Browsing by Author "Diaz Granda, Ruth Cumanda"

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Anemia gestacional del tercer trimestre: frecuencia y gravedad según la edad materna
(2020) Diaz Granda, Ruth Cumanda
Background: Anemia is very frequent condition in pregnant women and it has repercussions for both mother and child. Objective: Determine the frequency and severity of third trimester gestational anemia (hemoglobinemia < 11 g/dL) according to maternal age, in women whose child was born at the Hospital Vicente Corral, between September 2016 and February 2017. Material and methods: Transversal study. Sample: 428 pregnant women. Inclusion criteria: pregnancy of ≥ 27 weeks, hemoglobin report and live neonate. Exclusion criteria: twin newborns, neonate with major congenital malformations, mother with chronic diseases. Statistical analysis: in the quantitative variables, median, minimum and maximum values were calculated; in qualitative variables, absolute and relative frequencies were obtained; to demonstrate association Chi square was used and for statistical significance p-valor < 0.05. Results: Median for maternal age: 23 years 4 months. Hemoglobin: in anemic women 9.9 g/dl, in non-anemic 12.2 g/dl (p = 0.000). Anemia frequency: overall 31.8%, in <20 years 41.5%, in women 20-34 years 26.5% and in >35 years 35.6%. Severity of anemia: mild 18.7%, moderate 12.6, severe 0.5%. Maternal age influenced the frequency of anemia (Pearson’s Chi square = 8.911, p-value = 0.012), but not in its severity (Pearson’s Chi square = 1.078, p-value =0.898). Microcytosis frequency was 36.9% in anemic women. The mean corpuscular volume was associated with the severity of the anemia (p-value = 0.019). Conclusions: The frequency of anemia in the third trimester of pregnancy was high, the mild anemia was predominant. It mainly affected women < 20 and > 35 years old.
Estudio transversal: anemia materna del tercer trimestre y su relación con prematuridad y antropometría neonatal en el Hospital Vicente Corral Moscoso, Cuenca – Ecuador, 2016 – 2017
(2019) Diaz Granda, Ruth Cumanda; Diaz Granda, Lourdes Elizabeth
Background: Anemia in the third trimester of pregnancy (hemoglobin <11 g/dL) is a frequent pathology with important repercussions in the mother and fetus. The aim of this study was to determine the prevalence of maternal anemia in the third trimester of pregnancy and its association with prematurity and neonatal anthropometry. Methods: An observational cross-sectional research was performed; 428 patients were included, who attended to Vicente Corral Moscoso Hospital for delivery or C-section, during September 2016 – February 2017. Patients with a gestational age lower than 27 weeks, twin pregnancies, neonates with major congenital malformation and mothers with chronic diseases were excluded. For the analysis of information, descriptive statistics were used and an association was established for a statistical significance of p= <0.05. Results: An observational cross-sectional research was performed; 428 patients were included, who attended to Vicente Corral Moscoso Hospital for delivery or C-section, during September 2016 – February 2017. Patients with a gestational age lower than 27 weeks, twin pregnancies, neonates with major congenital malformation and mothers with chronic diseases were excluded. For the analysis of information, descriptive statistics were used and an association was established for a statistical significance of p= <0.05. Conclusion: The prevalence of anemia in the third trimester of pregnancy was high, constituting a moderate problem for public health according to the classification of the World Health Organization; this pathology was associated with prematurity; however, no association was found with the different variables related to fetal anthropometry.
Evaluación antropométrica de los preescolares de la zona urbana en Cuenca, Ecuador
(2015) Diaz Granda, Ruth Cumanda; Huiracocha Tutivén, María de Lourdes
Se realizó un estudio transversal que incluyó 577 preescolares que acudieron a control del niño sano. Se excluyó a niños con patología. Se estudió peso, talla e IMC, según subgrupos de edad y sexo. Se obtuvieron frecuencias absolutas y relativas para las variables cualitativas; promedio y DE para las variables cuantitativas. Se determinó la comparabilidad de grupos según sexo (χ2 , p>0.05) y edad (U de Mann-Whitney, p>0.05). Se correlacionó y graficó: peso/edad, talla/edad e IMC/edad. La antropometría promedio para el grupo fue: peso 12.006 kg ± 2.636; talla 86.3 cm ± 10.0; IMC 16.1 kg m-2 ± 1.7; los varones presentaron medias mayores. El estado nutricional del grupo fue normal según la relación: peso/edad en 90.8%, talla/edad 75.6%, IMC/edad 77.5%. Presentaron baja talla/edad 24.3% y sobrepeso/obesidad 4.7%. Los varones tuvieron mayor frecuencia de bajo peso severo, bajo peso, baja talla severa, talla baja, riesgo de sobrepeso y sobrepeso. En los dos sexos, la correlación peso/edad, talla/edad y peso/talla fue >0.8; la correlación IMC/edad fue <-0.3. Se concluye que estuvieron presentes todos los tipos de malnutrición. El déficit de talla/edad fue el problema nutricional más importante. La correlación peso/edad, talla/edad y peso/talla fue positiva y alta. El mejoramiento de las condiciones de vida de los países latinoamericanos no evidenció mejora en las condiciones nutricionales de los niños estudiados
Factores asociados a bajo peso al nacer en neonatos en el Hospital “Vicente Corral”-2013
(2016) Diaz Granda, Ruth Cumanda
BACKGROUND: The incidence of low birth weight (LBW) is 7-31% and increases neonatal morbidity and mortality. It has been associated with fetal and maternal factors. The objective of this study was to determine the incidence and risk factors of LBW in infants born of mothers under 21 years at “Vicente Corral” hospital of Cuenca, Ecuador during 2013. METHOD: This is a case-control study. Case: Newborn (NB) with <2500g. Control: NB with ≥2500g. Population: NB at “Vicente Corral” hospital, <48 hours of life, with mothers <21 years. Sample: 141 cases and 705 controls matched by sex and postnatal age. Statistical analysis: absolute and relative frequencies were obtained. The comparability of groups was tested by sex (test of χ2=0.000; P=1.000) and postnatal age (U test of Mann-Whitney; P>0.05). Associated factors to LBW were determined by binary analysis (OR>1; P<0.05) and binary logistic regression. RESULTS: Incidence of LBW was 15.5%. From binary analysis, associated factors to LBW with P<0.001 were: twinning (OR=35.6), SGA (OR=34.1), prematurity (OR=25.5), maternal weight <58 kg at end of pregnancy (OR=2.8), increased gestational weight <8kg (OR=2.4), <5 prenatal controls (OR=2.4), threaten of preterm delivery (OR=4.9), RM ≥12 hours (OR=3.7), arterial hypertension in pregnancy (OR=2.7), eclampsia/preeclampsia (OR=3.5). True associated factors were: SGA (Exp B=49.6; P<0.001), prematurity (Exp B=36.3; P<0.001), HBP in pregnancy (Exp B=3.3; P=0.013), threatenofpretermlabor(ExpB=2.9; P=0.022), BMI<18.5kg/m2atthebeginningofgestation(Exp B=2.9; P=0.049) and weight <58kg at the end of gestation (Exp B=2.4; P=0.016). CONCLUSIONS: Incidence of LBW was high. Real associated factors to LBW were: PEG, prematurity, hypertension in pregnancy, threaten of preterm labor, BMI <18.5kg/m2 at the beginning of pregnancy and weight <58 kg at the end of gestation.
Factores fetales asociados a prematuridad
(2020) Diaz Granda, Ruth Cumanda; Díaz Granda, Lourdes Elizabeth
Objective: to identify fetal factors associated with prematurity in the Vicente Corral Hospital of Cuenca-Ecuador in the 2016-2017 period. Materials and methods: a case-control study was designed, with double contrasts, using two controls of equal postnatal age and sex per each case. From a homogeneous population of infants less than one week of age born at the Vicente Corral Hospital in Cuenca-Ecuador in the period 2016-2017, a sample of 160 cases and 320 controls was obtained. A descriptive and inferential statistical analysis was performed, to establish the statistical association, OR, 95% CI and statistical significance with p-value <0,05 were used. Results: in the case group, they were 75,0% late premature and in the control group, they were 62,5% born full term. The prematurity was associated with: twinning OR=7,36; 95% CI=2,61-20,74; p=0,000. History of premature bother OR=2,96; 95% CI=1,61-5,44; p=0,000. Birth weight lower than the 10th percentile OR=1,66; 95% CI=1,01-2,75; p=0,048. The factors that were not associated with prematurity were: sex χ²=0,100; p-value=0,752. Major congenital malformations OR=2,02; 95% CI=0,40-10,12; p=0,405. Conclusions: In the present study, late preterm predominated in the case group and full term born in the control group. Fetal factors truly associated with prematurity were: twinness, the history of preterm born sibling and birth weight less than the 10th percentile; neonate sex and major congenital malformations were not associated with prematurity.
Factores maternos biológicos asociados a retardo del crecimiento intrauterino (RCIU) en hijos de adolescentes nacidos en el Hospital Vicente Corral. Cuenca-Ecuador. 2013
(REDU, UTPL, 2015) Diaz Granda, Ruth Cumanda; Diaz Granda, Lourdes Elizabeth
Introduction: The factors involve in the intrauterine life have repercussions in the embryonic and fetal life, around the birth, and in the future life of the individual. Objective: To determine the fetal factors associated with IUGR in teenager´s children who born in the Vicente Corral Hospital in Cuenca-Ecuador during 2013. Material and methods: Case-control design; universe: newborn (NB) teens´ children born at Vicente Corral Hospital, Cuenca-Ecuador, 2013; sample: not random, cases: 116 NB with IUGR teenagers´ children, controls: 348 NB teenager´s children without IUGR. Results: The IUGR was presented more frequently in female RN (53.4%), the predominant IUGR type was asymmetrical (57.8%). The neonatal anthropometric measurements weight (p = 0.001), height (p = 0.001) and cephalic perimeter (p = 0.001) presented statistical association to the IUGR. According to the binary analysis, the fetal factors associated with IUGR were: prematurity (OR = 2.70, 95% CI = 1.17-6.20, p = 0.016) and twinness (OR = 18.93, CI = 95% 2.25-158.93, p = 0.001); fetal factors not associated with IUGR were: sex, TORCH infections, major congenital malformations (p> 0.05). According to binary logistic regression, twinness was the only one associated with IUGR (Exp B = 16.36, 95% CI = 1.92-139.64, p = 0.011). Conclusions: The IUGR was presented more frequently in the female sex, predominantly the asymmetric type. Neonatal weight, size and cephalic perimeter were associated to IUGR. The fetal factors associated to IUGR according to binary analysis were: prematurity and twinness, and binary logistic regression: twinness.
Funcionamiento de las familias de madres menores de 21 años. Hospital Vicente Corral, Cuenca-Ecuador, 2013
(2014) Diaz Granda, Ruth Cumanda
The family and its functioning are of great importance in the life of all human beings; his study is particularly important for young mothers due to own them because they incorporate features and a new being in the family in a changing world. The research raised the problem through the question: What is the functioning of families of mothers under 21 who gave birth at the Hospital Vicente Corral Cuenca-Ecuador, in 2013? The target was characterize the functioning of families of mothers under 21 who gave birth in the hospital. Methods: descriptive study; population: women under age 21 in their first postpartum week and interned in the service of obstetrics and gynecology Hospital Vicente Corral Cuenca-Ecuador. Through interview on family functioning test (FF-sil) applies. Results: 878 women entered the study of 12-20 years, mean age 18.5 years, SD ± 1.7; their families had cohesion, communication, affection and taking very good roles; family harmony pretty good; adaptability and less favorable permeability. All variables and situations assessed by the FF-sil test were associated with family functioning (p 0.000). Conclusion: functional families prevailed.
Las relaciones de convivencia de los niños, niñas y adolescentes sordos o hipoacústicos: estudio cualitativo exploratorio
(2015) Huiracocha Tutivén, María de Lourdes; Blume, Stuart; Orellana Paucar, Adriana Monserrath; Brito Roby, Liliana Alexandra; Abril Ulloa, Sandra Victoria; Chilet Rosell, Elisa; Diaz Granda, Ruth Cumanda; Sempértegui León, Silvia Rocío; Palacios Santana, Gicela Monserrate; Monsalve Neira, Maria Daniela; Barahona Huiracocha, Jorge Alfonso; Artega H., Sebastián; Almeida Pozo, Juan Carlos; Huiracocha Tutivén, Mirian Sofía