Indicadores de morbilidad y mortalidad materna y fetal en la Unidad de Alta Dependencia Obstétrica del Hospital Universitario Infantil de San José en el período comprendido entre el 1 de Julio de 2011 y 31 de Agosto de 2012
Rojas Arias, José Luis | 2015-12-14
Introduction: The maternal and perinatal mortality is a public health problem world wide. The Obstetric High Dependency Units representan innovative approach to optimize the managementin high-riskpregnancy.
Objective: Characterize patients admitted to the Obstetric High Dependency Unit of the University Children's Hospital in San José period from July 1, 2011 and August 31, 2012.
Materials and Methods: We performed a retrospective analysis of the database of patients treated at the Obstetric High Dependency Unit. University Children's Hospital of San José, from July 1, 2011 until August 31, 2012.
Results: A total of 603 patients were admitted to the obstetric high dependency unit with the main diagnoses: disorders of placentation with 398 (66%) patients, preterm labor 56(9.3%) patients. 66% of patients with criteria for extreme maternal morbidity. Medical management was performed in 267 (45%) and 312 patients were extricated. The Neonatal Intensive Care Unit(UCIN) were admitted 128(41%) infants, 24(18.8%) at term, 104(81.2%) preterm. 5(0.86%) patients were admitted to the Intensive Care Unit Adults (UCI). No maternal deaths occurred.
Conclusion: The main pathologies related to maternal morbidity were placentation disorders and pre delivery ended which is consistent with that reported in the literature