RESUMENObjetivo: Evaluar el uso de celulares en horas de trabajo por personal asistencial y su conocimiento sobre los efectos negativos en la seguridad y atención del paciente. Material y métodos: Estudio descriptivo en 91 trabajadores asistenciales del Departamento de Gineco Obstetricia del Hospital Hipólito Unanue de Tacna. Se aplicó cuestionario anónimo con 12 preguntas cerradas, previo consentimiento informado, durante los meses de enero y febrero del año 2020. Los datos se procesaron y analizaron en el Software Microsoft Excel, se presentan tablas y gráficos descriptivos. Resultados: El personal asistencial presenta edades entre 25 a 45 años (42,9%), sexo femenino (87,9%), profesional (56%), nombrados (51,1%), más de 10 años de servicio (36%) y 32% fueron internos de medicina u obstetricia. El 89% usa celulares con internet, 72,2% utiliza cada dos horas y más de la mitad ...

RESUMENObjetivo: Evaluar el uso de celulares en horas de trabajo por personal asistencial y su conocimiento sobre los efectos negativos en la seguridad y atención del paciente. Material y métodos: Estudio descriptivo en 91 trabajadores asistenciales del Departamento de Gineco Obstetricia del Hospital Hipólito Unanue de Tacna. Se aplicó cuestionario anónimo con 12 preguntas cerradas, previo consentimiento informado, durante los meses de enero y febrero del año 2020. Los datos se procesaron y analizaron en el Software Microsoft Excel, se presentan tablas y gráficos descriptivos. Resultados: El personal asistencial presenta edades entre 25 a 45 años (42,9%), sexo femenino (87,9%), profesional (56%), nombrados (51,1%), más de 10 años de servicio (36%) y 32% fueron internos de medicina u obstetricia. El 89% usa celulares con internet, 72,2% utiliza cada dos horas y más de la mitad ...

Objetivo: Determinar los resultados neonatales asociados a embarazo no planificado en el hospital Hipólito Unanue de Tacna en el año 2021. Metodología: Estudio analítico transversal, en 306 madres y sus recién nacidos atendidas entre junio y agosto 2021 seleccionados al azar, se incluyó a madres de 15 a 49 años, de embarazo único y recién nacido vivo. Se utilizaron dos técnicas, encuesta personal a la madre durante su hospitalización postparto previo consentimiento informado y análisis documental de las historias clínicas. Se realizó análisis bivariado y multivariado por medio de regresión logística y lineal, utilizando razones de prevalencia (RP) y coeficientes beta (β) con intervalos de confianza (IC) crudos y ajustados por edad materna, escolaridad y paridad. Resultados: La frecuencia de embarazos no planificados fue 65%, de los cuales fueron embarazos inoportunos 40...

A pesar de la tendencia a retrasar la maternidad, las adolescentes que son madres antes de los 15 años son un problema de salud pública, especialmente en hogares socio - económicante vulnerables . El objetivo del estudio fue a nalizar los factores de riesgo asociados a maternidad en adolescentes peruanas de 12 a 14 años . Metodología : E studio caso - control que usó datos de la Encuesta Demográfica y de Salud Familiar 2019 - 2023 . La muestra incluyó adolescentes madres (casos) y adolescentes que nunca fueron madres (controles) de 12 - 14 años . Se analizaron las asociaciones con los factores socioeconómicos, familiares y de salud sexual y reproductiva , usando pruebas estadísticas como Odds Ratios (OR) y valores beta ( β ) . Las asociaciones se consideraron significativas cuando el valor de "p" fue menor a 0,05. Además , se ajustaron modelos multivariados ajustando por var...

OBJECTIVE: To identify Peruvian perinatal mortality risk factors at both population level (ENDES) and hospital level (SIP) and to determine their predictive value. DESIGN:Epidemiologic, analytical, case-control study using information from both the National Survey of Demography and Health (ENDES) and the Perinatal Computer System (SIP) of 9 hospitals of the Ministry of Health corresponding to the year 2000. MATERIAL AND METHODS: The study included mothers with gestations more than 28 weeks or newborns weíght above 1000g. We used rate per thousand births, odds ratio (OR) with 95% confidence intervals, population attributable risk percentage (RAP%), logistical and curved regression ROC (receiving operating characteristic). RESULTS: The rate of perinatal mortality in Peru in the year 2000 was 23, 1 per thousand births according to ENDES, similar to the 22,9 rate of the hospital study. END...

OBJETIVE: To determine the influence of fetal sex, parity and maternal height on intrauterine growth curve. MATERIALS AND METHODS: Prospective enrollment of newborns (RN) successive live without factors of intrauterine growth, anthropometric techniques controlled. RESULTS: Of the 8735 selected RN living in the six years studied (1995-2000), 3240 were children of primiparous, multiparous 4150, 4167 female, 4568 male. The men had average birth weight of 113-150 g higher than girls and children of multiparous exceeded 192-238 ga those of primipara, significant differences. The 5833 mothers had an average size of 155 ± 6.1 cm and were divided into three groups: 720 with larger size of 161 cm, 4411 with size between 149 and 161cm and 702 with equal or smaller size of 148 cm. The three groups had RN with directly proportional to weight and maternal height (p <0.01) size. CONCLUSIONS: Fetal se...

The perinatal mortality indicates the level of development and quality of health of the people and to measure the health of the conceptus during the last two months of fetal life and the first 6 days after birth. Peru has marked structural contrasts in Latin America and the Caribbean. The greatest differences are in the maternal mortality ratio (2.3 times) and less is 5 years (2 times), the perinatal mortality rate similar to the Latin American average. In the last fifteen years the proportion of neonatal mortality has increased, reaching 55% of infant mortality. In the first month of life, infants die mainly from suffocation, respiratory distress, infection or congenital malformation. L00% of neonatal deaths in 2002, 41% was the result of complications during delivery and immediate newborn care: 33%, complications related to pregnancy: 16%, complications in the first week of life and 10...

OBJECTIVES: To quantify the increase in small for gestational age (SGA RN) to use the intrauterine growth curves of Tacna, and study their risk factors. MATERlAL AND METHODS: 15 739 infants in the Hipolito Unanue Hospital in Tacna were studied, from 1994 to 1999, using intrauterine growth curves (CIU) by weight, Lubchenco and Tacna, and identifying RN PEG further, which is called " new PEG ", studying its risk factors. The Perinatal Information System, odds ratio and chi square test was used. RESULTS: RN large for gestational age (RN GEG) decreased 15.6% to 9.5%, appropriate for gestational age (RN AEG) remained at 83.2% and 81.3% and RN PEG increased from 1.2% to 9.2%; This change was statistically significant. There were 1448 RN-PEG using our curve and 189 when using Lubchenco. The difference in 1259 RN (8% of the total population) corresponds to the "RN new PEG". Their risk factors we...

OBJECTIVE: To obtain curve itself, representative of the population of Tacna and compared with standard curves Lubchenco intrauterine growth. MATERIALS AND METHODS: Prospective enrollment of successive live newborns, weighing, diagnosis of gestational age by last menstrual period, excluding maternal and fetal pathology; discarding smoking and maternal malnutrition; the Perinatal Information System (CLAP-PAHO / WHO) and statistics required tests was used. RESULTS: 8,735 living RN selected in six years (1995-2000); 40 weeks gestation was the most representative (36.7% of RN), with an average weight of 3514g. ± 403 g (percentile 10, 50 and 90 were 2983, 3503 and 4062 g. Respectively). These data were significantly different from Lubchenco. CONCLUSIONS: intrauterine growth curves (CCIU), according to weight, height, head circumference and weight index tacneña a well-selected population sho...

The perinatal mortality indicates the level of development and quality of health of the people and to measure the health of the conceptus during the last two months of fetal life and the first 6 days after birth. Peru has marked structural contrasts in Latin America and the Caribbean. The greatest differences are in the maternal mortality ratio (2.3 times) and less is 5 years (2 times), the perinatal mortality rate similar to the Latin American average. In the last fifteen years the proportion of neonatal mortality has increased, reaching 55% of infant mortality. In the first month of life, infants die mainly from suffocation, respiratory distress, infection or congenital malformation. L00% of neonatal deaths in 2002, 41% was the result of complications during delivery and immediate newborn care: 33%, complications related to pregnancy: 16%, complications in the first week of life and 10...

OBJECTIVE: To identify Peruvian perinatal mortality risk factors at both population level (ENDES) and hospital level (SIP) and to determine their predictive value. DESIGN:Epidemiologic, analytical, case-control study using information from both the National Survey of Demography and Health (ENDES) and the Perinatal Computer System (SIP) of 9 hospitals of the Ministry of Health corresponding to the year 2000. MATERIAL AND METHODS: The study included mothers with gestations more than 28 weeks or newborns weíght above 1000g. We used rate per thousand births, odds ratio (OR) with 95% confidence intervals, population attributable risk percentage (RAP%), logistical and curved regression ROC (receiving operating characteristic). RESULTS: The rate of perinatal mortality in Peru in the year 2000 was 23, 1 per thousand births according to ENDES, similar to the 22,9 rate of the hospital study. END...

OBJECTIVE: To obtain curve itself, representative of the population of Tacna and compared with standard curves Lubchenco intrauterine growth. MATERIALS AND METHODS: Prospective enrollment of successive live newborns, weighing, diagnosis of gestational age by last menstrual period, excluding maternal and fetal pathology; discarding smoking and maternal malnutrition; the Perinatal Information System (CLAP-PAHO / WHO) and statistics required tests was used. RESULTS: 8,735 living RN selected in six years (1995-2000); 40 weeks gestation was the most representative (36.7% of RN), with an average weight of 3514g. ± 403 g (percentile 10, 50 and 90 were 2983, 3503 and 4062 g. Respectively). These data were significantly different from Lubchenco. CONCLUSIONS: intrauterine growth curves (CCIU), according to weight, height, head circumference and weight index tacneña a well-selected population sho...

OBJETIVE: To determine the influence of fetal sex, parity and maternal height on intrauterine growth curve. MATERIALS AND METHODS: Prospective enrollment of newborns (RN) successive live without factors of intrauterine growth, anthropometric techniques controlled. RESULTS: Of the 8735 selected RN living in the six years studied (1995-2000), 3240 were children of primiparous, multiparous 4150, 4167 female, 4568 male. The men had average birth weight of 113-150 g higher than girls and children of multiparous exceeded 192-238 ga those of primipara, significant differences. The 5833 mothers had an average size of 155 ± 6.1 cm and were divided into three groups: 720 with larger size of 161 cm, 4411 with size between 149 and 161cm and 702 with equal or smaller size of 148 cm. The three groups had RN with directly proportional to weight and maternal height (p <0.01) size. CONCLUSIONS: Fetal...

OBJECTIVES: To quantify the increase in small for gestational age (SGA RN) to use the intrauterine growth curves of Tacna, and study their risk factors. MATERlAL AND METHODS: 15 739 infants in the Hipolito Unanue Hospital in Tacna were studied, from 1994 to 1999, using intrauterine growth curves (CIU) by weight, Lubchenco and Tacna, and identifying RN PEG further, which is called " new PEG ", studying its risk factors. The Perinatal Information System, odds ratio and chi square test was used. RESULTS: RN large for gestational age (RN GEG) decreased 15.6% to 9.5%, appropriate for gestational age (RN AEG) remained at 83.2% and 81.3% and RN PEG increased from 1.2% to 9.2%; This change was statistically significant. There were 1448 RN-PEG using our curve and 189 when using Lubchenco. The difference in 1259 RN (8% of the total population) corresponds to the "RN new PEG". Their risk factors we...

Introduction: Confinement, fear of hospitalization during pregnancy, and uncertainty about delivery care during the COVID-19 pandemic, can affect perinatal maternal health outcomes.Objective: To assess the effects of the COVID-19 pandemic on maternal and perinatal outcomes in Peru during the pandemic period compared to the pre-pandemic period.Materials and Methods: Cross-sectional analytical study, with a before-and-after approach, based on live birth certificate (CNV) data, including all live births in Peru with CNV; 2020 and 2021 (pandemic) were compared to 2019 (pre-pandemic). Adolescent pregnancy rate, cesarean section rate, place of birth, type of health service, premature delivery and low birth weight were evaluated. Chi2 was used to compare proportions using Stata V.17. Information was requested from the Ministry of Health, respecting confidentiality.Results: The overall adolescen...

Introducción. La obesidad en mujeres en edad reproductiva va en aumento y en el embarazo pueden tener resultados negativos tanto para la madre como para el niño.Objetivo. Determinar los resultados maternos y perinatales adversos asociados a obesidad pregestacional en mujeres atendidas durante dos décadas en un hospital público de Tacna Perú.Materiales y Métodos. Estudio de cohorte retrospectiva, en todas las madres y sus recién nacidos atendidos en el hospital Hipólito Unanue de Tacna entre 2001 a 2020, con registro de talla y peso pregestacional, de embarazo único y producto con peso al nacer >500 gramos. Se evaluó obesidad según índice de masa corporal (IMC), patologías maternas como preeclampsia, amenaza de parto prematuro, rotura prematura de membranas, terminación por cesárea, hemorragia postparto, dehiscencia de sutura de cesárea, prematuridad, bajo peso al nacer...

Newborn (RN) twin is at high risk for morbidity and mortality. It is classified with intrauterine growth curves (CCIU) single fetuses, but no Peruvian curves for this group. To determine the intrauterine growth of a selected group of Peruvian twins and compare RN unique patterns. MATERIALS AND METHODS: Descriptive, transversal study for 13 years (1992-2004) in the Hipolito Unanue Hospital in Tacna, Peru. 518 twins, 282 twins (54%) was selected without factors qie altered intrauterine growth. averages, standard deviation and percentiles 10, 50 and 90 of weight, height and head circumference was found for gestational age of 32-41 weeks, which were corrected with second order polynomial. Average percentile values and unique curvy compared RN, were considered significant when p <0.05. RESULTS: Of 36 909 live births, 518 were twins, which was selected 282. The most representative group was 38...

Objetivos. Conocer la incidencia, supervivencia y factores de riesgo del recién nacido con extremo bajo peso (RNEBP) en el Hospital Hipólito Unanue, de Tacna (HHUT). Pacientes y Método. Estudio retrospectivo analítico de casos y controles. Se analizaron a todos los nacidos vivos de embarazo único, con peso al nacer menor de 1000 g, nacidos durante los años 2000 a 2014 en el HHUT. Se evaluó la incidencia y supervivencia por 100 nacidos vivos y se analizaron los factores de riesgo. Los casos fueron todos los recién nacidos con peso < 1000 g y los controles, todos los recién nacidos con peso entre 2500 y 3999 g. Se calculó el odds ratio (OR), con un intervalo de confianza del 95%. La información se obtuvo de la base de datos del Sistema Informático Perinatal. Resultados. De 49 979 recién nacidos vivos, 191 tuvieron peso < 1000 g; la incidencia de RNEBP fue 0,38 por 10...

Objetivos. Conocer la incidencia, supervivencia y factores de riesgo del recién nacido con extremo bajo peso (RNEBP) en el Hospital Hipólito Unanue, de Tacna (HHUT). Pacientes y Método. Estudio retrospectivo analítico de casos y controles. Se analizaron a todos los nacidos vivos de embarazo único, con peso al nacer menor de 1000 g, nacidos durante los años 2000 a 2014 en el HHUT. Se evaluó la incidencia y supervivencia por 100 nacidos vivos y se analizaron los factores de riesgo. Los casos fueron todos los recién nacidos con peso < 1000 g y los controles, todos los recién nacidos con peso entre 2500 y 3999 g. Se calculó el odds ratio (OR), con un intervalo de confianza del 95%. La información se obtuvo de la base de datos del Sistema Informático Perinatal. Resultados. De 49 979 recién nacidos vivos, 191 tuvieron peso < 1000 g; la incidencia de RNEBP fue 0,38 por 10...

Introducción: La adolescencia temprana es la etapa más vulnerable física, psicológica y socialmente; la maternidad en esta etapa representa un problema de salud pública y de derechos humanos, es un indicador de desarrollo y síntoma de múltiples problemas sociales. Objetivo: Determinar los resultados adversos maternos y perinatales del embarazo en adolescentes menores de 15 años en Tacna. Material y métodos: Estudio de cohorte retrospectiva en todas las madres adolescentes menores de 15 años comparadas con todas las madres adultas de 20 a 24 años cuyos partos fueron atendidos en el hospital Hipólito Unanue de Tacna durante el período 2000-2017. Se comparó características maternas utilizando frecuencias y Chi2 con significancia estadística cuando p&lt;0,05, los resultados se midieron utilizando Riesgo Relativo (RR) con Intervalo de Confianza (IC) al 95% c...