Ginecologia y obstetricia de Mexico · 2008
[Identification of a high-risk new neonatal population with Peruvian fetal growth curve].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Ticona Rendón Manuel, Huanco Apaza Diana
Аннотация
BACKGROUND: Early detection of risk factors in newborns is an essential aim in modern perinatology.
OBJECTIVE: To know quantity of small for gestational age newborns by means of Peruvian curves of intrauterine growth, and to study them morbidity-mortality risks associated to a new neonates group. MATEIRIAL AND METHODS: Prospective, analytic, and case-control study. There were 95,751 neonates born in 2005, from 29 hospitals of Ministerio de Salud del Perú; they were classified by weight using Peruvian and Lubchenco growth curves. Percent distribution was compared (p < 0.05). Risks of morbidity-mortality in additional small for gestational age newborns (called new) were compared with adecuate for gestational age (37 to 42 weeks; IC 95%). Data Perinatal System was used.
RESULTS: Large for gestational age newborns meaningfully decreases from 14.3 to 11.4%, as adequate for gestational age newborns from 81.7 to 78.5%, and small for gestational age newborns raises from 4.1 to 10.1%. There were 9,664 small for gestational age newborns using Peruvian curve, and 3,899 using Lubchenco one. The difference of 5,765 newborns (6% of total population) corresponds to new small for gestational age newborns that had this risks: neonatal mortality (OR: 15.6); metabolic disorders (OR: 2.2); congenital malformations (OR: 2.1); infections (OR: 2); respiratory distress syndrome (OR: 1.8); perinatal asphyxia (OR: 1.7), and neonatal morbidity (OR: 1.5).
CONCLUSIONS: Lubchenco's curve overestimate large for gestational age newborns and underestimate small for gestational age newborns; due to this is a poor pattern to apply in Peruvian newborns. New small for gestational age newborns are a group with high morbidity-mortality risk.
OBJECTIVE: To know quantity of small for gestational age newborns by means of Peruvian curves of intrauterine growth, and to study them morbidity-mortality risks associated to a new neonates group. MATEIRIAL AND METHODS: Prospective, analytic, and case-control study. There were 95,751 neonates born in 2005, from 29 hospitals of Ministerio de Salud del Perú; they were classified by weight using Peruvian and Lubchenco growth curves. Percent distribution was compared (p < 0.05). Risks of morbidity-mortality in additional small for gestational age newborns (called new) were compared with adecuate for gestational age (37 to 42 weeks; IC 95%). Data Perinatal System was used.
RESULTS: Large for gestational age newborns meaningfully decreases from 14.3 to 11.4%, as adequate for gestational age newborns from 81.7 to 78.5%, and small for gestational age newborns raises from 4.1 to 10.1%. There were 9,664 small for gestational age newborns using Peruvian curve, and 3,899 using Lubchenco one. The difference of 5,765 newborns (6% of total population) corresponds to new small for gestational age newborns that had this risks: neonatal mortality (OR: 15.6); metabolic disorders (OR: 2.2); congenital malformations (OR: 2.1); infections (OR: 2); respiratory distress syndrome (OR: 1.8); perinatal asphyxia (OR: 1.7), and neonatal morbidity (OR: 1.5).
CONCLUSIONS: Lubchenco's curve overestimate large for gestational age newborns and underestimate small for gestational age newborns; due to this is a poor pattern to apply in Peruvian newborns. New small for gestational age newborns are a group with high morbidity-mortality risk.