INTRODUCCIÓN. Entre 2012 al 2018 la prevalencia de Morbilidad Materna Extrema (MME) en el Instituto Nacional Materno Perinatal (INMP) fue 14.1 por 1000 nacidos vivos aumentando con los años, pudiendo ocasionar repercusiones en el recién nacido (RN) como natimuertos, prematuridad, bajo peso al nacer, entre otros. OBJETIVO. Determinar la asociación entre la MME y sepsis neonatal e identificar características del RN de madres con y sin MME y sus morbilidades. MATERIALES Y MÉTODOS. Estudio longitudinal retrospectivo, en madres expuestas a MME (n=378) y no expuestas (n=378), se realizó el seguimiento del desenlace en su RN en sepsis neonatal, de casos atendidos en el INMP entre el 2016 a 2019. Utilizamos el programa Stat considerando significativos con valores p<0,05. RESULTADOS. El 33% de recién nacidos de hijos de madre con MME presentaron sepsis neonatal (p<0.001), mostrando RR= 7....

  Introduction: Between 2012 and 2018, the prevalence of Extreme Maternal Morbidity (MME) in the National Maternal-Perinatal Institute (INMP) was 14.1 per 1000 live births, increasing over the years, which could cause repercussions in the newborn (NB) such as stillbirths, prematurity, low weight at birth, among others. Objective: To determine the association between MME and neonatal sepsis and to identify characteristics of the NB of mothers with and without MME and their morbidities. Materials and methods: Retrospective longitudinal study, in mothers exposed to MME (n = 378) and unexposed (n = 378), the outcome was followed in their NB in neonatal sepsis, of cases seen at the INMP between 2016 and 2019. We used the Stata program considering significant with p values <0.05. Results. 33% of newborns of children of mothers with MME presented neonatal sepsis (p <0.001), showing R...

  Introduction: Between 2012 and 2018, the prevalence of Extreme Maternal Morbidity (MME) in the National Maternal-Perinatal Institute (INMP) was 14.1 per 1000 live births, increasing over the years, which could cause repercussions in the newborn (NB) such as stillbirths, prematurity, low weight at birth, among others. Objective: To determine the association between MME and neonatal sepsis and to identify characteristics of the NB of mothers with and without MME and their morbidities. Materials and methods: Retrospective longitudinal study, in mothers exposed to MME (n = 378) and unexposed (n = 378), the outcome was followed in their NB in neonatal sepsis, of cases seen at the INMP between 2016 and 2019. We used the Stata program considering significant with p values <0.05. Results. 33% of newborns of children of mothers with MME presented neonatal sepsis (p <0.001), showing R...

Background: Prematurity is a serious public health problem, due to its high morbidity and mortality, with 15 million premature births and one million deaths annually worldwide. The main causes of neonatal mortality in premature infants are necrotizing enterocolitis and late sepsis. In Peru, the percentage of premature births increased from 6.4% in 2020 to 7.5% in 2023, with an average of 30,000 premature newborns annually. In 2023, 70% of neonatal deaths corresponded to premature babies. The National Maternal Perinatal Institute reported high rates of neonatal mortality, especially in premature babies weighing less than 1500 grams. It is worth mentioning that of all neonatal deaths by 2023, 70% corresponded to premature babies and 46.5% to those less than 1500g. Objective: Determine the protective effect of colostrotherapy in premature newborns with birth weight less than 1500g in the IN...