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Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
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2015, Number 02

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Ginecol Obstet Mex 2015; 83 (02)

Maternal morbidity and mortality and risk factors related to an obstetric emergency

Soni-Trinidad C, Gutiérrez-Mateos A, Santa Rosa-Moreno FJ, Reyes-Aguilar A
Full text How to cite this article

Language: Spanish
References: 16
Page: 96-103
PDF size: 353.57 Kb.


Key words:

Maternal morbidity and mortality, risk factors, obstetri emergency.

ABSTRACT

Background: When studyng the risk factors associated to maternal morbidity and mortality due to an obstetric emergency, their causes can be identified
Objective: To identify factors predisposing maternal morbidity and mortality in the Regional Hospital of Poza Rica in 2012.
Material and methods: A retrospective cross-sectional descriptive survey, was done based on a convenience obtained survey in patients. Percentages and contingency tables were used for each variable; calculating the prevailing global prevalence and that of exposed and unexposed to the risk factor studied. Odds ratio was used to evaluate the above, we use the test of Mantel and Heanzel Ji; the result was compared to 1.96 with a confidence interval of 95%.
Results: There were included 364 patients in wich the main causes of mortality were bleeding in the first quarter 45% (n=164) hypertensive disorders 40% of cases (n=146). Risk factors with a significant association (p ‹ 0.05) were for preeclampsia: to be primiparous whit a PR of 1.56 , FEp 19.6% and 35% FEe; maternal age ‹ 20 and › 35 years old RP 1.11; Fee Fee 4.3% and 48%; and for abortion parity ≥4 with RP 1.42, FEP 7.2% fee 29%.


REFERENCES

  1. Hogan MC, Foreman KJ, Naghavi M, Ahn SY, Wang M, Makela SM, Lopez AD, Lozano R, Murray CJ. Maternal mortality for 181 countries, 1980-2008: systematic analysis of progress towards. Millenium Development Goal 5. Lancet 2010;375(976):1609-23.

  2. Velasco-Murillo V. La mortalidad materna: un problema vigente hasta nuestros días. Rev Med IMSS 2002;40(3):185- 186.

  3. Rojas A, Cogollo M, Miranda J, Ramos E, Fernández J, Bello A. Morbilidad materna extrema en cuidados intensivos obstetricos Cartagena (Colombia) 2006-2008. Rev Colomb Obstet Ginecol 2011;62:131-140.

  4. Ramos-de Amorin M, Katz L, Valenca M, Ericsson-Araújo D. Morbidade materna grave em UTI obstétrica no Recife, região nordeste do Brasil. 2008.

  5. Al-Suleiman SA, Qutub HO, Rahman J, Rahman MS. Obstetric admissions to the intensive care unit: a 12-year review. Arch Gynecol Obstet 2006;274:48.

  6. Osinaike BB, Amanor-Boadu SD, Sanusi AA. Obstetric intensive care: a developing country experience, Anesthesiol. 2006;10(2).

  7. Loverro G, Pansini V, Greco P, Vimercati A, Parisi AM, Selvaggi L. Indications and outcome for intensive care unit admission during puerperium. Arch Gynecol Obstet 2001;265:195-8.

  8. Van Rossmalen J, Zwart J. Severe acute maternal morbidity in high- income countrie. Best Pract Res Clin Obstet Gynaecol 2009;23:297-304.

  9. Rodríguez G, Delgado J, Pérez L. Experiencia de 12 años de trabajo en la atención de adolescentes obstétricas críticamente enfermas en la unidad de cuidados intensivos. Rev Cubana Obstet Ginecol 1999;25:141-5.

  10. Dias de Souza JP, Duarte G, BasileFilho A. Near-miss maternal mortality in developing countries. Eur J Obstet Gynecol Reprod Biol 2002;104:80

  11. Conde-Agudelo A, Belizán JM, Lammers C. Maternal-perinatal morbidity and mortality associated with adolescent pregnancy in Latin America: Cross-sectional study. Am J Obstet Gynecol 2005;192:342-9.

  12. World Health Organization. Maternal mortality in 2008: estimates developed by WHO, UNICEF, UNFPA, and the World Bank. Geneva: World Health Organization; 2009.

  13. Afessa B, Green B, Delke I, Koch K. Systemic inflammatory response syndrome, organ failure, and outcome in critically ill obstetric patients treated in an ICU. Chest 2001;120:1271-7.

  14. Vasquez DN, Estenssoro E, Canales HS, Reina R, Saenz MG, Das Neves AV, et al. Clinical characteristics and outcomes of obstetric patients requiring ICU admission. Chest 2007;131:718-24.

  15. Karnad DR, Guntupalli KK. Critical illness and pregnancy: review of a global problem. Crit Care Clin 2004;20:555-76.

  16. Briones GJ, Reyes FA. Preeclampsia. México: Editorial Alfil, 2008.




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Ginecol Obstet Mex. 2015;83