SciELO - Scientific Electronic Library Online

 
vol.37 suppl.1Perfil de utilización del carbonato de litio en pacientes con trastorno afectivo bipolar en 25 ciudades de ColombiaEvaluación de factores asociados al estado funcional en ancianos de 60 años o más en Bogotá, Colombia índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google

Compartir


Biomédica

versión impresa ISSN 0120-4157

Resumen

TORRES-MUNOZ, Javier et al. Risk factors associated with the development of perinatal asphyxia in neonates at the Hospital Universitario del Valle, Cali, Colombia, 2010-2011. Biomédica [online]. 2017, vol.37, suppl.1, pp.51-56. ISSN 0120-4157.  https://doi.org/10.7705/biomedica.v37i1.2844.

Introduction:

Perinatal asphyxia is one of the main causes of perinatal mortality and morbidity worldwide and it generates high costs for health systems; however, it has modifiable risk factors.

Objective:

To identify the risk factors associated with the development of perinatal asphyxia in newborns at Hospital Universitario del Valle, Cali, Colombia.

Materials and methods:

Incident cases and concurrent controls were examined. Cases were defined as newborns with moderate to severe perinatal asphyxia who were older than or equal to 36 weeks of gestational age, needed advanced resuscitation and presented one of the following: early neurological disorders, multi-organ commitment or a sentinel event. The controls were newborns without asphyxia who were born one week apart from the case at the most and had a comparable gestational age.

Patients with major congenital malformations and syndromes were excluded.

Results:

Fifty-six cases and 168 controls were examined. Premature placental abruption (OR=41.09; 95%CI: 4.61-366.56), labor with a prolonged expulsive phase (OR=31.76; 95%CI: 8.33-121.19), lack of oxytocin use (OR=2.57; 95% CI: 1.08 - 6.13) and mothers without a partner (OR=2.56; 95% CI: 1.21-5.41) were risk factors for the development of perinatal asphyxia in the study population. Social difficulties were found in a greater proportion among the mothers of cases.

Conclusions:

Proper control and monitoring of labor, development of a thorough partograph, and active searches are recommended to ensure that all pregnant women have adequate prenatal care with the provision of social support to reduce the frequency and negative impact of perinatal asphyxia.

Palabras clave : Asphyxia neonatorum; hypoxia, brain; abruptio placentae; prenatal care; oxytocin; fetal monitoring.

        · resumen en Español     · texto en Inglés     · Inglés ( pdf )