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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2014, Number 3

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Rev Esp Med Quir 2014; 19 (3)

Associated factors with preterm birth in a second level hospital

Language: Spanish
References: 18
Page: 308-315
PDF size: 442.26 Kb.


ABSTRACT

In Latin America and Mexico, preterm births have about 1% of deaths from prematurity to determine the risk factors related to childbirth.
Objective: To know the epidemiological profile of preterm delivery and its associated factors in a second level hospital.
Methods: Observational, retrospective, descriptive and cross-sectional study of 4 058 births, of which 260 were preterm births 20.1 to 36.6 weeks of gestation occurred between 2006 and 2008 in a secondary hospital.
Results: The rate of preterm birth in a secondary hospital level was 6.4 %, of which 34 % had ruptured membranes and 66% intact membranes, regardless of membrane status a total of 150 cases (62 % ) had no disease at all. Of mothers with parity gilts and one to two births and age safely found the highest percentage of 19% and 46 % respectively in this group of preterm births for a total of 68% , which is confirmed when compared to those without history of preterm birth rate being 82%. The 54 % of the sample was represented by infants weighing greater than or equal to 2500 grams, which reported 52% of cases with Apgar scores greater than 7. We found that anemia cervicovaginitis and maternal diseases were more frequently associated with preterm delivery for 105 cases and 100 cases 44 % to 42% respectively. The main infectious disease of premature newborns in this study was represented by bronchopneumonia in 7 % of cases, followed by generalized sepsis at 5%. Inductors using lung maturity is appreciated that the double dose was more effective than other treatment regimens, as 48% of premature babies developed no pathology.
Conclusion: After analyzing the findings indicate that the prevalence of preterm delivery resulted from 6 % against 94% of labor at term, which denotes that it is a disease with low frequency but nevertheless a presence within the statistical second level analysis is important because the cost of a preterm infant and the consequences are high and treatment infrastructure is still lacking in our country.


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