Fetal factors associated with prematurity

Factores fetales asociados a prematuridad

Published 2019-12-14


https://doi.org/10.30554/archmed.20.1.3204.2020
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Vol. 20 No. 1 (2020)
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Díaz Granda, R. C., & Díaz Granda, L. E. (2019). Fetal factors associated with prematurity. Archivos De Medicina (Manizales), 20(1), 97-106. https://doi.org/10.30554/archmed.20.1.3204.2020
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Díaz Granda, R. C., & Díaz Granda, L. E. (2019). Fetal factors associated with prematurity. Archivos De Medicina (Manizales), 20(1), 97-106. https://doi.org/10.30554/archmed.20.1.3204.2020

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Ruth Cumandá Díaz Granda
http://orcid.org/0000-0001-7403-7920 ORCID
Lourdes Elizabeth Díaz Granda
http://orcid.org/0000-0002-0091-0114 ORCID
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Ruth Cumandá Díaz Granda,

Docente Principal de la Facultad de Ciencias Médicas de la Universidad de Cuenca, Ecuador

Lourdes Elizabeth Díaz Granda,

Docente Principal de la Facultad de Ciencias Agronómicas de la Universidad de Cuenca, Ecuador

Objective: to identify fetal factors associated with prematurity in the Vicente Corral Hospital of Cuenca-Ecuador in the 2016-2017 period. Materials and methods: a case-control study was designed, with double contrasts, using two controls of equal postnatal age and sex per each case. From a homogeneous population of infants less than one week of age born at the Vicente Corral Hospital in Cuenca-Ecuador in the period 2016-2017, a sample of 160 cases and 320 controls was obtained. A descriptive and inferential statistical analysis was performed, to establish the statistical association, OR, 95% CI and statistical significance with p-value <0,05 were used. Results: in the case group, they were 75,0% late premature and in the control group, they were 62,5% born full term. The prematurity was associated with: twinning OR=7,36; 95% CI=2,61-20,74; p=0,000. History of premature bother OR=2,96; 95% CI=1,61-5,44; p=0,000. Birth weight lower than the 10th percentile OR=1,66; 95% CI=1,01-2,75; p=0,048. The factors that were not associated with prematurity were: sex χ²=0,100; p-value=0,752. Major congenital malformations OR=2,02; 95% CI=0,40-10,12; p=0,405. Conclusions: In the present study, late preterm predominated in the case group and full term born in the control group. Fetal factors truly associated with prematurity were: twinness, the history of preterm born sibling and birth weight less than the 10th percentile; neonate sex and major congenital malformations were not associated with prematurity.

 

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