Corona MB, Pérez JD, Espinosa DR, Álvarez TM, Álvarez SS, Fernández GL

Language: Spanish
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ABSTRACT

Identification of extremely severe maternal morbidity provides an opportunity for research into maternal death. Fulfillment of care processes and determination of potential associated risks are indispensable to prevent extremely severe maternal morbidity.
Objective: describe the prenatal care processes applied to pregnant women with extremely severe maternal morbidity in 2009.
Method: a descriptive study was conducted with a universe of 63 pregnant women diagnosed with extremely severe maternal morbidity at gynecobstetric services of general and maternal hospitals in Havana. A dedicated tool was used to collect data from prenatal and hospital registries and medical records of the pregnant women. The data were stored in an Access database.
Results: the main risks identified were hypertension, anemia, vaginal infection and preeclampsia. Re-evaluation by a gynecobstetrician was conducted in 33% of the cases. The average 10 prenatal consultations were performed with 69.8% of the pregnant women. Hypovolemic shock ranked first among complications, followed by septic shock and eclampsia.
Conclusions: risk identification during prenatal care may play a role in the evolution of extremely severe maternal morbidity in Havana.