Labor de parto como factor de proteción de taquipnea transitoria en neonatos a término nacidos por cesárea
No hay miniatura disponible
Fecha
2023
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
Antecedentes: Se ha propuesto que el trabajo de parto antes de cesárea podría ser un factor
de protección de Taquipnea Transitoria del Recién Nacido (TTRN), sin embargo, esto es
controversial.
Objetivo: Determinar la presencia de labor de parto previo a la cesárea como un factor protector al desarrollo de TTRN en recién nacidos a término
Metodología: Se realizó un estudio caso control que incluyó neonatos nacidos por cesárea,
183 sin TTRN y 341 con TTRN, los cuales fueron seleccionados de manera no aleatoria por
conveniencia en el hospital del Guasmo, Guayaquil. Se incluyeron pacientes atendidas ente
1-10-2019 y 31-10-2020, mayores de edad, gestaciones simples, cesárea electiva. Se excluyeron patologías congénitas o infeccionas, gestantes diabéticas.
Resultados: El 87% de las madres provenían de Guayas, con una edad de 28 ± 7 años. Los
factores de riesgo de complicaciones neonatales fueron pocos, la principal el trastornos hipertensivo en el embarazo con el 11.8%. El 57.4% de la población de estudio tuvo trabajo de
parto antes del parto. Entre los neonatos que desarrollaron TTRN existió un peso significativamente menor que entre los que no lo hicieron (2893.7 ± 325.9 g vs 2958.64 ± 316.267; p <
0.05). Entre los neonatos con TTRN la proporción de gestantes que desarrollaron trabajo de parto fue
similar al grupo que no lo presentó (57.8% vs 56.8%; p < 0.05)
Conclusión: La presencia de labor de parto previo a la cesárea en pacientes gestantes a término no es un factor protector de la taquipnea transitoria del recién nacido,
Background: It has been proposed that labor before cesarean section could be a protective factor for Transient Tachypnea of the Newborn (TTRN), however, this is controversial. Objective: To determine the presence of labor prior to cesarean section as a protective factor for the development of TTRN in full-term newborns. Methodology: A case control study was carried out that included neonates born by cesarean section, 183 without TTRN and 341 with TTRN, who were selected non-randomly for convenience in the Guasmo hospital, Guayaquil. Patients attended between 10-1-2019 and 10- 31-2020, of legal age, single pregnancies, elective cesarean section were included. Congenital pathologies or infections, diabetic pregnant women were excluded. Results: 87% of the mothers came from Guayas, with an age of 28 ± 7 years. The risk factors for neonatal complications were few, the main one being hypertensive disorders in pregnancy with 11.8%. 57.4% of the study population had labor before delivery. Among the neonates who developed TTRN there was a significantly lower weight than among those who did not (2893.7 ± 325.9 g vs 2958.64 ± 316.267; p < 0.05). Among neonates with TTRN, the proportion of pregnant women who went into labor was similar to the group that did not (57.8% vs 56.8%; p < 0.05)
Background: It has been proposed that labor before cesarean section could be a protective factor for Transient Tachypnea of the Newborn (TTRN), however, this is controversial. Objective: To determine the presence of labor prior to cesarean section as a protective factor for the development of TTRN in full-term newborns. Methodology: A case control study was carried out that included neonates born by cesarean section, 183 without TTRN and 341 with TTRN, who were selected non-randomly for convenience in the Guasmo hospital, Guayaquil. Patients attended between 10-1-2019 and 10- 31-2020, of legal age, single pregnancies, elective cesarean section were included. Congenital pathologies or infections, diabetic pregnant women were excluded. Results: 87% of the mothers came from Guayas, with an age of 28 ± 7 years. The risk factors for neonatal complications were few, the main one being hypertensive disorders in pregnancy with 11.8%. 57.4% of the study population had labor before delivery. Among the neonates who developed TTRN there was a significantly lower weight than among those who did not (2893.7 ± 325.9 g vs 2958.64 ± 316.267; p < 0.05). Among neonates with TTRN, the proportion of pregnant women who went into labor was similar to the group that did not (57.8% vs 56.8%; p < 0.05)
Descripción
PDF
Palabras clave
CESAREA, TRABAJO DE PARTO, TAQUIPNEA TRANSITORIA DEL RECIEN NACIDO, HOSPITAL GENERAL GUASMO SUR, CANTON GAUAYAQUIL, ECUADOR