Briones GJC, Díaz LPM, Meneses CJ

Language: Spanish
References: 14
Page: 16-24
PDF size: 95.86 Kb.

ABSTRACT

Actually the fact that the mother mortality topic continue in the world denotes that the death of the women during pregnancy, childbirth and puerperium is problem even not been solved. The State of Mexico meets between among in the states with major mother mortality, the principal reasons are the hypertensive complications of the gestation, followed of hemorrhages during the pregnancy, childbirth and puerperium. To affect in a direct way of this problem, we created strategies conceived under the concept of Investigation Unit in Obstetric Critical Medicine.
Objective: To decrease the intrahospital mother mortality.
Material and methods: It is a summary of results of three strategies: the first, welfare, we establishing criteria of revenue and implemented a protocol denominated «TOLUCA»; education, creating the Program of Critical Obstetric Medicine, specializing, by means of model based in intensive care, and investigation, with an Experts Committee and the creation of investigation laboratory.
Results: Thirty two doctors training, eight residents, 70 works, 13 chapters and 10 published books, and reduction of intrahospital mother mortality more than 10 per cent established.
Conclusion: Critical Obstetric Medicine links hospital strategies to decrease the mother mortality across assistance, teaching and investigation.

REFERENCES

1. Con Hechos en Salud en el Estado de México Avanza 1999-2005. Consejo Estatal de Salud del Estado de México 2a Sesión Extraordinaria 28 de Julio 2005.

2. Un México apropiado para la infancia y la adolescencia Programa de Acción 2002-2010. Secretaría de Desarrollo Social, Secretaría de Educación Pública, Secretaría de Salud 2002.

3. Briones GJC, Castañón GJA, Díaz de León PM, Briones VCG. La Unidad de Cuidados Intensivos multidisciplinaria y la medicina crítica en gineco-obstetricia. Rev Asoc Mex Med Crit Ter Int 1996; 10(6): 276-279.

4. Díaz de León PM, Briones GJC, Kably AA, Barrón VJ, Espinosa MML, Juárez AG. Cuidados intensivos en obstetricia. Rev Asoc Mex Med Crit Ter Int 1997; 11(2): 36-40.

5. Briones GJC, Díaz de León PM, Gómez Bravo TE, Ávila EF, Briones VCG, Urrutia TF. Protocolo de manejo en la preeclampsia eclampsia. Estudio comparativo. Cir y Ciruj 1999; 67(1): 4-10.

6. Díaz de León PM, Briones GJC. Tratamiento de la preeclampsia-eclampsia. Nefrología Mexicana 1999; 20(2): 63-64.

7. Briones GJC, Espinosa LF. ¿La terapia intensiva especializada abatiría la mortalidad materna? Rev Med IMSS 1999; 37(4): 253-255.

8. Gómez BTE, Briones GJC, Castañón GJA, Díaz de León PM, Morales EJG, Briones VCG. Medicina Crítica en Obstetricia. Impacto de un programa educativo. Rev Asoc Mex Med Crit Ter Int 2001; 15(4): 126-129.

9. Briones GJC, Cejudo AJ, Gómez Bravo TE, Morales EJG, Díaz de León PM. Simposio Medicina Crítica en Obstetricia en: Simposios de la Academia Mexicana de Cirugía. México 2002: 161-172.

10. Gómez BTE, Briones GJC, Morales EJG, Rodríguez RM. Mortalidad Materna en el Estado de México. Rev Asoc Mex Med Crit y Ter Int 2003; 17(6): 199-203.

11. Briones GJC, Díaz de León PM, Gómez Bravo TE, Ávila EF, Rodríguez RM, Briones VCG. Mortalidad materna y medicina crítica. Tres décadas (1973-2003). Rev Asoc Mex Med Crit Ter Int 2004; 18(4): 118-122.

12. Briones GJC, Gómez-Bravo TE, Ávila EF, Díaz de León PM. Experiencia TOLUCA en preeclampsia-eclampsia. Cir Ciruj 2005; 73: 101-105.

13. Díaz de León PM, Briones GJC, Moreno SA, Briones VCG. La importancia de la Medicina Crítica en Obstetricia. Rev Asoc Méx Med Crit y Ter Int 2006; 20(3): 142-146.

14. Díaz de León-PM, Briones GJC. Medicina Crítica en Obstetricia, una nueva especialidad. Cir Ciruj 2006; 74: 223-224.