Factores de riesgo para la prematuridad. Estudio de casos y controles

Authors

DOI:

https://doi.org/10.61708/6ywc2x47

Keywords:

risk factors, preterm labor, preterm newborn

Abstract

In Ecuador according to the INEC (National Institute of Statistics and Census), the incidence of preterm newborns in 2017 was 7.11%. Objective: To determine the conditioning factors of preterm birth. Materials: Retrospective analytical study of unpaired cases and controls. Data obtained through the registry of deliveries and cesarean. These data were processed in IBM SPSS

Statistics version 25. In addition, the Chi-square interdependence test (Χ²) and Student’s t-test were applied considering significant association with a value of p<0.05. Results: Of 151 cases of preterm newborns and 277 controls, sta- tistical significance was found in the following variables: age ≥ 35 years OR 0.621 CI 95% (0.575- .0670) Χ² 17.586 and p value of 0.000027, number of

prenatal controls ≥6, OR 0.439 CI 95% (0.286-0. 675) Χ² 14.431 and p value of 0.0001, presence of maternal pathologies related to the pregnant OR 1.646 95% CI (1.072-2.529) Χ² 5.227 and the presence of multifactorial etiology ≥3 risk factors p value of 0.022 and OR 1.825 95% CI (1.200 -2.777) Χ² 8.000 and p

value of 0.005. Conclusions: It was concluded that pregnant women with the presence of 3 or more previously mentioned risk factors present a 1.8 times higher probability of preterm delivery.

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References

Pérez-Molina J, Panduro-Barón G, Quezada-López C. Factores maternos asociados con nacimiento pretérmino espontáneo versus pretérmino nacido por cesárea. Ginecología y Obstetricia de México. 2011;6.

Diagnóstico y Manejo del Parto Pretérmino [Internet]. México: Secretaría de Salud; 2009. [cited 2018 Oct 18] Available from: http://www.cenetec.salud. gob.mx/descargas/gpc/ catalogo Maestro/ 063 _GPC_PartoPretermino/Parto

_Pretermino_ER_CENETEC.pdf.

Milán SER, Álvarez LMR, Milán MER. Factores de riesgo de parto prematuro en gestantes del Municipio Ciego de Ávila Risk Factors for Preterm Labor in Pregnant Women from Ciego de Ávila Municipality. 2015;9.

Gravette MG, Rubens CE, Nunes TM; GAPPS Review Group. Global report on preterm birth and stillbirth (2 of 7): discovery science. BMC Pregnancy Child- birth. 2010; 10 Suppl 1: SS2. DOI: https://doi.org/10.1186/1471-2393-10-S1-S2

Tesis Dr. David Aguilera. Pediatría.pdf [Internet]. [cited 2018 Oct 18]. Avai- lable from: http://repositorio.puce.edu.ec/bitstream/handle/22000/12840/ Tesis%20Dr.%20David%20Aguilera.%20Pediatr%c3%ada.pdf?sequence=1&i- sAllowed=y

Mayorga DLG, Rodríguez E, Ortiz JA, Rivera WI, duarte nh. Perfil epidemio- lógico y factores de riesgo en recién nacidos prematuros, hospital regional, gracias, lempira. Rev med hondur. 2012;80(4):8

Schwab FD, Zettler EK, Moh A, Schötzau A, Gross U, Günthert AR. Predicti- ve factors for preterm delivery under rural conditions in post-tsunami Banda Aceh. J Perinat Med. 2015. DOI: https://doi.org/10.1515/jpm-2015-0004

Ozorno L, Rupay G, Rodríguez J, Lavadores A, Dávila J, Echevarría M. Factores maternos relacionados con prematuridad. Ginecol Obstet Mex. 2008;76(9):526-36

Scholl TO, Hediger ML, Fischer RL, Shearer JW. Anemia vs iron defciency: increased risk of preterm delivery in a prospective study. Am J Clim Nutr. 2011;55(5):985-86. DOI: https://doi.org/10.1093/ajcn/55.5.985

Ouattara A, Ouegraogo CM, Ouedraogo A, Lankoande J. Factors associa- ted with preterm birth in an urban African environment: A case-control study at the University Teaching Hospital of Ouagadougou and Saint Camille Medi- cal Center. Med Sante Trop. 2015. DOI: https://doi.org/10.1684/mst.2015.0465

Morgan F, Cinco A, Douriet F, Baez J, Muños A, Osuna I. Factores socio- demográfcos asociados con nacimiento pretérmino. Ginecol Obstet Mex. 2010;78(2):103-109. (Cited 2018 Oct 18) Disponible en: http://www.nietoedi- tores.com.mx/volumen-78-num-2-febrero-2010/1993-factoressociodemo- grafcos-y-obstetricos-asociados-con-nacimiento

Dowswell T, Carroli G, Duley L et al. Alternative versus standard packages of antenatal care for low-risk pregnancy. Cochrane database of systematic Reviews 2010, issue 10. Art N° CD000934. DOI:10.1002/14651858. CD000934. DOI: https://doi.org/10.1002/14651858.CD000934.pub2

pub2.

Arispe C, Salgado M, Tang G, Gonzáles C, Rojas L. Frecuencia de control prenatal inadecuado y de factores asociados y su concurrencia. Rev Med He- red. 2011;22(4):169-7 DOI: https://doi.org/10.20453/rmh.v22i4.1072

Mc Cowan L, Dekker G. Spontaneous preterm birth and small for gestatio- nal age. Infants in women who stop smoking early in pregnancy. British Med Journal 2009; 338:1081. DOI: https://doi.org/10.1136/bmj.b1558

Bukowski R, Malone F. Preconceptional folate supplementation and the risk of spontaneous preterm birth. Perinatol Reprod Hum Plos Medicine 2009; 5:61-65 DOI: https://doi.org/10.1371/journal.pmed.1000061

Giacomin L, Leal M, Moya R. Anemia materna en el tercer trimestre de embarazo como factor de riesgo para parto pretérmino. Acta Med Costarric. 2009; 51(1):39- 43 DOI: https://doi.org/10.51481/amc.v51i1.31

Contreras A, Soria C, Pince R, Clark I, Medina M. Preeclampsia: principal factor de riesgo materno para bajo peso del recién nacido pretérmino. Gine- col Obstet Mex. 2008; 76(7):398-403.

Contreras A, Soria C, Pince R, Clark I, Medina M. Preeclampsia: principal factor de riesgo materno para bajo peso del recién nacido pretérmino. Gine- col Obstet Mex. 2008; 76(7):398-40.

Encuesta Nacional de Salud y Nutrición 2018; ID del Estudio, ECU-INEC- DIES-ENSANUT-2018-v1.4; Año, 2018; País, Ecuador

Published

2023-10-30

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How to Cite

1.
Massache C, Cedeño P, Barquet AE, Zapata V. Factores de riesgo para la prematuridad. Estudio de casos y controles. Gac Med JBG [Internet]. 2023 Oct. 30 [cited 2026 Mar. 5];1(1):37-45. Available from: https://gacetamedicajbgmedec.biteca.online/index.php/GMJBG/article/view/3
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