Abstract

ALVAREZ TOSTE, Mireya et al. Epidemiological characteristics of extremely serious maternal morbidity in three Cuban provinces, 2009. Rev Cubana Hig Epidemiol [online]. 2012, vol.50, n.3, pp.286-299. ISSN 1561-3003.

Introduction: extremely serious maternal morbidity (MMEG) is a serious complication that occurs during pregnancy, childbirth and / or postpartum threatening the lives of women and requires immediate attention to prevent death. Objective: characterization of extremely severe maternal morbidity in Havana, Camagüey, and Santiago de Cuba. Methods: a cross-sectional study was conducted from January to December 2009. The universe consisted of all pregnant women who were diagnosed as extremely serious maternal morbidity in maternity hospitals, according to the inclusion criteria. The information was obtained once the diagnosis was given in maternity hospitals through the medical history of each pregnant woman in hospital and prenatal care. Results: 222 patients were diagnosed. The most common preconception risk of malnutrition in 55 (29.3 %), 67.3 % were mainly obese, extreme age (24.5 %) and multiparity (22.5 %). Hypertension 70 (37.2 %) and preeclampsia-eclampsia 79 (42.2 %) were identified within maternal and perinatal risks. Complications after childbirth were present in 39.2% of pregnant women. The highest morbidity figures were established by management, transfusion, and ICU (50 %), 49.5 % was reported by surgery. hypovolemic shock was present in the remaining two groups is presented (31.5 %) Conclusions: extremely serious maternal morbidity occurs more frequently after delivery and their causes are related to massive blood loss.

Keywords : extremely serious maternal morbidity; epidemiology; maternal morbidity.

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