Risk factors associated with the development of perinatal asphyxia in neonates at the Hospital Universitario del Valle, Cali, Colombia, 2010-2011
Introduction: Perinatal asphyxia is one of the main causes of perinatal mortality and morbidity worldwide and it generates high costs for health systems; however, it has modifiable risk factors. Objective: To identify the risk factors associated with the development of perinatal asphyxia in newborns...
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| Format: | Article |
| Language: | English |
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Instituto Nacional de Salud
2017-04-01
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| Series: | Biomédica: revista del Instituto Nacional de Salud |
| Subjects: | |
| Online Access: | http://www.revistabiomedica.org/index.php/biomedica/article/view/2844 |
| _version_ | 1818472063601475584 |
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| author | Javier Torres-Muñoz Christian Rojas Diana Mendoza-Urbano Darly Marín-Cuero Sandra Orobio Carlos Echandía |
| author_facet | Javier Torres-Muñoz Christian Rojas Diana Mendoza-Urbano Darly Marín-Cuero Sandra Orobio Carlos Echandía |
| author_sort | Javier Torres-Muñoz |
| collection | DOAJ |
| description | Introduction: Perinatal asphyxia is one of the main causes of perinatal mortality and morbidity worldwide and it generates high costs for health systems; however, it has modifiable risk factors.
Objective: To identify the risk factors associated with the development of perinatal asphyxia in newborns at Hospital Universitario del Valle, Cali, Colombia.
Materials and methods: Incident cases and concurrent controls were examined. Cases were defined as newborns with moderate to severe perinatal asphyxia who were older than or equal to 36 weeks of gestational age, needed advanced resuscitation and presented one of the following: early neurological disorders, multi-organ commitment or a sentinel event. The controls were newborns without asphyxia who were born one week apart from the case at the most and had a comparable gestational age. Patients with major congenital malformations and syndromes were excluded.
Results: Fifty-six cases and 168 controls were examined. Premature placental abruption (OR=41.09; 95%CI: 4.61-366.56), labor with a prolonged expulsive phase (OR=31.76; 95%CI: 8.33-121.19), lack of oxytocin use (OR=2.57; 95% CI: 1.08 - 6.13) and mothers without a partner (OR=2.56; 95% CI: 1.21-5.41) were risk factors for the development of perinatal asphyxia in the study population. Social difficulties were found in a greater proportion among the mothers of cases.
Conclusions: Proper control and monitoring of labor, development of a thorough partograph, and active searches are recommended to ensure that all pregnant women have adequate prenatal care with the provision of social support to reduce the frequency and negative impact of perinatal asphyxia. |
| first_indexed | 2024-04-14T04:00:31Z |
| format | Article |
| id | doaj.art-b621effe4c5f414786e7eb3642b87484 |
| institution | Directory Open Access Journal |
| issn | 0120-4157 |
| language | English |
| last_indexed | 2024-04-14T04:00:31Z |
| publishDate | 2017-04-01 |
| publisher | Instituto Nacional de Salud |
| record_format | Article |
| series | Biomédica: revista del Instituto Nacional de Salud |
| spelling | doaj.art-b621effe4c5f414786e7eb3642b874842022-12-22T02:13:34ZengInstituto Nacional de SaludBiomédica: revista del Instituto Nacional de Salud0120-41572017-04-01371Sup515610.7705/biomedica.v37i1.28441946Risk factors associated with the development of perinatal asphyxia in neonates at the Hospital Universitario del Valle, Cali, Colombia, 2010-2011Javier Torres-Muñoz0Christian Rojas1Diana Mendoza-Urbano2Darly Marín-Cuero3Sandra Orobio4Carlos Echandía5Grupo INSIDE, Departamento de Pediatría, Facultad de Medicina, Universidad del Valle, Cali, ColombiaGrupo INSIDE, Departamento de Pediatría, Facultad de Medicina, Universidad del Valle, Cali, ColombiaGrupo INSIDE, Departamento de Pediatría, Facultad de Medicina, Universidad del Valle, Cali, ColombiaGrupo INSIDE, Departamento de Pediatría, Facultad de Medicina, Universidad del Valle, Cali, ColombiaGrupo INSIDE, Departamento de Pediatría, Facultad de Medicina, Universidad del Valle, Cali, ColombiaGrupo INSIDE, Departamento de Pediatría, Facultad de Medicina, Universidad del Valle, Cali, ColombiaIntroduction: Perinatal asphyxia is one of the main causes of perinatal mortality and morbidity worldwide and it generates high costs for health systems; however, it has modifiable risk factors. Objective: To identify the risk factors associated with the development of perinatal asphyxia in newborns at Hospital Universitario del Valle, Cali, Colombia. Materials and methods: Incident cases and concurrent controls were examined. Cases were defined as newborns with moderate to severe perinatal asphyxia who were older than or equal to 36 weeks of gestational age, needed advanced resuscitation and presented one of the following: early neurological disorders, multi-organ commitment or a sentinel event. The controls were newborns without asphyxia who were born one week apart from the case at the most and had a comparable gestational age. Patients with major congenital malformations and syndromes were excluded. Results: Fifty-six cases and 168 controls were examined. Premature placental abruption (OR=41.09; 95%CI: 4.61-366.56), labor with a prolonged expulsive phase (OR=31.76; 95%CI: 8.33-121.19), lack of oxytocin use (OR=2.57; 95% CI: 1.08 - 6.13) and mothers without a partner (OR=2.56; 95% CI: 1.21-5.41) were risk factors for the development of perinatal asphyxia in the study population. Social difficulties were found in a greater proportion among the mothers of cases. Conclusions: Proper control and monitoring of labor, development of a thorough partograph, and active searches are recommended to ensure that all pregnant women have adequate prenatal care with the provision of social support to reduce the frequency and negative impact of perinatal asphyxia.http://www.revistabiomedica.org/index.php/biomedica/article/view/2844Asphyxia neonatorumhypoxia, brainabruptio placentaeprenatal careoxytocinfetal monitoring |
| spellingShingle | Javier Torres-Muñoz Christian Rojas Diana Mendoza-Urbano Darly Marín-Cuero Sandra Orobio Carlos Echandía Risk factors associated with the development of perinatal asphyxia in neonates at the Hospital Universitario del Valle, Cali, Colombia, 2010-2011 Biomédica: revista del Instituto Nacional de Salud Asphyxia neonatorum hypoxia, brain abruptio placentae prenatal care oxytocin fetal monitoring |
| title | Risk factors associated with the development of perinatal asphyxia in neonates at the Hospital Universitario del Valle, Cali, Colombia, 2010-2011 |
| title_full | Risk factors associated with the development of perinatal asphyxia in neonates at the Hospital Universitario del Valle, Cali, Colombia, 2010-2011 |
| title_fullStr | Risk factors associated with the development of perinatal asphyxia in neonates at the Hospital Universitario del Valle, Cali, Colombia, 2010-2011 |
| title_full_unstemmed | Risk factors associated with the development of perinatal asphyxia in neonates at the Hospital Universitario del Valle, Cali, Colombia, 2010-2011 |
| title_short | Risk factors associated with the development of perinatal asphyxia in neonates at the Hospital Universitario del Valle, Cali, Colombia, 2010-2011 |
| title_sort | risk factors associated with the development of perinatal asphyxia in neonates at the hospital universitario del valle cali colombia 2010 2011 |
| topic | Asphyxia neonatorum hypoxia, brain abruptio placentae prenatal care oxytocin fetal monitoring |
| url | http://www.revistabiomedica.org/index.php/biomedica/article/view/2844 |
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