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Revista chilena de obstetricia y ginecología

versión On-line ISSN 0717-7526

Resumen

CLAROS BENITEZ, Diana Isabel  y  MENDOZA TASCON, Luis Alfonso. Impacto de los trastornos hipertensivos, la diabetes y la obesidad materna sobre el peso, la edad gestacional al nacer y la mortalidad neonatal. Rev. chil. obstet. ginecol. [online]. 2016, vol.81, n.6, pp.480-488. ISSN 0717-7526.  http://dx.doi.org/10.4067/S0717-75262016000600005.

Background: Hypertensive disorders, diabetes and obesity in pregnancy, affect weight, gestational age at birth and neonatal mortality. Objective: Assess the impact on neonatal mortality, birth weight and gestational age, hypertensive disorders (pre-eclampsia and chronic hypertension), diabetes (gestational and non-gestational) and obesity in pregnancy of infants born colombian hospital between, 2005 and 2015. Methods: Retrospective cohort study with pregnant women with preeclapmsia (n: 326), chronic hypertension (n: 104), gestational diabetes (n: 246) and obesity (n: 216). The data were analyzed in Stata 11.0 using median or average and dispersion measures, t tests, ranksum, ANOVA or Kruskal Wallis, measures absolute and relative frequency, Chi2 tests or Fisher exact. To estimate the correlation between exposure variables we used the Pearson correlation coefficient and to estimate associations employ relative risk (RR) with confidence interval of 95%. Statistical significance was defined as p <0.05. Results: We found a significant association between low birth weight and prematurity with preeclampsia and chronic hypertension, and higher birth weight with diabetes and obesity. There was also significant association between neonatal mortality and chronic diabetes and hypertension. Conclusions: Hypertensive and metabolic disorders affect weight and gestational age at birth, and there is significant association between neonatal mortality and chronic diabetes and hypertension.

Palabras clave : Preeclampsia; chronic hypertension; diabetes; obesity; neonatal mortality.

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