Vigilancia de morbilidad materna extrema en una institución de referencia en Cali, Colombia, 2013-2014

Abstract

Objective: To describe the prevalence ratio of 'nearmiss' maternal morbidity and the characteristics of the population in which EMM occurred. Materials and methods: Cross-sectional study based on epidemiological surveillance conducted during 2013 and 2014 with pregnant women seen at a referral institution in the southwestern region of the Department of Valle, Colombia. Criteria based on the definition of near miss maternal morbidity set forth in the Colombian National Health Institute surveillance protocol were used. Social and demographic characteristics were measured and the inclusion criteria for EMM were based on organ dysfunction; management and specific cause were described together with the number of severity criteria and length of stay. For the analysis, measures of central tendency and spread were used for continuous variables, and absolute frequency and proportions were used for categorical variables. The prevalence ratio for EMM and the case/criterion ratio were estimated. Results: Out of 3985 births, 219 cases of EMM were identified (55 x 1000 live births), 89 % of the patients were referred from a different institution and 21.0 % did not live in the city of Cali. The mean age was 26 years, and 64.0 % of the patients belonged to the subsidized health regime. Eighteen per cent of the patients had more than 3 severity criteria. The most frequent morbidity category was Pregnancy Induced Hypertension (74.4%). There were no cases of maternal death. Conclusion: The prevalence rate for EMM at Clinica Rafael Uribe in Cali measured with the Colombian National Health Institute tool was 55 x 1000 live births.