Factores asociados a mortalidad perinatal en el hospital general de Chiapas, México
AUTOR(ES)
Rivera, Leonor, Fuentes Román, María de Lourdes, Esquinca Albores, Carlos, Javier Abarca, Francisco, Hernández Girón, Carlos
FONTE
Revista de Saúde Pública
DATA DE PUBLICAÇÃO
2003-12
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.
Documentos Relacionados
- Mortalidad por homicidios en México: tendencias, variaciones socio-geográficas y factores asociados
- Factores socioeconómicos asociados con la mortalidad por homicidios en Colombia, 2000-2014
- Variables predictoras de la ideación suicida y sintomatología depresiva en adolescentes de Chiapas, México
- Capítulo 8. La presencia de la mujer en los movimientos armados en Chiapas, México, la Comandanta Ramona y el Ejército Zapatista de Liberación Nacional
- Maize diversity and ethnolinguistic diversity in Chiapas, Mexico