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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ftdoajarticles:oai:doaj.org/article:b621effe4c5f414786e7eb3642b87484 2023-05-15T15:12:36+02:00 Risk factors associated with the development of perinatal asphyxia in neonates at the Hospital Universitario del Valle, Cali, Colombia, 2010-2011 Javier Torres-Muñoz Christian Rojas Diana Mendoza-Urbano Darly Marín-Cuero Sandra Orobio Carlos Echandía 2017-04-01T00:00:00Z https://doi.org/10.7705/biomedica.v37i1.2844 https://doaj.org/article/b621effe4c5f414786e7eb3642b87484 EN ES eng spa Instituto Nacional de Salud http://www.revistabiomedica.org/index.php/biomedica/article/view/2844 https://doaj.org/toc/0120-4157 0120-4157 doi:10.7705/biomedica.v37i1.2844 https://doaj.org/article/b621effe4c5f414786e7eb3642b87484 Biomédica: revista del Instituto Nacional de Salud, Vol 37, Iss 1Sup, Pp 51-56 (2017) Asphyxia neonatorum hypoxia brain abruptio placentae prenatal care oxytocin fetal monitoring Medicine R Arctic medicine. Tropical medicine RC955-962 article 2017 ftdoajarticles https://doi.org/10.7705/biomedica.v37i1.2844 2022-12-30T23:48:10Z 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. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Biomédica 37 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish |
topic |
Asphyxia neonatorum hypoxia brain abruptio placentae prenatal care oxytocin fetal monitoring Medicine R Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Asphyxia neonatorum hypoxia brain abruptio placentae prenatal care oxytocin fetal monitoring Medicine R Arctic medicine. Tropical medicine RC955-962 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 |
topic_facet |
Asphyxia neonatorum hypoxia brain abruptio placentae prenatal care oxytocin fetal monitoring Medicine R Arctic medicine. Tropical medicine RC955-962 |
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. |
format |
Article in Journal/Newspaper |
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 |
title |
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_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_sort |
risk factors associated with the development of perinatal asphyxia in neonates at the hospital universitario del valle, cali, colombia, 2010-2011 |
publisher |
Instituto Nacional de Salud |
publishDate |
2017 |
url |
https://doi.org/10.7705/biomedica.v37i1.2844 https://doaj.org/article/b621effe4c5f414786e7eb3642b87484 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Biomédica: revista del Instituto Nacional de Salud, Vol 37, Iss 1Sup, Pp 51-56 (2017) |
op_relation |
http://www.revistabiomedica.org/index.php/biomedica/article/view/2844 https://doaj.org/toc/0120-4157 0120-4157 doi:10.7705/biomedica.v37i1.2844 https://doaj.org/article/b621effe4c5f414786e7eb3642b87484 |
op_doi |
https://doi.org/10.7705/biomedica.v37i1.2844 |
container_title |
Biomédica |
container_volume |
37 |
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1766343259020328960 |