2017, Number 3
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Rev Sanid Milit Mex 2017; 71 (3)
Morbidity and risk factors in term infants treated at the Hospital Español de México
López-Cadena WA, Iglesias-Leboreiro J, Bernárdez-Zapata I, Gerardo-del Hoyo MN
Language: Spanish
References: 14
Page: 258-263
PDF size: 204.79 Kb.
ABSTRACT
Objective: To describe morbidity in low birth weight and normal
weight infants and their association with risk factors.
Material and methods: A retrospective and comparative, observational
study was made at the Neonatal Intensive Care Unit of
the Hospital Español de México. Maternal variables (history of abortions,
type of complications and intergeneric period) and neonate
(birth weight, gender, gestational age, intrauterine growth restriction,
respiratory distress, Apgar and type of complications) were evaluated.
Descriptive, bivariate and multivariate analysis were performed with
the normal weight and low weight groups.
Results: We registered 248 newborns: 53.6% male and 46.4% female
were included. In 14.5% with low weight and 33.1% presented
respiratory difficulty. 63.0% of the mothers had complications during
pregnancy. Infants with respiratory distress had an OR of 3.85 (CI 95%
1.09-13.55, p = 0.036) and an intrauterine restriction of OR of 861.99
(CI 95% 86.90-8550.32, p = 0.000).
Conclusion: Low birth weight is associated with the presence of
respiratory distress and intrauterine restriction.
REFERENCES
Custer JW, Winters BD, Goode V, Robinson KA, Yang T, Pronovost PJ, et al. Diagnostic errors in the pediatric and neonatal ICU: a systematic review. Pediatr Crit Care Med. 2015;16:29-36.
Secretaría de Salud. Información Histórica de Estadísticas Vitales. Secretaría de Salud-Subsecretaría de Prevención y Promoción a la Salud, Estados Unidos Mexicanos, 2011.
Gutiérrez JP, Rivera-Dommarco J, Shamah-Levy T, Villalpando- Hernández S, Franco A, Cuevas-Nasu L, et al. Encuesta Nacional de Salud y Nutrición 2012. Resultados nacionales. 2ª ed. Cuernavaca, México: Instituto Nacional de Salud Pública (MX), 2013.
Weiss KJ, Kowalkowski MA, Treviño R, Cabrera-Meza G, Thomas EJ, Kaplan HC, et al. Needs assessment to improve neonatal intensive care in Mexico. Paediatr Int Child Health. 2015;35:213-9.
Ruangkit C, Satpute A, Vogt BA, Hoyen C, Viswanathan S. Incidence and risk factors of urinary tract infection in very low birth weight infants. J Neonatal Perinatal Med. 2016;9:83-90.
Gebremedhin D, Berhe H, Gebrekirstos K. Risk factors for neonatal sepsis in public hospitals of Mekelle City, North Ethiopia, 2015: Unmatched Case Control Study. PLoS One. 2016;11:e0154798.
Senterre T, Minon JM, Rigo J. Neonatal ABO incompatibility underlies a potentially severe hemolytic disease of the newborn and requires adequate care. Arch Pediatr. 2011;18:279-82.
Wynn JL. Defining neonatal sepsis. Curr Opin Pediatr. 2016;28:135-40.
Zea-Vera A, Ochoa TJ. Challenges in the diagnosis and management of neonatal sepsis. J Trop Pediatr. 2015;61:1-13.
Alfadhli EM, Osman EN, Basri TH, Mansuri NS, Youssef MH, Assaaedi SA, et al. Gestational diabetes among Saudi women: prevalence, risk factors and pregnancy outcomes. Ann Saudi Med. 2015;35:222-30.
Dimasuay KG, Boeuf P, Powell TL, Jansson T. Placental responses to changes in the maternal environment determine fetal growth. Front Physiol. 2016;7:12.
Gaccioli F, Lager S, Powell TL, Jansson T. Placental transport in response to altered maternal nutrition. J Dev Orig Health Dis. 2013;4(2):101-15.
Valero De Bernabé J, Soriano T, Albaladejo R, Juarranz M, Calle ME, Martinez D, et al. Risk factors for low birth weight: a review. Eur J Obstet Gynecol Reprod Biol. 2004;116(1):3-15.
Grandi C, González A, Zubizarreta J. Perinatal factors associated with neonatal mortality in very low birth weight infants: a multicenter study. Arch Argent Pediatr. 2016;114(5):426-33.