Suchergebnisse

OBJECTIVE: To describe morbidity
in low birth weight and normal weight infants and their
association with risk factors. MATERIAL AND METHODS: A
retrospective and comparative, observational study was made
at the Neonatal Intensive Care Unit of the Hospital Español
de México. Maternal variables (history of abortions, type
of complications and intergeneric period) and neonate
(birth weight, gender, gestational age, intrauterine growth
restriction, respiratory distress, Apgar and type of
complications) were evaluated. Descriptive, bivariate and
multivariate analysis were performed with the normal weight
and low weight groups. RESULTS: We registered 248 newborns:
53.6% male and 46.4% female were included. In 14.5% with
low weight and 33.1% presented respiratory difficulty.
63.0% of the mothers had complications during pregnancy.
Infants with respiratory distress had an OR of 3.85 (CI 95%
1.09-13.55, p = 0.036) and an intrauterine restriction of
OR of 861.99 (CI 95% 86.90-8550.32, p = 0.000). CONCLUSION:
Low birth weight is associated with the presence of
respiratory distress and intrauterine
restriction.

BACKGROUND: Persistent pulmonary
hypertension of the newborn (PPHN) has an incidence of 2-7
cases per 1000 live births. Currently there are different
treatment approaches for this disease, all of them having
similar results. OBJECTIVE: To describe thedifferent
treatment approaches and the evolution of patients with
PPHN in the Neonatal Intensive Care Unit (NICU) at the
Spanish Hospital of Mexico. MATERIALS AND METHODS:
Retrospective descriptive study in which the records of
newborns diagnosed with PPHN in the NICU Spanish Hospital
of Mexico from January 2006 to September 2013 to obtain
data on its evolution and treatment were reviewed. A
nonprobability sampling was done for convenience of
newborns who met the selection criteria during the study
period. RESULTS: We included 80 newborns receiving care,
60% were men, 29% had pulmonary arterial hypertension mild,
61% moderate and 10% severe. The most commonly used method
was conventional mechanical ventilation (60%) and the most
commonly used drug was sildenafil (100%). 12.5% mortality
and bronchopulmonary dysplasia as a complication in 20% of
cases was recorded. CONCLUSION: Most newborns had a
favorable outcome (73.7%) and found that sildenafil is a
drug recommended in the treatment of PPHN.