medigraphic.com
ISSN 2520-9078 (Electronic)

2021, Number 4

<< Back Next >>

Revista de Ciencias Médicas de la Habana 2021; 28 (4)

Characterization of maternal morbidity in Intensive Care

Avila MI, Hernández OM, Núrquez MAL, Fernández CI

Language: Spanish
References: 16
Page: 474-484
PDF size: 1171.44 Kb.


ABSTRACT

Introduction: Maternal morbidity is more frequent each day and its study facilitates the opportunity to identify the present risks during pregnancy, delivery and puerperium.
Objective: To characterize maternal morbidity in Intensive Care.
Methods: An observational, cross sectional and retrospective study was carried out. The universe included 389 maternals. A questionnaire was applied. Its source was the patiets´ clinical records. To identify the relation among the qualitative variables, Pearson X–square statistical test was used (level of meaning p<0.05).
Results: The 32.6 % had extreme maternal morbidity criteria. During eight years an increasing tendency was observed in the number of admissions because of critical and extreme morbidities. The average gestational age was 32.6±8.7 weeks. The obstetric situation on admission which prevailed was the puerperium 65 %, from them 112, 44.3 % with extreme morbidity criterion (p<0.001). The main admission obstetric causes were hypertension in pregnancy, obstetric hemorrhage and puerperal sepsis. The main criteria for the diagnosis of extreme maternal morbidity were hysterectomy for hemorrhage and infection 22.6 %, circulatory shock and the necessity of transfusion with more than five units of globules.
Conclusions: There is an increasing in the number of admissions because of critical maternal morbidity, during the years under study due to hypertension in pregnancy, and the extreme for post hysterectomy obstetric hemorrhage.


REFERENCES

  1. Cárdenas Peña R, Domínguez Tabasco A, Torres Roja KL, Abull Ortega AO, Pérez Pantoja JA. Factores de riesgo de la morbilidad materna crítica en embarazadas de las Tunas. Revista Electrónica Zoilo Marínelo [Internet]. 2016 [citado 18 enero 2018]; 41(10): [aprox. 7p. ]. Disponible en: http://revzoilomarinello. sld. cu/index. php/zmv/artic le/view/772

  2. Álvarez Toste M, Salvador Álvarez S, López Barroso R, Carbonell García I, González Rodríguez G. Características epidemiológicas de la morbilidad materna extremadamente grave en tres provincias de Cuba, 2009. Rev Cubana Hig Epidemial [Internet]. 2012 [citado 18 May 2016];50(3):[aprox. 13 p. ]. Disponible en: http://www. revepidemiologia. sld. cu/index. php/hie/article/view/441

  3. González Aguilera JC, Vázquez Belizón YE, Pupo Jiménez JM, Algas Hechavarría LA, Cabrera Lavernia JO. Morbilidad materna extrema en una unidad de cuidados intensivos. MEDISAN [Internet]. 2015 [citado 31 Jul 2019]; 19(12):[aprox. 11p. ]. Disponible en: http://medisan. sld. cu/index. php/san/article/view/598/html_186

  4. Gálvez-Vengoechea ML, Arreaza-Graterol M, Rodríguez-Ortiz JA. Mortalidad materna de pacientes atendidas en la UCI del Hospital Simón Bolívar, Bogotá (Colombia) 2004 - 2006. Rev Colomb Obstet Ginecol [Internet]. 2009 [citado 25 Oct 2021];60(2):152-8. Disponible en: https://revista. fecolsog. org/index. php/rcog/article/view/340

  5. Bordelois Abdo MS, Choo Ubals T, Elías Sierra R, Esteban Soto JA, Díaz Trujillo E. Morbilidad y mortalidad maternas en la Unidad de Cuidados Intensivos del Hospital Provincial Dr. Agostinho Neto. MEDISAN [Internet]. 2018 [citado 12 Jul 2021]; 22(6): 408-15. Disponible en: http://www. medisan. sld. cu/index. php/san/article/view/2170/pdf

  6. Pupo Jiménez JM, González Aguilera JC, Cabrera Lavernia JO, Cedeño Trancón O. Factores de riesgo de morbilidad materna extrema en la unidad de cuidados intensivos. MULTIMED [Internet]. 2019 [citado 23 May 2021]; 23(2): 280-96. Disponible en: https://www. medigraphic. com/pdfs/multimed/mul-2019/mul192g. pdf

  7. Sanabria Arias AM, Barbosa Jimenez F, Sanchez Ramirez NM, Pino Rivera G. Caracterización de la morbilidad materna extremadamente grave en el Hospital Ramón González Coro 2014 – 2017. Rev Cubana Obstet Ginecol [internet]. 2019[citado 12 Mar 2021]; 45(3):1-15. Disponible en: http://revginecobstetricia. sld. cu/index. php/gin/article/view/483/404

  8. Kumela L, Tilahum T, Kifle D. Determinants of Maternal Near Miss in Western Ethiopia. Etiop J Health Sci [Internet]. 2020[citado 12 Abr 2021]; 30(2): 161-68. Disponible en: https://www. ncbi. nlm. nih. gov/pmc/articles/PMC7060379/

  9. Collier AY, Molina RL. Maternal Mortality in the United States: Updates on Trends, Causes, and Solutions. Neoreviews [Internet]. 2019 [citado 3 marzo 2021]; 20(10): [aprox. 23p. ]. Disponible en: https://neoreviews. aappublications. org/content/20/10/e561. long

  10. Perotto L. Maternal mortality in Switzerland 2005-2014. Swiss Med Wkly [Internet]. 2020 [citado 14 Abr 2021]; 150: [aprox. 8p]. Disponible en: https://smw. ch/article/doi/smw. 2020. 20345

  11. Berdzuli N, Lomia N, Catherine Satff A, Kereselidze M, Lazdane G, Flem Jacobsen A. Maternal Mortality in Gerogia: Incidence, Causes, and Level of Underreporting: A National Reproductive Age Mortality Study 2014. Internetional Journal of Womens Health [Internet]. 2020 [citado 4 Jun 2021]; 12: 277-86. Disponible en: https://www. ncbi. nlm. nih. gov/pmc/articles/PMC7154943/

  12. Gámez-Gámez LN, Cardoza-Fonseca G, Ramírez-Rodríguez AA, Díaz Jiménez MM, Gámez Borges LN. Morbilidad maternal en el servicio de Obstetricia del Hospital General Docente Dr. Agostinho Neto. Revista Información Científica [internet]. 2021 [citado 4 Abr 2021]; 100(3): [aprox. 10p. ]. Disponible en: http://www. revinfcientifica. sld. cu/index. php/ric/article/view/3352

  13. Pupo JJM, González Aguilera JC, Cabrera Lavernia JO, Martí Garcés MG. Morbilidad materna extrema según causas de admisión en cuidados intensivos. Rev Cub Med Int Emerg [Internet]. 2017 [citado 20 Sept 2020];16(3):49-60. Disponible en: http://www. revmie. sld. cu/index. php/mie/article/view/49-60/pdf_54

  14. Vega-Candelario R. Un Tema Polémico y muy importante: Cardiopatía Congénita y Embarazo. Revista Cubana de Cardiología y Cirugía Cardiovascular [Internet]. 2019 [citado 25 Oct 2021]; 24 (4): [aprox. 20 p. ]. Disponible en: http://www. revcardiologia. sld. cu/index. php/revcardiologia/article/view/771

  15. Ma YY, Zhang LS, Wang X, Qiu L, Hesketh T, Wang X. Low Incidence of Maternal Near-Miss in Zhejiang, a Developed Chinese Province: A Cross-Sectional Study Using the WHO Approach Clinical Epidemiology [internet]. 2020 [citado 28 Jul 2021]; 12: 405–14. Disponible en: https://www. ncbi. nlm. nih. gov/pmc/articles/PMC7196796/

  16. Heitkamp A, Meulenbroek A, Roosmalen JV, Gebhardt S, Vollmer L, de Vries JI, et al. Maternal mortality: near-miss events in middle-income countries, a systematic review. Bull World Health Organ [internet]. 2021 [citado 26 Jul 2021]; 99(10):693–707. Disponible en: https://www. ncbi. nlm. nih. gov/pmc/articles/PMC8477432/




2020     |     www.medigraphic.com