Prevalencia de Síndrome de Dificultad Respiratoria del Recién Nacido en hijos de pacientes preeclámpticas mayores de 25 años en el Hospital de Especialidades Teodoro Maldonado Carbo durante el período 2022.

Abstract

Introduction: NRDS represents a severe pathology, especially in premature infants. According to the WHO, cases of NRDS constitute 47% of mortality in children under 5 years of age. Preeclampsia arises in most cases after week 20 with symptoms of Arterial Hypertension and Proteinuria, or Hypertension associated or not with Proteinuria with direct involvement of an organ. Objective: Determine the prevalence of NRDS in children of preeclamptic patients over 25 years of age at the Teodoro Maldonado Carbo Specialty Hospital during the year 2022. Methodology: Prevalence, observational, retrospective, cross-sectional and descriptive study. Medical Records were reviewed based on inclusion and exclusion criteria of those born at the Teodoro Maldonado Carbo Hospital and women treated by the Gynecology/Obstetrics service during the year 2022. Results: 194 Neonates with NRDS and whose mother had Preeclampsia were included, evidencing prevalence of 14%. The average gestational age was 34 weeks (preterm). The most used ventilatory assistance was Endotracheal Intubation. The maternal factors that aggravate the neonate were Gestational Diabetes, UIV, HBP and Hellp Syndrome. 85 neonates presented to Silverman Moderate; and the highest prevalence Apgar at the first minute was 7. Conclusion: The prevalence of NRDS in Preeclamptics was 14%, gestational age on average 34 weeks, sex is not an influencing variable. Tracheal SIMV mode was the most common; Maternal comorbidities are adjuvant agents of the development of NRDS.