# name
Infant mortality and morbidity associated with preterm and
                small-for-gestational-age births in Southern Mozambique: A
                retrospective cohort study

# metadata.dc.description.abstract[].value
BACKGROUND: Preterm and small for gestational age (SGA) births
                have been associated with adverse outcomes during the first
                stages of life. We evaluated the morbidity and mortality
                associated with preterm and SGA births during the first year of
                life in a rural area of Southern Mozambique. METHODS: This is a
                retrospective cohort study using previously collected data from
                children born at the Manhica District Hospital in two different
                periods (2003-2005 and 2010-2012). Newborns were classified as
                being preterm and/or SGA or as babies not fulfilling any of the
                previous conditions (term non-SGA). All children were followed
                up for a year for morbidity and mortality outcomes. RESULTS: A
                total of 5574 live babies were included in the analysis. The
                prevalence of preterm delivery was 6.2% (345/5574); the
                prevalence of SGA was 14.0% (776/5542) and 2.2% (114/5542) of
                the children presented both conditions. During the neonatal
                period, preterm delivery and SGA were associated with 13 (HR:
                13.0, 95% CI 4.0-42.2) and 5 times (HR: 4.5, 95% CI: 1.6-12.6)
                higher mortality compared to term non SGA babies. Risk of
                hospitalization was only increased when both conditions were
                present (IRR: 3.5, 95%CI: 1.5-8.1). Mortality is also increased
                during the entire first year, although at a lower rate.
                CONCLUSIONS: Neonatal and infant mortality rates are remarkably
                high among preterm and SGA babies in southern Mozambique. These
                increased rates are concentrated within the neonatal period.
                Prompt identification of these conditions is needed to implement
                interventions aimed at increasing survival of these high-risk
                newborns.

# metadata.dc.relation.isformatof[].value
Reproducció del document publicat a:
                http://dx.doi.org/10.1371/journal.pone.0172533

# metadata.dc.source[].value
Articles publicats en revistes (ISGlobal)

# metadata.dc.title[].value
Infant mortality and morbidity associated with preterm and
                small-for-gestational-age births in Southern Mozambique: A
                retrospective cohort study