Factores de riesgo para morbilidad materna extrema en gestantes sin demora en la atención médica según la estrategia camino para la supervivencia

Abstract

Background: Severe Maternal Morbidity (SMM) is a state in which the mother nearly died during pregnancy, delivery or postpartum but survived thanks to timely and appropriate care, it is assessed by identifying delays or delays in care pregnant women defined by the Pan American Health Organization (PAHO) which detect failures patient or the health system in their care, enabling better and prevent maternal deaths. Objective: To identify risk factors for SMM in pregnant women without delay in their care, according to the strategy established "road to survival" PAHO in patients treated at the University Hospital of Santander (HUS). Method: Case-control study of women treated in the emergency department of obstetrics and gynecology HUS, comparing pregnant women diagnosed with OPS SMM without delay in care, pregnant women without diagnosed with SMM in a ratio of 1: 2, paired by number of pregnancies, birth canal and independent gestational age of the trimester or were in postpartum period. Results: 126 patients, 42 cases and 84 controls. Initial attention in inappropriate site (p=0.006), low educational level (p=0.011) and hypertensive disorders in previous pregnancies (p=0.045) were risk factors in pregnant SMM to present without delay OPS. Conclusion: Patients with known risk factors should attend institutions of higher level of complexity to show signs of alarm to avoid increased risk of events SMM.