Your browser doesn't support javascript.

VHL CLAP/WR-PAHO/WHO

Latin-American Center for Perinatology, Woman and Reproductive Health

Home > Search > ()
XML
Print Export

Export format:

Export

Email
Add more contacts
| |

Morbimortalidad del recién nacido a término precoz en el hospital Hipólito Unanue de Tacna durante los años 2000 a 2014 / Morbimortality of early term newborns at Tacna's Hipólito Unanue hospital during the years 2000 to 2014

Ticona Rendón, Manuel; Huanco Apaza, Diana.
Acta méd. peru ; 34(1): 41-48, ene. 2017. ilus, tab
Article in Spanish | LILACS | ID: biblio-989114

Objective:

To determine the frequency, cesarean section rate and morbidity and mortality risks for early term newborns. Material and

methods:

Non-experimental, cross-sectional study. We included single term live neonates born in Hipolito Unanue Hospital in Tacna from 2000 to 2014 (n= 45332). Early term newborns from 37 to 38 6/7 weeks (n= 11276), were compared with full term newborns from 39 to 41 6/7 weeks (n= 34056). We used frequencies and rates per 100 live births, odds ratios (OR) with 95% confidence intervals (95% CI), logarithmic regression and "t" test for independent samples. The Perinatal Computer System database was used.

Results:

The frequency of preterm infants was 22.5 per 100 live newborns, with a significant logarithmic growth (p= 0.03). This accounted for 24.9% of all full term newborns. The cesarean section rate increased from 31.2% to 51.1% and its growth was similar to that of full term newborns. It was associated with a higher risk of low birth weight (OR 5.3; 95% CI4.5-6.3), small for gestational age babies (OR 3.14; 95% CI 2.69-3.66), being born by cesarean section (OR 3.15; 95% CI 3.01-3.29), hospital stay of 3 days or more (OR 1.46; 95% CI 1.39-1,54), respiratory morbidities (OR 1.81; 95% CI 1.38-2.37), such as pneumonia (OR 3.02; 95% CI 1.70-5.38), hyaline membrane (OR 4.17; IC 95% CI 1.56-11.33), and transient tachypnea (OR 2.95; 95% CI 1.79-4.85); and congenital malformations (OR 1.46; IC 95% CI 1.17-1.82), hyperbilirubinemia (OR 1.23; 95% CI 1.02-1.49), and neonatal mortality (OR 2.17; 95% CI 1.45-3.23).

Conclusion:

The frequency of early term newborns in Hipolito Unanue Hospital in Tacna increased in the last 15 years, and it was associated with an increased risk of respiratory problems and neonatal mortality
Responsible library: PE1.1