Resumen

AMATO, Rosanna; FANEITE, Pedro; RIVERA, Clara  y  FANEITE, Josmery. Morbilidad materna extrema. Rev Obstet Ginecol Venez [online]. 2011, vol.71, n.2, pp.112-117. ISSN 0048-7732.

Objective: To determine the prevalence of cases of severe acute obstetric pathology (extreme maternal morbidity) and the type of disease that most often affect our pregnant population. Setting: Departamento de Obstetricia y Ginecologia. Hospital “Dr. Adolfo Prince Lara” Puerto Cabello. Methods: A descriptive study, cross-sectional of 168 patients admitted to the delivery room in 2007 with a diagnosis of severe acute obstetric pathology in relation to 2404 live births and 2465 births. Of these 141 were older than 20 weeks gestation. Setting: Department of Obstetrics and Gynecology. University of Carabobo. Hospital “Dr. Adolfo Prince Lara” Puerto Cabello. Estado Carabobo. Venezuela. Results: The prevalence was 69.8 per thousand live births, or 68.15 per thousand births, otherwise 1 case every 14 live births or births attended. Most patients were aged 20-25 years (35.12 %), came from urban areas (38.69 %), were not married (95.33.%), with high school education level (68.45 %). As for her obstetric condition prevailed primigravid (39.88.%), pregnancies in the third quarter (81.1 %) and those with 36-38 weeks (45.86 %), 32.62 % controlled pregnancies. The most frequent pathologies were hypertensive disorders (60.71 %), represented especially by severe pre-eclampsia (58.93 %), followed by bleeding (32.74 %) and sepsis (6.55 %), resolved by cesarean section (90.78 %), in 7 of these cases obstetric hysterectomy was performed; 12.77 % were stillbirths. Conclusion: This type of pathology has a high prevalence, affecting young and primiparous pregnant, predominantly caused by hypertensive disease with severe consequences for mothers and their fetuses and neonates. From this flowed action to identify these conditions early and provide appropriate intensive care.

Palabras clave : Extreme maternal morbidity; Severe acute obstetric pathology.