PERINATAL OUTCOMES IN RELATION TO MODE OF DELIVERY IN PRETERM INFANTS IN CLÍNICA MATERNIDAD RAFAEL CALVO

• Main Authors: Beracaza-Robledo Cristina, Salcedo-Ramos Francisco, Rodríguez-Yance Benjamín, Castañeda-Alfonso Sergio, Olarte-Parra Juan
• Format: Article
• Language: Spanish
• Published: Universidad de Cartagena 2015-12-01
• Series: Revista Ciencias Biomédicas
• Subjects: Cesarean section; Morbidity; Mortality; Preterm birt
• Online Access: http://revistas.unicartagena.edu.co/index.php/cienciasbiomedicas/article/view/1294/1204

Introduction: preterm birth (PB) is now a public health problem, as the increased rates of prematurity has led to a gradual increase in rates, inherent lack of fetal maturity neonatal complications. Objective: to observe perinatal outcomes achieved in preterm infants (PI) in an obstetric referral center. Methods: descriptive-retrospective study in which was determined the prevalence of neonatal complications in (PI), keeping in mind the mode of delivery. The study was carried out in Clínica Maternidad Rafael Calvo in the period between 1 January and 31 December 2014. Results: in total 822 patients, 425 of them with cesarean delivery and 396 with vaginal birth were included, the average age of cesarean and vaginal groups was 23 and 20 years, respectively. Among the highlights admission diagnoses significantly higher occurrence in the cesarean group of oligohydramnios, and hypertensive disorders of pregnancy, while preterm obstetric labor (was more frequent in the vaginal delivery group, p <0.0001). There was not significant difference in the presentation of intraventricular hemorrhage, neonatal trauma, neonatal necrotizing enterocolitis and death between the two groups. However, there were differences in the presentation of neonatal infection, ICU admission, requirement for mechanical ventilation and mechanical ventilation time, being higher in the cesarean group. Conclusions: the most prevalent adverse perinatal outcomes in PI born by cesarean delivery were: necessity of supplementary oxygen, infant respiratory distress syndrome, admission to neonatal intensive care unit, neonatal infection, early sepsis, transient tachypnea and hyaline membrane disease. In the PI born by vaginal delivery the most prevalent morbidities were: respiratory distress, transient tachypnea, sepsis and neonatal infection. Rev.cienc.biomed. 2015; 6(2):282-289 KEYWORDS Cesarean section; Morbidity; Mortality, Preterm birth