Perinatal mortality associated factors in a general hospital of Chiapas, Mexico
Autor(a) principal: | |
---|---|
Data de Publicação: | 2003 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | spa |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/31649 |
Resumo: | OBJECTIVE: To identify socioeconomic, gynecological-obstetric and fetal factors associated with perinatal mortality. METHODS: A matched case-control study was carried out. Cases were newborns (born live or dead) that were born and died between 28 weeks gestation and 7 days of life. Controls were live newborns between 28 weeks gestation and 7 days of life. A total of 99 cases and 197 controls were studied. Data were obtained from the corresponding medical charts. Statistical analysis was performed using Stata 6.0 software. RESULTS: Mean maternal age was 24.82 years and mean newborn age was 37.78 weeks gestation with an average birth weight of 2,760 grams. Factors associated with perinatal mortality were: father's occupation as a farmer (adjusted odds ratio (OR)=3.31; 95% CI=1.26-8.66); high obstetric risk index (adjusted OR=10.57; 95% CI=2.82-39.66), cesarean birth (adjusted OR=2.75; 95% CI=1.37-5.51), five or more prenatal visits (adjusted OR=4.43; 95% CI=1.86-10.54) and preterm fetal maturity indices (PEG, APG, GEG) (adjusted OR=9.20; 95% CI=4.39-19.25). CONCLUSIONS: The risk factors associated with perinatal mortality found in the study are consistent with the findings reported in the international literature. These results show that prevention and control measures should be implemented to identify at risk pregnant women in order to lower perinatal mortality. |
id |
USP-23_87b62aebf4c1a171394a8f203096b650 |
---|---|
oai_identifier_str |
oai:revistas.usp.br:article/31649 |
network_acronym_str |
USP-23 |
network_name_str |
Revista de Saúde Pública |
repository_id_str |
|
spelling |
Perinatal mortality associated factors in a general hospital of Chiapas, Mexico Factores asociados a mortalidad perinatal en el hospital general de Chiapas, México Mortalidad perinatalFactores de riesgoFactores socioeconomicosEstudios de casos y controlesPerinatal mortalityRisk factorsSocioeconomic factorsCase-control studies OBJECTIVE: To identify socioeconomic, gynecological-obstetric and fetal factors associated with perinatal mortality. METHODS: A matched case-control study was carried out. Cases were newborns (born live or dead) that were born and died between 28 weeks gestation and 7 days of life. Controls were live newborns between 28 weeks gestation and 7 days of life. A total of 99 cases and 197 controls were studied. Data were obtained from the corresponding medical charts. Statistical analysis was performed using Stata 6.0 software. RESULTS: Mean maternal age was 24.82 years and mean newborn age was 37.78 weeks gestation with an average birth weight of 2,760 grams. Factors associated with perinatal mortality were: father's occupation as a farmer (adjusted odds ratio (OR)=3.31; 95% CI=1.26-8.66); high obstetric risk index (adjusted OR=10.57; 95% CI=2.82-39.66), cesarean birth (adjusted OR=2.75; 95% CI=1.37-5.51), five or more prenatal visits (adjusted OR=4.43; 95% CI=1.86-10.54) and preterm fetal maturity indices (PEG, APG, GEG) (adjusted OR=9.20; 95% CI=4.39-19.25). CONCLUSIONS: The risk factors associated with perinatal mortality found in the study are consistent with the findings reported in the international literature. These results show that prevention and control measures should be implemented to identify at risk pregnant women in order to lower perinatal mortality. OBJETIVO: El objetivo del estudio es identificar factores socioeconómicos, gineco-obstétricos y del producto asociados a mortalidad perinatal. MÉTODOS: Se realizó un estudio de casos y controles pareado. Se consideró caso a los nacidos vivos o muertos que nacieron y fallecieron entre las 28 semanas de gestación a los 7 días de vida extrauterina. y control al producto nacido vivo entre las 28 semanas de gestación y los 7 días de vida extrauterina. Los datos se obtuvieron de los expedientes clínicos hospitalarios. Se estudiaron 99 casos y 197 controles. Se hizo un análisis estadístico utilizando Stata 6.0. RESULTADOS La media de edad de la madre fue de 24.82 años y del producto de 37.78 semanas de gestación. El promedio de peso del producto fue de 2,760 gramos. Los factores asociados a mortalidad perinatal fueron: ocupación del padre agricultor (RM ajustada 3,31; IC 95% 1,26-8,66); índice de riesgo obstétrico alto (RM ajustada 10,57; IC 95% 2,82-39,66), antecedente de cesárea (RM ajustada 2,75; IC 95% 1,37-5,51); cinco y más consultas prenatales (RM ajustada 4,43; IC 95% 1.86-10,54); producto pretérmino (RM ajustada 9,20; IC 95% 4,39-19,25). CONCLUSIONES: Los resultados muestran que es necesario implementar medidas de prevención y control que aseguren la identificación del riesgo en las mujeres embarazadas, con el fin de abatir la incidencia de mortalidad perinatal. Universidade de São Paulo. Faculdade de Saúde Pública2003-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3164910.1590/S0034-89102003000600001Revista de Saúde Pública; Vol. 37 No. 6 (2003); 687-692 Revista de Saúde Pública; Vol. 37 Núm. 6 (2003); 687-692 Revista de Saúde Pública; v. 37 n. 6 (2003); 687-692 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPspahttps://www.revistas.usp.br/rsp/article/view/31649/33535Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessRivera, LeonorFuentes Román, María de LourdesEsquinca Albores, CarlosJavier Abarca, FranciscoHernández Girón, Carlos2012-07-08T15:00:45Zoai:revistas.usp.br:article/31649Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-08T15:00:45Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Perinatal mortality associated factors in a general hospital of Chiapas, Mexico Factores asociados a mortalidad perinatal en el hospital general de Chiapas, México |
title |
Perinatal mortality associated factors in a general hospital of Chiapas, Mexico |
spellingShingle |
Perinatal mortality associated factors in a general hospital of Chiapas, Mexico Rivera, Leonor Mortalidad perinatal Factores de riesgo Factores socioeconomicos Estudios de casos y controles Perinatal mortality Risk factors Socioeconomic factors Case-control studies |
title_short |
Perinatal mortality associated factors in a general hospital of Chiapas, Mexico |
title_full |
Perinatal mortality associated factors in a general hospital of Chiapas, Mexico |
title_fullStr |
Perinatal mortality associated factors in a general hospital of Chiapas, Mexico |
title_full_unstemmed |
Perinatal mortality associated factors in a general hospital of Chiapas, Mexico |
title_sort |
Perinatal mortality associated factors in a general hospital of Chiapas, Mexico |
author |
Rivera, Leonor |
author_facet |
Rivera, Leonor Fuentes Román, María de Lourdes Esquinca Albores, Carlos Javier Abarca, Francisco Hernández Girón, Carlos |
author_role |
author |
author2 |
Fuentes Román, María de Lourdes Esquinca Albores, Carlos Javier Abarca, Francisco Hernández Girón, Carlos |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Rivera, Leonor Fuentes Román, María de Lourdes Esquinca Albores, Carlos Javier Abarca, Francisco Hernández Girón, Carlos |
dc.subject.por.fl_str_mv |
Mortalidad perinatal Factores de riesgo Factores socioeconomicos Estudios de casos y controles Perinatal mortality Risk factors Socioeconomic factors Case-control studies |
topic |
Mortalidad perinatal Factores de riesgo Factores socioeconomicos Estudios de casos y controles Perinatal mortality Risk factors Socioeconomic factors Case-control studies |
description |
OBJECTIVE: To identify socioeconomic, gynecological-obstetric and fetal factors associated with perinatal mortality. METHODS: A matched case-control study was carried out. Cases were newborns (born live or dead) that were born and died between 28 weeks gestation and 7 days of life. Controls were live newborns between 28 weeks gestation and 7 days of life. A total of 99 cases and 197 controls were studied. Data were obtained from the corresponding medical charts. Statistical analysis was performed using Stata 6.0 software. RESULTS: Mean maternal age was 24.82 years and mean newborn age was 37.78 weeks gestation with an average birth weight of 2,760 grams. Factors associated with perinatal mortality were: father's occupation as a farmer (adjusted odds ratio (OR)=3.31; 95% CI=1.26-8.66); high obstetric risk index (adjusted OR=10.57; 95% CI=2.82-39.66), cesarean birth (adjusted OR=2.75; 95% CI=1.37-5.51), five or more prenatal visits (adjusted OR=4.43; 95% CI=1.86-10.54) and preterm fetal maturity indices (PEG, APG, GEG) (adjusted OR=9.20; 95% CI=4.39-19.25). CONCLUSIONS: The risk factors associated with perinatal mortality found in the study are consistent with the findings reported in the international literature. These results show that prevention and control measures should be implemented to identify at risk pregnant women in order to lower perinatal mortality. |
publishDate |
2003 |
dc.date.none.fl_str_mv |
2003-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/31649 10.1590/S0034-89102003000600001 |
url |
https://www.revistas.usp.br/rsp/article/view/31649 |
identifier_str_mv |
10.1590/S0034-89102003000600001 |
dc.language.iso.fl_str_mv |
spa |
language |
spa |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/31649/33535 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 37 No. 6 (2003); 687-692 Revista de Saúde Pública; Vol. 37 Núm. 6 (2003); 687-692 Revista de Saúde Pública; v. 37 n. 6 (2003); 687-692 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221781454225408 |