Utilidad del score MAMÁ en el Hospital Dra.Matilde Hidalgo de Procel y Centro de Salud No. 10, enero 2015 a septiembre 2016.
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2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
La mortalidad materna no es solo un problema de salud pública involucra a la sociedad, era necesario realizar un protocolo que permita accionar de manera oportuna ante las emergencias obstétricas. Se realizó una investigación de tipo observacional, descriptivo con una muestra de 2533 embarazadas a las cuales se le aplico el Score Mama en el Hospital Materno Infantil Matilde Hidalgo de Procel y Centro de Salud N10, con el objetivo de determinar la utilidad del Score mama, mediante la aplicación de esta herramienta en las unidades de salud, basada en las constantes vitales de la paciente, nivel de consciencia y determinación de proteinuria. El 75.68% de las pacientes obtuvieron una puntuación de cero considerándose sanas, mientras que el 24.32% fueron las que presentaron puntuaciones de 3 a 5 categorizándose como alto riesgo. En el Centro de Salud el 45.4% evidenciaron alto riesgo, al finalizar nuestro estudio y analizar las cifras de pacientes a las cuales no se les realizo el SCORE MAMA, su implementación es útil al 100% tomando en consideración que ninguna de las pacientes que obtuvieron puntuaciones altas en la escala fallecieron, se optimizo la atención, y se realizaron los protocolos para cada situación, los Trastornos Hipertensivos es la principal causa de riesgo para muerte materna con el 38.8%, al ser intervenida a tiempo decrece su incidencia. Se concluye afirmando que el Score Mama produce un impacto positivo en la salud de las gestantes y del bebé, fortaleciendo los conocimientos del personal de salud.
Maternal mortality is not only a public health problem involving the society, it was necessary to make a protocol that allows to act in a timely manner before the obstetric emergencies. An observational, descriptive study was carried out with a sample of 2533 pregnant women to whom the Mama Score was applied at the Matilde Hidalgo de Procel Maternal and Child Hospital and the N10 Health Center, in order to determine the utility of the Score breast, by applying this tool in health units, based on the patient's vital signs, level of consciousness and determination of proteinuria. 75.68% of patients obtained a score of zero considered healthy, while 24.32% were those who presented scores of 3 to 5 categorized as high risk. At the Health Center, 45.4% showed a high risk, at the end of our study and analyze the numbers of patients to whom the SCORE MAMA was not performed, its implementation is useful to 100% taking into consideration that none of the patients who obtained High scores on the scale died, attention was optimized, and protocols were performed for each situation, Hypertensive Disorders is the main cause of risk for maternal death with 38.8%, being intervened in time decreases its incidence. It is concluded that the Score Mama has a positive impact on the health of pregnant women and the baby, strengthening the knowledge of health personnel.
Maternal mortality is not only a public health problem involving the society, it was necessary to make a protocol that allows to act in a timely manner before the obstetric emergencies. An observational, descriptive study was carried out with a sample of 2533 pregnant women to whom the Mama Score was applied at the Matilde Hidalgo de Procel Maternal and Child Hospital and the N10 Health Center, in order to determine the utility of the Score breast, by applying this tool in health units, based on the patient's vital signs, level of consciousness and determination of proteinuria. 75.68% of patients obtained a score of zero considered healthy, while 24.32% were those who presented scores of 3 to 5 categorized as high risk. At the Health Center, 45.4% showed a high risk, at the end of our study and analyze the numbers of patients to whom the SCORE MAMA was not performed, its implementation is useful to 100% taking into consideration that none of the patients who obtained High scores on the scale died, attention was optimized, and protocols were performed for each situation, Hypertensive Disorders is the main cause of risk for maternal death with 38.8%, being intervened in time decreases its incidence. It is concluded that the Score Mama has a positive impact on the health of pregnant women and the baby, strengthening the knowledge of health personnel.
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Score MAMÁ, Mortalidad materna, Embarazo, Hospital Materno Infantil Dra. Matilde Hidalgo de Procel, Centro de Salud No. 10, Cantón Guayaquil, Ecuador