Risk factors for critical maternal morbidity in pregnant women from Las Tunas
Keywords:
MORBIDITY, PREGNANCY COMPLICATIONS, DIABETES, GESTATIONALAbstract
Background: severe maternal morbidity is a serious complication that occurs during pregnancy, labor and puerperium and is a risk for women’s life.
Objective: to determine the risk factors for extremely serious maternal morbidity in pregnant women seen at the obstetric and gynecology service of “Ernesto Guevara de la Serna” General Teaching Hospital of Las Tunas, from 2012 through 2014.
Methods: a retrospective analytic study of the type cases and control was carried out at the place and during the time herein mentioned. The sample was made up of 80 patients that were admitted in a critical condition, as the study group, and 160 patients that progressed satisfactorily in the ward, as the control group. The clinical histories and prenatal follow-up charts were checked.
Results: preeclampsia, retroplacental hematoma, placenta previa, ovular sepsis, uterine rupture, puerperal sepsis and cesarean section showed causal association as risk factors for critical morbidity in pregnant women. Adequate prenatal care and physiological labor were protecting factors. Statistically there was no significant causal association in those patients who presented chronic diseases as cardiopathies, anemia, bronchial asthma, as well as pregnancy conditions, premature rupture of membranes and gestational diabetes.
Conclusions: the risk factors for extremely serious maternal morbidity in pregnant women of Las Tunas were identified.
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Cabezas Cruz E. Mortalidad materna, un problema por resolver. Rev. Cubana Obstet Ginecol [revista en internet]. 2009, Sep [citado 27 de octubre 2016]; 35(3): Disponible en: http://scielo.sld.cu/scielo.php? script=sci_arttext&pid=S0138-600X200900030 0001&lng=es.
Alba Arias Y, Smith Salazar L, Álvarez Toste M, Pérez González D R, López Barroso R, Carbonell García I C, et al. Caracterización clínico-epidemiológica de la Morbilidad Materna extremadamente grave. Santiago de Cuba 2009. Revista Cubana de Higiene y Epidemiología [revista en internet]. 2009 [citado 27 de octubre 2016]; 47(3). Disponible en: http://www.redalyc.org/articulo.oa?id=223220068006.
Correira AJ, Katz L, Rolland AS, Ramos MM. Factors associated with severe maternal morbidity and near miss in the São Francisco Valley, Brazil: a retrospective, cohort study. BMC Pregnancy and Childbirth [revista en internet]. 2014 [citado 27 de octubre 2016]; 14(1). Disponible en: http://www.biomedcentral. com/1471-2393/14/91.
Olagbuji B, Ezeanochie M, Ande A, Okonkwo C. Prevalence and risk factors for persistent hypertension after the puerperium in pregnancies complicated with hypertensive disorders. Journal of Obstetrics & Gynaecology [revista en internet].2012, Ago [citado 27 de octubre 2016]; 32(6): 529-532. Disponible en: Academic Search Premier.
Rodríguez DA, Acosta J. Panorama de la mortalidad materna en Colombia, 1995-2000: logros, fracasos, compromisos y retos. Instituto Nacional de Salud Inf Quinc Epidemiol Nac. [revista en internet]. 2001 [citado 27 de octubre 2016]; 6(23). Disponible en: http://www.col.ops-oms.org/sivigila/2001/BOLE38_ 2001.
Kalra P, Kachhwaha C. Obstetric near miss morbidity and maternal mortality in a Tertiary Care Centre in Western Rajasthan. Indian Journal of Public Health [revista en internet].2014, Jul [citado 27 de octubre 2016]; 58(3): 199-201. Disponible en: http://www.ijph.in/article.asp?issn=0019-557X;year=2014; volume=58;issue=3;spage=199;epage=201;aulast=Kalra.
Organización Mundial de la Salud. ¿Por qué siguen muriendo tantas mujeres durante el embarazo y el parto? [en línea]. Ginebra: Organización Mundial de la Salud; 2010 [citado 18 Septiembre 2015]. Disponible en: http://www.who.int/features/qa/12/es/.
Ministerio de Salud Pública. Grupo Nacional de Obstetricia y Ginecología. Manual de Procedimientos Diagnósticos y Tratamientos en Obstetricia y Perinatología. La Habana: Ed. Ciencias Médicas; 2012. p. 406.
Suárez González JA, Gutiérrez Machado M, Corrales Gutiérrez A, Benavides Casal ME, Tempo Dalberto C. Algunos factores asociados a la morbilidad obstétrica extremadamente grave. Rev. Cubana Obstet Ginecol [revista en internet]. 2010 [citado 27 de octubre 2016]; 36(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-600X2010000200002.
OMS. Cuenta regresiva 2015. Informe del Decenio Ginebra: Organización Mundial de la Salud; Diciembre 2010 [citado 18 Septiembre 2015]. Disponible en http://www.who.int/topics/millennium_development_ goals/.
Soni-Trinidad C, Gutiérrez A, Santa Rosa-Moreno F, Reyes-Aguilar A. Maternal morbidity and mortality and risk factors related to an obstetric emergency. Ginecología y Obstetricia de México [revista en internet]. 2015, Feb [citado 27 de octubre 2016]; 83(2): 96-103. Disponible en: http://www.ncbi.nlm.nih.gov/ pubmed/25993772.
Vázquez Cabrera J. Embarazo, parto y puerperio. Principales complicaciones. La Habana: Editorial Ciencias Médicas; 2009.
Díaz Tamayo J, Pérez Aseef A, Naranjo Igarza S. Morbilidad materna en la Unidad de Cuidados Intensivos en el Hospital General Docente Enrique Cabrera. Rev Cubana Obstet Ginecol [revista en internet]. 2006 [citado 27 de octubre 2016]; 3(2): 45-9. Disponible en: http://www.sld.cu/galerias/pdf/sitios/urgencia/ 117.
de Moraes A P, Barreto S M, Passos V M, Golino P S, Costa J E, Vasconcelos M X. Severe maternal morbidity: a case-control study in Maranhao, Brazil. Reproductive Health [revista en internet]. 2013 [citado 27 de octubre 2016]; 10(1): 1. Disponible en: https://reproductive-health-journal.biomedcentral. com/articles/10.1186/1742-4755-10-11.
Hardee K, Gay J, Blanc A. Maternal morbidity: neglected dimension of safe motherhood in the developing world. Global Public Health [revista en internet]. 2012 [citado 27 de octubre 2016]; 7(6): 603-617. Disponible en: http://www.tandfonline.com/doi/abs/10.1080/17441692.2012.668919.
Creanga Andreea A, Berg Cynthia J, Ko Jean Y, Farr Sherry L, Tong Van T, Bruce F Carol, Callaghan William M. Maternal Mortality and Morbidity in the United States: Where Are We Now? Journal of Women's Health [revista en internet]. 2014, Enero [citado 27 de octubre 2016]; 23(1): 3-9. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3880915/.
Iglesias-Benavides J, Vidales-Hernández M, Treviño-Ledezma W, Delgado-Muñiz S, Guzmán-López A, Guzmán-Aguillón O. Maternal mortality and severe obstetric morbidity in a tertiary care hospital. Medicina Universitaria [revista en internet]. 2014, Enero [citado 27 de octubre 2016]; 16(62): 19-24. Disponible en: http://www.medicina.uanl.mx/educacioncontinua/wp-content/uploads/2015/05/MED-UNIVERSITARIA-1-2014.pdf#page=22.
Khan Chalid S. WHO Analysis of Causes of Maternal Death: A systematic review. The Lancet [revista en internet]. 2006 [citado 27 de octubre 2016]; 367(9516): 1069. Disponible en: http://www.sciencedirect. com/science/article/pii/S0140673606683979.
Bouvier-Colle M, Mohangoo A, Gissler M, Novak-Antolic Z, Vutuc C, Zeitlin J, et al. What about the mothers? An analysis of maternal mortality and morbidity in perinatal health surveillance systems in Europe. BJOG: An International Journal of Obstetrics and Gynaecology [revista en internet]. 2012, Jun [citado 27 de octubre 2016]; 119(7): 880-889. Disponible en: http://onlinelibrary.wiley.com/doi/10.1111/ j.1471-0528.2012.03330.x/full.
Gil González I, Díaz Sánchez Y, Rodríguez López JF. Morbilidad materna extremadamente grave y calidad de los cuidados maternos en Villa Clara. Medicentro Electronica [revista en internet]. 2014, Abr [citado 27 de octubre 2016]; 18(2): 47-56. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S10 29-30432014000200002.
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