Maternal morbidity in patients of the Policlínico Universitario "Omar Ranedo Pubillones", Guantánamo

Abstract

Introduction: it remains unknown how maternal patients assigned to the Policlínico Universitario "Omar Ranedo Pubillones" influence the figures of maternal morbidity in Guantánamo province. Objective: to specify the influence of maternal patients assigned to this institution on maternal morbidity in the Guantánamo province during the 2017-2019 triennium. Method: a descriptive, cross-sectional and retrospective study was carried out during October and November 2020 on every maternal patient admitted to the Hospital General Docente “Dr. Agostinho Neto” who belonged to the clinic (n=71). The biological and gestational age, obstetric situation, relationship of morbidity with pregnancy, childbirth or puerperium, type of delivery, surgical treatment and criteria of extreme maternal morbidity were specified. Results: 71 patients of the clinic were admitted (9.7%). 66.2% were between 19 and 34 years old; 70.4% were puerperal women; 47.6% were pregnant in the third trimester of pregnancy. 56.0% were cesarean deliveries; 52.1% were admitted for non-obstetric diseases. The main cause of hospitalization was postpartum hemorrhage (28.2%). 57.7% of the diseases were classified in the extreme maternal morbidity criterion as difficult to avoid in primary health care. Conclusions: the influence of patients assigned to the clinic was low on the maternal morbidity profile of the Guantánamo province during the period 2017-2019, and the determining causes of this morbidity were grouped mainly as difficult to avoid in the primary level of health care.

Keywords

• near miss
• morbilidad materna extrema
• paciente materna