Maternal mortality and severe obstetric morbidity in a tertiary care hospital

Autor: Iglesias Benavides José Luis

Resumen

Introduction: Maternal mortality (MM) is a reflection of the quality of care given to pregnant women. However, it does not reflect many illnesses and medical complications of women at risk of death, who do not die. Severe obstetric morbidity (SOM) refers to women who are “pregnant or recently postpartum, very ill, who would have died if not for the good health care received”. Objective: To review the incidence of MM and SOM at the Obstetric Service of the University Hospital, Universidad Autónoma de Nuevo León (UANL) in the years 2007-2011. Material and methods: Observational, cross-sectional, retrospective study, at the Obstetric Service of the University Hospital, UANL. Results: We attended 19,985 births; there were 37 maternal deaths: 14 due to hypertensive disorders (37.8%), 3 due to hemorrhage (8.1%), 13 (35.1%) due to medical complications, 1 (2.7%) due to an anesthetic problem, and 6 due to sepsis (16.2%). Twenty-three (62.1%) maternal deaths were catalogued as direct and 14 (37.8%) as indirect. Of 407 cases of SOM, 310 (76.1%) were due to hypertensive disorders, 58 (14.2%) to obstetric hemorrhage, 26 (6.3%) to medical complications, 1 (0.2%) to anesthetic complication, and 12 (2.9%) to sepsis. The MM rate was 1.85 per 1,000 live births; the incidence of MOS was 81.4 per year, with 1 death per every 11 cases. Conclusions: The MM and the SOM provide more reliable data on the prevalence of serious complications in obstetrics. This allows us to take preventive measures, offer better medical care, and improve the allocation of resources.

Palabras clave: Maternal death; severe obstetric morbidity; incidence; Mexico.

2014-12-08   |   223 visitas   |   Evalua este artículo 0 valoraciones

Vol. 16 Núm.62. Enero-Marzo 2014 Pags. 19-24 Med Univer 2014; 16(62)