Restricción del crecimiento intrauterino: Complicaciones inmediatas unidad neonatal, Hospital de San José, Bogotá DC / Immediate complications of intrauterine growth restriction neonatal unit - Hospital de San José Bogotá DC
estudio observacional descriptivo en todos los neonatos hospitalizados en la unidad de RN con RCIU en el Hospital de San José, Bogotá, DC, Colombia, entre abril 2009 y marzo 2011.
Resultados:
de 7.263 nacimientos, se identificaron 140 hospitalizados con RCIU, de estos 81 simétrico (57.8%) y 59 asimétrico (42.2%). Las complicaciones más frecuentes fueron dificultad respiratoria (50.7%), ictericia (48.5%) e hipoglicemia (17.8%). Se registraron cinco muertes (3.5%) y seis casos de enterocolitis necrosante (4.2%). El estrato socioeconómico bajo (56.4%) y la desnutrición (23.5%) fueron las características maternas más frecuentes. El inicio del aporte enteral fue más común en las primeras 24 horas de vida (77.1%), sin relación directa con el desarrollo de enterocolitis.
anobservational descriptive trial was conducted including the newborn babies with IUGR hospitalized in the neonatalunit at Hospital de San José, Bogotá, DC, Colombia, between April 2009 and March 2011.
Results:
out of 7,263 births140 neonates were diagnosed with IUGR and were admitted to the neonatal unit, 81 were classified as symmetricIURG (57.8%) and 59 as asymmetric IUGR (42.2%). The most common complications were respiratory distresssyndrome (50.7%), jaundice (48.5%) and hypoglycemia (17.8%). Five deaths were registered (3.5%) and six cases ofnecrotizing enterocolitis (4.2%) were identified. The most significant maternal factors associated with IUGR were alow socioeconomic status (56.4%) and poor nutrition (23.5%). Enteric support was most often initiated during the first24 hours after birth (77.1%), with no direct relation with the development of enterocolitis.