Abstract

MORALES-OSORNO, Bernardo; MARTINEZ, Diana Milena  and  CIFUENTES-BORRERO, Rodrigo. Extreme maternal morbidity in Clinica Rafael Uribe Uribe, Cali, Colombia, from January 2003 to May 2006. Rev Colomb Obstet Ginecol [online]. 2007, vol.58, n.3, pp.184-188. ISSN 0034-7434.

Objective: characterising patients suffering extreme maternal morbidity attending the Clinica Rafael Uribe Uribe in Cali, Colombia, from January 1st 2003 to May 31st 2006. Materials and methods: the present study was descriptive, actively seeking cases amongst patients attending the Clinica Rafael Uribe Uribe in Cali, Colombia, from January 2003 to May 2006. The following diagnoses were found in their clinical histories: severe preeclampsia, eclampsia or Hellp syndrome, haemorrhage, uterine rupture, or the need for obstetric hysterectomy, sepsis, lung oedema and hepatic rupture following childbirth or Caesarean operation and patients who required treatment in an intensive care unit. The variables were recorded just as they appeared in the clinical histories. Central tendency and absolute frequency were used in the statistical analysis. Results: 32 cases of extreme morbidity were analysed whose pathologies included severe preeclampsia (24), severe haemorrhage (11), Hellp syndrome (10), the need for hysterectomy (6), eclampsia (1), uterine rupture (1), sepsis (1), lung oedema (1) and hepatic rupture (1). 96.8% of the patients had no antecedents of risk, 25.8% were not nulipar and pathologies had been recorded during the current pregnancy for 83.9% of them. Average gestational age when the events occurred was 34.3 weeks; 84.3% of pregnancies were terminated by Caesarean section and patients stayed in the intensive care unit for an average of 7.7 days. Conclusions: extreme maternal morbidity has affected a substantial group of patients at Clinica Rafael Uribe Uribe in Cali; this has been mainly related to preeclampsia.

Keywords : extreme morbidity; maternal morbidity.

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