Examinando por Materia "Early Neonatal Mortality"

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Acceso abierto
Effect of prematurity as a risk factor for neonatal mortality
(Universidad Privada Norbert Wiener, 2017-08-05) Oria Custodio, Elizabeth Lucia; Ramírez Castro, Yeni Liliana; Bonilla Asalde, César Antonio
Objectives: To evaluate the evidence of the effect of prematurity as a risk factor for neonatal mortality. Materials and methods: This is a systematic review of 10 articles. One systematic review from Chile (10%), three cross-sectional studies (30%) from Brazil, Peru, and Mexico, three cohort studies (30%) from Hungary, Argentina, and Cuba, and three case-control studies (30%) from Venezuela, Argentina, and Chile were included. Results: The 10 articles reviewed revealed that 6 of them identified low birth weight, accounting for 43.7%, and gestational age less than 37 weeks, accounting for 41.5%, as key determinants for increased neonatal mortality in premature newborns. Additionally, risk factors such as lack of prenatal care, premature rupture of membranes, and maternal infections, which led to preterm births, were also identified. Conclusion: The analyzed articles determined that the effect of prematurity is demonstrated by low birth weight less than 1000 grams, gestational age less than 37 weeks, and lack of prenatal care, all of which are key risk factors that increase neonatal mortality rates.
Acceso abierto
Neonatal factors associated with mortality of premature babies hospitalized in neonatal intensive care at the Guillermo Almenara National Hospital, Lima 2022
(Universidad Privada Norbert Wiener, 2023-07-01) Haro Norabuena, Rosana Sadith; Gonzales Carrillo, Javier José
Introduction: Mortality in preterm infants is a health system issue as it reflects indicators related to maternal-neonatal health. Despite efforts to reduce neonatal mortality rates globally, significant disparities still persist, especially between poor and developing countries. Objective: To determine the neonatal factors associated with mortality in preterm infants hospitalized in the Neonatal Intensive Care Unit at the Guillermo Almenara Irigoyen National Hospital, Lima 2022. Methods: An observational cross-sectional study was conducted on preterm neonates who were treated in the neonatology service of the Guillermo Almenara Irigoyen National Hospital between January and December 2022. The sample included 300 preterm neonates. Results: It was found that 51.0% were male, 86% were delivered by cesarean section, and the average weight was 1560.73 g. The neonatal factors associated with mortality in preterm infants hospitalized in neonatal intensive care were found. Factors such as Apgar score (p<0.001), neonatal infection (p<0.001), perinatal asphyxia (p<0.001), hypothermia (p<0.001), and hypoglycemia (p<0.001) were associated with neonatal mortality. Conclusion: Neonatal factors are associated with mortality in preterm infants hospitalized in the Neonatal Intensive Care Unit of the Guillermo Almenara Hospital, Lima 2022.
Acceso abierto
Revisión crítica: ¿cuál es el efecto de la lactancia materna exclusiva en la mortalidad de pacientes pediátricos prematuros?
(Universidad Privada Norbert Wiener, 2025-07-17) Asencio Marchan, Astrid Nadia; Bohórquez Medina, Andrea Lisbet
Los efectos de la leche materna en recién nacidos prematuros es de vasto conocimiento, la misma es de preeminencia clínica y social. Entre los efectos contra la mortalidad en bebés pretérmino, es en la riqueza del microbiota intestinal. La investigación secundaria titulada como revisión crítica: Efectos de la lactancia materna exclusiva en la mortalidad de pacientes pediátricos prematuros. Su propósito fue identificar los efectos en la mortalidad de la leche materna consumida por los lactantes prematuros. La pregunta clínica fue: ¿Cuál es el efecto de la lactancia materna exclusiva en la mortalidad de pacientes pediátricos prematuros? Se adoptó la metodología de Nutrición Basada en Evidencia (NuBE) para la investigación. La recopilación de información se realizó en diversas bases de datos, como PUBMED, MEDLINE, SCIELO, SCOPUS y SCIENCE DIRECT, obteniendo un total de 13 artículos. De estos, se seleccionaron aquellos que fueron evaluados utilizando la herramienta de lectura crítica CASPE, finalmente, se seleccionó el Ensayo Clínico Aleatorizado para su análisis, el cual, según la amplia experiencia de la autora, tiene un nivel de evidencia A I y un grado de recomendación fuerte, basado en la experiencia del investigador. El análisis crítico permitió llegar a la conclusión de que hay evidencia suficiente para establecer el impacto de la intervención nutricional. con leche materna no disminuye la morbi-mortalidad en bebes prematuros.