[Risk factors for birth injuries]. / Factores de riesgo asociados a traumatismo al nacimiento.
Rev Invest Clin
; 58(5): 416-23, 2006.
Article
em Es
| MEDLINE
| ID: mdl-17408101
OBJECTIVE: To identify risk factors associated with birth trauma. SETTING: Servicio de Neonatología, Hospital General "Dr. Manuel Gea González", Secretaría de Salud. DESIGN: Case-control, prolective study. PATIENTS: There were 129 cases and 134 controls. MEASURES: We recorded the following variables: a) maternal and delivery: age, weight, height, prenatal care, pre-existing disease or gestational disease, mode of delivery, anesthetic management during labor, use of external maneuvers or forceps; b) newborn: birth weight, gestational age, academic degree of attendant physician at delivery, and type of birth injury. RESULTS: The independent risk factors associated to birth injury were: for ecchymoses; general anesthesia (OR 13.7, 95% CI = 3 - 62.6), breech presentation (OR 6.4, 95% IC 95% = 1.4 - 27.9) and gestational age < or = 32 weeks (OR 6.4, 95% CI = 1.3 - 31.1); for lacerations, vaginal dystocic delivery or cesarean section (OR 19, 95% CI = 4.4 - 81.1) and use of external maneuvers (OR 5.6, 95% CI = 1.5 - 21.6); for cephalhematoma maternal height < or = 1.54 m (OR 7.4, 95% CI = 2.3 - 23.7) and external maneuvers (OR 7.2, 95% CI = 2.3 - 23.7); for caput succedaneum, external maneuvers (OR 3.4, 95% CI = 1.5-7.7) and maternal age < or = 19 or > or = 36 years (OR 3.0, 95% CI = 1.4 - 6.4). CONCLUSIONS: Risk factors associated with birth injuries identified in this study involved maternal conditions, neonatal conditions and mechanism of delivery.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Traumatismos do Nascimento
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Humans
/
Middle aged
/
Newborn
Idioma:
Es
Revista:
Rev Invest Clin
Assunto da revista:
MEDICINA
Ano de publicação:
2006
Tipo de documento:
Article
País de publicação:
México