medigraphic.com
SPANISH

Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2010, Number 12

<< Back Next >>

Ginecol Obstet Mex 2010; 78 (12)

Extreme maternal morbidity in the Hospital General Dr. Aurelio Valdivieso, Oaxaca Health Services

Calvo-Aguilar O, Morales-García VE, Fabián-Fabián J
Full text How to cite this article

Language: Spanish
References: 9
Page: 660-668
PDF size: 484.78 Kb.


Key words:

obstetric morbidity extreme, complicated pregnancy, complications of pregnancy.

ABSTRACT

Background: Obstetric Morbidity Extreme (OME) is a promising addition to the investigation of maternal deaths and is used for the evaluation and improvement of maternal health services is defined as a severe obstetric complication that threatens the life of the pregnantwoman and requires urgent medical intervention to prevent death of the mother.
Objective: To identify association between diseases and obstetric morbidity Extreme.
Material and method: Transversal review analytical records. We searched for codes related to conditions that could cause extreme obstetricmorbidity and the indirect causes that might cause it.
Results: The prevalence of OME 21 per 1000 newborns, diseases with greater association were eclampsia, liver failure and preeclampsia yielded the highest OR and statistical significance, the association of OME derived from surgery despite having a high prevalence in the analysis showed no association, in the same way if other variables showed association but had no significance and confidence intervals are below the unit that is the case of renal failure, metabolic failure and blood transfusion.
Conclusions: The OME is caused by group entities specific disease (FLASOG) in most cases such as preeclampsia, eclampsia and obstetric hemorrhage.


REFERENCES

  1. La Estrategia Nacional para Disminuir la Mortalidad Materna es un avance significativo para garantizar una maternidad segura. México: UNICEF, 28 de mayo de 2009.

  2. XVI Conferencia Sanitaria Panamericana y LIV Sesión del Comité Regional. Estrategia regional para la reducción de la mortalidad y morbilidad maternas. Organización Panamericana de la Salud. Organización Mundial de la Salud, 2003.

  3. Pattinson RC, Hall M. Near misses: a useful adjunct to maternal death enquiries. British Medical Bulletin 2003;67:231-247.

  4. Oliveira Neto AF, et al. Factors associated with maternal death in women admitted to an intensive care unit with severe maternal morbidity. Int J Gyn Obst 2009;105:252-256.

  5. Prual A, et al. Severe maternal morbidity from direct obstetric causes in West Africa: incidence and case fatality rates. Bull of the WHO 2000;78:593-602.

  6. Burchett HE, Mayhew SH. Maternal mortality in low-income countries: What interventions have been evaluated and how should the evidence base be developed further? Int J Gyn Obst 2009;105:78-81.

  7. Lale S, et al. WHO systematic review of maternal morbidity and mortality: the Prevalence of severe acute maternal morbidity (near miss). Reproductive Health 2004;1:3.

  8. Cecatti C, et al. Research on severe maternal morbidities and near-misses in Brazil: what we have. Learned Reproductive Health Matters 2007;15(30):125-133.

  9. Scarlett M, et al. Maternal mortality in patients admitted to an intensive care unit in Jamaica. Int J Gyn Obst 2009;105:169-179.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Ginecol Obstet Mex. 2010;78