Frómeta-Asencio M, Mustelier-Barbier BL, Camps-Cruzata D, Mahy-Frómeta Á, Navarro-Acosta Y, López-Gámez E

Language: Spanish
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Page: 3-11
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ABSTRACT

Introduction: in the General Teaching Hospital “Dr. Agostinho Neto” of Guantanamo have not characterized the maternal adolescents admitted to the Intensive Care Unit (ICU). Objective: to characterize maternal morbidity in adolescents admitted to the ICU of the General Teaching Hospital “Dr. Agostinho Neto”of Guantanamo during the year 2019. Method: an observational, prospective and cross-sectional study was carried out, with all adolescent mothers admitted to said unit during 2019. In each one, age, pathological history, state at discharge, were analyzed. way of terminating pregnancy, performing surgical treatment, diseases related or not to pregnancy, complications and whether they were treated with mechanical ventilation. Results: 18.2% of the mothers admitted were adolescents (3.2 of the total income in the unit). 9.7% received artificial ventilation. 64.7% were between 18 and 19 years old and all graduated alive. 23.5% were asthmatic, 70.7% were poor and admitted for obstetric disease, 41.2% underwent surgical treatment, the most common was hysterectomy (41.2%). Severe preclampsia-eclampsia (23.4%) and uterine atony (25.9%) were the most common diseases. Hypovolemic shock due to uterine atony (23.4%) determined the criterion of severe maternal morbidity. 52.9% of the patients presented complications. Conclusions: maternal morbidity in adolescents admitted to this ICU revealed that morbidity due to complications of pregnancy, childbirth and the puerperium was elevated at this stage of life, which is an unresolved health problem in the province of Guantanamo.