Determinantes sociodemográficos y clínicos asociados a mortalidad fetal intrauterina en el municipio de Pasto, 2010-2012 / Demographic and clinical determinants associated with intrauterine fetal mortality in the municipality of Pasto, 2010-2012
Univ. salud
; 19(2): 207-214, mayo-ago. 2017. tab
Article
in Spanish
| LILACS
| ID: biblio-904656
Responsible library:
CO304.1
RESUMEN
Resumen Introducción:
La mortalidad fetal intrauterina (MFIU) es un problema de salud pública por sus elevadas tasas a nivel mundial y en poblaciones de ingresos medios y bajos. Sin embargo, es un evento poco estudiado y carece de visibilidad en las políticas, planes y programas de salud pública.Objetivo:
Analizar los determinantes sociodemográficos y clínicos asociados a la MFIU en Pasto-Colombia. Materiales ymétodos:
Estudio analítico observacional con 88 muertes fetales como casos y 88 nacidos vivos como controles, ocurridas en hospitales de tercer nivel en el municipio de Pasto-Colombia durante 2010-2012, para determinar la relación entre mortalidad fetal, condiciones clínicas (complicaciones del embarazo, edad gestacional, peso al nacer, controles prenatales, antecedentes obstétricos, tóxicos o aborto) y sociodemográficas (edad, etnia, ocupación, estado civil, estrato, zona de residencia, escolaridad, paridad, condición de desplazamiento, embarazo planeado).Resultados:
Se identificó que el riesgo de mortalidad fetal es significativamente menor con el incremento de la edad gestacional (OR ajustado=0,76 IC95% 0,62; 0,93) y el peso al nacer (OR ajustado=0,99 IC95% 0,98; 0,99). Otras variables clínicas y sociodemográficas no se asociaron.Conclusión:
Los resultados proveen evidencia para la planificación de planes de intervención que prioricen a mujeres cuyo feto tenga un peso inferior al normal y un riesgo de nacimiento prematuro.ABSTRACT
Abstract Introduction:
Intrauterine fetal mortality (IUFM) is a public health problem because of its high rates worldwide and in low-and middle-income populations. However, it is a little-studied event and lacks visibility in public health policies, plans and programs.Objective:
To analyze the sociodemographic and clinical determinants associated with IUFM in Pasto-Colombia. Materials andmethods:
A study, that includes 88 fetal deaths as cases and 88 live births as controls occurred in third level hospitals in Pasto-Colombia during 2010 and 2012, was carried out to determine the relationship between fetal mortality, clinical conditions (complications of pregnancy, gestational age, birth weight, prenatal controls, pathological and toxic medical history, or abortion) and sociodemographic conditions (age, ethnicity, occupation, marital status, stratum, area of residence , schooling, parity, displacement condition, planned pregnancy).Results:
It was identified that the risk of fetal mortality is significantly lower with the increase in gestational age (OR ajustado = 0.76 IC95% 0.62; 0.93) and birth weight (OR ajustado = 0.99 IC95% 0.98; 0.99). Other clinical and sociodemographic variables were not associated.Conclusion:
The results provide evidence for planning intervention plans that prioritize women whose fetus has a lower-than-normal weight and a risk of premature birth.
Full text:
Available
Collection:
International databases
Health context:
Sustainable Health Agenda for the Americas
Health problem:
Goal 11: Inequalities and inequities in health
Database:
LILACS
Main subject:
Social Determinants of Health
Type of study:
Prognostic study
/
Risk factors
Aspects:
Social determinants of health
/
Equity and inequality
Limits:
Pregnancy
Language:
Spanish
Journal:
Univ. salud
Journal subject:
Medicine
/
Delivery of Health Care
Year:
2017
Document type:
Article
Affiliation country:
Colombia
Institution/Affiliation country:
Universidad de Nariño/CO