Caracteristicas epidemiologicas de la mortalidad neonatal Instituto Nacional Materno Perinatal 2015 – 2016

Objective: To determine the causes of neonatal mortality and its epidemiological characteristics in our institution, 2015and 2016. Materials and methods: Retrospective, descriptive and observational study, we reviewed the clinical records ofpatients who died in the neonatal department of the INMP during 2015 and 2016.Objetivo: Determinar las causas de mortalidad neonatal y sus características epidemiológicas en nuestra Institución, 2015y 2016. Materiales y métodos: Estudio retrospectivo, descriptivo y observacional, se revisaron las historias clínicas depacientes fallecidos en el departamento de neonatología del INMP durante 2015 y 2016

Epidemiologia de las infecciones virales en la unidad de cuidados intensivos neonatales. Instituto Nacional Materno Perinatal 2013 – 2014

Objective. To determine the epidemiology of viral infections in the NICU-INMP. Materials and Methods. Review of medical records of 50 patients with confirmed viral infection, in 2013-2014 in the NICU -INMP and descriptive statistical analysis using SPSS 23.Objetivo. Conocer la epidemiologia de las infecciones virales en UCIN-INMP. Materiales y métodos. Revisión de 50 historias clínicas de pacientes con infección viral confirmada, en los años 2013 y 2014, de UCIN — INMP y análisis estadístico descriptivo, utilizando SPSS 23

Adherencia a la guía de práctica clínica de sepsis neonatal según tipo de sepsis en un Instituto Materno Perinatal de Lima, Perú

Objective: The objective of this research is to describe adherence to the neonatal sepsis clinical practice guideline according to the type of sepsis in a perinatal maternal institute in Lima, Peru. Method: A descriptive study was carried out between the months of June to December 2021 at the Instituto Nacional Maternal Perinatal (INMP). The adherence of care to the CPG for the prevention, diagnosis and treatment of neonatal sepsis based on the INMP evidence was evaluated. Medical care was evaluated by two physicians who reviewed compliance or not with the 16 CPG recommendations. Adequate adherence was considered to be compliance of 80% or more of the recommendations established by the guideline in one care. Global adherence was calculated in percentages, by dimensions, by item and according to maternal and perinatal characteristics of care. Results: A total of 968 medical attentions were evaluated, of which 553 were early neonatal sepsis cases and 435 late. For early sepsis, an adherence of 84.4% was found, while for late sepsis, 66.8% was found. The lowest percentage of adherence was found in recommendations 2.7 and 3.2 of late sepsis care. Conclusions: An adequate adherence was found in early neonatal sepsis care, while, in relation to late neonatal sepsis, an adequate level of adherence was not reached.Objetivo: El objetivo de la presente investigación es describir adherencia a la guía de práctica clínica de sepsis neonatal según tipo de sepsis en un instituto materno perinatal de Lima, Perú. Método: Se elaboró un estudio descriptivo entre los meses de junio a diciembre del 2021 en el Instituto Nacional Materno Perinatal (INMP). Se evaluó la adherencia de las atenciones a la GPC de prevención, diagnóstico y tratamiento de sepsis neonatal basada en la evidencia del INMP. Las atenciones médicas fueron evaluadas por dos médicos quienes revisaron el cumplimiento o no de las 16 recomendaciones de la GPC enmarcadas en 6 dimensiones. Se consideró adherencia adecuada a un cumplimiento de 80% a más de las recomendaciones establecidos por la guía en una atención. Se calculó en porcentajes la adherencia global, por dimensiones, por ítem y según características maternas y perinatales de las atenciones. Resultados: Se evaluaron un total de 968 atenciones médicas de las cuales 553 fueron de casos de sepsis neonatal temprana y 435 de tardía. Para sepsis temprana se encontró una adherencia del 84.4% mientras que para sepsis tardía se encontró un 66.8%. El menor porcentaje de adherencia se encontró en las recomendaciones 2.7 y 3.2 de las atenciones de sepsis tardía. Conclusiones: Se encontró una adherencia adecuada en las atenciones de sepsis neonatal temprana, mientras que, en relación con la sepsis neonatal tardía, no se alcanzó un nivel de adherencia adecuado

Hipotermia terapéutica en el tratamiento de encefalopatía hipóxico isquémica en el Instituto Nacional Materno Perinatal

We present the first case of application of therapeutic hypothermia in a newborn with a diagnosis of moderate ischemic hypoxic encephalopathy with the inclusion criterias. Risk factors, diagnostic criteria, evolution and monitoring during hypothermia and the followed-up post-discharge, are reported in our institution.Presentamos el primer caso de aplicación de hipotermia terapéutica en una recién nacida con diagnóstico de encefalopatía hipóxico isqúemica moderada que cumplía los criterios de inclusión. Se reportan los factores de riesgo, criterios diagnósticos, evolución y monitoreo durante la hipotermia, asi como el seguimiento post alta, en nuestra institución

Maternal-perinatal outcomes in pregnant women with covid-19 in a level III hospital in Peru [Resultados materno-perinatales en gestantes con COVID-19 en un hospital nivel III del Perú]

The present study aimed to describe the perinatal outcomes of newborns of mothers with 2019 coronavirus infection identified before delivery in a level III hospital in Peru. Sociodemographic variables, obstetric complications, and neonatal morbidities were evaluated in the births that occurred between April 1 and June 30, 2020, at the National Maternal Perinatal Institute of Peru. 43 newborns were registered: 93% came from asymptomatic mothers, the most frequent obstetric complications were premature rupture of membranes (18.6%) and pre-eclampsia (11.6%), 65.1% of the births were vaginally, only one of the newborns had a positive result to RT-PCR for COVID-19, the comorbidities of the newborns were prematurity (11.3%) and low birth weight (9.3%); four were admitted to intermediate care and two to intensive care. It is concluded that 2.4% of newborns born to mothers with COVID-19 presented positive molecular test of RT-PCR, 14% of newborns presented morbidity as prematurity, low birth weight, sepsis and pneumonia that required ventilation. Neonatal morbidity was found in newborns whose RT-PCR test was negative for COVID-19