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Revista Cubana de Medicina General Integral
On-line version ISSN 1561-3038
Abstract
QUIROS RODRIGUEZ, Yanetsa et al. Clinical-Epidemiologic Characterization of Fetal Deaths for Genetic Cause in Camagüey. Rev Cubana Med Gen Integr [online]. 2022, vol.38, n.3 Epub Sep 01, 2022. ISSN 1561-3038.
Introduction:
Congenital defects have an impact on the prognosis and evolution of intrauterine life. At this stage, the correct anatomopathologic ultrasound diagnosis allows to define, through genetic counseling, the preconception genetic risk in future pregnancies.
Objective:
To characterize, clinically and epidemiologically, the fetal deaths due to genetic causes.
Methods:
A descriptive and transversal study was carried out with the statistical records of fetal deaths due to genetic cause that occurred in Ana Betancourt de Mora Gynecobstetric Hospital, Camagüey Province, in the period 2001-2018. Descriptive statistics were used for the analysis of variables and the presentation of results.
Results:
The highest prevalence of congenital defects was represented among pregnant women between 20 and 34 years of age. In women under 35 years of age, defects of the central nervous system occupied the first place, while, in advanced maternal age, it was chromosomal aberrations. Ultrasound was the most commonly used diagnostic means, with confirmation of the diagnosis through the anatomopathologic study.
Conclusions:
The clinical-epidemiological study of fetal deaths allowed to identify the most frequent congenital defects associated to these deaths in a period of eighteen years in Camagüey Province. Through genetic counseling, reproductive options were provided to families, while prevented recurrence in future preconception risk was favored.
Keywords : congenital anomalies; prenatal diagnosis; fetal deaths.