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Ginecología y obstetricia de México

Print version ISSN 0300-9041

Abstract

BARRON-GARZA, Fabiola et al. Pregnancy and delivery characteristics in northeastern Mexico and their correlation with neonatal neurological evaluation. Ginecol. obstet. Méx. [online]. 2021, vol.89, n.12, pp.937-948.  Epub May 23, 2022. ISSN 0300-9041.  https://doi.org/10.24245/gom.v89i12.6867.

OBJECTIVE:

To determine the characteristics of pregnancy and birth in public hospitals in northeastern Mexico. Analyze the results of the neurological evaluation of newborns

MATERIALS AND METHODS:

Case series, ambispective, multicenter, randomized, cross-sectional study conducted from 2017 to 2020 in three public hospitals in Nuevo León, Mexico. The sample was recruited from randomly selected puerperium mothers and newborns with Sheridan Perreira's Neo Neuro and Up assessment.

RESULTS:

Of 75,951 mothers in immediate puerperium, randomly assigned, 4,241 were studied. Eighty-seven percent were residents of Nuevo León and 12.7% were from other states in northeastern Mexico. Thirty-nine.9% had prenatal care in the hospitals where their children were born. Fifty-one percent were born by euthyroid delivery and 27.4% by programmed cesarean section. Of the newborns, 9.6% were preterm. The most frequent pre and perinatal characteristics were urinary tract infection and prematurity. Abnormal neonatal neurological evaluation was observed in 12.02% of the newborns. The risk factors for abnormal neurological evaluation at birth were birth weight less than 2500 g, low weight for gestational age, emergency cesarean section and head circumference less than 30 cm.

CONCLUSSIONS:

The characteristics of pregnant mothers in northeastern Mexico have been little studied, almost a third of these mothers are adolescents with a significant level of poverty. There is a significant relationship between some characteristics of delivery related to an abnormal neurological evaluation of the newborn.

Keywords : Pregnancy; Birth; Public Hospitals; Mexico; Newborns; Puerperium mothers; Prenatal care; Cesarean section; Urinary tract infection; Prematurity.

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