Causas de parto pretérmino tardío en el Hospital Militar Central desde enero 2016 - enero 2020
El parto pretérmino es en la actualidad una causa importante de morbimortalidad neonatal, los grupos de recién nacidos pretérmino tardío han presentado un considerable incremento en su incidencia, debido a los múltiples resultados adversos neonatales de estos pacientes comparados con los recién naci...
- Autores:
-
Alfonso, Diana
Pinzón, Cristian
Aragón, Rafael
Colmenares, Alejandro
- Tipo de recurso:
- Trabajo de grado de pregrado
- Fecha de publicación:
- 2020
- Institución:
- Universidad Militar Nueva Granada
- Repositorio:
- Repositorio UMNG
- Idioma:
- spa
- OAI Identifier:
- oai:repository.unimilitar.edu.co:10654/37390
- Acceso en línea:
- http://hdl.handle.net/10654/37390
- Palabra clave:
- Preterm delivery
Late preterm
Neonatal hospitalization
Spontaneous delivery
Ginecología
Parto prematuro
Parto - Complicaciones
Urgencias neonatales
Parto pretérmino
Pretérmino tardío
Hospitalización neonatal
Parto espontáneo
- Rights
- openAccess
- License
- http://creativecommons.org/licenses/by-nc-nd/4.0/
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Causas de parto pretérmino tardío en el Hospital Militar Central desde enero 2016 - enero 2020 |
| dc.title.translated.spa.fl_str_mv |
Causes of late preterm delivery at the Hospital Militar Central since January from 2016 - January 2020 |
| title |
Causas de parto pretérmino tardío en el Hospital Militar Central desde enero 2016 - enero 2020 |
| spellingShingle |
Causas de parto pretérmino tardío en el Hospital Militar Central desde enero 2016 - enero 2020 Preterm delivery Late preterm Neonatal hospitalization Spontaneous delivery Ginecología Parto prematuro Parto - Complicaciones Urgencias neonatales Parto pretérmino Pretérmino tardío Hospitalización neonatal Parto espontáneo |
| title_short |
Causas de parto pretérmino tardío en el Hospital Militar Central desde enero 2016 - enero 2020 |
| title_full |
Causas de parto pretérmino tardío en el Hospital Militar Central desde enero 2016 - enero 2020 |
| title_fullStr |
Causas de parto pretérmino tardío en el Hospital Militar Central desde enero 2016 - enero 2020 |
| title_full_unstemmed |
Causas de parto pretérmino tardío en el Hospital Militar Central desde enero 2016 - enero 2020 |
| title_sort |
Causas de parto pretérmino tardío en el Hospital Militar Central desde enero 2016 - enero 2020 |
| dc.creator.fl_str_mv |
Alfonso, Diana Pinzón, Cristian Aragón, Rafael Colmenares, Alejandro |
| dc.contributor.author.none.fl_str_mv |
Alfonso, Diana Pinzón, Cristian Aragón, Rafael Colmenares, Alejandro |
| dc.subject.keywords.spa.fl_str_mv |
Preterm delivery Late preterm Neonatal hospitalization Spontaneous delivery |
| topic |
Preterm delivery Late preterm Neonatal hospitalization Spontaneous delivery Ginecología Parto prematuro Parto - Complicaciones Urgencias neonatales Parto pretérmino Pretérmino tardío Hospitalización neonatal Parto espontáneo |
| dc.subject.decs.spa.fl_str_mv |
Ginecología Parto prematuro Parto - Complicaciones Urgencias neonatales |
| dc.subject.proposal.spa.fl_str_mv |
Parto pretérmino Pretérmino tardío Hospitalización neonatal Parto espontáneo |
| description |
El parto pretérmino es en la actualidad una causa importante de morbimortalidad neonatal, los grupos de recién nacidos pretérmino tardío han presentado un considerable incremento en su incidencia, debido a los múltiples resultados adversos neonatales de estos pacientes comparados con los recién nacido a término, se consideró importante evaluar las causas de parto a esta edad gestacional en el Hospital Militar Central, entre enero de 2016 y enero 2020; se evaluaron las historias clínicas de todas las pacientes con parto pretérmino tardío y se realizó un estudio con diseño descriptivo de corte transversal, donde se evaluaron variables sociodemográficas, causas maternas y fetales. |
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2020 |
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2020-11-11 |
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2021-01-20T16:02:10Z |
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2021-01-20T16:02:10Z |
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Tesis/Trabajo de grado - Monografía - Especialización |
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info:eu-repo/semantics/bachelorThesis |
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http://purl.org/coar/resource_type/c_7a1f |
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http://purl.org/coar/resource_type/c_7a1f |
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http://hdl.handle.net/10654/37390 |
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instname:Universidad Militar Nueva Granada |
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1. Delnord M., Zeitlin J. Epidemiology of late preterm and early term births – An international perspective. Seminars in fetal and neonatal medicine. 2019; 24: 3-10. DOI 10.1016/j.siny.2018.09.001 2. Karnati S., Kollikonda S., Abu-Shaweesh J. Late preterm infants – Changing trends and continuing challenges. International Journal of Pediatrics and Adolescent Medicine.2020; 7 (1): 38-46. DOI 10.1016/j.ijpam.2020.02.006. 3. Engle W. Morbidity and Mortality in late preterm and early term newborns: a continuum. Clin Perinatol. 2011; 38: 493–516. DOI 10.1016/j.clp.2011.06.009 4. Iragorri V., Rodríguez A., Perdomo D. (2013). Guía de manejo de trabajo de parto pretérmino. Secretaria distrital de salud de Bogota, D.C. Asociación Bogotana de Obstetricia y ginecología (ASBOG). Disponible en: http://www.saludcapital.gov.co/dds/publicaciones/guia%205.%20%20manejo%20trabajo%20de%20parto%20pretermino.pdf 5. Chawanpaiboon S., Vogel J., Moller A, Lumbiganon P., Petzold M., Hohan D. Global, regional, and national estimates of levels of preterm birth in 2014: a systematic review and modelling analysis. The Lancet. 2019; 7: 37-47. DOI: 10.1016/S2214-109X(18)30451-0 6. Garg M., Devaskar S. Glucose Metabolism in the Late Preterm Infant.. Clin Perinatol. 2006; 33: 853-870. DOI 10.1016/j.clp.2006.10.001. 7. Kilpatrick S. Guidelines for perinatal care. American Academy of Pediatrics (AAP) Committee on Fetus and Newborn and the American College of Obstetricians and Gynecologists (ACOG) Committee on Obstetric Practice. 2017. http://reader.aappublications.org/guidelines-for-perinatal-care-8th-edition/1. 8. Vogel J., Chawanpaiboon S., Moller A., Watananirum K., Bonet M., Lumbiganon P. The global epidemiology of preterm birth. Best practice & research clinical obstetrics and gynaecology. 2018; 52: 3-12. DOI 10.1016/j.bpobgyn.2018.04.003 9. Daskalakis G., Arabin B., Antsaklis A., Cabero L. Preterm labor: up to date. BioMed Research International. 2019; 201: 1-5. DOI 10.1155/2019/4870938 10. Rundell K., Panchal B. Preterm labor: prevention and management. American family physician. 2017; 93: 367-372. PMID: 28318214 11. Jiang M., Mishu M., Lu Dan., Yin X. A case control strudy of risk factors and neonatal outcomes of preterm birth. Taiwanese J Obstet & Gynecol. 2018; 57: 814 – 818. 12. Torchin H., Ancel P. Épidémiologie et facteurs de risque de la prématurité. [Epidemiology and risk factors of preterm birth]. Journal gynécologie Obtétrique et biologie de la reproduction. 2016; 45: 1213 – 1230. DOI 10.1016/j.jgyn.2016.09.013 13. Murray S., Shenkin S., Mclntosh K., Lim J., Grove B., Pell J., Norman J. Stock S. Long term cognitive outcomes of early term (37-38 weeks) and late preterm (34-36 weeks) births: A systematic review. Wellcome Open Res. 2017; 2: 1-16. DOI 10.12688/wellcomeopenres.12783.1 14. Khowaja W., Leghari A., Hussain S., Ariff S., Khan I. Frequency and Early Complications of Late Preterm Infants: A Descriptive Analysis from Two Secondary-care Hospitals of Karachi. Cureus. 2019; 11: 2-7. DOI:10.7759/cureus.5789 15. The american College of Obstetricians and Gynecologists (ACOG). Medically indicated late – preterm and early- term deliveries. Committee opinion 764. Obstetrics & Ginecology. 2019; 133: 151-155. DOI 10.1097/AOG.0000000000003083 16. McCabe E., Carrino G., Russell R., Howse J. Fighting for the next generation: US prematurity in 2030. Pediatrics. 2014; 134: 1193-1199. DOI 10.1542/peds.2014-2541 17. United Nations Inter-agency Group for Child Mortality Estimation (UN IGME). Levels & Trends in Child Mortality. 2017; 1-40. Disponible en: https://www.un.org/en/development/desa/population/publications/mortality/child mortality-report-2017.asp 18. Mendoza L., Claros D., Mendoza L., Arias M., Peñaranda C. Epidemiologia de la prematuridad, sus determinantes y prevención del parto prematuro. Rev Chil Obstet Ginecol. 2016; 81: 330-342. DOI 10.4067/S0717-75262016000400012 19. Snyers D, Lefebvre C, Viellevoye R, Rigo V. La prématurité tardive: des nourrissons fragiles malgré les apparences [Late preterm: high risk newborns despite appearances]. Rev Med Liege. 2020;75(2):105‐110. PMID: 32030935 20. Petrou S. Health economic aspects of late preterm and early term birth. Semin Fetal Neonatal Med. 2019; 24(1): 18‐26. DOI:10.1016/j.siny.2018.09.004 21. Khashua M., Narayanan M., Bhargava S., Osiovich H. Perinatal outcomes associated with preterm birth at 33 to 36 weeks gestation: A population – based cohort study. Pediatrics. 2009; 123: 109-113. DOI 10.1542/peds.2007-3743 22. Raju T. The “Late Preterm” birth – Ten years later. Pediatrics.2017; 139: 1-6. DOI: 10.1542/peds.2016-3331 23. Krusser L., Zatti H., Soncini T., Días R., Staudt L. Maternal and fetal risk factors associated with late preterm infants. Rev Paul Pediatr. 2020; 38: 1-8. DOI: 10.1590/1984-0462/2020/38/2018136 24. Blencowe H., Cousens S., Chou D., Oestergaard M., Say L., Moller A et al. Born too Soon: The global epidemiology of 15 million preterms births. Reproductive Health. 2013; 10: 1-14. DOI 10.1186/1742-4755-10-S1-S2 25. Barros F., Papageorghiou A., Victora C., Noble J., Pang R., Lams J et al. The distribution of clinical phenotypes of preterm birth síndrome. Jama Pediatrics. 2015; 169: 220-229. DOI 10.1001/jamapediatrics.2014.3040 26. Garcia M., Demestre X., Calvo M., Ginovart G., Jimenes A., Hurtado J. Prematuro tardío en España: experiencia del grupo SEN 34-36. An Pediatr (Barc). 2018; 88: 246 – 252. DOI 10.1016/j.anpedi.2017.05.006 27. Sánchez M., Fernández C., Bernal L., Elola F. Spanish population‐study shows that healthy late preterm infants had worse outcomes one year after discharge than term‐born infants. Acta Paediatr, 2018; 107: 529-1534. DOI 10.1111/apa.14254 28. Villar J., Papageorghiou A, Knight H., Gravett M., Iams J., Waller S et al. The preterm birth síndrome: a prototype phenotypic classification. AJOG. 2012; 119-123. DOI 10.1016/j.ajog.2011.10.866 29. Gyamfi C., Fuchs K., Young O, Hoffman M. Nonspontaneous late preterm birth: etiology and outcomes. Am J Obstet Gynecol. 2011; 456: 1-6. DOI: 10.1016/j.ajog.2011.08.007 30. Abdel N., Khader Y., Batieha A. The incidence, risk factors, and mortality of preterm neonates: A prospective study from Jordan (2012 – 2013). Turk J Obstet Gynecol. 2017; 14: 28-36. DOI 10.4274/tjod.62582 31. Barros J., Clode N., Graca L. Prevalence of late preterm and early term birth in Portugal. Acta med Port. 2016; 29: 249-253. DOI: 10.20344/amp.6523 32. Stecher J., Pavlovic M., Contreras C., Carvajal J. Prematuros tardios: estudio clínico retrospectivo de sus causas y consecuencias. Rev Chil Obstet Ginecol. 2015; ¿ 80: 221-228. DOI: 10.4067/S0717-75262015000300004 33. Pradhan D., Nishizawa Y, Chhetri H. Prevalence and Outcome of Preterm Births in the National Referral Hospital in Bhutan: An Observational Study, Journal of Tropical Pediatrics. 2020; 66 (2): 163–170. DOI 10.1093/tropej/fmz046 34. Machado L., Passini R., Machado I. Late prematury: a systematic review. J Pediatr. (Rio J). 2014; 90: 221-231. DOI 10.1016/j.jped.2013.08.012 35. Lisonkova S., Sabr Y., Butler B., Joseph K. International comparisons of preterm birth: higher rates of late preterm birth are associated with lower rates of stillbirth and neonatal death. BJOG. 2012; 119: 1630-1639. DOI 10.1111/j.1471-0528.2012.03403. |
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Alfonso, DianaPinzón, CristianAragón, RafaelColmenares, AlejandroEspecialista en Ginecología y obstetriciaHospital Militar Central2016-2020Medicina2021-01-20T16:02:10Z2021-01-20T16:02:10Z2020-11-11http://hdl.handle.net/10654/37390instname:Universidad Militar Nueva Granadareponame:Repositorio Institucional Universidad Militar Nueva Granadarepourl:https://repository.unimilitar.edu.coEl parto pretérmino es en la actualidad una causa importante de morbimortalidad neonatal, los grupos de recién nacidos pretérmino tardío han presentado un considerable incremento en su incidencia, debido a los múltiples resultados adversos neonatales de estos pacientes comparados con los recién nacido a término, se consideró importante evaluar las causas de parto a esta edad gestacional en el Hospital Militar Central, entre enero de 2016 y enero 2020; se evaluaron las historias clínicas de todas las pacientes con parto pretérmino tardío y se realizó un estudio con diseño descriptivo de corte transversal, donde se evaluaron variables sociodemográficas, causas maternas y fetales.1. Resumen …………………………………………………………………………6 2. Marco teórico ……………………………………………………………………8 a. Definición ………………………………………………………………….8 b. Clasificación ………………………………………………………………9 c. Factores de riesgo ………………………………………………………10 d. Epidemiologia…………………………………………………………….16 e. Morbimortalidad neonatal ………………………………………………18 f. Etiología ………………………………………………………………….19 g. Prevención ……………………………………………………………….26 3. Planteamiento del problema …………………………………………………27 a. Pregunta de investigación ……………………………………………...28 4. Justificación …………………………………………………………………….29 5. Objetivos ………………………………………………………………………...31 a. General …………………………………………………………………...31 b. Específicos ……………………………………………………………….31 6. Metodología……………………………………………………………………..32 a. Tipo y diseño de estudio ………………………………………………..33 b. Población …………………………………………………………………33 c. Selección y tamaño de muestra ……………………………………….33 d. Criterios de inclusión ……………………………………………………33 e. Criterios de exclusión …………………………………………………...33 f. Definición de variables ………………………………………………….33 g. Estrategias para suprimir amenazas a la validez de resultados …...39 h. Recolección de datos …………………………………………………...40 7. Análisis estadístico ……………………………………………………………42 a. Procedimientos de medición, recolección y sistematización de la información……………………………………………………………….42 b. Plan de análisis ………………………………………………………….42 8. Resultados ………………………………………………………………………44 9. Discusión………………………………………………………………………...50 10. Conclusiones …………………………………………………………………...54 11. Productos esperados y potenciales beneficiarios ………………………56 12. Cronograma …………………………………………………………………….57 13. Presupuesto …………………………………………………………………….59 14. Aspectos éticos ………………………………………………………………..61 15. Referencias bibliográficas …………………………………………………..63Preterm delivery is currently an important cause of neonatal morbidity and mortality, the group of late preterm newborns has presented a considerable increase in its incidence secondary to the indications for the management of different obstetric pathologies that lead to an early termination of pregnancy, on the other hand, multiple risk factors for presenting a preterm birth are recognized, among which the antecedent of premature birth stands out; Due to the multiple adverse neonatal outcomes of preterm infants compared to term infants, it was considered important to assess the causes of delivery at this gestational age at the Central Military Hospital, between January 2016 and January 2020, as well as to determine whether the deliveries medically indicated had supported according to the different guidelines and available evidence; The medical records of all the patients with late preterm delivery were analyzed and a study with a descriptive cross-sectional design was carried out, where sociodemographic variables, maternal and fetal causes were evaluated, showing a preterm delivery rate of 7.69%; Among the causes, spontaneous preterm delivery was the most prevalent, of the medically indicated preterm delivery, hypertensive disorders represented the majority, followed by premature rupture of membranes (PROM) and non-reassuring fetal status. A low rate of Induced preterm labor without evidence-based medical indication was found.Especializaciónapplicaction/pdfspahttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial-NoDerivatives 4.0 InternationalAcceso abiertoCausas de parto pretérmino tardío en el Hospital Militar Central desde enero 2016 - enero 2020Causes of late preterm delivery at the Hospital Militar Central since January from 2016 - January 2020Tesis/Trabajo de grado - Monografía - Especializacióninfo:eu-repo/semantics/bachelorThesishttp://purl.org/coar/resource_type/c_7a1fPreterm deliveryLate pretermNeonatal hospitalizationSpontaneous deliveryGinecologíaParto prematuroParto - ComplicacionesUrgencias neonatalesParto pretérminoPretérmino tardíoHospitalización neonatalParto espontáneoGinecología y obstetriciaFacultad de MedicinaUniversidad Militar Nueva Granada1. Delnord M., Zeitlin J. Epidemiology of late preterm and early term births – An international perspective. Seminars in fetal and neonatal medicine. 2019; 24: 3-10. DOI 10.1016/j.siny.2018.09.001 2. Karnati S., Kollikonda S., Abu-Shaweesh J. Late preterm infants – Changing trends and continuing challenges. International Journal of Pediatrics and Adolescent Medicine.2020; 7 (1): 38-46. DOI 10.1016/j.ijpam.2020.02.006. 3. Engle W. Morbidity and Mortality in late preterm and early term newborns: a continuum. Clin Perinatol. 2011; 38: 493–516. DOI 10.1016/j.clp.2011.06.009 4. Iragorri V., Rodríguez A., Perdomo D. (2013). Guía de manejo de trabajo de parto pretérmino. Secretaria distrital de salud de Bogota, D.C. Asociación Bogotana de Obstetricia y ginecología (ASBOG). Disponible en: http://www.saludcapital.gov.co/dds/publicaciones/guia%205.%20%20manejo%20trabajo%20de%20parto%20pretermino.pdf 5. Chawanpaiboon S., Vogel J., Moller A, Lumbiganon P., Petzold M., Hohan D. Global, regional, and national estimates of levels of preterm birth in 2014: a systematic review and modelling analysis. The Lancet. 2019; 7: 37-47. DOI: 10.1016/S2214-109X(18)30451-0 6. Garg M., Devaskar S. Glucose Metabolism in the Late Preterm Infant.. Clin Perinatol. 2006; 33: 853-870. DOI 10.1016/j.clp.2006.10.001. 7. Kilpatrick S. Guidelines for perinatal care. American Academy of Pediatrics (AAP) Committee on Fetus and Newborn and the American College of Obstetricians and Gynecologists (ACOG) Committee on Obstetric Practice. 2017. http://reader.aappublications.org/guidelines-for-perinatal-care-8th-edition/1. 8. Vogel J., Chawanpaiboon S., Moller A., Watananirum K., Bonet M., Lumbiganon P. The global epidemiology of preterm birth. Best practice & research clinical obstetrics and gynaecology. 2018; 52: 3-12. DOI 10.1016/j.bpobgyn.2018.04.003 9. Daskalakis G., Arabin B., Antsaklis A., Cabero L. Preterm labor: up to date. BioMed Research International. 2019; 201: 1-5. DOI 10.1155/2019/4870938 10. Rundell K., Panchal B. Preterm labor: prevention and management. American family physician. 2017; 93: 367-372. PMID: 28318214 11. Jiang M., Mishu M., Lu Dan., Yin X. A case control strudy of risk factors and neonatal outcomes of preterm birth. Taiwanese J Obstet & Gynecol. 2018; 57: 814 – 818. 12. Torchin H., Ancel P. Épidémiologie et facteurs de risque de la prématurité. [Epidemiology and risk factors of preterm birth]. Journal gynécologie Obtétrique et biologie de la reproduction. 2016; 45: 1213 – 1230. DOI 10.1016/j.jgyn.2016.09.013 13. Murray S., Shenkin S., Mclntosh K., Lim J., Grove B., Pell J., Norman J. Stock S. Long term cognitive outcomes of early term (37-38 weeks) and late preterm (34-36 weeks) births: A systematic review. Wellcome Open Res. 2017; 2: 1-16. DOI 10.12688/wellcomeopenres.12783.1 14. Khowaja W., Leghari A., Hussain S., Ariff S., Khan I. Frequency and Early Complications of Late Preterm Infants: A Descriptive Analysis from Two Secondary-care Hospitals of Karachi. Cureus. 2019; 11: 2-7. DOI:10.7759/cureus.5789 15. The american College of Obstetricians and Gynecologists (ACOG). Medically indicated late – preterm and early- term deliveries. Committee opinion 764. Obstetrics & Ginecology. 2019; 133: 151-155. DOI 10.1097/AOG.0000000000003083 16. McCabe E., Carrino G., Russell R., Howse J. Fighting for the next generation: US prematurity in 2030. Pediatrics. 2014; 134: 1193-1199. DOI 10.1542/peds.2014-2541 17. United Nations Inter-agency Group for Child Mortality Estimation (UN IGME). Levels & Trends in Child Mortality. 2017; 1-40. Disponible en: https://www.un.org/en/development/desa/population/publications/mortality/child mortality-report-2017.asp 18. Mendoza L., Claros D., Mendoza L., Arias M., Peñaranda C. Epidemiologia de la prematuridad, sus determinantes y prevención del parto prematuro. Rev Chil Obstet Ginecol. 2016; 81: 330-342. DOI 10.4067/S0717-75262016000400012 19. Snyers D, Lefebvre C, Viellevoye R, Rigo V. La prématurité tardive: des nourrissons fragiles malgré les apparences [Late preterm: high risk newborns despite appearances]. Rev Med Liege. 2020;75(2):105‐110. PMID: 32030935 20. Petrou S. Health economic aspects of late preterm and early term birth. Semin Fetal Neonatal Med. 2019; 24(1): 18‐26. DOI:10.1016/j.siny.2018.09.004 21. Khashua M., Narayanan M., Bhargava S., Osiovich H. Perinatal outcomes associated with preterm birth at 33 to 36 weeks gestation: A population – based cohort study. Pediatrics. 2009; 123: 109-113. DOI 10.1542/peds.2007-3743 22. Raju T. The “Late Preterm” birth – Ten years later. Pediatrics.2017; 139: 1-6. DOI: 10.1542/peds.2016-3331 23. Krusser L., Zatti H., Soncini T., Días R., Staudt L. Maternal and fetal risk factors associated with late preterm infants. Rev Paul Pediatr. 2020; 38: 1-8. DOI: 10.1590/1984-0462/2020/38/2018136 24. 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