Maternal-perinatal risk factors to turn off in neonates to the term of an EsSalud hospital

• Autores: Chilipio-Chiclla, Marco Antonio, Fiestas-Requena, Kiara Nathalie, Santillán-Árias, John Paul
• Formato: artículo
• Fecha de Publicación: 2019
• Institución: Sociedad Materno Fetal
• Repositorio: Revista Internacional de Salud Materno Fetal
• Lenguaje: español
• OAI Identifier: oai:ojs2.ojs.revistamaternofetal.com:article/145
• Enlace del recurso: http://ojs.revistamaternofetal.com/index.php/RISMF/article/view/145
• Nivel de acceso: acceso abierto
• Materia: Puntaje de Apgar; Recién nacido; Nacimiento prematuro

Objective: determine the maternal and perinatal risk factors for Neonatal Apgar under 1 ′ in an EsSalud hospital. Material and methods: observational and analytical case-control study. A census analysis was carried out, after verification of inclusion and exclusion criteria, of all newborns treated at the Octavio Mongrut Muñoz Hospital in the 2015-2017 period. The source of information was the Perinatal Surveillance System (SVP). The association and its magnitude were determined with the Chi square test and Odds Ratio (OR), respectively. Additionally, Multiple Correspondence Analysis (MCA) was applied to explore simultaneous relationships between neonatal intrahospital results. Results: intrauterine infection (OR=7.31; p=0.004) and the presence of some congenital malformation (OR=6.81; p<0.001) were the main risk factors for an Apgar score below 1′. In addition, vaginal birth (OR=5.69; p=0.001) and male sex (OR=2.16; p=0.001) also increased the risk of obtaining low Apgar scores. There was a close correspondence between low Apgar scores and the need for 2 and 3 more neonatal resuscitation maneuvers, as well as a longer hospital stay and admission to critical units (ICU / NICU). Conclusion: intrauterine infection, congenital malformation, vaginal delivery and male sex were risk factors for Apgar under 1′ in term infants in an EsSalud hospital.