Originales
Resultados perinatales de las gestantes inmigrantes
Perinatal outcomes in immigrant women
I. Martín Ibáñez
, M.ªA. López Vílchez, J. Lozano Blasco, A. Mur Sierra
Autor para correspondencia
33044imi@comb.es
Correspondencia: Dra. I. Martín Ibáñez. Sección de Neonatología. Servicio de Pediatría. Hospital del Mar. Universidad Autónoma de Barcelona. P.° Marítim, 25-29. 08003 Barcelona. España.
Correspondencia: Dra. I. Martín Ibáñez. Sección de Neonatología. Servicio de Pediatría. Hospital del Mar. Universidad Autónoma de Barcelona. P.° Marítim, 25-29. 08003 Barcelona. España.
Sección de Neonatología. Servicio de Pediatría. Hospital del Mar. Universidad Autónoma de Barcelona. España
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"apellidos" => "Martín Ibáñez" "email" => array:1 [ 0 => "33044imi@comb.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "M.ªA." "apellidos" => "López Vílchez" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Lozano Blasco" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Mur Sierra" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Sección de Neonatología. Servicio de Pediatría. Hospital del Mar. Universidad Autónoma de Barcelona. España" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondencia: Dra. I. Martín Ibáñez. Sección de Neonatología. Servicio de Pediatría. Hospital del Mar. Universidad Autónoma de Barcelona. P.° Marítim, 25-29. 08003 Barcelona. España." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Perinatal outcomes in immigrant women" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2006-02-28" "fechaAceptado" => "2006-02-28" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec186344" "palabras" => array:3 [ 0 => "Embarazo" 1 => "Inmigración" 2 => "Resultados perinatales" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec186343" "palabras" => array:3 [ 0 => "Pregnancy" 1 => "Immigration" 2 => "Perinatal outcomes" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p class="elsevierStyleSimplePara elsevierViewall">Conocer las características de los recién nacidos de las gestantes inmigrantes atendidas en nuestro medio y compararlas con las de los recién nacidos de madre autóctona.</p> <span class="elsevierStyleSectionTitle">Pacientes y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se incluyen los recién nacidos atendidos en la Sección de Neonatología del Hospital del Mar de Barcelona en los años 2003 y 2004 (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>2.735). Los datos eran recogidos de forma prospectiva en una base de datos. Las gestantes inmigrantes se clasificaron en 6 regiones (Europa del Este, resto de Europa, África, Asia, América Latina y otras). Se establecieron 12 diagnósticos que se compararon entre recién nacidos autóctonos e inmigrantes, y se calculó el riesgo relativo de éstos.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Hubo 1.296 recién nacidos autóctonos (47,8%) y 1.416 inmigrantes (52,2 %). Las gestantes inmigrantes presentaban mayor incidencia de estado portador de antígeno de superficie de la hepatitis B (HBsAg) (2,0% frente al 1,0%) y menor de anticuerpos contra el virus de la hepatitis C (AcVHC) (0,8% frente al 2,0%; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01). Sólo hubo una gestante inmigrante positiva al virus de la inmunodeficiencia humana (VIH), frente a 14 españolas (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01), y el consumo de drogas era menor en las inmigrantes (0,4 % frente al 4,0 %; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01). Los recién nacidos inmigrantes tenían menos incidencia de prematuridad (6,0% frente al 7,6%) y de bajo peso (2,3% frente al 4,6%; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01). No hubo diferencias significativas de distrés respiratorio ni de acidosis fetal. La incidencia de riesgo de infección neonatal era mayor en los recién nacidos inmigrantes (49,9% frente al 40,6%; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Los recién nacidos de madre inmigrante presentan en nuestro medio mejores resultados perinatales que los autóctonos, siendo las complicaciones más frecuentes secundarias a un control prenatal inadecuado.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p class="elsevierStyleSimplePara elsevierViewall">To describe the characteristics of immigrant women’s newborns in our environment, and to compare them with those of native women’s newborns.</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">All newborns attended in the Neonatology Section of <span class="elsevierStyleItalic">Hospital del Mar</span> in Barcelona, Spain, in 2003 and 2004 were included (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>2,735). Data were prospectively collected in a database. Pregnant immigrant women were classified in 6 regions (Eastern Europe, the rest of Europe, Africa, Asia, Latin America and other countries). Twelve diagnoses were defined and compared between native newborns and those of immigrant parents, and their relative risks were calculated.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">There were 1,296 native newborns (47.8 %) and 1,416 of immigrant origin (52.2 %). Immigrant women showed a higher rate of HBsAg carrier status (2.0 % <span class="elsevierStyleItalic">versus</span> 1.0 %) and a lower rate of hepatitis C virus infection (0.8 % <span class="elsevierStyleItalic">vs</span> 2.0 %; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.01). There was only one HIV-positive pregnant immigrant woman compared with 14 Spanish women (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.01), and drug use was lower in the immigrant group (0.4 % <span class="elsevierStyleItalic">vs</span> 4.0 %; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.01). Immigrant newborns had a lower rate of prematurity (6.0 % <span class="elsevierStyleItalic">vs</span> 7.6 %) and of low birthweight (2.3 % <span class="elsevierStyleItalic">vs</span> 4.6 %; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.01). There were no significant differences in the rate of respiratory distress or fetal acidosis. The incidence of neonatal infection risk was higher in immigrant newborns (49.9 % <span class="elsevierStyleItalic">vs</span> 40.6 %; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.01).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">In our environment, immigrant mothers’ newborns have better perinatal outcomes than native newborns. The most frequent complications are secondary to an inadequate.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:26 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Increased perinatal mortality among sub-Saharan immigrants in a city-population in Sweden" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "B. 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Información del artículo
ISSN: 16954033Idioma original: Español
DOI:10.1157/13089920
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