Amniocentesis en gestantes con fetos con restricción del crecimiento intrauterino precoz:
estudio descriptivo
DOI:
https://doi.org/10.66737/ier.zub.185Keywords:
Fetal growth retardation, amniocentesis, pregnancy outcome, child development psychomotor performance, child development, psychomotor performanceAbstract
OBJECTIVE- Intrauterine growth restriction is one of the main challenges
of perinatal management. After the diagnosis of early intrauterine
growth restriction, a protocol is established to identify causes; including per-forming an amniocentesis. The objective of this study is describe the clinical-epidemiological characteristics and the information obtained through amniocentesis in the study of fetuses with early intrauterine growth restriction. Analyze the perinatal result, weight-growth stature and psychomotor development during the lactating period. MATERIALS AND METHODS- This study is observational, descriptive and retrospective study. 580 amniocentesis performed between January 2015 and December 2019 were collected at the San Pedro Hospital (Logroño). A sample of 21 patients who had undergone this test was selected within the study protocol. RESULTS- 21 pregnancies (3.62% of total amniocentesis) were studied, with 18 live newborns. Genetic
alterations were observed in 9.52% of the amniotic fluid samples. There was no case of intramniotic infection. 33.33% of the neonates presented morbidity. A weight and/or length <P3 was recorded at 62.50%. Slowed psychomotor development was described in 18.75% of infants. CONCLUSIONS- Age over 35 years and smoking habits were related to intrauterine growth restriction, but not low body mass index or preeclampsia, whose frequency was lower than expected. Perinatal mortality was higher than the mortality rate in the general population.
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