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Revista Cubana de Obstetricia y Ginecología

ISSN 1561-3062 (Electronic)
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2018, Number 3

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Revista Cubana de Obstetricia y Ginecología 2018; 44 (3)

Severe maternal morbidity in patients of a maternal and child hospital in the Dominican republic

Mordan M, Flaz S, Rosario E, Peguero M
Full text How to cite this article

Language: Spanish
References: 6
Page: 1-8
PDF size: 149.5 Kb.


Key words:

near miss event, severe maternal mortality, puerperium, pre-eclampsia.

ABSTRACT

Severe maternal morbidity is as a serious complication that occurs during pregnancy, childbirth and puerperium that puts the woman's life at risk or requires immediate attention in order to avoid death. This entity represents a public health problem and responsible factor for maternal mortality. We conducted a cross-section descriptive study from retrospective and indirect information compilation from San Lorenzo de Los Mina Hospital, Santo Domingo, Dominican Republic with the purpose of interpreting risk factors that lead to maternal near miss event (NME) cases from January to December 2016 according to sociodemographic and gynecological characteristics. The study population consisted of 221 pregnant women of whom only 113 met the specific inclusion criteria used in this study. The main cause of severe maternal morbidity in this study were hypertensive disorders. The majority of cases had pre-eclampsia, eclampsia was in second place and HELLP Syndrome in third place. The average age of the patients was 26.64 years and median age 27 years. The age group over 35 years had the highest incidence. The highest percentage of complications occurred during the third trimester of pregnancy with cesarean section completion with 71 cases. There were 11 deaths (9.73%) of the cases of severe maternal morbidity.


REFERENCES

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  2. WHO | Maternal death surveillance and response [Internet]. Who.int. 2017 [citado 25 enero 2017].Disponible en: http://www.who.int/bulletin/volumes/89/11/11097220/en/

  3. Mejía Monroy A, Efraín Téllez Becerril G, González Vargas Á. Morbilidad Materna Extrema (near miss) y muertes maternas. Archivos de Investigación Materno Infantil. 2012[citado 28 junio 2016];IV(3):146-53. Disponible en: http://www.medigraphic.com/pdfs/imi/imi2012/imi123e.pdf

  4. Protocolos de Atención para Obstetricia y Ginecología [Internet]. 1st ed. Santo Domingo: Ministerio de Salud Pública; 2016 [citado 30 agosto 2016]. Disponible en: http://www.msp.gob.do/oai/Documentos/Publicaciones/ProtocolosAtencion/Protocolos%20de%20Atencion%20para%20Obtetricia%20y%20Ginecologia.pdf

  5. Álvarez Toste M, Breto García A, Carbonell García I. Morbilidad Materna Extremadamente Grave, un reto actual para la reducción de la mortalidad materna. Revista Cubana de Higiene y Epidemiologia. 2013[citado 15 agosto 2016];49(3):420-33. ISSN 1561-3003. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-30032011000300010

  6. Kaye DK et al.:Systematic review of the magnitude and case fatality ratio for severe maternal morbidity in sub-Saharan Africa between 1995 and 2010. BMC Pregnancy and Childbirth. 2011 [citado 18 sep2015]11:65.doi: 10.1186/1471-262393-11-65




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C?MO CITAR (Vancouver)

Revista Cubana de Obstetricia y Ginecología. 2018;44