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Federación Mexicana de Ginecología y Obstetricia, A.C.

2018, Number 05

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Ginecol Obstet Mex 2018; 86 (05)

Prevalence of extreme maternal morbidity in a secondlevel hospital in San Luis Potosí, México

Esparza-Valencia DM, Toro-Ortiz JC, Herrera-Ortega O, Fernández-Lara JA

Language: Spanish
References: 20
Page: 304-312
PDF size: 271.93 Kb.


ABSTRACT

Objective: To estimate the prevalence of near miss patients in a secondary care level hospital in San Luis Potosí.
Materials and Methods: A retrospective and cross-sectional study was made in obstetricians patients of any gestational age attended in the Gynecology and Obstetrics service of the Central Hospital Dr. Ignacio Morones Prieto of San Luis Potosí among the January 1 and December 31, 2016 that met the morbidity criteria maternal health for inclusion in WHO health indicators. They were identified epidemiological and obstetric variables and the descriptive statistical analysis is performed with measures of central tendency.
Results: During the study period, 4691 live newborns were registered. Of the total number of patients admitted to the service, 383 patients met 1 or more criteria of extreme maternal morbidity, and 21 were excluded because they did not have a file complete clinical and not be possible to verify the diagnosis of admission and discharge. Met one or more criteria of extreme maternal morbidity 362 patients, who corresponds to a prevalence of extreme maternal morbidity of 7.7% considered any of the three classification groups. The maternal extreme morbidity ratio calculated was 77.1 per 1000 live births. Only 17% (n = 62) of the patients was refereed an intensive care.
Conclusion: The results we obtained in this study are equivalent to the ones mentioned in the already published literature. It’s important to continue with this kind of studies in order to get a better medical approach of these problems and thus avoid the raise in maternal deaths.


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