Factores atribuibles a sufrimiento fetal agudo en un hospital del nivel III de la ciudad de Iquitos 2022

Abstract

Introducción: El sufrimiento fetal en un problema de salud en nuestro país donde hay regiones con mayor prevalencia, como Loreto, que influye en la mortalidad fetal y neonatal, Objetivo: Determinar los factores atribuibles a sufrimiento fetal agudo en un Hospital de Nivel III de la ciudad de Iquitos, 2022 Material y métodos: Se realizo un estudio cuantitativo, observacional, analítico, caso control, 36 recién nacidos con sufrimiento fetal agudo (casos) y 72 recién nacidos sin sufrimiento fetal agudo; obteniendo información de las características sociodemográficas y obstétricas de la madre, determinando odds ratio, fracción atribuible y la significancia estadística a través de la prueba no paramétrica de chi cuadrado. Resultados: Los resultados muestran que los factores a RN con DFA son las menores de 20 años /OR = 4.106, p=0.024, FA = 16.7%), procedencia urbano marginal OR = 2.273, p=0.048, FA = 17.5%), nivel educativo primario (OR = 3.628, p=0.008, FA = 22.4%), periodo intergenésico menor de 2 años (OR = 4.105, p=0.024, FA = 16.7%), bajo peo pregestacional (OR = 7.00, p=0.009), FA = 25.0%), nulíparas OR = 3.666, p=0.018, FA = 18.2%), edad gestacional menor de 37 semanas (OR = 5.645, p=0.027, FA = 17.9%), menos de atenciones prenatales (OR = 2.418, p=0.046, FA = 15.5%), morbilidad durante el embarazo (OR = 2.50, p=0.035, FA = 17.2%), anemia (OR = 3.142, p=0.043, FA = 13.7%), ITU (OR = 4.085, p=0.006, FA = 23.9%), preeclampsia (OR = 8.875, p = 0.023, FA = 22.6%) Conclusión: La madre a través de sus características sociodemográficas y obstétricas contribuyen a la prevalencia de la presencia de sufrimiento fetal agudoIntroduction: Fetal distress is a health problem in our country where there are regions with a higher prevalence, such as Loreto, which influences fetal and neonatal mortality. Objective: To determine the factors attributable to acute fetal distress in a Level III Hospital in the city of Iquitos, 2022 Material and methods: A quantitative, observational, analytical, control-controlled study was carried out with 36 newborns with acute fetal distress (cases) and 72 newborns without acute fetal distress; obtaining information on the sociodemographic and obstetric characteristics of the mother, determining odds ratio, attributable fraction and statistical significance through the non-parametric chi-square test. Results: The results show that the factors for newborns with AFD are those under 20 years of age /OR = 4.106, p=0.024, FA = 16.7%), marginal urban origin OR = 2.273, p=0.048, FA = 17.5%), primary educational level (OR = 3.628, p=0.008, FA = 22.4%), intergenic period less than 2 years (OR = 4.105, p=0.024, FA = 16.7%), low pregestational PEO (OR = 7.00, p=0.009), AF = 25.0%), nulliparous OR = 3.666, p=0.018, AF = 18.2%), gestational age less than 37 weeks (OR = 5.645, p=0.027, AF = 17.9%), fewer prenatal visits (OR = 2.418, p=0.046, AF = 15.5%), morbidity during pregnancy (OR = 2.50, p=0.035, AF = 17.2%), anemia (OR = 3.142, p=0.043, AF = 13.7%), UTI (OR = 4.085, p=0.006, AF = 23.9%), preeclampsia (OR = 8.875, p = 0.023, AF = 22.6%) Conclusion: The mother, through her sociodemographic and obstetric characteristics, contributes to the prevalence of the presence of acute fetal distress