Morbimortality in obstetric patients admitted to intensive care
DOI:
https://doi.org/10.35954/SM2015.34.2.3Keywords:
Eclampsia, Health Statistics, Infant Mortality, Maternal Mortality, Preeclampsia, Preeclampsia, Infant MortalityAbstract
Objective: To describe the incidence, clinical profile and evolution of obstetric patients admitted to the Intensive Care Center of the Central Hospital of the Armed Forces. Material and methods: A retrospective descriptive study of obstetric patients admitted to the center from December 2004 to March 2014 was carried out. Data source: medical records. Population 70 patients. Age, adequate prenatal control, diagnosis at admission, time from admission to transfer to the Unit and stay at the Center were evaluated. Results: The ages of the patients admitted to Intensive Care are between 15 and 41 years old. The most frequent causes of admission were severe pre-eclampsia, eclampsia and uterine atony. The delay time from the onset of symptoms to admission to the Center is 2.5 days, and the length of stay is 2.2 days. Severe pre-eclampsia is the most frequent reason for admission, 68%. Conclusions: Most of the patients are between 15 and 24 years old. Severe pre-eclampsia is the most frequent reason for admission. Eight patients presented complications in intensive care, and their stay was short. Maternal mortality is 3% and fetal mortality 19%.
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(1) OMS, UNFPA, UNICEF, Banco Mundial. Manejo de las complicaciones del embarazo y del parto. Guía para obstetrices y médicos. 2003, 19 p.
(2) Curiel-Balsera E, Prieto-Palomino A, Muñoz-Bono J, Ruiz de Elvira J, Galeas G, Quesada-García G. Análisis de la morbimortalidad materna de las pacientes con preeclampsia grave, eclampsia y síndrome HELLP que ingresan en una Unidad de Cuidados Intensivos ginecoobstétrica. Med Int 2011; 35(8):478-83.
(3) Say L, Souza P, Pattinson C; WHO working group on Maternal Mortality and Morbidity classifications. Maternal near-miss towards a standard tool for monitoring quality of maternal health care. Best Pract Res Clin Obstet Gynaecol 2009; 23(3):287-96.
(4) Oladapo T, Adetoro O, Fakeye O, Ekele A, Fawole O, Abasiattai A, et al. National data system onear miss and maternal death: shifting from maternal risk to public health impact in Nigeria. Reprod Health 2009; 6:8.
(5) Yucesoy G, Ozkan S, Bodur H, Tan T, Caliskan E, Vural B, et.al. Maternal and perinatal outcome in pregnancies complicated with hypertensive disorders of pregnancy: a seven year. Arch Gynecol Obstet 2005; 273(1):43-9.
(6) Souza J, Cecatti J, Parpinelli A, Serruya J, Amaral E. Appropriate criteria for identification ofnear-miss maternal morbidity in tertiary care facilities: a cross sectional study. BMC Pregnancy Childbirth 2007; 7:20.
(7) Rojas J, Cogollo M, Miranda J, Ramos E, Fernández J, Bello A. Morbilidad Materna Extrema en Cuidados Intensivos Obstétricos. Cartagena (Colombia) 2006-2008. Rev Colomb Obstet Ginecol 2011; 62(2):131-140.
(8) van Roosmalen J, Zwart J. Severe acute maternalmorbidity in high-income countries. Best Pract Res Clin Obstet Gynaecol 2009; 23(3):297-304.
(9) American College of Obstetricians and Gynecologists. Task Force on Hypertension in Pregnancy. Preeclampsia Diagnosis No Longer Requires Presence of Proteinuria [Sitio Web]. Washington D.C.: ACOG, 2013. Disponible en: http://www.acog.org/AboutACOG/News-Room/News-Releases/2013/Ob-GynsIssue-Task-Force-Report-on-Hypertension-inPregnancy [Consulta 23/07/2015].
(10) Turmen T. Safe motherhood: A global problem. Report from a symposium on the prevention and management of anaemia in pregnancy and postpartum hemorrhage. World Health Organization. Zurich, 1996: 1-13.
(11) Mantel G, Buchmann E, Rees H, Pattinson R. Severe acute maternal morbidity: a pilot study of a definition for a near-miss. Br J Obstet Gynaecol 1998; 105(9):985-90.
(12) World Health Organization. Recommendations for Prevention and Treatment of Pre-eclampsia and Eclampsia. Geneva: World Health Organization; 2011. Disponible en: http://www.ncbi.nlm.nih.gov/books/NBK140561/ [Consulta 23/07/2015].
(13) Afessa B, Green B, Delke I, Koch K. Systemic inflammatory response syndrome, organ failure, and outcome in critically ill obstetric patients treated in an ICU. Chest 2001; 120(4):1271-7.
(14) National Center for Health Statistics (US). Health, United States, 2008: With Special Feature on the Health of Young Adults. Hyattsville (MD): National Center for Health Statistics (US); 2009. Disponible en: http://www.ncbi.nlm.nih.gov/books/NBK19617/ [Consulta 23/07/2015].
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