Extremely serious maternal morbidity
Keywords:
extremely severe maternal morbidity, maternal mortalityAbstract
Introduction: the detection and notification of patients with extremely severe maternal morbidity should be accepted as an important complementary tool to maternal mortality studies.
Objective: to characterize patients with extremely severe maternal morbidity in the Province of Villa Clara during the period from 2017 to 2021.
Methods: a cross-sectional study was carried out at the “Mariana Grajales” Provincial Gynecological-Obstetric University Hospital and the “Arnaldo Milián Castro” Provincial Clinical Surgical University Hospital. We worked with the entire population, defined by patients with a diagnosis of extremely severe maternal morbidity in the aforementioned context. The data necessary for the study was obtained through a documentary review that included the nationally validated form and the individual medical records of the patients studied.
Results: predominated were women with a personal pathological history of arterial hypertension (49.4%), with dystocic birth (53.4%), captured before 12 weeks (79.3%), with more than 15 prenatal controls (51 .1%) and with adequate weight (66.7%). 54.0% were diagnosed after delivery, 36.2% due to complications of existing disease and 20.1% due to hemorrhagic complications, with a predominance of management established by surgical intervention in 53.4%. 3.4% of the patients died.
Conclusions: patients with a personal pathological history of arterial hypertension predominated, who became ill during the postpartum period due to complications of existing diseases and hemorrhage. The most frequent requirement was surgical intervention. The Province of Villa Clara remains below the standard considered less than 4% in maternal mortality.
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1.Correa Asanza K, Paz Sánchez CE, Albán Meneses C. Morbilidad materna extremadamente grave y mortalidad, indicadores de calidad de la atención obstétrica. Multimed [Internet]. 2017 [citado 14/06/2021];21(3):289-310. Disponible en: https://www.revmultimed.sld.cu/index.php/mtm/article/view/544/874
2.Sanabria Arias AM, Barbosa Jiménez F, Sánchez Ramírez NM, Pino Rivera G. Caracterización de la morbilidad materna extremadamente grave en el Hospital Ramón González Coro, 2014 - 2017. Rev Cubana Obstet Ginecol [Internet]. 2019 [citado 14/06/2021];45(3):e483. Disponible en: https://revginecobstetricia.sld.cu/index.php/gin/article/view/142/209
3.Organización Mundial de la Salud [Internet]. Ginebra: OMS; 2023 [actualizado 22/02/2023; citado 27/05/2023]. Mortalidad materna; [aprox. 7 pantallas]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/maternal-mortality
4.Jarquín JD, Sagastume EA. Vidas salvadas y muertes maternas en morbilidad materna extrema. Hospital Regional de Cobán, Alta Verapaz Guatemala, enero a diciembre del 2010. REVCOG [Internet]. 2011 [citado 14/06/2021];16(4):103-117. Disponible en: http://www.fecasog.com/sites/default/files/2016-12/oct-dic202011_0.pdf
5.Ortiz EI, Herrera E, De La Torre A. Morbilidad Materna Extrema: evento trazador para mejorar la calidad de la atención obstétrica en América Latina. Colomb Med [Internet]. 2019 [citado 19/06/2021];50(4):286-292. Disponible en: https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/4197/4699. http://dx.doi.org/10.25100/cm.v50i4.4197
6.Álvarez Toste M, Hinojosa Álvarez MC, Salvador Álvarez S, López Barroso R, González Rodríguez G, Carbonell I, et al. Morbilidad materna extremadamente grave, un problema actual. Rev Cubana Hig Epidemiol [Internet]. 2011 [citado 19/06/2021];49(3):420-433. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-30032011000300010
7.Rodríguez González KC, Tuñón Garrido MP. Comportamiento de la morbilidad materna extrema en el Hospital Regional II Nivel Nuestra Señora de las Mercedes. Corozal. 2018 [tesis]. Sincelejo: Universidad de Sucre; 2018 [citado 19/06/2021]. Disponible en: https://repositorio.unisucre.edu.co/bitstream/handle/001/683/T618.3%20R696.pdf
8.Ministerio de Salud Pública. Dirección de Registros Médicos y Estadísticas de Salud. Anuario Estadístico de Salud 2020 [Internet]. La Habana: MINSAP; 2021 [citado 27/07/2021]. Disponible en: https://files.sld.cu/bvscuba/files/2021/08/Anuario-Estadistico-Espa%c3%b1ol-2020-Definitivo.pdf
9.Payajo Villar JL. Caracterización sociodemográfica de la morbilidad materna extrema en el Hospital Nacional Sergio E. Bernales durante el año 2014 [tesis]. Lima: Universidad Ricardo Palma; 2016 [citado 10/12/2021]. Disponible en: https://repositorio.urp.edu.pe/bitstream/handle/20.500.14138/717/Payajo_j.pdf
10.Ochoa Zhapa GA, Sánchez Ordoñez AM, Chamba Tandazo MJ. Alto riesgo de Near miss en cuidados intensivos del Hospital Obstétrico Ángela Loayza de Ollague. Pol Con [Internet]. 2023 [citado 27/05/2023];8(1):1049-1063. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=9263618
11.Rojas JA, Cogollo M, Miranda JE, Ramos EC, Fernández JC, Bello AM. Morbilidad materna extrema en cuidados intensivos obstétricos: Cartagena (Colombia) 2006 - 2008. Rev Colomb Obstet Ginecol [Internet]. 2011 [citado 10/12/2021];62(2):131-140. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0034-74342011000200003&lng=es
12.García-Hermida MI, García-Remirez CG, García-Ríos CA. Comportamiento clínico epidemiológico de gestantes adolescentes con hipertensión arterial. AMC [Internet]. 2020 [citado 10/12/2021];24(4):525-537. Disponible en: https://revistaamc.sld.cu/index.php/amc/article/view/7571/3601
13.Corona Miranda B, Pérez Jiménez D, Espinosa Díaz R, Álvarez Toste M, Salvador Álvarez S. Caracterización de los procesos de atención prenatal a las gestantes con morbilidad materna extremadamente grave. Rev Cubana Hig Epidemiol [Internet]. 2015 [citado 10/12/2021];53(1):[aprox. 12 p.]. Disponible en: https://revepidemiologia.sld.cu/index.php/hie/article/view/2/2
14.Hernández Cabrera Y, León Ornelas ME, Díaz Puebla JL, Ocampo Sánchez A, Rodríguez Márquez A, Ruiz Hernández M. Caracterización clínica de pacientes con morbilidad materna extremadamente grave y su repercusión perinatal. Cienfuegos 2016-2018. Medisur [Internet]. 2020 [citado 10/12/2021];18(5):789-799. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1727-897X2020000500789
15.Gonzales-Carrillo O, Llanos-Torres C, Espinola-Sánchez M, Vallenas-Campos R, Guevara-Ríos E. Morbilidad materna extrema en mujeres peruanas atendidas en una institución especializada. 2012-2016. Rev Cuerpo Méd HNAAA [Internet]. 2020 [citado 10/12/2021];13(1):8–13. Disponible en: http://www.cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/594/307
16.Carbonell García IC, López Barroso R, Alba-Arias Y, Gómez-Padró T, Smith-Salazar L, Álvarez-Toste M, et al. Caracterización clínico-epidemiológica de la morbilidad materna extremadamente grave. Santiago de Cuba 2009. Rev Cubana Hig Epidemiol [Internet]. 2009 [citado 10/12/2021];47(3):1-5. Disponible en: https://revepidemiologia.sld.cu/index.php/hie/article/view/584/530
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15 junio 2025
