Evaluación de la categorización de las urgencias gineco-obstétricas en un hospital del sur de Chile

Abstract

Objective: To characterize obstetric and gynecological consultations at the emergency department of a hospital in southern Chile in 2013. Methods: Cross-sectional descriptive retrospective study. Obstetric and gynecological emergency department records (OGE) were analyzed during the first half of 2013 which amounted to 4,898. Results: 85[%] (n=4155) of the consultations assisted at OGE were patients who attended directly from home. 67.9[%] (n=3,495) of attentions at the OGE were developed in daytime averaging 815 visits per month. The main reasons of consultation were other diseases of pregnancy such as acute respiratory diseases, food transgression, allergies, hyperemesis gravidarum, mechanical discomforts (19.5[%], n=897), labor and delivery (7.4[%], n=342) and vulvovaginitis (6.5[%], n=302). 65[%] (n=2835) of all gynecological obstetric emergencies with complete data were well categorized according to protocol prioritization studied hospital. A 96.6[%] of the patients did not require transfer to a high complexity hospital. Conclusions: There is an over-utilization of the obstetric and gynecological emergency network by users, collapsing the tertiary level of care with diseases that could be resolved at the primary level. The midwifery should lead the creation of a specific instrument TRIAGE obstetrics and gynecology, as well as community education on proper use of the healthcare network in our country.