Mortalidad perinatal y patrones de reproducción
Recently, the rate of mortality in infants by infectious agents has decreased as well as perinatal mortality, this besides to the increase in the number of births. For the year 2015, 85% of births and 95% of perinatal deaths will take place in underdeveloped areas. In Mexico, infantile death has dec...
| Autores: | , , , , , , |
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| Tipo de documento: | artigo |
| Estado: | Versão publicada |
| Data de publicação: | 2013 |
| País: | México |
| Recursos: | UNIVERSIDAD AUTÓNOMA DEL ESTADO DE HIDALGO |
| Repositório: | Educación y salud Boletín Científico Instituto de Ciencias de la Salud Universidad Autónoma del Estado de Hidalgo |
| Idioma: | espanhol |
| OAI Identifier: | oai:repository.uaeh.edu.mx:article/738 |
| Acesso em linha: | https://repository.uaeh.edu.mx/revistas/index.php/ICSA/article/view/738 |
| Access Level: | Acceso aberto |
| Palavra-chave: | perinatal death, patterns of reproduction, reproductive rate. muerte perinatal, patrones de reproducción, velocidad reproductiva. |
| Resumo: | Recently, the rate of mortality in infants by infectious agents has decreased as well as perinatal mortality, this besides to the increase in the number of births. For the year 2015, 85% of births and 95% of perinatal deaths will take place in underdeveloped areas. In Mexico, infantile death has decreased since the 80´s. The decrease on the mortality in early neonatal stage makes necessary to highlight the importance to prenatal deaths, since they are approximately half of the antenatal demises. It is known the association between biological factors such as age, number of births, intergenesic time and weight of the product, maternal health, besides toxemia, pre gestational low weigh, previous death products and miscarriage. A large proportion of deaths could be prevented with strategies and punctual prevention measures focused on the risk, nutrition, accessibility to primary health facilities. Objective. The aim of the study was to identify reproductive patterns associated with perinatal death and velocity of reproduction. Methodology : this is a case-control study; the case defined as perinatal death all considered from the 20th week of gestation until the seventh day after birth, whose mother was treated at the Health Services of Hidalgo State, with habitual residence into this entity. Control was defined as the product live at birth that survived to hospital discharge on the same health units during the first 72 hours of life. Methodology of Hobcraf was used for construction of reproductive patterns and reproductive rate (VR). Population of study was characterized by descriptive statistics; inferential statistics with a significance level ≤0.05 for p-values for hypothesis test, was estimated as a measure of association with the odds ratios with confidence intervals of 95%.Results: with respect to patterns, mothers under 20 years old during their first pregnancy constituted the largest proportion (19.2%), followed by the 15.9% rate for the mothers of the pattern six women 20-34 years of age with slow reproductive rate spacing and length, and in third place with 11.4% five pattern mothers from 20 to 34 years of age with slow reproductive rate and short interval between births. Risk for perinatal death according pattern was found in women under 20 years of pattern 2 and 3 with respect to the general population, with 95% CI 0.76, 2.3, 0.73, 2.4 respectively. Women 20-34 years seven ten patterns with VR Short and middle and IE mothers of the same age but with quick and IE VR long risk observed 42 and 73% respectively. Conclusions: the shape and speed of reproduction influence on the probability of perinatal death. |
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