Montero VY, Alonso URM, Vizcaíno AMC

Language: Spanish
References: 12
Page: 457-463
PDF size: 107.68 Kb.

ABSTRACT

Introduction: The depression may be present in the newborn or to appear later. In the first case generally the Apgar score is used where those with a score under the sixth or fifth minutes are considered as severely depressed, independently the score at first minute. Those with a scale of 1-3 points during the first minute and more of six during the fifth ones are considered as moderate depressed. In our country the creation of a maternal and child program allows to see the diminution of the neonatal risk factors that could to lead to the newborn death.
Objective: To identify some neonatal factors associated with depression at birth.
Methods: Across-sectional, retrospective and descriptive study was conducted in the Gynecology-Obstetrics Hospital of Guanabacoa from January to December, 2009. Universe included 1 688 live birth newborns during the analyzed period and sample included 53 neonates developing depression at birth during the same period and place. Variables related to the newborn were assessed including: sex, weight in grams and major congenital malformations. As a measure of descriptive summary the number and the percent age was used; results are showed in tables.
Results: The great number of depressed neonates corresponded to male sex, the normal weight was the predominant group and the more frequent congenital malformations were those of digestive tract.
Conclusions: There is a progressive decrease in the incidence of risk factors, by example, the neonatal malformations associated with depression at birth.

REFERENCES

1. Domínguez Dieppa F, Cejas Pérez G, Roca Molina M del C, Millán Cruz Y. Neurodesarrollo de primeros neonatos cubanos ventilados con alta frecuencia. Rev Cubana Pediatr [seriel en Internet]. 2009 Dic [citado 2011 Sep 22] ; 81(4):42-52. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75312009000400005&lng=en

2. Carbajal Ugalde JA, Pastrana HE. Valor predictivo de asfixia perinatal en niños nacidos de mujeres con riesgo obstétrico. Rev Mex Pediatr. 2002;69(1):10-13.

3. Piego JH. Best practices: detecting and treating newborn asphyxia. http://pdf.usaid.gov/pdf_docs/Pnacy993.pdf. Octubre 20, 2005.

4. Luna GA, Regueiferos PLA. Reanimación cardiopulmonar en el niño: La Habana: Editorial Ciencias Médicas; 2008. p. 9-24.

5. Brioso LI, Sosa Fuertes CG, Martinez A, Rodríguez EF, Ferreiro G, Panizza R, et al. Análisis de la prevalencia de sufrimiento fetal agudo, asfixia perinatal y síndrome hipóxico isquémico en la maternidad del Centro Hospitalario Pereira Rossell. Arch Gin Obstet. 2003;41(3):84-91.

6. Laffita A. Factores que influyen en el Apgar bajo al nacer en el Hospital "América Arias" de La Habana, Cuba, 2000. Rev Chil Obstet Ginecol. 2005;70(6):359-63.

7. Cifuentes R. Obstetricia de alto riesgo. 4ª ed. Cali, Colombia: Editorial Aspromédica; 1994. p. 445-75.

8. Beers MH, Porter RS, ed. El Manual Merck de Diagnóstico y Tratamiento. Undécima edición. España: Gea Consultoría Editorial; 2006. p. 2542.

9. Badawi N, Kurinczuk JJ, Keogh JM, Alessandri LM, Osullivan F, et al. Intrapartum risk factors for newborn encephalopathy: the Western australian case-control study. BMJ. 1998;317:1554-58.

10. Kaye D. Antenatal and intraparto risk factors for birth asphyxia among emergency obstetric referral in Mulago,Kampala, Uganda. East Afr Med J. 2003 Mar;80(3):140-3.

11. Aly H, Massaro N, Patel K, El-Mohand A. Is it safer to intubate infants in the delivery room? Pediatrics. 2005;115:1660-5.

12. Rizzardini M. Hipoxia perinatal. Pediatr Chil. 1995;38(1/2):25-34.