2016, Number 3
<< Back Next >>
Mul Med 2016; 20 (3)
Behavior of sentinel events in obstetric emergencies transferred in the mobile medical emergency. Bayamo 2014-2015
Gómez FJE, Naranjo NO, Céspedes FR, Mojena LH, Peña RY
Language: Spanish
References: 28
Page: 475-490
PDF size: 260.72 Kb.
ABSTRACT
The presence of sentinel events during the transfer of obstetric emergencies is considered as an unexpected event in which there are complications causing the mother and the fetus death. It was performed a longitudinal prospective study in pregnant women who moved by the mobile medical emergency with the diagnosis of obstetric emergencies in Bayamo during the time period between January 1st 2014 and March 31. The sample consisted of 102 pregnants transferred to the mobile medical emergency with the diagnosis of obstetric emergency. The general objective was to describe the sentinel events during the transfer of obstetric emergencies. There were determined the variables: gestational age, obstetric emergencies, sentinel events during clinical and hemodynamic variables transfer to calculate the percentages for a better understanding and implementation. The results showed that according to the gestational age 76 were in the second trimester, (74.50%) and from the obstetric emergencies, 43 were in labor and presented uterine contractions for 42.15% and according to the hemodynamics 33 were with high blood pressure for 32.35%. We concluded that the largest number was in the second trimester of pregnancy, labor was significant, and they presented uterine contractions and high blood pressure.
REFERENCES
ACOG Practice Bulletin. Postpartum hemorrhage. Obstet Gynecol 2012; 108(4):1039-1047.
Rojas- Higuera R, Londoño-Cardona JG, Arango-Gomez, F. Clinical practice in looking after breastfeeding women and the new-born in some hospitals in Bogotá, Colombia. Rev Salud Pública (Bogotá) 2013; 8 (3): 223-234.
Bovell-Benjamin AC, Benjamin W, Ivey M, Simeon DT. Breastfeeding knowledge and beliefs among adults in eastern Tobago. J Hum Lact 2013; 17: 298-303.
Ramos S, Karolinski A, Romero M, Mercier R. A comprehensive assessment of maternal deaths in Argentina: translating multicentre collaborative researchs into action. Bull WHO 2011; 85(7):615-622.
Paruk F, Moodley J. Severe obstetric morbidity. Curr Op Obstet Gynecol 2011; 13: 563-568.
Venancio SI, Escuder MM, Kitoko P. Frequency and determinants of breastfeeding in the state of São Paulo, Brazil. Rev Saúde Pública 2012; 36: 313-318.
Bose P, Regan F, Paterson-Brown S. Improving the accuracy of estimated blood loss at obstetric haemorrhage using clinical reconstructions. Br J Obstet Gynecol 2014; 113:919-924.
Dildy G, Paine A, and George N, Velasco C. Estimating blood loss: can teaching significantly improve visual estimation? Obstet Gynecol 2004; 104(3): 601-606.
Zamzami T. Maternal and perinatal outcome of massive postpartum hemorrhage: a review of 33 cases. Ann Saudi med 2013; 23(3-4):135-139.
Sheik L, Zuberi N, Riaz R, Rizvi J. Massive primary postpartum haemorrhage setting up standards of care. J Pak Med Assoc 2011; 56:26-31.
Malvino E, Eisele G, Martínez M, Lowenstein R. Hemorragias obstétricas exanguinantes. Clínica e Investigación en Obstetricia y Ginecología (Barcelona) 2014; 36(1):2-8.
Waterstone M, Bewley S, Wolfe C. Incidence and predictors of severe obstetric morbidity: case-control study. Br Med J 2012; 322:1089-1094.
Sosa C, Althabe F, Belizán J, Buekens P. Risk factors for postpartum hemorrhage in vaginal deliveries in a Latin-American population. Obstet Gynecol 2014; 113(6):1313-1319.
Conde Agudelo A, Belizan J, Lammers C. Maternal-perinatal morbidity and mortality associated with adolescent pregnancy in Latin America: cross-sectional study. Am J Obstet Gynecol 2015; 192:342-349.
World Health Organization. The World health report 2005: making every mother and child count. Geneva: WHO; 2013.
Rizvi F, Mackey R, Barret T, McKenna, Geary M. Successful reduction of massive postpartum haemorrhage by use of guidelines and staff education. Br J Obstet Gynecol 2014; 111:495-498.
Martínez M, Eisele G, Malvino E, Simonelli D, Galli E, Anhel S, Monti F, Firpo J. Protocolo de prevención y tratamiento de la hemorragia puerperal y sus complicaciones ante la sospecha de adherencia placentaria patológica. Rev Obstet Ginecol Bs As 2011; 84(966):225-238.
Margulies M. Intervención para prevenir la muerte en mujeres con alto riesgo de muerte materna. Rev Hosp Mat Inf Ramón Sardá 2011; 14(2):52-54.
Mousa H, Alfirevic Z. Major postpartum hemorrhage: survey of maternity units in the United Kingdom. Acta Obstet Gynecol Scand 2012; 81:727-730.
García H, Ferrero J, Tamashiro J, Arielevich H, Marino A, Moreno J, Crosbie J, Nassif J, Tidone C, Sisti D, Andreani H. Impacto de la cirugía de control de daños en las emergencias hemorrágicas intraabdominales ginecobstétricas. Rev Arg Cirug 2010; 94(1):29-38.
Escobar M, García A, Fonseca J, Herrera E, Guerrero J. Cirugía de control de daños aplicable en ginecología y obstetricia. Colombia Med 2011; 36(2):110-114.
Eisele G, Simonelli D, Galli E, Alvarado A, Malvino E, Martinez Hallazgos angiográficos y resultados de la embolización arterial uterina en hemorragias graves del postparto. Rev Arg Radiología 2010; 71(4):395-400.
Malvino E, Eisele G, Martínez M, Firpo J, Lowenstein R. Resultados con la prevención y el tratamiento actual de las hemorragias obstétricas graves secundarias a atonías uterinas y acretismos placentarios. Cl Invest Ginecol Obstet 2012; 36(2):49-54.
Tsu V, Coffey P. New and underutilized technologies to reduce maternal mortality and morbibity: what progress have we made since Bellagio 2003? Br J Obstet Gynecol 2013; 116:247-256.
Eliot J. Traslado de la paciente obstétrica críticamente enferma. En: Cuidados Intensivos en Obstetricia. Madrid: Editorial Panamericana; 2010.
Holden D, Quin M, Holden D. Clinical risk management in obstetrics. Curr Op Obstet Gynecol 2014; 16:137-142.
Lemeshow S, Klar J, Teres D, et al. Mortality Probability models for patients in the intensive care unit for 48 or 72 hours : A prospective, multicenter study. Crit Care Med 2014; 22:1351-1358.
Usandizaga de la Fuente JA. Tratado de Obstetricia y Ginecología. Madrid: McGraw-Hill, Interamericana; 2013.