Principales complicaciones obstétricas en un hospital general con servicio de obstetricia, Distrito Nacional, 2005



Título del documento: Principales complicaciones obstétricas en un hospital general con servicio de obstetricia, Distrito Nacional, 2005
Revista: Ciencia y sociedad
Base de datos: CLASE
Número de sistema: 000314467
ISSN: 0378-7680
Autores: 1
1
Instituciones: 1Instituto Tecnológico de Santo Domingo, Programa INTEC de Salud y Seguridad Social, Santo Domingo. República Dominicana
Año:
Periodo: Ene-Mar
Volumen: 35
Número: 1
Paginación: 87-101
País: República Dominicana
Idioma: Español
Tipo de documento: Artículo
Enfoque: Analítico
Resumen en español previa y Desprendimiento de placenta). La tasa de mortalidad materna fue de 460 muertes por cada 100,000 nacimientos vivos. Conclusiones: Elevada incidencia de complicaciones y mortalidad materna. La edad menor a 19 años, la multigravidez, los abortos y control prenatal inadecuados entre los factores de riesgo presentes asociados a las complicaciones obstétricas. Se recomienda elaborar programas de enseñanza y establecer sistemas de supervisión permanente mediante la auditoria médica
Resumen en inglés Introduction: The quality of medical care during and immediately after the period of labor and delivery, is the most simple and important intervention to prevent maternal morbidity and newborn. Considering that each hospital should know its performance in the services provided, studies are needed to clarify what happens in different contexts to design and develop specific interventions according to their conditions. Objective: To determine the major complications in women attending the obstetrics service at the Hospital Dr. Luis E. Aybar in 2005. Material and Methods: We performed retrospective review of records. The study population was all pregnant women admitted to hospital for obstetric care, a total of 5.731 patients. It Was determined as a complication any incident which caused disability, illness or death in pregnant patients, related to or aggravated by the pregnancy or for medical care. We used descriptive statistics to determine frequencies and proportions. Data processing was performed in Epi-info 3.3.2. Results: The incidence of obstetric complications was 11%. 81% of complications were associated with abortion, 11.7% due to hypertensive disorders of pregnancy, and 7% related to bleeding (ectopic pregnancy, preview placental and placental detachment). The maternal mortality rate was 460 deaths per 100,000 live births. Conclusions: High incidence of complications and maternal mortality. Age less than 19 years, the multi pregnancies, abortions and inadequate prenatal care among the risk factors associated with obstetric complications. It is recommended to develop curricula and establish systems for monitoring by medical audit
Disciplinas: Medicina
Palabras clave: Ginecología y obstetricia,
República Dominicana,
Parto,
Embarazo,
Hospitales,
Atención a la salud
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