Resumen

FANEITE, Pedro; RIVERA, Clara; AMATO, Rossana  y  FANEITE, Josmery. Morbilidad materna: hospitalización ante-parto. Rev Obstet Ginecol Venez [online]. 2012, vol.72, n.2, pp.83-88. ISSN 0048-7732.

Objective: To determine the incidence of antenatal admissions in pregnant women carrying a severe illness involving hospital management, revealing maternal morbidity, in addition to knowing their impact perinatal outcomes. Methods: An observational, descriptive, analytical study, made during the 2008-2010 period. There were 5 815 births, 1 033 antenatal admissions, 230 infants with neonatal morbidity and 34 fetal and neonataldeaths. Pregnant women should take 20 weeks or more gestation, hospitalized 2 days or more, were discharged without giving birth and then returned for final delivery care. Setting: Department of Obstetrics and Gynecology, Hospital "Dr. Adolfo Prince Lara". DepartamentoClinico de la Costa. University of Carabobo. Puerto Cabello, Estado Carabobo, Venezuela. Results: There was an incidence of patients hospitalized antenatally 17.76 per 100 births or 1 in 5.6 children. The most frequent pathologies were typical of pregnancy (57.41 %): preterm delivery threatens (18.20 %), pre-eclampsia (9.78 %), placental hemorrhage (6.68 %), oligohydramnios (6.58 %) and anemia (5.52 %). Pregnancy-associated pathologies (33.98 %): urinary tract infection (14.13 %) and diabetes (9.49 %). Neonatal morbidity rate was 22.26 %, contributed mainly by pathologies of pregnancy: preterm delivery threatens (20.43 %), pre-eclampsia (13.04%), and placental hemorrhage (10 %), associated: urinary tract infection 14.35 % and diabetes 14.35 %. Feto-neonatal mortality was 3.3 %, contributing predominant: prematurity and fetal malformation (29.41 %), pre-eclampsia (26.47 %), abruptio placenta and placenta previous (17.65 %). Conclusion: There was a high incidence of antenatal admissions caused by entities that require early diagnosis and better management in order to lessen the economic impact and the serious repercussions hospital perinatal evidenced.

Palabras clave : Antenatal pathology; Hospitalization; Maternal morbidity.

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