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2017, Number 1

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Rev CONAMED 2017; 22 (1)

Factors related to fetal death in a hospital of second level of care in Cancún, Quintana Roo

Huerta JO, Pérez SS, De Jesús GA, Jiménez BMV, Sandoval JL

Language: Spanish
References: 28
Page: 5-10
PDF size: 136.57 Kb.


ABSTRACT

Introduction: Fetal death occurs in one of every thousand births worldwide, increasing in Mexico 20 per 1000. The causes are divided into maternal, placental or fetal.
Objective: To determine the clinical factors associated with fetal death.
Material and Methods: Two-year analytical descriptive study. The number of births in the period and the frequency of fetal death were determined. Two groups were identified according to age. Schooling, prenatal control, maternal age, high risk pregnancy, maternal comorbidities, gyneco-obstetric histories were obtained. A bivariate analysis was performed and a significance level of p ‹0.05 was considered.
Results: Of 7170 births, 43 cases had fetal death, a rate of six per 1000 live births; of these cases mean gestational age 33.6 ± 4.7 weeks. Mean maternal age 30.05 ± 7.2 years. 88.4% had adequate prenatal control. Diabetes mellitus 15 (34.9%). Obesity grade I. 23 cases (53%). Vaginal birth 23 (53.5%). The first cause was placental with 16 (37.2%). Smoking in 16 cases (37.2%). The average number of successes was 2.7. We found association as risk factors for multi-patient patients, with DM2, hypertension, and antecedent of previous fetal death. RP› 1 (p ‹0.05).
Conclusion: Six per 1000 live births end in fetal death. Quintana Roo is below the national average but 600% above the world average. Women older than 35 years remain a risk population for fetal death.


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