Characterization of the serious maternal adolescent at the General Teaching Hospital “Dr. Agostinho Neto”, Guantanamo 2019
Keywords:
maternal teenagers, intensive care unit, maternal morbidityAbstract
Introduction: in the General Teaching Hospital “Dr. Agostinho Neto” of Guantanamo have not characterized the maternal adolescents admitted to the Intensive Care Unit (ICU).
Objective: to characterize maternal morbidity in adolescents admitted to the ICU of the General Teaching Hospital “Dr. Agostinho Neto”of Guantanamo during the year 2019.
Method: an observational, prospective and cross-sectional study was carried out, with all adolescent mothers admitted to said unit during 2019. In each one, age, pathological history, state at discharge, were analyzed. way of terminating pregnancy, performing surgical treatment, diseases related or not to pregnancy, complications and whether they were treated with mechanical ventilation.
Results: 18.2% of the mothers admitted were adolescents (3.2 of the total income in the unit). 9.7% received artificial ventilation. 64.7% were between 18 and 19 years old and all graduated alive. 23.5% were asthmatic, 70.7% were poor and admitted for obstetric disease, 41.2% underwent surgical treatment, the most common was hysterectomy (41.2%). Severe preclampsia-eclampsia (23.4%) and uterine atony (25.9%) were the most common diseases. Hypovolemic shock due to uterine atony (23.4%) determined the criterion of severe maternal morbidity. 52.9% of the patients presented complications.
Conclusions: maternal morbidity in adolescents admitted to this ICU revealed that morbidity due to complications of pregnancy, childbirth and the puerperium was elevated at this stage of life, which is an unresolved health problem in the province of Guantanamo.
Downloads
References
2. Organización Mundial de la Salud. Recomendaciones de la OMS sobre atención prenatal para una experiencia positiva del embarazo en línea]. 2016 [citado 10 Ene 2020]. Disponible en: http://www.who.int/entity/reproductivehealth/publications/maternal_perinatal_health/anc-positive-pregnancy-experience/es/index.html
3. Sanabria AAM, Barbosa JF, Sánchez RN, Pino RG. Caracterización de la morbilidad materna extremadamente grave en el Hospital Ramón González Coro, 2014–2017. Rev Cubana Obst Gin [en línea]. 2019 Feb [citado 10 Ene 2020]; 45(3):e483. Disponible en: http://www.revginecobstetricia.sld.cu/index.php/gin/article/view/483/424
4. Bordelois Abdo M, Elías Sierra R, Choo Ubals T, Estevan Soto JA, Díaz Trujillo E. Morbilidad y mortalidad materna en la unidad de cuidados intensivos del Hospital Dr. Agostinho Neto. MEDISAN [en línea]. 2018 [citado 10 Ene 2020]; 22(6):627. Disponible en: http://www.medisan.sld.cu/index.php/san/article/view/2170
5. Elías Sierra R, Bordelois Abdo M, Díaz Trujillo E, Estevan Soto JA, González Hechevarría JA. Calidad de la atención a la materna grave en el Hospital General Docente Dr. Agostinho Neto, Guantánamo. Rev Inf Cient [en línea]. 2018 [citado 10 Ene 2020]; 97(3):508-517. Disponible en: http://www.revinfcientifica.sld.cu/index.php/ric/article/view/1938/3700
6. Chebbo A, Tan S, Kassis C, Tamura L, Carlson RW. Maternal sepsis and septic shock. Crit Care Clin [en línea] 2016 [citado 10 Ene 2020]; 32(1):119-135. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/26600449
7. Herrera MB, Lara CJ, Ortega LV. Predictores de la mortalidad en pacientes con sepsis obstétrica mediante el uso de una puntuación de sepsis obstétrica y evaluación secuencial de falla orgánica obstétrica. Med Crit [en línea]. 2017 [citado 10 Ene 2020]; 31(6):326-332. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?idarticulo=76896
8. Cárdenas PR, Hidalgo GY, Rabert LR. Lozano Reyna JC. Caracterización clínica de pacientes obstétricas con coagulación intravascular diseminada [en línea]. 2016 [citado 10 Ene 2020]. 42(1):[aprox. 4 p.]. Disponible en: http://www.revzoilomarinello.sld.cu/index.php/zmv/article/view/805/pdf_380
9. Centers for Disease Control and Prevention. Severe maternal morbidity in the United States. [en línea]. 2016 Jan [citado 10 Ene 2020]; [aprox. 5 p.]. Disponible en: http://www.cdc.gov/reproductivehealth/maternalinfanthealth/severematernal morbidity.html
10.Say L, Chou D, Gemmill A, Tunçalp Ö. Moller AB, Daniels JD, et al. Global Causes of Maternal Death: A WHO Systematic Analysis. Lancet Global Health. 2014; 2(6):e323-e333.
11. Girard F, Burlet G, Bayoumeu F. Les complications sévéres de la grossess et de l'accouchement: état des lieux en Lorraine dans le cadre de l'enquéteeuropéene. J Gyn Obst Biol Reprod [en línea] 2001 Abr [citado 10 Ene 2020]; 30(supl 6):217. Disponible en: https://www.em-consulte.com/en/article/114357
12. Morales OB. Morbilidad materna extrema en la Clínica «Rafael Uribe Uribe». en Cali. Colombia. en el período comprendido entre enero de 2003 y mayo de 2006. Rev Colom Obst Gin [en línea]. 2013 Abr. [citado 10 Ene 2020]; 58(3):[aprox. 6 p.]. Disponible en: http://revista.fecolsog.org/index.php/rcog/article/view/449
13. Oliveira LC, Costa AA. Maternal near miss in the intensive care unit: clinical and epidemiological aspects. Rev Bras Ter Int [en línea]. 2015 Abr [citado 10 Ene 2020]; 27(3):[aprox. 6 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/26270856
14. 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 [en línea]. 2014 [citado 10 Ene 2020]; 14:[aprox 6 p. ]. Disponible en: http://www.biomedcentral.com/1471-2393/14/91
15. Morales OB. Morbilidad materna extrema en Colombia. 2005-2008. Rev Colom Obst Gin [en línea]. 2014 Feb [citado 10 Ene 2020]; 46(5):[aprox. 5 p.]. Disponible en: http://bases.bireme.br/cgi-bin/wxislind.exe/iah/online
