Mendoza‑León JA, Anaya‑García A, Hernández‑Vivar LE, Jiménez‑Huerta J, Fragozo‑Sandoval F, Hernández‑Aldana FJ

Language: Spanish
References: 14
Page: 116-124
PDF size: 194.94 Kb.

ABSTRACT

Introduction: Stillbirth, is a public health issue, the definition recommended by WHO for international comparison is a baby born with no signs of life at or after 28 weeks’ gestation weighing more than 1,000 grams. For its part, the WHO it reports that stillbirth rate is 23.3/1,000 of newborns worldwide. Our country records a stillbirth rate with ranges between 18.5 and 20.8, some states report 16.1, and the most recent studies report varying ranges between 9 and 31. Objective: This research sought to identify the risk factors significantly associated with pregnancy complications, through a risk analysis to explain the causes related to this pathology. Material and methods: A retrospective, analytical and observational study was carried out in 70 death certificate records and records of patients treated at Hospital Juárez de México from 2013 to 2017. Risk factors of the maternal-fetal binomial of biological, sociocultural and behavioral type were studied. in pregnant women, through a qualitative-quantitative methodology with statistical analysis of central tendency, chi square, with the design of a curvilinear linear regression model and factor analysis to extract factors involved in the clinical impact of late fetal death. Results: The matrix of extraction of main components showed that the most important factor was the weight of the patient during pregnancy with a value of 0.944, the second place was the BMI with a value of 0.933, the complications of pregnancy was 0.853, smoking with a value of 0.837 and diabetes mellitus 0.829, in this way the extraction continues to decrease until the risk factor Civil Status with a value of 0.634 with p ‹ 0.005. Conclusions: The factorial model demonstrated that the demographic, epidemiological and clinical characterization maintains a significant association to the maternal-fetal risk factors and complications in pregnancy, which potentiate the probability in the causal network of late fetal death.

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