Factores de riesgo asociados a asfixia perinatal en el hospital universitario Méderi, 2 010-2 011

Translated title of the contribution: Risk factors associated with the diagnosis of perinatal asphyxia at Méderi university hospital, Bogotá, 2010-2011

Práxedes Isabel Rincón Socha, Lilia Del Riesgo Prendes, Milcíadez Ibáñez Pinilla Estad, Viviana Rodriguez

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Hypoxemia due to fetal or obstetric complications causes perinatal asphyxia and brain injury among newborn babies. Between 15-20% of those affected die during the neonatal period and 25% of those who survive have permanent neurological deficits. Objective: To determine risk factors for the antepartum, intrapartum, and neonatal periods associated with perinatal asphyxia among newborns at Mederi University Hospital in Bogota in 2010-2011. Materials and Methods: Case-matched controls by date of birth with a ratio of 1:5 (51:306). Cases of perinatal asphyxia were diagnosed as established by the American Academy of Pediatrics and the American College of Gynecology and Obstetrics. Associations were assessed using the Chisquare Mantel-Haenszel test or Fisher for paired data with odds ratio and confidence interval of 95 %, multivariate analysis with conditional logistic regression model. Results: The risk factors with significant association previous to birth were: Maternal medical history and primigestation. Intrapartum: Placental abruption, hemorrhage of the third quarter, oligohydramnios, fetal tachycardia, abnormal intrapartum fetal monitoring, prolonged expulsive stage, maternal fever, maternal convulsions, chorioamnionitis, and fetal bradycardia. Fetal: gestational age equal or Ballard <36 weeks, instrumented birth, bleeding or meconium-stained amniotic fluid, nuchal cord and birth weight equal to or <2500 grams. Underlined factors and hypertensive syndrome associated with pregnancy were significant in multivariate analysis. Conclusions: The early recognition and control of risk factors should contribute to decrease the probability of perinatal asphyxia among newborns.

Translated title of the contributionRisk factors associated with the diagnosis of perinatal asphyxia at Méderi university hospital, Bogotá, 2010-2011
Original languageSpanish
Pages (from-to)345-356
Number of pages12
JournalRevista Ciencias de la Salud
Volume15
Issue number3
DOIs
StatePublished - 2017
Externally publishedYes

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