Morbilidad y mortalidad materno-neonatal y evaluación de los estándares de calidad en el Hospital José Félix Valdivieso del cantón Santa Isabel, durante el primer semestre del año 2010

Abstract

Objectives To know the main causes maternal and neonatal morbi-mortality; and the quality of attention in the Hospital “Jose F. Valdivieso” of the corner Santa Isabel, province of the Azuay, Ecuador during the first semester of year 2010.

Methods and Materials A descriptive study on the basis of the data analysis was realized collected of indirect sources.

Results The maternal morbidity of 113 women reports like main cause infections of urinary tract (22,97%), and followed by specific obstructions of the work of childbirth (14,1%). The neonatal morbidity emphasizes inespecífica neonatal jaundice (36,3%) and sepsis neonatal (19,7%).

In the evaluation of the standards, they fulfill in a 100% with the norms of handling in obstetrical hemorrhages, handled childbirths pretermito with corticoids; nevertheless, the other parameters fluctuate between 0% to 90% since they have not been valued suitably. These results allow us to make a proposal of management framed in the continuous qualification, and with social responsibility.

Conclusions The maternal morbidity indicates like first cause the infections of urinary tract and the neonatal one to inespecífica neonatal jaundice. Mortality could not be evaluated given the absence of cases by transferences. And in the standards of quality of attention ample ranks of fulfillment were obtained. According to these results and to the facility of their execution, the perinatal computer science system and the matrix of standards of quality of the MSP are ideal like sieve for the monitoring and the programs from intervention in maternal and neonatal morbi-mortality