Maternal morbidity attended in the Obstetric service at the Hospital General Docente “Dr. Agostinho Neto”

Abstract

Introduction: in the obstetric care service, at the Hospital General Docente “Dr. Agostinho Neto”, it has not been specified how maternal morbidity index has behaved during the period 2015-2019. Objective: to characterize the maternal morbidity index in the obstetric care service and the intensive care unit (ICU) at the Hospital General Docente “Dr. Agostinho Neto”, in Guantanamo, from 2015 through 2019. Method: a descriptive, cross-sectional, and retrospective study was conducted to all admitted obstetrics patients (N=733). The sociodemographic, clinical and those related to the criteria for extreme maternal morbidity were the baseline variables identified. The information used in the study was acquired from the updated obstetric care service database (discharged patients database), the hospital's statistical records and the history of each pregnant woman. Results: the total of obstetrics patients (N=733) were admitted, it was a priority to be manage for the ICU. Preeclampsia-eclampsia was the most frequent disease (33.6%). Surgical treatment was required in the 71.7% and 29.8% of them needed to re-intervene. The hysterectomy was the most common surgical technique used (62.9%). Conclusions: the maternal morbidity in the obstetric care service was successfully characterized, which reveals that the lethality is low but the frequency is remarkable.

Keywords

• near miss
• morbilidad materna extrema
• paciente materna