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Gaceta médica de México
versión On-line ISSN 2696-1288versión impresa ISSN 0016-3813
Resumen
PEREZ-LOPEZ, María Juana et al. Perinatal morbidity and mortality of children born to mothers with chronic kidney disease. Gac. Méd. Méx [online]. 2021, vol.157, n.4, pp.370-377. Epub 13-Dic-2021. ISSN 2696-1288. https://doi.org/10.24875/gmm.20000675.
Introduction:
Chronic kidney disease (CKD) associated with pregnancy increases the risk of maternal and fetal complications.
Objective:
To determine perinatal morbidity and mortality of children born to mothers with mild and moderate CKD during pregnancy.
Methods:
Retrospective study of medical records of women with mild and moderate CKD during pregnancy cared for at La Raza National Medical Center between 2010 and 2016.
Results:
There were 142 patients, 99 (69.72 %) with mild CKD and 43 (30.28 %) with moderate CKD; 79 neonates (55.63 %) reached full term, 28 (19.71 %) had growth restriction; 44 (30.98 %), low birth weight and 54 (38.02 %) were admitted to the neonatal intensive care unit (NICU); four women (4.04 %) had an abortion; in four (2.81 %), their children had intrauterine death, and in 10 (7.04 %), neonatal death. High blood pressure (OR = 6.93) and hemoglobin < 11 g/dL (OR = 2.48) were risk factors for prematurity.
Conclusion:
A relationship was found between anemia and blood pressure levels and risk for prematurity, low Apgar and NICU admission.
Palabras llave : Mild kidney disease; Moderate kidney disease; Pregnancy; Perinatal mortality.