2024, Number 3
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Ginecol Obstet Mex 2024; 92 (3)
Description of the contributing factors to deaths secondary to hypertensive disorders associated with pregnancy in Antioquia, Colombia (2012-2020)
Vélez CSM, Rendón ZJ, Caicedo-Bolaños AM
Language: Spanish
References: 33
Page: 127-136
PDF size: 215.56 Kb.
ABSTRACT
Objective: To describe the characteristics of the affected population and the delays
that contributed to maternal mortality secondary to hypertensive disorders of pregnancy.
Materials and Methods: Descriptive and retrospective study based on the epidemiologic
surveillance of sentinel cases of early maternal deaths of women residing in
Antioquia, Colombia, during pregnancy, delivery and the 42 days after delivery occurring
in the period 2012-2020. A database was created in Microsoft Access 2007 (Microsoft,
Redmond, WA, USA), and data were analyzed in Microsoft Excel and SPSS version 22.
Results: There were 266 maternal deaths, of which 38 were secondary to hypertensive
disorders of pregnancy. Eclampsia was the cause of 15 deaths; 12 due to HELLP
syndrome, 9 due to intracerebral hemorrhage, and 2 due to placental abruption and
disseminated intravascular coagulation. In 13 of the 38 cases, there was no adequate
magnesium sulfate regimen, 19 did not receive indicated antihypertensive treatment,
and 17 did not have adequate antihypertensive control.
Conclusion: Antenatal care is a critical opportunity for detection, prevention, and
risk stratification. All obstetric care centers should be prepared to manage emergencies
associated with hypertensive disorders of pregnancy. Outcomes improve with the use
of standardized, organized emergency protocols and the participation of multidisciplinary
teams that ensure quality care and a positive impact on preventable maternal
morbidity and mortality.
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