Carina Rodrigues
- Infant Development and Preterm Care
- Neonatal Respiratory Health Research
- Breastfeeding Practices and Influences
- Infant Nutrition and Health
- COVID-19 Impact on Reproduction
- Birth, Development, and Health
- Child and Adolescent Health
- Maternal Mental Health During Pregnancy and Postpartum
- Global Maternal and Child Health
- Maternal and Perinatal Health Interventions
- Congenital Diaphragmatic Hernia Studies
- Technology Use by Older Adults
- Assisted Reproductive Technology and Twin Pregnancy
- Neonatal and fetal brain pathology
- Maternal and fetal healthcare
- Education and Digital Technologies
- Migration, Health and Trauma
- Occupational Health and Burnout
- Folate and B Vitamins Research
- Neonatal Health and Biochemistry
- Prenatal Screening and Diagnostics
- Physical Education and Gymnastics
- Child Nutrition and Feeding Issues
- Resilience and Mental Health
- Preterm Birth and Chorioamnionitis
Universidade do Porto
2013-2024
Universidade Federal do Pará
2024
Karolinska University Hospital
2024
i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto
2017-2023
Centre de Recherche Épidémiologie et Statistique
2022-2023
Sorbonne Paris Cité
2022-2023
Inserm
2022-2023
Institut National de Recherche pour l'Agriculture, l'Alimentation et l'Environnement
2022-2023
Université Paris Cité
2022
Translational Research in Oncology
2022
Abstract Breast milk feeding (BMF) is associated with lower neonatal morbidity in the very preterm infant (<32 weeks gestation) and breastfeeding beneficial for maternal health. Previous studies show large variations BMF after birth recognize need targeted support intensive care units (NICU). In a European collaboration project about evidence‐based practices birth, we examined association between maternal, obstetric, clinical factors; unit policies; at discharge from NICU. multivariable...
Abstract Breastfeeding confers multiple benefits for the health and development of very preterm infants, but there is scarce information on duration breastfeeding after discharge from neonatal intensive care unit (NICU). We used data Effective Perinatal Intensive Care in Europe population‐based cohort births below 32 weeks gestation 11 European countries 2011–2012 to investigate continuation until 6 months. Clinical sociodemographic characteristics were collected obstetric medical records as...
Abstract Background Exclusive breastfeeding is the optimal infant nutrition, providing infants immunoprotection against many diseases including SARS-CoV-2 infection. Restrictions during COVID-19 pandemic may have negatively affected practices in maternity care facilities. The aims of study were to examine exclusive rates at discharge over time and identify factors associated with pandemic. Methods A cross-sectional survey was conducted among mothers who gave birth a facility World Health...
The Effective Perinatal Intensive Care in Europe (EPICE) cohort includes all births between 22 + 0 and 31 + 6 weeks of gestation 2011/12 19 regions 11 European countries. This was set up to investigate the use evidence-based interventions for prenatal postnatal care infants born very preterm (VPT) explore associations their health developmental outcomes. first phase, ‘Effective perinatal intensive Europe’ focused on obstetric neonatal before around time birth during hospitalization period,...
Abstract Background Loss to follow-up is a major challenge for very preterm (VPT) cohorts; attrition associated with social disadvantage and parents impaired children may participate less in research. We investigated the impact of loss on estimated prevalence neurodevelopmental impairment VPT cohort using different methodological approaches. Methods This study includes births < 32 weeks gestational age (GA) from 4 regions UK Portugal participating European birth ( N = 1737 survivors)....
The documented benefits of maternal milk for very preterm infants have raised interest in hospital policies that promote breastfeeding. We investigated the hypothesis more liberal parental are associated with increased breastfeeding at discharge from neonatal unit.Prospective area-based cohort study.Neonatal intensive care units (NICUs) 19 regions 11 European countries.All discharged alive participating 2011-2012 after spending >70% their stay same NICU (n=4407).We assessed four feeding...
This study aims to (1) describe the health-related quality of life (HRQoL) outcomes experienced by children born very preterm (28-31 weeks' gestation) and extremely (< 28 at five years age (2) explore mediation effects bronchopulmonary dysplasia (BPD) severe non-respiratory neonatal morbidity on those outcomes.This investigation was based data for 3687 < 32 gestation that contributed EPICE SHIPS studies conducted in 19 regions across 11 European countries. Descriptive statistics multi-level...
The Apgar score is used worldwide as an assessment tool to estimate the vitality of newborns in their first minutes life. Its applicability neurodevelopmental outcomes infants born extremely preterm (EPT; <28 weeks' gestation) not well established.To investigate association between and EPT.This cohort study was conducted using data from Effective Perinatal Intensive Care Europe-Screening Improve Health Very Preterm Infants Europe (EPICE-SHIPS) study, a population-based 19 regions 11 European...
Abstract In a cohort of children born very preterm (VPT), we investigated the association between breast milk feeding (BMF) initiation and its duration on cognitive development at 2 years corrected age. Data were obtained from Effective Perinatal Intensive Care in Europe population‐based prospective <32 weeks gestation, 11 European countries, 2011–2012. The study sample included 4323 children. Nonverbal ability was measured applying Parental Report Children's Abilities, except for France...
Objectives Develop and validate a WHO Standards-based online questionnaire to measure the quality of maternal newborn care (QMNC) around time childbirth from health workers’ perspective. Design Mixed-methods study. Setting Six countries European Region. Participants methods The is based on lessons learnt in previous studies, was developed three sequential phases: (1) Quality Measures were prioritised content, construct face validity assessed through Delphi involving multidisciplinary board...
To describe the perception of quality maternal and newborn care (QMNC) around time childbirth among migrant nonmigrant women in Europe.Women who gave birth at a health facility 11 countries WHO European Region from March 2020 to July 2021 were invited answer an online questionnaire including demographics experience. Data analyzed compared for 1781 20 653 women.Migrant experienced labor perceived slightly more difficulties attending routine antenatal visits (41.2% vs 39.4%; P = 0.001),...
Objective: To assess the influence of neonatal intensive care units (NICUs) on feeding practices at discharge Portuguese very preterm infants. Materials and Methods: We analyzed data from 580 infants (<32 gestational weeks) discharged home NICUs two regions enrolled during 2011-2012 in Effective Perinatal Intensive Care Europe population-based cohort. Maternal infant characteristics were abstracted medical records, heads provided characteristics. Feeding was classified as exclusive formula,...
Maternal country of birth has been associated with perinatal health outcomes but less is known regarding breastfeeding practices in contemporary European settings. This study investigated effect maternal on initiation and duration by comparing native Portuguese migrant mothers.We analyzed data 7065 children the Generation XXI (GXXI) cohort recruited at (2005-06) followed-up 4 years later. Logistic regression was used to assess initiation. Kaplan-Meier estimate compare length residence...
Abstract Objective To compare women's perspectives on the quality of maternal and newborn care (QMNC) around time childbirth across Nomenclature Territorial Units for Statistics 2 (NUTS‐II) regions in Portugal during COVID‐19 pandemic. Methods Women participating cross‐sectional IMAgiNE EURO study who gave birth from March 1, 2020, to October 28, 2021, completed a structured questionnaire with 40 key WHO standards‐based measures. Four domains QMNC were assessed: (1) provision care; (2)...
Abstract Objective To explore the quality of maternal and newborn care (QMNC) during COVID‐19 pandemic by facility type among 16 European countries, comparing rates instrumental vaginal birth cesarean. Methods Women who gave in WHO Region from March 1, 2020, to February 7, 2022, answered a validated online questionnaire. Rates birth, cesarean, QMNC index were calculated for births public versus private facilities. Results Responses 25 206 participants analyzed. giving compared with...
Abstract Background Children born very preterm (&lt;32 weeks of gestation) face high risks neurodevelopmental and health difficulties compared with children at term. Follow-up after discharge from the neonatal intensive care unit is essential to ensure early detection intervention, but data on policy approaches are sparse. Methods We investigated characteristics follow-up programmes in 11 European countries 2011 2022 using healthcare informant questionnaires published/grey literature....