Macrosomía fetal en madres no diabéticas: caracterización mínima / Fetal macrosomia in non-diabetic mothers: minimal characterization
Medisan
; 17(10)nov. 2013. tab
Article
in Spanish
| CUMED
| ID: cum-58312
Responsible library:
CU418.1
RESUMEN
Por macrosomía se entiende el desarrollo del cuerpo a tamaño exagerado, debido a diversas causas. Respecto a la madre y a su hijo también son diferentes los factores de riesgo que les afectan; por ello se efectuó un estudio retrospectivo y transversal, del tipo de casos (214 madres de recién nacidos macrosómicos) y controles (321 madres de neonatos con peso normal), seleccionados de un universo de 3 108 gestantes atendidas, durante el año 2011, en el Hospital Ginecoobstétrico Docente Tamara Bunke Bider de Santiago de Cuba. Se evaluaron 11 factores y se realizó el análisis estadístico requerido, basado en la razón de productos cruzados, con un intervalo de confianza de 95 por ciento, y la prueba de la Χ2, con 3 niveles de significación I, p≤0,05 (estándar); II, p≤0,01 (alta) y III, p≤0,001 (muy alta). Los factores de riesgo identificados fueron edad materna, hijos macrosómicos en partos previos, edad gestacional al parto, sexo del neonato y tipo de parto; además, los resultados de la morbilidad y mortalidad perinatal fueron satisfactorios, al compararlos con los de la bibliografía médica consultada(AU)
ABSTRACT
Macrosomia is an oversized body due to various causes. Different risk factors also affect mother and child, so that a retrospective and cross-sectional case-control study (214 mothers with macrosomic newborns and 321 mothers with normal weight infants) was carried out. They were selected from a total of 3 108 pregnant women attended in Tamara Bunke Bider Gynecoobstetric Teaching Hospital of Santiago de Cuba during 2011. 11 factors were evaluated and the required statistical analysis was performed, based on the odds ratio with a 95 percent confidence interval, and the chi-square test with 3 significance levels I, p≤ 0.05 (standard); II, p≤ 0.01 (high) and III, p≤0.001 (very high). Risk factors identified were maternal age, macrosomic children in previous deliveries, gestational age at delivery, infant sex and type of delivery; in addition, the results of perinatal morbidity and mortality were satisfactory when compared with those of the literature reviewed.
Full text:
Available
Collection:
National databases
/
Cuba
Health context:
SDG3 - Health and Well-Being
/
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
/
SDG3 - Target 3.2 Reduce avoidable death in newborns and children under 5
Health problem:
Target 3.1: Reduce maternal mortality
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Target 3.2: Reduce avoidable death in newborns and children under 5
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Diabetes Mellitus
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Endocrine System Diseases
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Noncommunicable Diseases
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Nutrition
Database:
CUMED
Main subject:
Fetal Macrosomia
/
Risk Factors
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Morbidity
/
Gestational Age
/
Maternal-Fetal Relations
/
Fetal Development
/
Prenatal Nutrition
Type of study:
Etiology study
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Observational study
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Prevalence study
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Prognostic study
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Risk factors
Limits:
Female
/
Humans
/
Pregnancy
Language:
Spanish
Journal:
Medisan
Year:
2013
Document type:
Article
Institution/Affiliation country:
Hospital Ginecoobstétrico Docente Tamara Bunke Bider/Cuba