<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1561-3194</journal-id>
<journal-title><![CDATA[Revista de Ciencias Médicas de Pinar del Río]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ciencias Médicas]]></abbrev-journal-title>
<issn>1561-3194</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-31942020000300012</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Líquido meconial su asociación con las alteraciones del test de Apgar, hospital Ben Nacer Bachir]]></article-title>
<article-title xml:lang="en"><![CDATA[Association of meconium fluid with alterations of the APGAR test in the Bennacer Bachir hospital]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández Borbón]]></surname>
<given-names><![CDATA[Hugo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez Pérez]]></surname>
<given-names><![CDATA[Millelys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hidalgo Cepero]]></surname>
<given-names><![CDATA[Milagro del Pilar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Pinar del Río Policlínico Universitario Hermanos Cruz ]]></institution>
<addr-line><![CDATA[Pinar del Río ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>24</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-31942020000300012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942020000300012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942020000300012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  el líquido amniótico meconial constituye un indicador más de la evolución fetal intraparto y un indicador tradicional de asfixia perinatal. Sin embargo, este indicador muestra importantes limitaciones operativas; no se correlaciona bien entre sí, tiene un alto porcentaje de falsos positivos y, en consecuencia, es pobre predictor de morbilidad neurológica precoz o tardía del mal llamado sufrimiento fetal agudo, actualmente estado fetal no tranquilizador.  Objetivo:  evaluar la asociación del líquido amniótico meconial con las alteraciones del puntaje del Apgar, en el Hospital Ben Nacer Bachir. El Oued. Argelia.  Métodos:  se realizó una investigación descriptiva longitudinal prospectiva de 628 nacimientos, 39 gestantes que presentaron líquido meconial escogidas de forma aleatoria simple a las cuales se le aplico el test de Apgar.  Resultados:  el mayor número de pacientes atendidas, fue entre 25 y 29 años. El 76,92 % nulípara, 6,2 % de los nacimientos presentaron líquido meconial, el 48,72 % fue meconio moderado e intenso el 41 %, el 89,74 % presento Apgar normal, sexo predominante fue femenino y el 64,1 % terminó en cesárea.  Conclusiones: a pesar del grado de intensificación del líquido meconial, no hubo relación con el Apgar bajo en el mayor porciento de gestantes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  mixture of meconium and amniotic fluid is another indicator of intra-partum fetal development and a traditional indicator of perinatal asphyxia. However, this indicator shows important operational limitations; it does not correlate well with each other, having a high percentage of false positives and, consequently, is a poor predictor of early or late neurological morbidity of the known Acute Fetal Distress (AFD).  Objective:  to assess the association of meconium and amniotic fluid with Apgar score alterations at the Bennacer Bachir Hospital, El Oued, Algeria.  Methods:  a prospective, descriptive, longitudinal study of 628 births was conducted, 39 pregnant women who presented meconium fluid were chosen in a simple randomized sample, applying the Apgar test.  Results:  the greatest number of patients attended was between 25 and 29 years old. Seventy-six percent were nulliparous, 6,2 % of births presented meconium fluid, 48,72 % presented moderate and intense meconium 41 %, normal Apgar score (89,74 %), female sex predominated, and 64,1 % underwent cesarean section.  Conclusions:  despite the degree of intensification of meconium fluid, there was no relationship with low Apgar score in the highest percentage of pregnant women.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[RECIÉN NACIDO]]></kwd>
<kwd lng="es"><![CDATA[PUNTAJE DE APGAR]]></kwd>
<kwd lng="es"><![CDATA[MECONIO]]></kwd>
<kwd lng="es"><![CDATA[ASFIXIA]]></kwd>
<kwd lng="en"><![CDATA[INFANT]]></kwd>
<kwd lng="en"><![CDATA[NEWBORN]]></kwd>
<kwd lng="en"><![CDATA[APGAR SCORE]]></kwd>
<kwd lng="en"><![CDATA[MECONIUM]]></kwd>
<kwd lng="en"><![CDATA[ASPHYXIA]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cullen Benítez]]></surname>
<given-names><![CDATA[PJ]]></given-names>
</name>
<name>
<surname><![CDATA[Salgado Ruiz]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Conceptos básicos para el manejo de la asfixia perinatal y la encefalopatía hipóxica-isquémica en el neonato]]></article-title>
<source><![CDATA[Rev Mexicana Pediatr]]></source>
<year>2009</year>
<volume>76</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Valdés]]></surname>
<given-names><![CDATA[RE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Rol de la monitorización electrónica fetal intraparto en el diagnóstico de sufrimiento fetal agudo]]></article-title>
<source><![CDATA[Rev Chil Obstet Ginecol]]></source>
<year>2003</year>
<volume>68</volume>
<numero>5</numero>
<issue>5</issue>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Muñoz Ponce]]></surname>
<given-names><![CDATA[AL]]></given-names>
</name>
<name>
<surname><![CDATA[Tumbaco Castillo]]></surname>
<given-names><![CDATA[HL]]></given-names>
</name>
</person-group>
<source><![CDATA[Factores de riesgo y complicaciones del síndrome de dificultad respiratoria por aspiración del líquido annióticomeconial]]></source>
<year>2019</year>
<publisher-name><![CDATA[Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pazmiño Mendieta]]></surname>
<given-names><![CDATA[AB]]></given-names>
</name>
<name>
<surname><![CDATA[Vintimilla Maldonado]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
</person-group>
<source><![CDATA[Prevalencia y factores asociados a acidosis fetal en pacientes con diagnóstico de estado fetal no tranquilizador, Hospital Vicente Corral Moscoso, 2017]]></source>
<year>2019</year>
<publisher-name><![CDATA[Cuenca - Ecuador]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nápoles Méndez]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Controversias actuales para definir las alteraciones del bienestar fetal]]></article-title>
<source><![CDATA[MEDISAN]]></source>
<year>2013</year>
<volume>17</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Acero Viera]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Ticona Rendon]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Huanco Apaza]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Resultados perinatales del recién nacido con Apgar bajo en el Hospital Hipólito Unanue de Tacna, 2002-2016]]></article-title>
<source><![CDATA[Rev. peru. ginecol. obstet]]></source>
<year>2019</year>
<volume>65</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gesteiro]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez-Muniz]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
<name>
<surname><![CDATA[Perea]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Espárrago]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Bastida]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Investigadores en Pediatría y Neonatología rendimos homenaje a la Dra Virginia Apgar]]></article-title>
<source><![CDATA[JONNPR]]></source>
<year>2019</year>
<volume>4</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Curioso]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Paul]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<source><![CDATA[Factores de riesgo asociados con Apgar bajo a los 5 minutos en recién nacidos a término del servicio de neonatología del hospital general de huacho durante el 2016 - 2018]]></source>
<year>2019</year>
<publisher-name><![CDATA[Universidad Nacional José Faustino Sánchez Carrión]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Llambías Peláez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Reyes Ramírez]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez Buchillón]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Carmenate Martínez]]></surname>
<given-names><![CDATA[LR]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez Martínez]]></surname>
<given-names><![CDATA[LD]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz Díaz]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factores de riesgo de la asfixia perinatal]]></article-title>
<source><![CDATA[MediCiego]]></source>
<year>2016</year>
<volume>22</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pakniat]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Mohammadi]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Ranjkesh]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[MeconiumAmniotic Fluid is Associated with Endomyometritis]]></article-title>
<source><![CDATA[J Obstet Gynaecol India]]></source>
<year>2016</year>
<volume>66</volume>
<numero>^s1</numero>
<issue>^s1</issue>
<supplement>1</supplement>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vain]]></surname>
<given-names><![CDATA[NE]]></given-names>
</name>
<name>
<surname><![CDATA[Batton]]></surname>
<given-names><![CDATA[DG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Meconium "aspiration" (orrespiratory distress associated with meconium-stainedamniotic fluid?)]]></article-title>
<source><![CDATA[Semin Fetal Neonatal Med]]></source>
<year>2017</year>
<volume>22</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Louis]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Sundaram]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Mukhopadhyay]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Dutta]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Kumar]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Predictors of mortality in neonates with meconiumaspiration syndrome.]]></article-title>
<source><![CDATA[Indian Pediatr]]></source>
<year>2014</year>
<volume>51</volume>
<numero>8</numero>
<issue>8</issue>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Inzunza-Manjarrez]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez-Gaxiola]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Medina-Rodríguez]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Aspiración traqueal en recién nacidos no vigorosos con probable síndrome de aspiración de meconio]]></article-title>
<source><![CDATA[Rev Mex Pediatr]]></source>
<year>2019</year>
<volume>86</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bandera Fisher]]></surname>
<given-names><![CDATA[NA]]></given-names>
</name>
<name>
<surname><![CDATA[Goire Caraballo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Cardona Sánchez]]></surname>
<given-names><![CDATA[OM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factores epidemiológicos y Apgar bajo al nacer]]></article-title>
<source><![CDATA[Rev Cubana Obstet Ginecol]]></source>
<year>2011</year>
<volume>37</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ruth Hitomi]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Baebosa de Silva]]></surname>
<given-names><![CDATA[FM]]></given-names>
</name>
<name>
<surname><![CDATA[Junqueira Vasconcellos de]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
<name>
<surname><![CDATA[Fernandez Tuesta]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Estanislau do Amaral]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fatores maternos e neonatais asociados aomecônio no líquido amniótico emum centro de parto normal]]></article-title>
<source><![CDATA[Rev. Saúde Pública]]></source>
<year>2012</year>
<volume>46</volume>
<numero>6</numero>
<issue>6</issue>
</nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vargas Muñante]]></surname>
<given-names><![CDATA[RG]]></given-names>
</name>
</person-group>
<source><![CDATA[Factores perinatales predictores de síndrome de aspiración meconialinstituto nacional materno perinatal 2010-2015.]]></source>
<year>2017</year>
<publisher-loc><![CDATA[Lima; Perú ]]></publisher-loc>
<publisher-name><![CDATA[Universidad de San Martin de Porres]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hernández Núñez]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Luis Martínez]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Mojena Hernández]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Caracterización de cesáreas primitivas en Santa Cruz del Norte]]></article-title>
<source><![CDATA[Rev Cubana Obstet Ginecol]]></source>
<year>2017</year>
<volume>43</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hernández Martínez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Pascual Pedreño]]></surname>
<given-names><![CDATA[AI]]></given-names>
</name>
<name>
<surname><![CDATA[Baño Garnés]]></surname>
<given-names><![CDATA[AB]]></given-names>
</name>
<name>
<surname><![CDATA[Melero Jiménez]]></surname>
<given-names><![CDATA[MR]]></given-names>
</name>
<name>
<surname><![CDATA[Molina Alarcón]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diferencias en el número de cesáreas en los partos que comienzan espontáneamente y en los inducidos]]></article-title>
<source><![CDATA[Rev Esp Salud Pública]]></source>
<year>2014</year>
<volume>88</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
