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2012, Number 4

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Revista Cubana de Obstetricia y Ginecología 2012; 38 (4)

Morbidity in newborns weighing less than 1500 g

Sanabria AAM, Nodarse RA, Carrillo BL, Couret CMP, Sánchez RNM, Guzmán PR

Language: Spanish
References: 17
Page:
PDF size: 61.59 Kb.


ABSTRACT

Introduction: preterm delivery of an infant weighing less than 1 500 g is one of the most important health problems for a mother and her child, as perinatal morbidity and mortality are concentrated in this patient population.
Objective: to identify perinatal events in preterm birth infants weighing less than 1 500 g.
Methods: a descriptive study was carried out to identify perinatal events in 80 pregnant women with gestational age between 28.6-36.6 weeks. These patients had preterm birth infants weighing less than 1 500 grams. They were all attended at Ramón González Coro OB/GYN Hospital, from January 2008 to December 2010. This descriptive data analysis used distributions of absolute and relative frequencies. The chi-square test (X2) was used, showing 95 % confidence.
Results: 75 % had risk factors. Pregnancy hypertensive disorders (48.8 %), asthma (7.5 %), and anemia (6.3 %) were predominant. 45 % of births occurred after premature rupture of membranes. Low birth weight prevailed in 56.3 % of the total. 29.8 % had fetal growth restriction and 28.6% had hyaline membrane disease.
Conclusions: risk factors were present in three quarters of the patients. Hypertension and pre-eclampsia predominated as major risk factors. The most common cause of preterm birth was premature rupture of membranes. Intrauterine growth restriction and hyaline membrane disease were the most frequent complications.


REFERENCES

  1. Aguilar MT, Bajo J, Manzanares S. Medicina Materno-Fetal. Parto Pretérmino y Prematuridad. Tratamiento de la Amenaza y Parto Pretérmino. Fundamentos de Obstetricia. SEGO. 2007;III(51):425-30.

  2. Goldenberg RL, Colhane JF, Jams JD, Romero R. Epidemiology and causes of preterm birth. Lancet. 2008;371:164-75.

  3. Harris-Requejo J, Merialdi M. The global impact of preterm birth. In: Berghella V, editor. Preterm birth: prevention and management. Oxford (UK): Wiley-Blackwell; 2010. p. 17.

  4. Cabero L. Impacto social de la prematuridad. XVI Curso Internacional de Formación Continuada Medicina Materno-Fetal. 2008;1:1-11.

  5. López B. Causas del inicio del parto pretérmino. En: Cabero Roura L. Parto Prematuro. Madrid: Ed. Med Panamericana S.A. 2004. p. 33-45.

  6. Ness RB, Roberts JM. Heterogeneous causes constituting the single syndrome of preclampsia: A hypothesis and its implications. Am J Obstet Gynecol. 2007:1365-7.

  7. Schatz M, Dombrowski MD, Wilse R, Mabie W. Spirometry is related to perinatal outcomes in pregnant women with asthma. Nacional Institute of Child Health and Human Development Maternal-Fetal. Medicine Units Network; Nacional Heart, Lung and Blood Institute. Am J Obstet Gynecol. 2006;194:120-61(level II).

  8. Vázquez Niebla JC, Vázquez Cabrera J, Rodríguez P. Epidemiología de la rotura prematura de membranas en un hospital Ginecobstétrico. Rev Cubana Obstet Ginecol. 2003;29(2).

  9. National office of statistics. Preterm Birth in England and Wales. Disponible en: http://pediatrics.aappublications.org/content/123/2/e312.full

  10. Erol A, Thomas M. Preterm labor, 1085. Clinical Obstetrics. The fetus & mother. Part XII: Preterm labor 2008;62:1085.

  11. Lumley J. Defining the problem: the epidemiology of preterm birth. Br J Obstet Gynecol. 2003;110:30-3.

  12. Madelene J, Helena O, Kenneth S. Onset of delivery and its effect on infant survival and morbidity. Obstet Gynecol. 2008;111:42-50.

  13. Sarkar S, Bhagatl L, Rechert R, et al. Severe intraventricular hemorrhagia in preterm infants. Am J Perinatol. 2009;26(6):419-24.

  14. Prats C, Cortés A, Fernández B, Jane CH. Análisis de la problemática del parto prematuro. Una visión epidemiológica. En: Cabero Roura L. Parto Prematuro. Madrid: Ed. Med Panamericana S.A. 2004. p. 1-10.

  15. Hayes A. Antenatal Corticosteroids. Obstet Gynecol. 2008;101:921.

  16. Armson A, O'Conell C, Person V. Determinants of perinatal mortality and serious neonatal morbidity. Obstet Gynecol. 2006;108:556-64.

  17. Ovalle A, Martínez MA, Ferrand P, Peña V, Ocaranza M, Schwarze JE. Infección intraamniótica por Neisseria Gonorrhoeae en un caso de rotura prematura de membranas de pretérmino. Rev Chil Obstet Gynecol. 1999;64(2):130-2.




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