Morbilidad materna grave e ingreso a cuidado intensivo: Hospital Clínico Universidad de Chile (2006-2010)

Abstract

(Rev Med Chile 2013; 141: 1512-1519

Analysis of Extreme Maternal Morbidity at the Women´s Hospital of Aguascalientes

“…Another individual determinant for obstetric risk to consider is parity. Most authors suggest that multi-parity is a risk factor for extreme maternal morbidity [ 26 - 28 ]. Although, there are authors who state that first time pregnancy is also a risk factor associated with this condition [ 29 ], we found no significant difference between history of being multiparous and primiparous for the development of an extreme maternal morbidity event ( X 2 =0.05, p= 0.9).…”

Predictors of Maternal Mortality and Prognostic Models in Obstetric Patients

“…As labor and delivery are often followed by a significant improvement in patient outcome, the systems available today may not accurately predict mortality in women with threatened peripartum conditions. [28][29][30][31] Severity models such as the Simplified Acute Physiology Score III (SAPS III) and the Mortality Probability Model III (MPM0-III) have not been validated in obstetric patients. In addition, models may perform suboptimally in certain geographic regions or patient populations.…”

“…However, it differs between developed and developing regions, ranging from 2 to 3 per 1,000 deliveries in developed countries 16,[18][19][20][21][22][23][24][25] up to as high as 13 per 1,000 deliveries in developing ones. [26][27][28][29][30][31][32][33][34] Indirect causes of ICU admission such as cardiac disease and non-pregnancy-related sepsis have been shown to have much higher rates of poor outcomes and death compared with direct causes. [34][35][36] However, in the obstetric population, ICU outcome is rarely a result of the evolution of the disease that precipitated admission; therefore, the importance of predictive models cannot be overemphasized.…”