Citas bibligráficas
Chirinos, R., Padilla, A. (2021). Asociación entre nacimiento por cesárea y otros factores prenatales, perinatales y de la infancia temprana, con el desarrollo de convulsiones/epilepsia durante 15 años de seguimiento en personas nacidas en Perú, Etiopía, India y Vietnam entre 2001-2002: Sub-análisis de la cohorte “Niños del Milenio – Young Lives” [Tesis, Universidad Peruana de Ciencias Aplicadas (UPC)]. http://hdl.handle.net/10757/659148
Chirinos, R., Padilla, A. Asociación entre nacimiento por cesárea y otros factores prenatales, perinatales y de la infancia temprana, con el desarrollo de convulsiones/epilepsia durante 15 años de seguimiento en personas nacidas en Perú, Etiopía, India y Vietnam entre 2001-2002: Sub-análisis de la cohorte “Niños del Milenio – Young Lives” [Tesis]. PE: Universidad Peruana de Ciencias Aplicadas (UPC); 2021. http://hdl.handle.net/10757/659148
@misc{renati/398704,
title = "Asociación entre nacimiento por cesárea y otros factores prenatales, perinatales y de la infancia temprana, con el desarrollo de convulsiones/epilepsia durante 15 años de seguimiento en personas nacidas en Perú, Etiopía, India y Vietnam entre 2001-2002: Sub-análisis de la cohorte “Niños del Milenio – Young Lives”",
author = "Padilla Philipps, Alejandra",
publisher = "Universidad Peruana de Ciencias Aplicadas (UPC)",
year = "2021"
}
Background: Seizures are a global health problem that affects 50 million people worldwide, 80% of which are in low/medium income countries. These patients have a higher risk of death. Many mothers opt for a Caesarean section (C-Section) with no medical necessity exposing the fetus to unnecessary risks. Objective: To assess association of birth by C-Section and other antenatal, perinatal and early childhood factors with development of seizures/Epilepsy during 15 years of follow-up. Methods: Cohort study, sub-analysis of “Young-Lives,” including children born between 2001-2002 in Ethiopia, India, Peru and Vietnam. Outcomes include occurrence of seizures/Epilepsy in the first 6-18 months after birth, and until 15 years. Crude and Adjusted Relative Risk (aRR) were calculated using multilevel Poisson regression. Results: There were 7497 participants, 1806 in Ethiopia, 1891 in India, 1860 in Peru, and 1940 in Vietnam. Until 6-18 months, 2.72% developed seizures in Ethiopia, 2.05% in India, 0.58% in Peru, and 0.25% in Vietnam. Until 15 years, 3.36% in Ethiopia, 4.30% in India, 1.71% in Peru and 0.75% in Vietnam. Birth by C-Section had higher risk of developing seizures/Epilepsy than children born by in-hospital vaginal birth, until 6-18 months (aRR 2.37; IC95% 1.20-4.67), and until 15 years (aRR 1.95; IC95% 1.05-3.65). Other identified factors were born male, teenager mother, and falls with vomits/loss of consciousness. Conclusions: Children born by C-Section had higher risk of developing seizures in the first 6-18 months of life and until 15 years. Developing seizures until 6-18 months was also associated with born male, and having fell with vomit/loss of consciousness. Additionally, developing seizures until 15 years was associated with having a teenage mother and having fell with, and without vomit/loss of consciousness.
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