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Revista Información Científica

On-line version ISSN 1028-9933

Abstract

ARMAS LOPEZ, Marisel et al. Morbidity and mortality due to hyaline membrane disease at the "Dr. Agostinho Neto" General Teaching Hospital, Guantanamo 2016-2018. Rev. inf. cient. [online]. 2019, vol.98, n.4, pp. 469-480.  Epub Sep 20, 2019. ISSN 1028-9933.

Introduction:

hyaline membrane disease is a health problem in the neonatal stage.

Objective:

to characterize the newborns admitted to the neonatal intensive care unit of the General Teaching Hospital “Dr. Agostinho Neto” due to hyaline membrane disease during the years 2016-2018.

Method:

an observational, descriptive, prospective and longitudinal study of 163 newborns who entered the unit was made.

Results:

16.4% of the infants admitted to this unit had this disease and the lethality was 11.0%. The largest proportion of these were male (55.8%), were between 31.0 and 33.6 weeks of gestational age at birth (28.2%), weighed between 1500.9 and 1999.9 g (27.0 %), had an Apgar after 5 minutes of birth between 8 and 10 points (58.9%) and were in the unit for 7 to 14 days (40.4%). 93.3% were treated with pulmonary maturation inducing drugs and 100.0% with surfactant and conventional mechanical ventilation (100.0%). 84.7% presented complications and 55.6% died from intracranial hemorrhage (55.6%). It was common for mothers to be between 19 and 35 years old (76.6%), to be ceased (65.0%) and had pregnancy-related complications (82.2%).

Conclusion:

lethality was higher as the gestational age and birth weight decreased, in those who were not treated with pulmonary maturation inducing drugs and who presented meningoencephalitis.

Keywords : newborn; neonatal morbidity; hyaline membrane disease.

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