Near-miss o casi p茅rdida en un hospital de referencia

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• 作者：Noemí ; Galindo Mateu ; Neus Roig Casabá ; n ; Ana Moreno Collado ; Marta Gurrea Soteras ; Vicent Alberola Cuñ ; at ; Vicente Diago Almela ; Alfredo Perales Marí ; np> ; p>p>perales_alf@gva.esp>
• 关键词：Casi pé ; rdida ; Morbilidad materna ; Mortalidad materna
• 刊名：Progresos de Obstetricia y Ginecolog铆a
• 出版年：2010
• 期刊代码：pca294_03045013
• 类别：med
• 出版时间：October 2010
• 卷：53
• 期：10
• 页码：399-402
• 文件大小：114 K

摘要

Objectives

<p>To analyze maternal health from direct mortality and the concept of near-miss at La Fe University Hospital in Valencia (Spain) from 1991 to 2007.

Material and methods

<p>We calculated the direct maternal mortality ratio (DMMR) from 1971-2007 and the severe obstetric morbility-mortality ratio from 1991-2007, and analyzed their causes.

Results

<p>A significant DMMR decrease (rho = - 1), with a significant reduction in mortality due to cardiovascular disease was found. When analyzing severe maternal morbidity, we observed an increase of placenta previa (OR = 1.79), abruptio placentae (OR = 1.35), uterine rupture (OR = 2.48) and anesthetic complications (OR = 6.20), with a significant decrease of postpartum hemorrhage (OR = 0.63) and severe puerperal infection (OR = 0.32).The prevalence of hypertensive disorders of pregnancy, thromboembolic disease, intrauterine fetal death and severe morbidity/mortality ratio remained stable during the study period.

Conclusions

<p>Estimating the severe obstetric morbidity-mortality ratio due to different near-miss definitions in the literature is difficult. The DMMR decreased, while the morbidity/mortality ratio remained stable.