Mat ernal near-miss in a Peruvian social security hospital

Abstract

Objective: To describe main factors associated to maternal near-miss (NM). Design: Descriptive cross-sectional study. Setting: Hospital IV Augusto Hernández Mendoza, EsSalud, Ica, Peru. Participants: Pregnant women with NM. Methods: Between January 2006 and December 2012, 58 cases of NM in pregnant or post partum women were hospitalized. A file card was filled with data obtained from the clinical records, perinatal cards and obstetrical registries. Main outcome measures: Complications associated to NM. Results: Average age was 30.67 ± 6.06 range 20-42 years old, 48% was cohabiting, most attended high school (43%), 58% were housewife. Gravidity averaged 1.66 ± 2.84, and multigravidity accounted for 67.2%. Main cause of NM was postpartum hemorrhage in 35%; 31% of patients were admitted to ICU for management. The maternal NM outcome ratio was 3.7 cases/1 000 live births with a mortality rate of 6.1 and NM/MM ratio of 0.1. Conclusions: Most frequent causes of MNM were postpartum hemorrhage and complicated ectopic pregnancy. Only one third of patients were admitted to ICU. Keywords: Severe maternal mobility, maternal mobility, intensive care, postpartum hemorrhage, preeclampsia, eclampsia.