TY - JOUR
T1 - Temporal and Spatial Trends of Adverse Pregnancy and Birth Outcomes in a Sample of Births from a Public Hospital in Chile
AU - Blanco, Estela
AU - Ruiz-Rudolph, Pablo
AU - Yohannessen, Karla
AU - Ayala, Salvador
AU - Quinteros, María Elisa
AU - Delgado-Saborit, Juana Maria
AU - Blazquez, Carola A.
AU - Iglesias, Verónica
AU - Zapata, Diana Alcántara
AU - Bartington, Suzanne E.
AU - Harrison, Roy M.
AU - Ossa, Ximena
PY - 2023/5/22
Y1 - 2023/5/22
N2 - Understanding temporal and spatial trends in pregnancy and birth outcomes within an urban area is important for the monitoring of health indicators of a population. We conducted a retrospective cohort study of all births in the public hospital of Temuco, a medium-sized city in Southern Chile between 2009 and 2016 (n = 17,237). Information on adverse pregnancy and birth outcomes, as well as spatial and maternal characteristics (insurance type, employment, smoking, age, and overweight/obesity), was collected from medical charts. Home addresses were geocoded and assigned to neighborhood. We tested whether births and prevalence of adverse pregnancy outcomes changed over time, whether birth events were spatially clustered (Moran’s I statistic), and whether neighborhood deprivation was correlated to outcomes (Spearman’s rho). We observed decreases in eclampsia, hypertensive disorders of pregnancy, and small for gestational age, while gestational diabetes, preterm birth, and low birth weight increased over the study period (all p
AB - Understanding temporal and spatial trends in pregnancy and birth outcomes within an urban area is important for the monitoring of health indicators of a population. We conducted a retrospective cohort study of all births in the public hospital of Temuco, a medium-sized city in Southern Chile between 2009 and 2016 (n = 17,237). Information on adverse pregnancy and birth outcomes, as well as spatial and maternal characteristics (insurance type, employment, smoking, age, and overweight/obesity), was collected from medical charts. Home addresses were geocoded and assigned to neighborhood. We tested whether births and prevalence of adverse pregnancy outcomes changed over time, whether birth events were spatially clustered (Moran’s I statistic), and whether neighborhood deprivation was correlated to outcomes (Spearman’s rho). We observed decreases in eclampsia, hypertensive disorders of pregnancy, and small for gestational age, while gestational diabetes, preterm birth, and low birth weight increased over the study period (all p
U2 - 10.1007/s11524-023-00733-y
DO - 10.1007/s11524-023-00733-y
M3 - Article
SN - 1099-3460
JO - Journal of Urban Health
JF - Journal of Urban Health
ER -