Abstract

SANABRIA FROMHERZ, Zulma Elizabeth  and  FERNANDEZ ARENAS, Carmen. Pathologic behavior of puerperium. Rev Cubana Obstet Ginecol [online]. 2011, vol.37, n.3, pp. 330-340. ISSN 0138-600X.

INTRODUCTION: Mother death is one the fundamental indicators measuring the socioeconomic level and the population health status whose evaluation is very complex. During puerperium period may to be present complications evolving to death, leading to negative consequences for the family the population and the health system. OBJECTIVES: The aim of present study was to characterize the pathological puerperium during three years in the provincial gynecology and obstetrics hospital as well as to determine the incidence and causes of complications at puerperium as well as their frequency and to identify the labor route and re-admission. METHODS: A prospective, descriptive and observational study was conducted in puerperal patients suffered some complication during January, 2007 to December, 2009 in the "Dr. Julio Rafael Alfonso Medina" Gynecology and Obstetrics Hospital of Matanzas province whose labor or cesarean section were at hospital. Data were collected by means of a form designed to that end, previous writing informed consent of patients, describing the operational variables. RESULTS: The incidence of puerperium complications was of 3.05 %, the major complications found were acute mastitis (19.2 %) and puerperium endometritis (15.7 %). Complications are related with vaginal labor in the 64.5 %, hospital stay from 2 to 7 days in the 66.3 %. CONCLUSIONS: It was possible to characterize the puerperium, taking into account that complications have a low incidence, with a significant risk in adolescents and very young women, the breast complications were the more frequent ones with a high incidence in patients with vaginal labors leading to lengthy stays.

Keywords : Complicated puerperium; pathological puerperium; puerperium sepsis.

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