Morbilidad y mortalidad materna y neonatal, en el Hospital de Paute durante el primer semestre del año 2010

Abstract

Objective. Describe the main causes of neonatal morbidity and maternal mortality and quality of care at the Hospital of Paute in the first half of 2010. DESIGN METHODOLOGY This is a descriptive study conducted at the Department of maternal and neonatal Paute of Cantonal Hospital. The data were obtained form 051, and the database of the SIP, the first half of 2010. We obtained a database, the causes of maternal morbidity and mortality Neonatal, also the Compliance Perinatal Care at the Hospital of Paute in the first half of 2010, as Standards and Indicators for Monitoring the Quality of Maternal and Neonatal Care, for control agencies to act in the interests of health. Results No, there are cases of mortality. Maternal morbidity corresponds to: dystocia (31%), cesarean section for acute fetal distress (9.5%), cesarean section for cephalopelvic disproportion (9.5%), threat of preterm delivery (9.5%), incomplete abortion (8.2%), UTI (8.2%), threatened abortion (6.8%), caesarean section for severe preeclampsia (6.8%), vulvo vaginitis (5.5%), hyperemesis gravidarum (4, |%). Compliance with prenatal care by 81% and partograph in 95% of births are attended by doctors at 97%. Neonatal morbidity recorded, reports the following: respiratory disorders (33.7%), multifactorial jaundice (20.9%), ABO incompatibility (12.7%), hyperbilirubinemias (9%), UTI (4.6%), risk of sepsis (4.6%), seizures (4.6%), IUGR (3.4%), asphyxia and malformations (2.3%) each. 99% of infants were attended by physicians.

Conclusions We identified the main causes of maternal morbidity corresponding to: dystocia, cesarean delivery for acute fetal distress, cesarean delivery for cephalopelvic disproportion, threatened preterm delivery, incomplete abortion, ITU, threatened abortion, caesarean section for severe preeclampsia, vulvo vaginitis , hyperemesis gravidarum, and neonatal respiratory disorders, multifactorial jaundice, ABO incompatibility, hyperbilirubinemias, ITU, risk of sepsis, seizures, intrauterine growth retardation, asphyxia and malformations. No cases showed maternal and neonatal mortality.

The quality standards set by the standard compliance MSP in 95%.

KEYWORDS: MORBIDITY, MORTALITY, MATERNAL, NEWBORN, PAUTE, RESPIRATORY DISEASES, CLAP, SIP.

DeCS: MATERNAL MORTALITY; NEONATAL MORTALITY (PUBLIC HEALTH); MORBIDITY; RESPIRATORY TRACT DISEASES-EPIDEMIOLOGY; EPIDEMIOLOGY, DESCRIPTIVE; HOSPITALS, PUBLIC-STATISTICS & NUMERICAL DATA; PAUTE-ECUADOR