Abstract

SUAREZ GONZALEZ, Juan Antonio et al. Some features associated with the critically severe obstetric mortality. Rev Cubana Obstet Ginecol [online]. 2010, vol.36, n.2, pp. 4-12. ISSN 0138-600X.

A prospective, longitudinal and descriptive study was conducted in "Mariana Grajales" Gynecology-Obstetrics University Hospital from January, 2007 to December, 2008 to describe the major factors related to asevere4 obstetric mortality. For information collection a form was designed including the interesting variables by individual medical records review, by interviews with patients and of data offered by hospital statistic department. We verified that during the study period 93 patients had a severe obstetric mortality. Major causes were related to hemorrhage (39,8%) and pre-eclampsia (37,6%); sepsis only was related to these causes in the 4,3%; dystocia cesarean section labor was a obstetric event related directly to the severe mortality and carrying out of obstetric hysterectomies. There is a direct link among maternal findings and the perinatal ones in this group of patients. Intensive Care Unit services were used in cases critically severe with 4 maternal deaths during these two years with a total of 169 years lost by causes associated with motherhood, and as average of potentially lost life years, each woman lost 42,45 years of life due such causes.

Keywords : Maternal morbidity; maternal mortality; intensive care; postpartum hemorrhage; pre-eclampsia; eclampsia.

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