medigraphic.com
ISSN 1561-3062 (Electronic)

2013, Number 2

<< Back Next >>

Revista Cubana de Obstetricia y Ginecología 2013; 39 (2)

Characterization of the care hospital process of extremely severe maternal morbidity

Pérez JD, Corona MB, Espinosa DR, Álvarez TM, Salvador ÁS

Language: Spanish
References: 17
Page: 98-106
PDF size: 110.86 Kb.


ABSTRACT

Introduction: the term extremely serious or severe maternal morbidity is considered very useful as this is an indicator highly associated to maternal death and an intermediate stage in virtually all of the deceased cases.
Objective: To characterize the processes of hospital care to extremely severe maternal morbidity in Havana during 2009.
Methods: a descriptive study was conducted in six gynecological and maternal services in Havana from January to December 2009, in order to characterize the hospital processes of care to extremely serious maternal cases. Medical records and forms were completed for this purpose. The arising results were taken in a database in Access. Results are expressed through averages and percentages and are shown in tables and graphs.
Results: classification by color coding and identification of risk obstetrics showed values of 80.6% and 73.1% respectively. Tracking early signs of hypovolemic shock only reached 81% and 77% of these patients underwent a cesarean, out of which 75.5% had a complication during or after this procedure. Hypovolemic shock was the extremely severe maternal morbidity for specific disease.
Conclusions: non-compliance of care processes could adversely affect the care of extremely severe maternal morbidity and even increased mortality.


REFERENCES

  1. Ronsmans C, Gram WJ. Maternal Mortality: who, when, where and why. The Lancet [Internet]. 2006 [consultada 3 Ene 2011];368(9542):1193. Disponible en: http://www.thelancet.com/journals/lancet/article/PIIS0140- 6736%2806%2969380-X/abstract

  2. Ministerio de la Protección Social de Colombia. Capacitación e implementación en la metodología de la vigilancia de la mortalidad materna extrema externa en diez direcciones territoriales de salud. [Internet]. Bogotá: MPSC; 2008. [citado 9 May 2010]. Disponible en: http://www.saludcapital.gov.co/ListasVsp/CapacitacionesTalleres/Taller%20MMEG %20oct-07-2008/MME%20TALLER.ppt

  3. Maine D, Rosenfiel A. The AMDD program: history, focus and structure. Internat J Obstet Gynecol [Internet]. 2002 [citado 9 May 2010];74(2):99-103. Disponible en: http://www.scielo.org.ve/pdf/og/v68n1/art05.pdf

  4. Ministerio de la Protección Social. Capacitación e implementación en la metodología de la vigilancia de la mortalidad materna extrema externa en diez direcciones territoriales de salud. Bogota.gov.co. Bogotá: Secretaria Distrital de Salud; 2008 [citado May 2009]. Disponible en: http://www.unfpacolombia.org/home/unfpacol/public_htmlfile/PDF/PLAN_DE_M_&_ E_2008%5B1%5D.pdf

  5. Organización Panamericana de la Salud. Organización Mundial de la Salud. Estrategia regional para la reducción de la mortalidad y la morbilidad maternas. En: 26 Conferencia sanitaria panamericana 54ta. sesión del comité regional. 2002 Sept 23-27 [Internet]; Washington DC: OPS; 2003. [citado 9 May 2010]. Disponible en: http://www.paho.org/spanish/gov/csp/csp26-inf5-s.pdf

  6. Organización Mundial de la Salud. Fondo de las Naciones Unidas para la Infancia. Fondo de Población de las Naciones Unidas. Banco Mundial. Mortalidad Materna en 2005: Estimaciones elaboradas por la OMS, UNICEF, UNFPA y el Banco Mundial. Ginebra: OMS, UNICEF, UNFPA, BM; 2007. [citado 7 Ene 2011]. Disponible en: http://www.whqlibdoc.who.int/publications/2008/9789243596211_spa.pdf

  7. Affessa B, Green B, Delke I, Hoch H. Systematic Inflamatory Response Syndrome, Organ Failure and Outcome in Critically ill patients treated in an UCI. Chest. 2001 [citado 9 May 2010];120(4):1271-7. Disponible en: http://bvs.sld.cu/revistas/gin/vol35_4_09/gin02409.htm

  8. Amaral E, Souza JP, Surita F, Luz AG, Sousa MH, Cecatti JG, et al. A populationbased surveillance studyon severe acute maternal morbidity (near miss) and adverse perinatal outcomes in Campinas, Brazil: The Vigimoma Project. BMC Pregnancy and Childbirth [Internet] 2011. [citado 5 May 2011];11:2-8. Disponible en: http://www.biomedcentral.com/1471-2393/11/9

  9. Pallasmaa N, Ekblad U, Gissler M. Severe maternal morbidity and the mode of delivery. Acta Obstet Gynecol Scand [Internet]. 2008 [citado 8 Feb 2011];87(6):662-8. Disponible en: http://www.ncbi.nlm.nih.gov/sites/entrez

  10. Lui S, Liston MR, Joseph KS, Heaman M, Sauve R, Kramer MS. Maternal Health study Group of the Canadian Perinatal Surveillance System. Maternal mortality and severe morbidity associated with low-risk planned caesarean delivery versus planned vaginal delivery at term. CMAJ. 2007 [citado 8 Feb 2011] Feb 13;176(4):455-60. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/17296957?ordinalpos=4&itool=EntrezSyste m2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum)

  11. Piloto Morejón M, Suárez Blanco C, Palacios Valdés G. Complicaciones puerperales durante la estadía hospitalaria. Rev Cubana Obstet Ginecol [revista en la Internet]. 2002 Abr [citado 9 Ene 2011];28(1):42-8. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138600X2002000100007& lng=es

  12. Álvarez Toste M, Salvador Álvarez S, González Rodríguez G, Pérez RD. Caracterización de la morbilidad materna extremadamente grave. Rev Cubana Hig Epidemiol [Internet]. 2010 [citado 10 Mar 2011];48(3):310-20. Disponible en: http://bvs.sld.cu/revistas/hie/vol_48_3_10/hig10310.htm

  13. Van Roosmalen J, Zwart J. Severe acute maternal morbidity in high-income countries. Best Pract Res Cl Obstet Gynaecol. 2009;23:297-304.

  14. Sousa M, Cecatti J, Hardy E, Serruya S. Severe maternal morbidity (near miss) as a sentinel event of maternal death. An attempt to use routine data for surveillance. Reprod Health. 2008;28(5):1-8.

  15. Tracy EE, Tomich PG. Maternal mortality: an international crisis. ACOG Clin Rev. 2002;7:13-6.

  16. Cogollo González M, Miranda Quinterol J, Ramón Clason E, Fernández Mercado J, Bello Trujillo A, Rojas Suárez J. Morbilidad Materna Extrema en Cuidados Intensivos Obstétricos. Actas del V Encuentro Institucional de Semilleros de Investigación, 20 y 21 de Mayo 2010. Semilleros de Investigación GRICIO. Colombia: Universidad de Cartagena; 2010.

  17. Carbonell García IC, López Barroso R, Alba Arias Y, Gómez Padró T, Smith Salazar L, Álvarez Toste M, et al. Caracterización clínico-epidemiológica de la morbilidad materna extremadamente grave. Santiago de Cuba 2009. Rev Cubana Hig Epidemiol [Internet]. 2009. [citado 18 Mar 2011];47(3). Disponible en: http://bvs.sld.cu/revistas/hie/vol47_3_09/hie06309.pdf




2020     |     www.medigraphic.com