2015, Number 2
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Bol Clin Hosp Infant Edo Son 2015; 32 (2)
Resultados Neonatales en Embarazo Pretérmino Tardío, Término Temprano y Término Completo
Gómez-Pizarro CI, Rosas-Coronado MM, Leonel-Rivadeneyra S, Rojo-Quiñonez AR
Language: Spanish
References: 31
Page: 69-75
PDF size: 273.40 Kb.
ABSTRACT
Background: Neonatal atterm, which period comprising 5 weeks from the 37th week, have been considered as a homogeneous
group and low risk. There are studies that have been found to interrupt pregnancies before 39 weeks (including elective
inductions, caesarean repetition and caesareans first time) are associated with a significant risk increased morbidity in 25.8
% and increased day hospitalization
Objective: Determine the optimal week to terminate a pregnancy to term, compared with late preterm.
Methods: Cross-sectional,Analytical study in a hospital state of Sonora in 2014 , review of records of women’s with
pregnancies non complicated ended in late preterm , early and completely term.
Results: The highest rate of preterm infants was found in young people, 2,800grs infants were enrolled with Apgar e» 8 ( p
= 0.000 ) , more complications were observed in late preterm ( 62 % ) compared to end early ( 37.3 % ) , the first two causes were
transient tachypnea of the newborn and impaired swallowing for both groups, respiratory morbidity was the first complication,
death in 3 preterm infants ( 3.3 % ) , no complications for ages over 39 weeks were submitted, Regar dless pregnancy
termination.
Conclusions: Determined to end early pregnancies enrolled as lower rates of preterm complications early though more fullterm
, especially respiratory type
REFERENCES
1.- Raju TN, Higgins RD, Optimizing Care and outcome for late-preterm (near-term) infants: a summary of the workshop sponsored by the National Institute of Child Health and Human Development. Pediatrics. 2006; 118: 1207-14.
2.- Yin Dong, Jia-Lin, An Overview of mobility, mortality and long term outcome of late preterm birth.World J Pediatric. 2011; 7(3):199-204.
3.- Caughey AB, Sundarman V, Maternal and Neonatal Outcomes of Elective Induction of Labor. Evidence Reports/Technology Assessments. 2009; 172: 56-8.
4.- Alan R, MotokoOiunima, Rethinking the Definition of Term Pregnancy. American College of Obstetricians and Gynecologist. 2010; 1; 116: 136-7.
5.- Zhang X, Kramer MS. Variations in mortality and morbidity by gestational age among infants born at term. J Pediat. 2009; 154: 358–62, 362.
6.-Clark SL, Miller DD. Neonatal and maternal outcomes associated with elective term delivery. Am J ObstetGynecol. 2009; 200:156.e1– 4.
7.-Cheng YX, Nocholson JM. Perinatal outcomes in low risk term pregnancies; do they differ by week of gestation.AM J ObstetGynecol. 2008; 199: 370.
8.- Alan T, Tita, M, Programación de la cesárea electiva repetida a término y desenlaces clínicos neonatales. Revistadel Hospital Materno Infantil RamónSerda. 2009; 28: 100-9.
9.- Elizabeth B, Dwigth J. Neonatal OutcomesAfter Demonstrated Fetal Lung Maturity Prior to 39 Weeks of Gestation. Obstet Gynecol.2010; 116(6):1288-95.
10.- Anderson S, Shakya K, Shrestha L, Costello A. Hypoglycemia: a common problem among uncomplicated newborn infants in Nepal. J. Trop. Pediatric. 1993; 39: 273-7.
11.- Raju TN. Developmental physiology of late and moderate prematurity. Semin Fetal Neonatal Med. 2012; 17:126-31.
12.- Spong CY, Mercer BM, Dalton M, et al. Timing of indicated late-preterm and early-term birth. ObstetGynecol 2011; 118 (2 Pt 1): 323-33.
13.- Committee on Fetus and Newborn, Adamkin DH. Postnatal glucose homeostasis in late-preterm and term infants. Pediatrics. 2011; 127: 575-9.
14.- Zhang X, Kramer M. Variations in mortality and morbidity by gestational age among infants born at term. J Pediatric. 2009; 154 (3): 358-62.
15.- RajuT, Higgins R, Stark A, Leveno K. Optimizing Care and Outcome for Late-Preterm (Near-Term) Infants: A Summary of the Workshop Sponsored by the National Institute of Child Health and Human Development. Pediatrics. 2006; 118: 1207-14.
16.- Maisels M, Kring E. Length of stay, jaundice, and hospital readmission. Pediatrics 1998; 101: 995-8.
17.- Watchko JF. Hyperbilirubinemia and bilirubin toxicity in the late preterm infant. ClinPerinatol 2006; 33: 839-52.
18.- Hurtado S,GarcíaR, Calvo A. Recomendaciones para el manejo perinatal y seguimiento del recién nacido prematuro 2014; 81 (5): 327-40.
19.- Kinney HC. The near-term (late preterm) human brain and risk for periventricularleukomalacia: a review. SeminPerinatol. 2006; 30: 81–8.
20.- Betty V, Long- Term Outcomes of Moderately Preterm, Late Preterm, and Early Term Infants.ClinPerinatol. 2013; 40: 739– 51.
21.- Ramachandrappa A, Rosenberg E, Wagoner S, et al. Morbidity and mortality inlate preterm infants with severe hypoxic respiratory failure on ECMO. J Pediatric. 2011; 159(2):192–8.e3.
22.- Keszler M, Carbone MT, Cox C, et al. Severe respiratory failure after elective repeat cesarean delivery: a potentially preventable condition leading to extracorporeal membrane oxygenation. Pediatrics. 2010;89:670–2
23.- Gunville CF, Sontag MK, Stratton KA, et al. Scope and impact of early and latepreterm infants admitted to the PICU with respiratory illness. J Pediatric. 2010; 157(2):209–14.e1.
24.- Ashley D, Lucky J, Respiratory Disorders in Moderately Preterm, Late Preterm, and Early Term Infants. ClinPerinatol. 2013;40: 665–78.
25.- Villar J, Carroli G, Zavaleta N, et al. Maternal and neonatalindividual risks and benefits associated with caesarean delivery:multicenter prospective study. BMJ 2007; 335:1025-35.
26.- Titan ATN, Landon MB, Sponge CY, et al. Timing of elective cesarean delivery at term and neonatal outcomes. NEngl J Med 2009; 360:11-20.
27.- American College of Obstetricians and Gynecologists. Induction of labor. ACOG Practice Bulletin 107. ACOG; 2009.
28.- Elizabeth B, Dwight J. Neonatal Outcomes afterDemonstrated Feta lung Maturity Prior to 39 Weeks of gestation. Obstet Gynecol. 2010: 116(6): 1288–95.
29.- Pérez-Zamudio R, López-Terrones CR, Rodríguez-Barboza A. Morbilidad y mortalidad del recién nacido prematuro en el Hospital General de Irapuato. Bol MED Hosp Infantil Mex. 2013; 40(4): 299-303.
30.- InstitutoNacional de Estadística, Geografía e Informática, Hombres y mujeres en México. 2009; 13: 101-30.
31.- Minguet-Romero R, Cruz-Cruz PR, Ruiz-Rosas RA, Hernandez-Valencia M. Incidencia de nacimientos pretemrino en el IMSS (2007-2012). GinecolObstetMex. 2014; 82: 465-71.