medigraphic.com
ISSN 1561-3062 (Electronic)

2019, Number 3

<< Back Next >>

Revista Cubana de Obstetricia y Ginecología 2019; 45 (3)

Characterizing of extremely severe maternal morbidity at

Sanabria AAM, Barbosa JF, Sánchez RNM, Pino RG

Language: Spanish
References: 21
Page: 1-15
PDF size: 619.44 Kb.


ABSTRACT

Introduction: Extremely severe maternal morbidity is an indicator of maternal care quality and it is one of the topics that has received the most attention worldwide due to the close relationship with maternal mortality.
Objective: To epidemiologically characterize pregnant women with extremely severe maternal morbidity in patients treated at González Coro Gyneco-Obstetric Hospital in Havana, Cuba.
Methods: A descriptive, observational and retrospective study was conducted in 220 pregnant women who evolved towards severity in the four-year period 2014-2017. Information was processed using descriptive statistics. Confidence intervals were determined for proportions of characteristics that were considered relevant.
Results: The average maternal age was 30 years and 16% of anemia was detected at preganancy uptake. An abnormal weight gain was reported in 37% of pregnant women. 75% had an indication of caesarean section for termination of pregnancy due to severe preeclampsia, retroplacental hematoma or previous caesarean section. The average gestational age was 36.2 weeks. Complications before childbirth were seen in 35% and 39% in postpartum. The most frequent conditions were severe preeclampsia, uterine atony and retroplacental hematoma. Complications were hepatic, renal and polytransfusion syndrome and although maternal mortality was not reported, the most important sequel was hysterectomy and the consequence on fertility.
Conclusions: Hemorrhagic and hypertensive disorders predominated, followed by placentals, and the sequelae were hysterectomy and infertility. No maternal mortality was reported.


REFERENCES

  1. Callaghan WM, Grobman WA, Kilpatrick SJ, Main EK, D’Alton. Facility- Based Identification of Women with Severe Maternal Morbidity. Obstet Gynecol. 2014;123:p978–81.

  2. Boletín FLASOG. Resultados del Comité de Mortalidad Materna FLASOG, Sta. Cruz de la Sierra, Bolivia; abril 2007. [citado 02/03/2017]. Disponible en: http://74.125.113.132/search?q=cache:xWNig6o04pYJ:www.saludcapital.gov.co/ListasVsp/Capacitaciones/Talleres/Taller%2520MMEG%252 oct072008/MME%2520TALLER.ppt+Y+MORBILIDAD+EXTREMA&cd=9&hl=clnk

  3. Organización Mundial de la Salud (OMS). Más allá de las cifras, revisión de las muertes maternas y las complicaciones del embarazo para hacer la maternidad segura [en línea]. Centro Latinoamericano de Perinatología, Salud de la mujer y Reproductiva. 2004. [citado 02/03/2017]. Disponible en: http://www.paho.org/clap/index.php?option=com_docman&view=download&category_slug=salud-de-mujer-reproductivamaterna-y-perinatal&alias=74-masallade-las-cifras&Itemid=219&lang=es

  4. Clasificaciones internacionales de enfermedades. Definiciones. Definición relacionada con morbimortalidad materna. 10mo informe. OMS; 2000; p1171-72.

  5. Ronsmans C, Filippi V. Beyond the numbers: reviewing maternal deaths and complications to make pregnancy safer. WHO (World Health Organization). Geneva: WHO; 2004.

  6. Souza JP, Cecatti JG, Parpinelli MA, de Sousa MH, Serruya SJ. Revisão sistemática sobre morbidade materna near miss. Cad Saude Pública. 2006;22(2):p255- 64.

  7. Baskett TF, O´Connell CM. Severe obstetric maternal morbidity: a 15 year population-based study. Journal of Obstetrics and Gynaecology. 2005;25(1):7-9.

  8. Reyes Armas I, Villar A. Morbilidad materna extrema en el Hospital Nacional Docente Madre-Niño, San Bartolomé, Lima. 2007-2009. Rev. Perú. Ginecol. Obstet. 2012;58:273-84).

  9. Lotufo FA, Parpinelly MA, Maerrawi SH, Garanhani SF, Cecatti JG. Applying the new concept of maternal near-miss in an intensive care unit. Clinics. 2012;67(3):225-30. DOI:10.6061/clinics/2012(03)04.

  10. Oliveira FC, Surita FG, Pinto ES, Cecatti JG, Parpinelli MA, Haddad SM et al. Severe maternal morbidity and maternal near miss in the extremes of reproductive age: results from a national cross-sectional multicenter study. BMC Pregnancy Childbirth. 2014;14(77) DOI: 10.1186/1471-2393-14-77.

  11. Pérez AA, Bacallao GJ, Alcina PS, Gómez VY. Severe Maternal Morbidity in the Intensive Care Unit of a Havana Teaching Hospital,1998-2004. MEDICC Review. Summer. 2008;10(3).

  12. Pino Rivera G. Caracterización de la morbilidad materna extremadamente grave en el Hospital “Ramón González Coro”. 2009 – 2012. (Tesis de grado). La Habana: Universidad de Ciencias Médicas, Facultad de Ciencias Médicas “Manuel Fajardo”.

  13. Adeoye IA, Ijarotimi OO, Fatusi AO. What are the Factors that Interplay from Normal Pregnancy to Near Miss Maternal Morbidity in a Nigerian Tertiary Health Care Facilty? Health Care for Women International. 2015;36(1):p70-87. DOI: 10.1080/07399332.2014.943839.

  14. Álvarez TM, Hinojosa AMC, Salvador AS, López BR, González RG, Carbonell I. Morbilidad materna extremadamente grave, un problema actual. Revista Cubana de Higiene y Epidemiol. 2011;49(3):p420-33.

  15. Lait MM, Costa FS, Lemos GC, Santos WC, Gueller E. Severe Maternal Morbidity and Near Misses in a Regional Reference Hospital. Rev Bras Epidemiol. 2011;14(2):310-22.

  16. Castañeda BD, Martín D G, Estévez RA, Álvarez TM, Salvador A.S. Caracterización de la morbilidad materna extremadamente grave en la provincia de Camagüey, 2009. Revista Cubana de Higiene y Epidemiología. 2013;51(1):4-15.

  17. Wen SW, Huang L, Liston Robert, Heaman M, Baskett T, Rusen ID et al. Severe maternal morbidity in Canada, 1991-2001. CMAJ. 2005;173 (7).

  18. Pérez JD, Corona MB, Espinosa DR, Álvarez TM, Salvador AS. Caracterización del proceso hospitalario de atención a la morbilidad materna extremadamente grave. Revista Cubana de Obstetricia y Ginecología. 2013;39(2):98-106.

  19. Álvarez TM, Salvador AS, López BR, Carbonell GI. González RG. Características epidemiológicas de la morbilidad materna extremadamente grave en tres provincias de Cuba, 2009. Revista Cubana de Higiene y Epidemiología. 2012;50(3):286-99.

  20. Ministerio de Salud Pública. Anuario Estadístico de Salud 2017. Dirección de Registros Médicos y Estadísticas de Salud Ciudad de la Habana. Oficina regional de la Organización Panamericana de la Salud. Cuba; 2018. ISSN: versión electrónica 1561-4433.

  21. Costa Oliveira L, Ribeiro da Costa AA. Near miss materno en unidad de terapia intensiva. Rev Bras Ter Intensiva. 2015;27(3):220-7.




2020     |     www.medigraphic.com