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TL;DR
The methods involved analyzing aggregated data on infant characteristics, health outcomes, and follow-up metrics stratified by the type of health insurance (private, worker, or government-subsidised).
BMJ Global Health · 2 authors, 3 centres
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The methods involved analyzing aggregated data on infant characteristics, health outcomes, and follow-up metrics stratified by the type of health insurance (private, worker, or government-subsidised).
The methods involved analyzing aggregated data on infant characteristics, health outcomes, and follow-up metrics stratified by the type of health insurance (private, worker, or government-subsidised). Key results indicate that over time, there were improvements in anthropometric measures at birth and somatic growth during follow-up, alongside decreases in the need for mechanical ventilation, intraventricular hemorrhage, and intensive care. Conversely, risks for cerebral palsy and higher frequencies of teenage mothers were associated with the poorest population. During the COVID-19 pandemic, a more than twofold increase in exclusive breastfeeding at six months and a reduction in readmission rates were observed. Limitations include the study's observational and descriptive nature, potential loss to follow-up (15% between 40 weeks and 12 months), and the influence of socioeconomic factors. The findings suggest that structured outpatient follow-up programmes can monitor and improve the care of high-risk infants, but they also highlight persistent healthcare inequities.