Global risk of death due to delays in the care of pregnant women with obstetric complication in yucatan, Mexico

Rodríguez-Angulo, Elsa; Pech, Guadalupe Andueza; Zapata-Vázquez, Rita Esther

doi:10.15406/ogij.2018.09.00315

Cited by 4 publications

(1 citation statement)

References 17 publications

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“…One study reported that life-threatening problems in a healthcare facility most likely result from ineffective communication between medical personnel [25]. Lack of coordination in an emergency action may cause the response time not to meet the standard, which indicates that the healthcare team members are indisciplined [26], [27]. Whereas, some of the CEmONC quality indicators use time units as targets: response time for cesarean section (<30 minutes), response time for blood availability (<60 minutes), and time for the operating room team to be ready before time out [9].…”

Section: Theme 3: Hospital Service Systemmentioning

confidence: 99%

Factors to improve the quality of comprehensive emergency obstetric and newborn care

Yusrawati

Respati

Sekarwana

2023

IJPHS

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This study aimed to explore healthcare team members’ perspectives towards the factors that can contribute to the quality improvement of comprehensive emergency obstetric and neonatal care (CEmONC) services at a tertiary hospital. This qualitative descriptive study used convenience sampling to collect the sample. The inclusion criteria were the health workers who have worked for at least one year, in which a total of 119 participants took part in this study. The data were obtained from an online questionnaire, and the collected data were then analyzed with qualitative thematic analysis. This study revealed that three key aspects affecting the success of CEmONC services: i) health human resources (high-quality healthcare workers, in adequate proportion, with excellent teamwork, and commitment to being on time); ii) facilities and infrastructure (the availability of the intensive care unit and 24-hour laboratory, and the access to the obstetric/neonatal ward), and iii) the hospital service system (well-integrated external referral system and internal consultation). As the highest referral healthcare center, hospital managers should monitor and evaluate these three factors periodically to ensure that high-risk mothers and babies can acquire appropriate subspecialty care in the hospital and further can reduce maternal and neonatal mortality rates.

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Section: Theme 3: Hospital Service Systemmentioning

confidence: 99%

Factors to improve the quality of comprehensive emergency obstetric and newborn care

Yusrawati

Respati

Sekarwana

2023

IJPHS

View full text Add to dashboard Cite

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Knowledge of Postbirth Warning Signs and Postpartum Education Among Women in Ghana

Lau¹,

Adams²,

Ghiaseddin³

et al. 2023

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Maternal hospital deaths: clinical and sociodemographic characteristics in Yucatán, México

Rodríguez-Angulo¹,

Guillermo²,

Salvador³

2020

OGIJ

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Objective: Describe the clinical and sociodemographic characteristics of maternal deaths that occurred in a hospital in Yucatán, Mexico, as well as propose recommendations to improve the care of pregnant women in order to help reduce in-hospital maternal mortality. Material and methods: Retrospective, cross-sectional study conducted in a second-level care concentration hospital. The hospital database of maternal deaths that occurred during the 2014–2018 period was reviewed, as well as clinical summaries, maternal death reports, maternal death ratification forms, and hospital records. Results: There were 54 maternal deaths, the year with the highest percentage was 2018 with 15 (27.8%) deaths. Most of the women resided in municipalities with low and very low degrees of marginalization 23 (42.6%); 48 (88.9%) were engaged in housework; 13 had a history of previous abortion (24.1%), with prenatal control 18 (33.3%), used some contraceptive method 13 (24.1%); and 21 (38.9%) presented some complication during pregnancy. Direct maternal deaths were mainly hypertensive disorders with 9 (32.1%) deaths. Indirect maternal deaths were mainly due to heart disease and arteriovenous disorders 6 (30.0%). The Hospital Mortality Committee issued 98 (55.1%) recommendations to improve emergency care, of which 32 (32. 6%) were related to the training of health personnel in the first level of care; and 22 (22.5%) for the second level of care. Conclusion: It is important to improve the care of the pregnant woman through the permanent training of health personnel to detect warning signs in the prenatal consultation and care of the obstetric emergency, in order to fully detect the problems that arise in the care chain of patients. Likewise, the training and updating of medical personnel for the correct completion of the basic causes of maternal death according to IDC-10 will be necessary for the correct certification of deaths.

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Global risk of death due to delays in the care of pregnant women with obstetric complication in yucatan, Mexico

Cited by 4 publications

References 17 publications

Factors to improve the quality of comprehensive emergency obstetric and newborn care

Factors to improve the quality of comprehensive emergency obstetric and newborn care

Knowledge of Postbirth Warning Signs and Postpartum Education Among Women in Ghana

Maternal hospital deaths: clinical and sociodemographic characteristics in Yucatán, México

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