Abstract

RODRIGUEZ NUNEZ, Ana C.; CORDOVA RODRIGUEZ, Alfredo C.  and  ALVAREZ, Moraima. Epidemiological factors influencing on severe puerperal morbidity . Rev Cubana Obstet Ginecol [online]. 2004, vol.30, n.3, pp. 0-0. ISSN 1561-3062.

In order to identify some epidemiological factors influencing on severe puerperal morbidity, a cross-sectional, retrospective and analytical study was conducted at "Comandante Pinares" General Hospital from January 1999 to December 2001. The study group was composed of 36 patients that had the previous diagnosis. Another group was selected at random to make a comparison. It was applied a questionnaire in both groups that included variables of the mother and birth. The statistical analysis was made by percentage frequency, the mean, the standard deviation and the statistic Z, with a signifcance level of p 0.01. It was obtained an incidence of 0.61 %. The severe maternal morbidity was significantly related to adolescence, the aged woman, the multigesta, those with history of the disease, prolonged labor and cesarean section. The infection was the main cause of morbidity. It was connected with uterine atony by abdominal route and with shock by vaginal route. Maternal mortality was 6.1 x 1 000 live births. It was verified that all the variables related to severe puerperal morbidity are risk factors.

Keywords : Morbidity; puerperium; latent phase; prolonged latent phase; labor; amniotic sac or membrane rupture; puerperal infection.