Risk factors associated with preterm labor in young mothers assisted in a hospital of Peru
Keywords:
woman, pregnancy, preterm labor, risk factors, obstetric complication.Abstract
Introduction: Preterm labor is one of the main causes of neonatal morbidity and mortality whose origin is associated with the presence and interaction of factors related to the mother and her environment.
Objective: To determine the risk factors associated with preterm labor in young mothers assisted in a Hospital of Lima, Peru.
Methods: A non experimental, analytic and retrospective study of 32 mothers with preterm labor and 292 with term delivery (selected at random), was carried out from January to August, 2016 in the hospital center above mentioned. The chi-square test of Fisher test was used, as it was necessary, as well as the odds ratio (OR) with its confidence intervals of 95 %.
Results: The social demographic factors as instruction, occupation and marital status were not related to preterm labor; as long as, antenatal factors (body mass index and history of preterm labor) were significantly associated and clinical factors (urinary tract infection, early rupture of membranes and preeclampsia) demonstrated a statistical association.
Conclusions: The antenatal body mass index ≥25 kg/m2, history of preterm labor, urinary infection, early rupture of membranes and preeclampsia, significantly increased the risk of preterm labor.
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References
2. Perú. Ministerio de Salud. Guías técnicas para la atención, diagnóstico y tratamiento de 10 condiciones obstétricas. Lima: Ministerio de Salud; 2011 [citado 12/04/2020]. Disponible en: http://bvs.minsa.gob.pe/local/MINSA/1889.pdf
3. Organización Mundial de la Salud. Nacimientos prematuros. Ginebra: OMS; 2018 [citado 13/04/2020]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/preterm-birth
4. Liu L, Oza S, Hogan D, Chu Y, Perin J, Zhu J, et al. Global, regional, and national causes of under-5 mortality in 2000-15: an updated systematic analysis with implications for the Sustainable Development Goals. Lancet. 2016 [citado 13/04/2020]; 388(10063): 3027-35. Disponible en: http://dx.doi.org/10.1016/S0140-6736(16)31593-8
5. Perú. Ministerio de Salud. Sistema de Registro del Certificado de Nacido Vivo en línea. Lima: Ministerio de Salud. 2019 [citado 13/04/2020]. Disponible en: https://webapp.minsa.gob.pe/dwcnv/dwnacidonew.aspx
6. Organización Mundial de la Salud. Intervenciones para mejorar los resultados del parto prematuro. Ginebra: OMS; 2015 [citado 13/04/2020]. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/204623/WHO_RHR_15.22_spa.pdf?sequence=1
7. Mendoza LA, Claros DI, Mendoza LI, Arias MD, Peñaranda CB. Epidemiología de la prematuridad, sus determinantes y prevención del parto prematuro. Rev Chil Obstet Ginecol. 2016 [citado 13/04/2020];81(4):330-42. Disponible en: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0717-75262016000400012
8. Cunningham F, Leveno K, Bloom S, Spong C, Dashe J, Hoffman B, et al. Williams Obstetricia. México: McGraw-Hill Interamericana; 2015.
9. Perú. Ministerio de Salud. Hospital San Bartolomé. Análisis de la situación de salud Hospital Nacional Docente Madre Niño San Bartolomé. Lima: MINSAL; 2018 [citado 13/04/2020]. Disponible en: http://sieval.sanbartolome.gob.pe/transparencia/publicacion2019/Direccion/RD%20158%20SB%202019%20-%20ASIS%202018.pdf
10. Díaz Pérez DM, Retureta Milán SE, Vega Lorenzo Y, Martínez Lorenzo FY, Hidalgo Ávila M, Pulido Hernández I. Factores de riesgo asociados al parto prematuro en el Policlínico Norte de Ciego de Ávila, 2011-2012. MEDICIEGO. 2015 [citado 24/04/2020];21(3):34-43. Disponible en: http://www.revmediciego.sld.cu/index.php/mediciego/article/view/458/865
11. Escobar Padilla B, Gordillo Lara LD, Martínez Puon H. Factores de riesgo asociados a parto pretérmino en un hospital de segundo nivel de atención. Rev Med Inst Mex Seguro Soc. 2017 [citado 24/04/2020];55(4):424-8. Disponible en: http://revistamedica.imss.gob.mx/sites/default/files/pdf_interactivo/rm2017-4-flippingbook_1.pdf
12. Ahumada Barrios ME, Alvarado GF. Factores de riesgo de parto pretérmino en un hospital. Rev Latin Am Enfermagem. 2016 [citado 24/04/2020];24: 2750. Disponible en:https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692016000100350&lng=en&nrm=iso&tlng=es
13. Tellapragada Ch, Eshwara VK, Bhat P, Acharya S, Kamath A, Shashikala Bhat. Risk factors for preterm birth and lw birth weight among pregnant indian women: a hospital-based prospective study. J Prev Med Public Health. 2016 [citado 24/04/2020];49(3):165-75. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4898897/
14. Alijahan R, Hazrati S, Mirzarahimi M, Pourfarzi F, Ahmadi Hadi P. Prevalence and risk factors associated with preterm birth in Ardabil, Iran. J Reprod Med. 2014 [citado 25/04/2020]; 12(1): 47-56. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4009588/pdf/ijrm-12-047.pdf
15. Butali A, Ezeaka E, Ekhaguere O, Weathers N, Ladd J, Fajolu I, et al. Characteristics and risk factors of preterm births in a tertiary center in Lagos, Nigeria. PAMJ. 2016 [citado 25/04/2020];24(1):1-8. Disponible en: https://www.panafrican-med-journal.com/content/article/24/1/full/
16. Temu TB, Obure J, Mosha D, Mahande MJ, Masenga G. Maternal and obstetric risk factors associated with preterm delivery at a referral hospital in northern-eastern Tanzania. Asian Pacific J Reproduct. 2016 [citado 25/04/2020]; 5(5): 365–70. Disponible en: https://www.researchgate.net/publication/305953727_Maternal_and_obstetric_risk_factors_associated_with_preterm_delivery_at_a_referral_hospital_in_northern-eastern_Tanzania
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