medigraphic.com
Órgano Oficial del Hospital Angeles Health System

2026, Number 2

<< Back Next >>

Acta Med 2026; 24 (2)

Maternal and term newborn factors associated with supplemental oxygen use during the transitional period in the well-baby nursery of Hospital Español

Blanco DLA, Escobedo BL, Lozano DC, Silva RH

Language: Spanish
References: 13
Page: 112-117
PDF size: 275.25 Kb.


ABSTRACT

During the transition period of a newborn, multiple maternal and neonatal factors may be associated with the use of supplemental oxygen during this phase. The objective is to describe the factors associated with the use of supplemental oxygen devices in term newborns in the well-baby nursery of Hospital Español. A descriptive, cross-sectional, observational, retrospective study was conducted through a review of medical records of all term newborns admitted to the well-baby nursery to evaluate the frequency of oxygen device use and its associated factors. The inclusion criteria were newborns aged 37 to 42 weeks of age of both sexes admitted to the physiological nursery, and the exclusion criteria were patients with congenital malformations. Information was collected by reviewing the records of all full-term newborns admitted to the physiological nursery. A total of 379 patients were included, whose mothers had a mean age of 34.2 ± 4.6 years. Ninety-three percent had no significant maternal medical history. Those with maternal medical history, 38.8% had obstetric history, including infections during pregnancy. Of the newborns, 82.1% were delivered by cesarean section, 53% were male, with a mean gestational age at birth of 38.4 ± 0.90 weeks, and an average weight of 2,996 ± 343.7 grams. Of the total patients, 12.9% required supplemental oxygen support in the physiological nursery. 2.6% were admitted to the neonatal intensive care unit. The findings suggest that factors such as cesarean section, advanced maternal age, and metabolic history may influence the need for respiratory intervention.


REFERENCES

  1. Alhassen Z, Vali P, Guglani L, Lakshminrusimha S, Ryan RM. Recent advances in pathophysiology and management of transient tachypnea of newborn. J Perinatol. 2021; 41 (1): 6-16. doi: 10.1038/s41372-020-0757-3.

  2. Villanueva-García D. Programa de actualización continua en neonatología. Libro 2: Insuficiencia respiratoria neonatal. 1st ed. México: Intersistemas; 2016. p. 2.

  3. Montiel-Morales D, Ferreira-Jaime F, Rendón-Macías M. Comparación del periodo de transición en recién nacidos obtenidos de parto en agua y parto en seco. Estudio de cohortes. Rev Mex Pediatr. 2016; 83 (5): 148-153. Available from: https://www.medigraphic.com/pdfs/pediat/sp-2016/sp165b.pdf

  4. Coto-Cotallo GD, Sastre L, Fernández-Colomer B, Caro Á, Fernández I. Recién nacido a término con dificultad respiratoria: enfoque diagnóstico y terapéutico. Protocolos Diagnóstico Terapeúticos de la AEP: Neonatología. 2003: 285-305.

  5. Carpena-Lucas PJ, Calvo-Rigua F, Pons-Fernández N, Rey-Simón R, Sanz-Gallur J, Casañ-Fernández R. Seguimiento de recién nacidos hijos de madres con hipotiroidismo en el embarazo. Rev Esp Endocrinol Pediátr. 2015; 6 (2): 4-11. Disponible en: https://www.endocrinologiapediatrica.org/revistas/P1-E16/P1-E16-S594-A274.pdf

  6. Guía de Práctica Clínica. Diagnóstico y Tratamiento de la Taquipnea Transitoria del Recién Nacido. Ciudad de México: Instituto Mexicano del Seguro Social; 03/11/2016. Disponible en: https://www.imss.gob.mx/sites/all/statics/guiasclinicas/044GER.pdf

  7. Ulanovsky I, Smolkin T, Almashanu S, Mashiach T, Makhoul IR. Hypothyroxinemia and risk for transient tachypnea of newborn. J Pediatr. 2016; 179: 266-268.e1. doi: 10.1016/j.jpeds.2016.08.061.

  8. Jeejeebhoy FM, Zelop CM, Lipman S, Carvalho B, Joglar J, Mhyre JM et al. Cardiac arrest in pregnancy: a scientific statement from the American Heart Association. Circulation. 2015; 132 (18): 1747-1773. doi: 10.1161/CIR.0000000000000300

  9. Hinder M, Tracy M. Newborn resuscitation devices: the known unknowns and the unknown unknowns. Semin Fetal Neonatal Med. 2021; 26 (2): 101233. doi: 10.1016/j.siny.2021.101233.

  10. Mühlhausen Muñoz G, González Bravo A. Guías de Práctica Clínica Hospital San José. 2016. Available from: http://www.manuelosses.cl/BNN/gpc/Manual%20Neo_H.SnJose_2016.pdf

  11. Reuter S, Moser C, Baack M. Respiratory distress in the newborn. Pediatr Rev. 2014; 35 (10): 417-429. doi: 10.1542/pir.35-10-417

  12. Vento M. Oxygen supplementation in the neonatal period: changing the paradigm. Neonatology. 2014; 105 (4): 323-331.

  13. Moreira ME, Pereira APE, Gomes Junior SC, Guinsburg R, de Almeida MFB, Gama SG et al. Factors associated with the use of supplemental oxygen or positive pressure ventilation in the delivery room, in infants born with a gestational age ≥ 34 weeks. Reprod Health. 2016; 13 (Suppl 3): 116.




2020     |     www.medigraphic.com