Examinando por Materia "Exclusive Breastfeeding"
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Ítem Acceso abierto Maternal and neonatal factors associated with perinatal death at Jorge Voto Bernales Hospital – ESSALUD, 2013 – 2017(Universidad Privada Norbert Wiener, 2024-07-31) Espíritu Gurbillón, Patricia Carola; González Rebaza, Kely; Torres Osorio, Juan MacedonioA case-control study was conducted. The sample consisted of 90 perinatal deaths at 28 weeks or more and/or weighing 1000 grams or more, and a control group of 2 live births for each perinatal death selected randomly, making a total of 180 controls. Eleven maternal variables and five neonatal variables were analyzed using the chi-square test and odds ratio with a 95% confidence interval (p<0.05). The results showed that the perinatal mortality rate was 3.91 per 1000 live births. The associated risk factors were: lack of prenatal care (OR=4.17), presence of obstetric pathology (OR=2.23), non-cephalic fetal presentation (OR=9.08), non-spontaneous onset of labor (OR=6.70), prematurity (OR=25.38), small for gestational age (OR=10.55), and congenital anomalies. The conclusions highlight that among maternal factors, the lack of prenatal care and the presence of obstetric pathology were prominent. Neonatal factors showed a stronger association, mainly prematurity and the presence of congenital malformations.
