2014, Number 3
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Acta Pediatr Mex 2014; 35 (3)
Neonatal morbidity by accidental out of hospital delivery in a general hospital
Flores-Nava G, Reyes-Morales L, Rivero-Yeverino D, Hernández-Delgado L
Language: Spanish
References: 16
Page: 173-178
PDF size: 405.93 Kb.
ABSTRACT
Introduction: Fortuitous delivery one which occurs in a place other
that a delivery room. Facility some of these infants do not under neonatal
complications, but who present morbidly conditions the more
frequent are; neonatal trauma, perinatal asphyxia, sepsis, pneumonia,
and metabolic acidosis.
Objective: To determine the percentage of FD infants who have complications
and their neonatal morbidity.
Subjects and methods: A descriptive study reviewing the files of patients
born from a FD in a General Hospital during a ten year period
was carried out. We analyzed the percentage of complications and the
morbidity during the hospitalization.
Results: 120 records were reviewed; 70% of the infants suffered from
some complication; Polycythemia, 25.8%; neonatal jaundice, 21.6%;
respiratory distress syndrome, 5%; perinatal asphyxia, 5%; obstetric
trauma, 4.1%; transient tachypnea of the newborn, 2.5%; other 5.8%.
The age of gestation at birth was 39±2 weeks (average and standard
deviation), birth weight 2698±647 g. Females were 56.6% and males
43.4%; of hospitalization was 5±4 days. Antibiotics were prescribed
in 74.3% during 3±3 days; there were no cases of sepsis by clinic or
blood culture.
Conclusions: About 2/3 of the infants of FP had server complications.
None had sepsis by clinic or laboratory.
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