Rev. enferm. Inst. Mex. Seguro Soc; 7 (3), 1999
Publication year: 1999
Objetivo:
determinar la correlación entre el diagnóstico clínico de sufrimiento fetal agudo y la calificación Apgar en recién nacidos mediante cesárea.
Material y métodos:
estudio transversal retrospectivo y comparativo efectuado en el Hospital General Regional "Ignacio García Téllez" de Orizaba, Veracruz, entre noviembre de 1996 y agosto de 1997. Se incluyeron productos a término obtenidos por cesárea, con y sin sufrimiento fetal agudo; no se incluyeron aquéllos cuyas madres recibieron depresores del sistema nervioso central. Se investigó edad materna, edad gestacional, sexo, peso, y Apgar al minuto y cinco minutos. La correlación se determinó con coeficiente fi; se calculó x2 y prueba exacta de Fisher.
Resultados:
de 126 recién nacidos, 63 tuvieron sufrimiento fetal agudo. Respectivamente para los niños con sufrimiento fetal agudo y sin él los resultados fueron:
edad gestacional de 39.5 ±1.2 contra 39.2 ±1.3 semanas; peso de 3256 ± 446 g contra 3312 ± 397 g; 8% contra 2% tuvo Apgar <7 al minuto; 3% contra 0%, Apgar <7 a los cinco minutos; 63% contra 43% correspondió al sexo femenino (p<0.05).
Conclusiones:
el diagnóstico clínico de sufrimiento fetal agudo no se relacionó con la valoración Apgar.
Objective:
to determine the correlation between the clinical diagnostic of fetal suffering and the Apgar grade obtained from newborn by cesarean.
Material and methods:
a transversal. retrospective and comparative study was done to newborn delivered by cesarean from November 1996 to August 1997. The study included products delivered-fetal by cesarean with or without suffering: products whose mothers who were administered depressors were not included. Mother's age. age of gestation. sex. weight, and Apgar score at the one and five minutes, were investigated. The correlation was determined with a coefficient fi. and X:
and Fisher was stipulated.
Results:
of one hundred and twenty-six newborn. 63 had fetal suffering and 63 did not:
the age of gestation was of 39.5 ± 1.2 against 39.2 ± 1.3 weeks (p>0.05). and the weight 3256 ± ¿46 g against 3312 ± 397 g (p>0.05). Of the newborn with fetal suffering. 65% were women against <12.9% of the newborn without suffering (p<0.05). Of the newborn with fetal suffering 8% had a <7 Apgar a minute compared to 2% of the newborn without fetal suffering, there is a correlation of 0.14 (p>0.05): to five minutes 3% of the with fetal suffering had <7 Apgar against 0% from the group without fetal suffering, and a correlation of 0.12 (p>0.05). Conclusions:
the clinical diagnostic of fetal suffering did not have any relation with the Apgar result to a minute or five minutes. Those with fetal suffering the feminine sex was the highest.
