.374	19.3	37	27.8	31.337	19.3
≥ 6	130.990	80.7	96	72.2	130.894	80.7
Gestacional age^b b Variable with incomplete information.							0,569
Pre-term	17.513	10.9	17	12.4	17.496	10.9
Term or Post-term	143.262	89.1	120	87.6	143.142	89.1
Type of delivery^b b Variable with incomplete information.							<0.001
Vaginal	64.011	38.8	81	58.3	63.930	38.8
Caesarean	100.819	61.2	58	41.7	100.761	61.2
Sex of the child^b b Variable with incomplete information.							0.476
Male	84.473	51.2	67	48.2	84.406	51.2
Female	80.440	48.8	72	51.8	80.368	48.8
Weight at birth (grams)^b b Variable with incomplete information.							<0.001
≥ 2500	152.387	92.4	115	82.7	152.272	92.4
< 2500	12.475	7.6	24	17.3	12.451	7.6
Apgar 1^b b Variable with incomplete information.							0.056
8 - 10	145.978	89.2	117	84.2	145.861	89.2
Up to 7	17.660	10.8	22	15.8	17.638	10.8

	Stratified by nationality
	General		Children of Haitian		Children of Brazilian
	n	%	n	%	n	%
Age group of the mother (years)
< 25	5816	7.3	4	13.8	5812	7.3
25 to 29	2939	7.0	8	13.1	2931	7.0
≥ 30	3726	8.5	12	24.5	3714	8.5
p ^a a Chi-square test;	<0.01		-		<0.01
Mother's education (years)^b b Variable with incomplete information;
< 5	658	8.3	3	18.8	655	8.3
5 to 11	6378	7.4	15	20.0	6363	7.4
≥ 12	5354	7.7	5	11.6	5349	7.7
p ^a a Chi-square test;	<0.01		-		<0.01
Previous pregnancies^b b Variable with incomplete information;
None	4517	8.5	7	17.1	4510	8.5
1 - 2	4990	6.5	12	20.0	4978	6.5
≥ 3	1948	8.0	3	12.0	1945	8.0
p ^a a Chi-square test;	<0.01		-		<0.01
Prenatal onset^b b Variable with incomplete information;
Up to 3^rd month of gestation	9383	7.4	15	15.8	9368	7.4
After the 3^rd month	2438	7.6	4	14.8	2434	7.6
p ^a a Chi-square test;	0.17			-	0.17
Number of prenatal visits^b b Variable with incomplete information;
< 6	3918	12.5	10	27.0	3908	12.5
≥ 6	8222	6.3	11	11.5	8211	6.3
p ^a a Chi-square test;	<0.01		0.03		<0.01
Gestacional age^b b Variable with incomplete information;
Pre-term	4937	3.4	11	9.2	4926	3.4
Term or Post-term^c c Number of post-term births of children of Haitian mothers less than 5.	7216	41.2	13	76.5	7203	41.2
p ^a a Chi-square test;	<0.01		<0.01		<0.01
Type of delivery^b b Variable with incomplete information;
Vaginal	4893	7.6	11	13.6	4882	7.6
Caesarean	7578	7.5	13	22.4	7565	7.5
p ^a a Chi-square test;	0.35		0.17		0.24
Apgar 1^b b Variable with incomplete information;
8 - 10	8787	6.0	16	13.7	8771	6.0
Up to 7	3571	20.2	8	36.4	3653	20.2
p ^a a Chi-square test;	<0.01			0.01	<0.01

Instituto de Medicina Integral Prof. Fernando Figueira Rua dos Coelhos, 300. Boa Vista, 50070-550 Recife PE Brasil, Tel./Fax: +55 81 2122-4141 - Recife - PR - Brazil
E-mail: revista@imip.org.br

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[TFN1] ^a
Chi-square test;

[TFN2] ^b
Variable with incomplete information.