México
México
Introducción: La Morbilidad Materna Extremadamente Grave (MMEG) es una complicación grave que ocurre durante el embarazo, parto y puerperio, que pone en riesgo la vida de la mujer y requiere de una atención inmediata con el fin de evitar la muerte.
Objetivo: Determinar la frecuencia y factores de riesgo de MMEG en el Centro de Especialidades Médicas del Estado de Veracruz (CEMEV).
Material y Métodos: Estudio observacional, descriptivo, transversal, en mujeres atendidas por algún evento obstétrico (embarazo, parto o puerperio) en el CEMEV, quienes cursaron con morbilidad materna durante 2012; se analizaron variables sociodemográficas, gineco-obstétricas y de morbilidad.
Resultados: Se atendieron 6,960 mujeres por eventos obstétricos y se encontraron 252 mujeres con morbilidad materna leve o moderada (MLM) y 74 con morbilidad materna extremadamente grave (MMEG). Su prevalencia fue 1.06 por cada 100 eventos obstétricos. Se identificaron como factores de riesgo: madre analfabeta o primaria incompleta, periodo intergenésico menor de 2 años y mayor a 10 años.
Conclusiones: Se proponen como acciones para reducir la MMEG: identificar a pacientes con factores de riesgo, asegurar el sistema de triage obstétrico existente en el CEMEV, fortalecer el sistema de referencia y contrarreferencia y establecer un sistema de vigilancia epidemiológica de la morbilidad materna similar al que existe de la muerte materna.
Introduction: Extremely Severe Maternal Morbidity (ESMM) is a serious complication that occurs during pregnancy, childbirth and postpartum, threatening the lives of women and requires immediate attention in order to avoid death. Objective: in the Center of Medical Specialities in the state of Veracruz (CMSSV) during 2012. Material and Methods: Observational, descriptive, cross-sectional study in women treated for an obstetric event (pregnancy, childbirth or postpartum) , who went through maternal morbidity during their stay at the CMSSV during 2012; sociodemographic, gyneco-obstetric and morbidity characteristics were analyzed; methods used include frequency, variability and association measures. Results: 6,960 women were treated for obstetric events, 252 were enrolled with mild or moderate maternal morbidity (MMM) and 74 with extremely severe maternal morbidity (ESMM); prevalence was 1.06 of each 100 women served by obstetric care. Incomplete primary illiterate mother or incomplete elementary school, intergenesic period of less than 2 years and greater than 10 were found as risk factors. Conclusions: We propose as actions to reduce ESMM: identify patients with risk factors, ensuring existing obstetrical triage system in CEMEV, strengthen the system of re- ference and counter and establish a system of epidemiological surveillance maternal morbidity similar to what exists of maternal death.
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