Objetivo: Determinar si la obesidad y ganancia excesiva de peso gestacional son factores de riesgo para macrosomía neonatal en un establecimiento EsSalud de nivel I-4. Material y métodos: Estudio observacional, retrospectivo, transversal y analítico de caso-control. Mediante muestreo probabilístico y técnica aleatoria simple se seleccionaron 208 neonatos: 104 macrosómicos (casos) y 104 eutróficos (controles). Se recurrió a una fuente secundaria de información como el Sistema de Vigilancia Perinatal, de donde fueron extraídos los datos. Se empleó estadística descriptiva e inferencial, con prueba Chi cuadrado de independencia para determinar asociación y Odds ratio para cuantificarla. Resultados: La edad promedio de las madres fue 29,6 años; asimismo, la obesidad pregestacional estuvo presente en el 15.4% de madres y la ganancia de peso gestacional excesiva en un 29,8%; mient...

Objectives: Determine if anunplanned pregnancy is a risk factor   for   late-onset   and abandonment  of prenatal  care  in  pregnant  women  served in an I-4  establishment  of  the Social  Security of Peru. Material  and  methods: Observational, retrospective cohort study. Employing probabilistic sampling and simple randomized technique, a sample of 234 pregnant   women   attended in 2017 was selected. An exposed cohort (n=117)  and an unexposed  one  (n=117)  were  formed.  The  Perinatal  Surveillance  System  was  used  as  a secondary information source. Chi-square  test  of  independence  and  relative  risk  (95% confidence interval) were used as a measure of association. R...

Objective: To determine the perinatal predictors of persistently low Apgar at 5 minutes in an EsSalud hospital. Material and methods: Observational, analytical case-control study. A census analysis of 889 neonates with low Apgar (<7) at the first minute treated at the Octavio Mongrut Muñoz Hospital from 2009-2018 was carried out, after verification of the inclusion and exclusion criteria. The EsSalud Perinatal Surveillance System (SVP) was used. The Chi square test and crude odds ratio (ORc) were used as a measure of association. Likewise, binary logistic regression was applied to estimate adjusted odds ratios (ORa). Results: There were 17,780 live births during the study period, of which 889 (11.9%) had low Apgar scores at one minute. The incidence of persistently low Apgar score at five minutes was 5.68 per 1,000 live births. In the multivariate analysis, the only perinatal predict...

Objective: To determine the perinatal predictors of persistently low Apgar at 5 minutes in an EsSalud hospital. Material and methods: Observational, analytical case-control study. A census analysis of 889 neonates with low Apgar (<7) at the first minute treated at the Octavio Mongrut Muñoz Hospital from 2009-2018 was carried out, after verification of the inclusion and exclusion criteria. The EsSalud Perinatal Surveillance System (SVP) was used. The Chi square test and crude odds ratio (ORc) were used as a measure of association. Likewise, binary logistic regression was applied to estimate adjusted odds ratios (ORa). Results: There were 17,780 live births during the study period, of which 889 (11.9%) had low Apgar scores at one minute. The incidence of persistently low Apgar score at five minutes was 5.68 per 1,000 live births. In the multivariate analysis, the only perinatal predict...

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...