Title
Small and large for gestational age condition as a risk factor for neonatal morbidity and mortality at term newborns at altitude
Other title
Pequeño y grande para edad gestacional como factor de riesgo para morbilidad y mortalidadneonatalatérminoenaltura
Date Issued
01 January 2022
Access level
open access
Resource Type
journal article
Author(s)
Publisher(s)
Medical Body of the Almanzor Aguinaga Asenjo National
Abstract
Background: The fetus growth at high altitude is less than at sea level due to hypobaric hypoxia. Consequently, there are small neonatal anthropometric measurements. Therefore, there is no information about predicting neonatal morbi-mortality using Battaglia and Lubchenco criteria by neonatal curve created at 3400-m altitude (TANA). Material and Methods: It was a case-control study. We used the information of 16000 term infants from the Adolfo Guevara Velazco National Hospital in Cusco, from January 1, 2003, to June 30, 2012. We evaluated the 3rd, 10th, 90th, and 97th percentile (P3, P10, P90, and P97) of newborns weight and ponderal index (PI). Neonatal anthropometry less than P3 or P10 (SGA) and higher than P90 or P97 (LGA) were the cases, and those with measurements between these intervals were the controls (AGA). Results: SGA (P10) prevalence was 9.6% and 10.7% of LGA (P90). The P3 of the birth weight (BW) increases the risk of occurrence of neonatal morbidity and mortality in 3.2 and 10.7 times, respectively. Similarly, it prognosticates longer hospital stay (6.2 days). Conclusions: Applying the Lubchenco and Battaglia criteria and P3 and P97 of the BW and PI using the TANA, we determined that the P3 of the BW defines the highest risk for neonatal morbidity and mortality at term newborns at 3400-m altitude.
Start page
60
End page
65
Volume
15
Issue
1
Language
Spanish
OCDE Knowledge area
Obstetricia, Ginecología
Subjects
Scopus EID
2-s2.0-85133887959
Source
Revista del Cuerpo Medico Hospital Nacional Almanzor Aguinaga Asenjo
ISSN of the container
22255109
Sources of information:
Directorio de Producción Científica
Scopus