Mortalidad materna en España en el periodo 2010-2012: resultados de la encuesta de la Sociedad Española de Ginecología (SEGO)

Sesmero, José Ramón de Miguel; Cacho, Pedro Muñoz; Solano, A.; Feu, Juan Manuel Odriozola; Gómez, Mónica González; Prieto, Alberto Puertas; González, Nieves Luisa González; Vicens, Josep Maria Laïlla

doi:10.1016/j.pog.2015.06.008

Cited by 5 publications

(3 citation statements)

References 14 publications

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“…Despite the technological advances in the area of maternity, obstetric emergencies are still found in half of the maternal mortality cases in Spain, with the pregnancy, delivery, and post-partum periods being the first cause of hospital admission of women in this country [1].…”

Section: Introductionmentioning

confidence: 99%

Does Multidisciplinary Team Simulation-Based Training Improve Obstetric Emergencies Skills?

et al. 2021

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Clinical simulation in obstetrics has turned out to be a tool that can reduce the rate of perinatal morbidity and mortality. The objective of this study was to analyze the impact and evaluate the effects of training with high-fidelity simulation of obstetric emergencies on a multidisciplinary group. The quasi-experimental research study was structured in three phases: a first phase where the most important obstetric emergencies were determined, a second phase of design and development of the selected cases for simulation training, and a third and final phase where the abilities and satisfaction of the multidisciplinary team were analyzed. Three scenarios and their respective evaluation tools of obstetric emergencies were selected for simulation training: postpartum hemorrhage, shoulder dystocia, and breech delivery. The health professionals significantly improved their skills after training, and were highly satisfied with the simulation experience (p < 0.05). An inter-observer agreement between good and excellent reliability was obtained. Regarding conclusions, we can state that high-fidelity obstetric emergency simulation training improved the competencies of the health professionals.

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Section: Introductionmentioning

confidence: 99%

Does Multidisciplinary Team Simulation-Based Training Improve Obstetric Emergencies Skills?

et al. 2021

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“…Desde el punto de vista conceptual existen diferencias entre los autores al definirla. Para de Miguel et al (2015), el criterio diagnóstico definitivo es cuando existe la necesidad de ejecutar maniobras para el expulsivo corporal fetal; sin embargo, para Cunningham et al (2014), la defienden como un período de tiempo mayor a 60 segundos entre la expulsión de la cabeza y los hombros.…”

Section: Distocia De Hombrosunclassified

Parto distócico

Paneque¹,

Álvarez²,

Jiménez³

et al. 2023

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El texto se elaboró con el objetivo de incentivar, conducir, ejercitar y orientar al médico, en su actuar durante el trabajo de parto, para así lograr el éxito de este fisiológico, pero complejo proceso donde se armonizan y se relacionan múltiples factores en consonancia, para traer consigo una nueva vida; sin embargo, este no deja de tener desvíos en las que su reconocimiento y terapéutica oportuna permita evitar el surgimiento de complicaciones maternas y perinatales, inclusive la muerte.

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“…Lowering morbidity and mortality in the obstetric patient continues to be a quality-of-care criterion for healthcare centers. The development over the few decades shows a remarkable improvement in healthcare indicators in this population group [1]. Although mortality rates are very low for developed countries, the impact is high, both for the social repercussion that it involves and the years of life lost.…”

Section: Introductionmentioning

confidence: 99%

Implementation of the Maternal Early Warning Criteria during early postpartum. A prospective observational study

Ibáñez

Casans‐Francés

Bellas

et al. 2020

Preprint

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Objective: To evaluate the implementation of an early warning system in obstetric patients (MEWC) during the first two hours after delivery in a tertiary-care hospital. Method: The MEWC system implementation was carried out from 15th March to 15th September 2018, over 1166 patients. The parameters collected were systolic and diastolic blood pressure, heart rate, oxygen saturation, diuresis, uterine involution, and bleeding. A trigger was defined as any abnormal parameter that prompted the need for bedside examination by an obstetrician and an anesthesiologist. We carried out a sensitivity-specificity study of the trigger and multivariate analysis of the factors involved in developing potentially fatal disorders (PFD), reintervention, critical care admission and stay. Results: The protocol was triggered in 75 patients (6.43%). The leading cause of alarm activation was altered systolic blood pressure (32 [42.7%] patients), followed by obstetric causes (24 [32%] patients). Of these patients, eleven developed PFD. Twenty-eight patients were false-negatives. Sensitivity and specificity of MEWC protocol were 0.28 (0.15, 0.45) and 0.94 (0.93, 0.96), respectively. Multivariate analysis showed a relationship between alarm activation and PFD. Conclusions: Our MEWC protocol presented low sensitivity and high specificity, having a significant number of false-negative patients.

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Mortalidad materna en España en el periodo 2010-2012: resultados de la encuesta de la Sociedad Española de Ginecología (SEGO)

Cited by 5 publications

References 14 publications

Does Multidisciplinary Team Simulation-Based Training Improve Obstetric Emergencies Skills?

Does Multidisciplinary Team Simulation-Based Training Improve Obstetric Emergencies Skills?

Parto distócico

Implementation of the Maternal Early Warning Criteria during early postpartum. A prospective observational study

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