Abstract

BANDERA FISHER, Norma Arelis; GOIRE CARABALLO, Magalis  and  CARDONA SANCHEZ, Omara Mercedes. Epidemiological factors and low-Apgar at birth. Rev Cubana Obstet Ginecol [online]. 2011, vol.37, n.3, pp. 320-329. ISSN 0138-600X.

INTRODUCTION: The more crucial moment in human life is that corresponding with the first 24 hr post-partum. During this period, morbidity and mortality are high, this it is necessary to prevent and to know risk factors that may to interfere in its normal development, assessing at birth the Apgar score. OBJECTIVES: To identify the possible causal association between the low Apgar score and some epidemiological factors. To estimate according to the attributing risk factors that acting on them it will be a great impact in exposed population. METHODS: An observational and analytical type case-control study was conducted related to some epidemiological factors having an impact on a low Apgar score at birth in the «Mariana Grajales» Mother Teaching Provincial Hospital of Santiago de Cuba from January 1, 2006 to December 31, 2007. RESULTS: Age mother and gestational age at labor, presence of meconium in amniotic fluid, umbilical cord abnormalities, dystocic labor and the intrauterine growth retard are related to a low Apgar score at birth in this institution. CONCLUSIONS: Depression at birth was associated in a causal way with umbilical cord abnormalities and the presence of meconium in amniotic fluid and a significant association with intrauterine fetal malnutrition, the gestational age at labor < 37 of weeks and ³ 42 weeks and dystocic fetal presentation. It was demonstrated that the retarded intrauterine growth (RIUG) acting in the early and certainty diagnosis it will be possible to achieve a better and major impact in exposed population.

Keywords : Low Apgar score; epidemiological risk factors; meconium; cesarean section; dystocia.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )