Extreme maternal morbidity in an intensive care unit
Keywords:
extreme maternal morbidity, maternal mortality, risk factors, indicators of extreme maternal morbidity, intensive care unitAbstract
A cross-sectional study was carried out in the Intensive Care Unit of "Carlos Manuel de Céspedes" General University Hospital in Bayamo, Granma province from January, 2010 to December, 2014, in order to characterize the extreme maternal morbidity according to clinical and epidemiological variables. From 504 assisted patients, 153 (30.3%) presented severe complications. Hysterectomy due to infection and hemorrhages, circulatory shock, oxygen saturation under 90% and respiratory frequency higher than 40 or lower than 6 per minute constituted the fundamental indicators of extreme morbidity in these women. The maternal morbidity and mortality rates were 11.1 per 100 00 live births and 5.6 per 1 000 live births, respectively. Among the risk factors of extremely severe morbidity there were: gestacional age over 36 weeks, caesarean section and a history of this surgery.
Downloads
References
2. Lotufo FA, Parpinelli MA, Haddad SM, Surita FG, Cecatti JG. Applying the new concept of maternal near-miss in an intensive care unit. Clinics (Sao Paulo). 2012 [citado 18 Sep 2015]; 67(3). Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3297030/
3. Chhabra P. Maternal near miss: an indicator for maternal health and maternal care. Indian J Community Med. 2014 [citado 18 Sep 2015]; 39(3). Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4134527/
4. Say L, Pattinson RC, Gülmezoglu AM. WHO systematic review of maternal morbidity and mortality: the prevalence of severe acute maternal morbidity (near miss). Reprod Health. 2004 [citado 18 Ene 2015 ];1(1). Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC516581/
5. Tunçalp O, Hindin MJ, Souza JP, Chou D, Say L. The prevalence of maternal near miss: a systematic review. BJOG. 2012 [citado 18 Sep 2015 ]; 119(6). Disponible en: http://onlinelibrary.wiley.com/doi/10.1111/j.1471-0528.2012.03294.x/full
6. Say L, Souza JP, Pattinson RC; 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.
7. Álvarez M. Morbilidad materna extremadamente grave. Generalidades. En: La Morbilidad maternal extremadamente grave, un reto actual para la reducción de la mortalidad materna. La Habana: Molinos Trade; 2012. p.13-23.
8. Kaye DK, Kakaire O, Osinde MO. Systematic review of the magnitude and case fatality ratio for severe maternal morbidity in sub-Saharan Africa between 1995 and 2010. BMC Pregnancy and Childbirth. 2011 [citado 18 Sep 2015 ];11. Disponible en: http://www.biomedcentral.com/1471-2393/11/65
9. Wanderer JP, Leffert LR, Mhyre JM, Kuklina EV, Callaghan WM, Bateman BT. Epidemiology of obstetric-related UCI admissions in Maryland: 1999–2008. Crit Care Med. 2013 [citado 18 Sep 2015 ]; 41(8). Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/23648568
10. 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 Obst Ginecol. 2011 [citado 18 Sep 2015]; 62(2). Disponible en: http://www.scielo.org.co/pdf/rcog/v62n2/v62n2a03.pdf
11. Oliveira LC, Costa AA. Maternal near miss in the intensive care unit: clinical and epidemiological aspects. Rev Bras Ter Intensiva. 2015 [citado 18 Sep 2015 ]; 27(3). Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/26270856
12. 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. 2014 [citado 18 Sep 2015];14. Disponible en: http://www.biomedcentral.com/1471-2393/14/91
13. Rulisa S, Umuziranenge I, Small M, van Rossmalen J. Maternal near miss and mortality in tertiary care hospital in Rwanda. BMC Pregnancy and Childbirth. 2015 [citado 18 Sep 2015];15. Disponible en: http://www.biomedcentral.com/1471-2393/15/203
14. 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 facility? Health Care for Women International. 2015 [citado 18 Sep 2015]; 36. Disponible en: http://www.tandfonline.com/doi/pdf/10.1080/07399332.2014.943839
15. Van den Akker T, Beltman J, Leyten J, Mwagomba B, Meguid T. The WHO maternal near miss approach: Consequences at Malawian District level. PLoS ONE. 2013 [citado 18 Sep 2015]; 8. Disponible en: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0054805
Published
How to Cite
Issue
Section
License
All the articles can be downloaded or read for free. The journal does not charge any amount of money to the authors for the reception, edition or the publication of the articles, making the whole process completely free. Medisan has no embargo period and it is published under the license of Creative Commons, International Non Commercial Recognition 4.0, which authorizes the copy, reproduction and the total or partial distribution of the articles in any format or platform, with the conditions of citing the source of information and not to be used for profitable purposes.