2021, Number 2
Maternal morbidity in patients of the Policlínico Universitario ''Omar Ranedo Pubillones'', Guantánamo
Language: Spanish
References: 20
Page: 1-13
PDF size: 355.65 Kb.
ABSTRACT
Introduction: it remains unknown how maternal patients assigned to the Policlínico Universitario "Omar Ranedo Pubillones" influence the figures of maternal morbidity in Guantánamo province. Objective: to specify the influence of maternal patients assigned to this institution on maternal morbidity in the Guantánamo province during the 2017-2019 triennium. Method: a descriptive, cross-sectional and retrospective study was carried out during October and November 2020 on every maternal patient admitted to the Hospital General Docente “Dr. Agostinho Neto” who belonged to the clinic (n=71). The biological and gestational age, obstetric situation, relationship of morbidity with pregnancy, childbirth or puerperium, type of delivery, surgical treatment and criteria of extreme maternal morbidity were specified. Results: 71 patients of the clinic were admitted (9.7%). 66.2% were between 19 and 34 years old; 70.4% were puerperal women; 47.6% were pregnant in the third trimester of pregnancy. 56.0% were cesarean deliveries; 52.1% were admitted for non-obstetric diseases. The main cause of hospitalization was postpartum hemorrhage (28.2%). 57.7% of the diseases were classified in the extreme maternal morbidity criterion as difficult to avoid in primary health care. Conclusions: the influence of patients assigned to the clinic was low on the maternal morbidity profile of the Guantánamo province during the period 2017-2019, and the determining causes of this morbidity were grouped mainly as difficult to avoid in the primary level of health care.REFERENCES
Valencia DME, Toro OJ, Herrera OO. Prevalencia de morbilidad materna extrema en un hospital de segundo nivel de San Luis Potosí, México. Rev Cubana Salud Púb [Internet]. 2018 Ene citado 11 Feb 2021]; 86(5):aproximadamente 5 p. Disponible: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0300-9041201800304
Sanabria AAM, Barbosa JF, Sánchez RNM, Pino RG. Caracterización de la morbilidad materna extremadamente grave en el Hospital Ramón González Coro 2014-2017. Rev Cubana Gin Obst [Internet]. 2019 [citado 11 Feb 2021]; 45(3):e483. Disponible en: http://revginecobstetricia.sld.cu/index.php/gin/article/view/483/443
Nava ML, Urdaneta M JR, González I ME, Labarca L, Silva BÁ, Contreras B A, et al. Caracterización de la paciente obstétrica críticamente enferma, experiencia de la maternidad "Dr. Armando Castillo Plaza", Maracaibo, Venezuela: 2011-2014. Rev Chil Obst Gin [Internet]. 2016 Ago citado 11 Feb 2021; 81(4):288-296. DOI: http://dx.doi.org/10.4067/S0717-75262016000400004
Pérez CAA, Carrillo ER, Briones GJC, Díaz de León PMA, Moreno SA. Los procesos hospitalarios son adecuados o son incidentes adversos por omisión y provocan la no disminución de la mortalidad materna. Rev Mex Anestesiol [Internet]. 2016 Dic citado 11 Feb 2021; 39(4):308-310. Disponible en: https://www.medigraphic.com/rma
Alkema L. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. Lancet [Internet]. 2016 [citado 11 Feb 2021]; 387(10017):462-74. Disponible en: http://www.thelancet.com/journals/lancet/article/PIIS0123-2
Suárez GJA, Gutiérrez MM, Quincose RM, Gómez PY, Gómez MB. Adherencia a las buenas prácticas clínicas del manejo de la morbilidad materna extrema grave. Rev Cubana Gin Obst [Internet]. 2019 [citado 9 Abr 2020]; 45(3):e481. Disponible en: http://www.revginecobstetricia.sld.cu/index.php/gin/article/view/481/422
Muñiz RM, Toledo OD, Vanegas EO, Álvarez PV. Morbilidad materna extremadamente grave en el Hospital Ginecobstétrico de Guanabacoa. Rev Cubana Gin Obst [Internet]. 2016 Jun [citado 11 Feb 2021]; 42(3):[aproximadamente 10 p.]. Disponible en: http://revginecobstetricia.sld.cu/index.php/gin/article/view/75