<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1727-897X</journal-id>
<journal-title><![CDATA[MediSur]]></journal-title>
<abbrev-journal-title><![CDATA[Medisur]]></abbrev-journal-title>
<issn>1727-897X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos, Centro Provincial de Ciencias Médicas, Provincia de Cienfuegos.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1727-897X2020000500789</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Caracterización clínica de pacientes con morbilidad materna extremadamente grave y su repercusión perinatal. Cienfuegos 2016-2018]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical characterization of patients with extremely severe maternal morbidity and its perinatal impact. Cienfuegos 20016-2018]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Cabrera]]></surname>
<given-names><![CDATA[Yoan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[León Ornelas]]></surname>
<given-names><![CDATA[Michael Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz Puebla]]></surname>
<given-names><![CDATA[Jorge Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ocampo Sánchez]]></surname>
<given-names><![CDATA[Amparo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Márquez]]></surname>
<given-names><![CDATA[Aymara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz Hernández]]></surname>
<given-names><![CDATA[Marioly]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Universitario Dr. Gustavo Aldereguía Lima  ]]></institution>
<addr-line><![CDATA[Cienfuegos Cienfuegos]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Pediátrico Universitario Paquito González Cueto  ]]></institution>
<addr-line><![CDATA[Cienfuegos Cienfuegos]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2020</year>
</pub-date>
<volume>18</volume>
<numero>5</numero>
<fpage>789</fpage>
<lpage>799</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1727-897X2020000500789&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1727-897X2020000500789&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1727-897X2020000500789&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento:  Estudios realizados dentro y fuera de Cuba demuestran que existe una alta repercusión en la salud del producto de la concepción de madres con morbilidad materna extremadamente grave. Un análisis de esta problemática podría revertirse en una adecuada atención médica y en el logro de resultados perinatales de excelencia.  Objetivo:  caracterizar a las pacientes con morbilidad materna extremadamente grave y su repercusión perinatal.  Métodos:  estudio descriptivo, de serie de casos, realizado en el Hospital Dr. Gustavo Aldereguía Lima, de Cienfuegos. La serie estuvo conformada por 145 pacientes con morbilidad materna extremadamente grave, y sus productos de la concepción, atendidos durante el periodo 2016-2018. Se analizó tipo de parto, causas de ingreso, morbilidad materna y neonatal, mortalidad perinatal, entre otras variables.  Resultados:  predominaron las pacientes sin comorbilidad, no nulíparas y con edad entre los 20 y 34 años. Las causas más frecuentes de ingreso fueron la enfermedad hipertensiva del embarazo (37,9 %) y la hemoragia obstétrica mayor (30,3 %); así como en las terapias neonatales, lo fueron el síndrome de distrés respiratorio (42,5 %) y la asfixia neonatal (400 %). Se observó, además, razón de una paciente con morbilidad materna extremadamente grave por cada 87,4 nacimientos; una muerte materna por cada 72,5 pacientes; y un recién nacido con morbilidad neonatal cada 3,6 pacientes.  Conclusión:  la morbilidad materna extremadamente grave es una condición de alta repercusión sobre la morbimortalidad perinatal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background:  Studies carried out inside and outside of Cuba show that there is a high impact on the health of the product of conception of mothers with extremely serious maternal morbidity. An analysis of this problem could be reverted to adequate medical care and the achievement of excellence perinatal results.  Objective:  to characterize patients with extremely severe maternal morbidity and its perinatal repercussion.  Methods:  descriptive study, of a series of cases, carried out at the Dr. Gustavo Aldereguía Lima Hospital, in Cienfuegos. The series consisted of 145 patients with extremely severe maternal morbidity, and their products of conception, treated during the period 2016-2018. Type of delivery, causes of admission, maternal and neonatal morbidity, perinatal mortality, among other variables were analyzed.  Results:  patients without comorbidity, non-nulliparous and aged between 20 and 34 years predominated. The most frequent causes of admission were hypertensive disease of pregnancy (37.9%) and major obstetric hemorrhage (30.3%); as well as in neonatal therapies, they were the respiratory distress syndrome (42.5%) and neonatal asphyxia (400%). In addition, the ratio of one patient with extremely severe maternal morbidity for every 87.4 births was observed; one maternal death for every 72.5 patients; and one newborn with neonatal morbidity every 3.6 patients.  Conclusion:  extremely severe maternal morbidity is a condition with a high impact on perinatal morbidity and mortality.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Complicaciones del embarazo]]></kwd>
<kwd lng="es"><![CDATA[atención perinatal]]></kwd>
<kwd lng="es"><![CDATA[mortalidad perinatal]]></kwd>
<kwd lng="es"><![CDATA[mortalidad materna]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy complications]]></kwd>
<kwd lng="en"><![CDATA[perinatal care]]></kwd>
<kwd lng="en"><![CDATA[perinatal mortality]]></kwd>
<kwd lng="en"><![CDATA[maternal mortality]]></kwd>
</kwd-group>
</article-meta>
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