Examinando por Materia "Neonatal complications"
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Ítem Acceso abierto (Universidad Privada Norbert Wiener, 1905-07-04) Bravo Purisaca, Yuliana Vanessa; Zambrano Pacheco, Juana Geraldine; Ayala Mendivil, Ronald EspirituObjective: To determine maternal and neonatal complications in active management versus expectant management of premature rupture of membranes (PROM) in pregnant women between 34 and 36 weeks of gestation at the María Auxiliadora National Hospital, from January to December 2010. Design: Descriptive retrospective cross-sectional study. Results: A total of 82.8% (82) of the patients underwent active management, while 17.2% (17) underwent expectant management. Premature placental abruption occurred in 5.1% (5) of cases: 4.9% (4) in the active management group and 5.9% (1) in the expectant management group. Chorioamnionitis occurred in 7.1% (7): 8.5% (7) in active management. Puerperal infection was found in 8.1% (8): 9.8% in active management. No cases of maternal death were recorded. Acute fetal distress was observed in 9.1% (9): 9.8% (8) in active management and 5.9% (1) in expectant management. Low birth weight was found in 42.4% (42): 43.9% (36) in active management and 35.3% in expectant management. Respiratory distress syndrome occurred in 11.1% (11): 12.2% (10) in active management and 5.9% (1) in expectant management. Neonatal asphyxia occurred in 4% (4): 4.9% (4) in active management. Neonatal infection was found in 6.1% (6): 7.3% (6) in active management. Neonatal death occurred in 1% (1): 1.2% (1) in active management. Conclusions: Active management presented more complications compared to expectant management.
