Morbi - mortalidad materna en gestantes transferidas de otras instituciones hospitalarias al Hospital Gineco - Obstétrico Enrique C. Sotomayor 2009 - 2013
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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La mortalidad materna significa para los países en desarrollo una de las principales causas de muerte. Es así que, cada año mueren en el mundo alrededor de 500.000 mujeres durante el embarazo, parto y puerperio. El 99% de las muertes maternas ocurren en países en desarrollo y el 1% restante en los países desarrollados (Perellon, J, 2009). Muchas mujeres mueren de complicaciones durante el embarazo y el parto o después de ellos. La mayoría de esas complicaciones aparecen durante la gestación; otras pueden estar presentes desde antes del embarazo, pero se agravan con la gestación. El subsistema de referencia, derivación, contra-referencia, referencia inversa y transferencia de usuarias o usuarios forma parte del Sistema Nacional de Salud, el cual está regido por el Ministerio de salud Pública; el mismo que determina que la referencia es el procedimiento por el cual los prestadores de salud envían a las usuarias o usuarios de un establecimiento de salud de menor a mayor o al mismo nivel de atención o de complejidad; cuando la capacidad instalada no permite resolver el problema de salud. El objetivo del presente estudio es determinar y clasificar las causas más frecuentes de morbi-mortalidad y el estado de gravedad de las pacientes transferidas hacia el Hospital Gineco – Obstétrico Enrique C. Sotomayor. Esta fue una investigación de tipo descriptivo, con diseño no experimental. Se llevó a cabo en la Unidad de Estadística del Hospital Gineco-Obstétrico Enrique C. Sotomayor, en el periodo de enero 2009 a diciembre 2013, se analizaron 376 registros médicos de pacientes ingresadas por transferencia al Hospital Gineco-Obstétrico Enrique C. Sotomayor Con los resultados obtenidos de esta investigación se podrá establecer estrategias que permitan por un lado disminuir la mortalidad de las pacientes transferidas al Hospital Gineco-Obstétrico Enrique C. Sotomayor y por otro lado establecer mecanismos de tratamiento a tiempo a las enfermedades que resulten las más prevalentes en la morbilidad de gestantes transferidas
Maternal mortality means for developing countries one of the leading causes of death. Thus, each year about 500,000 women worldwide die during pregnancy, childbirth and postpartum. 99% of maternal deaths occur in developing countries and the remaining 1% in developed countries (Perellon, J, 2009). Many women die from complications during pregnancy and childbirth or after them. Most of these complications occur during pregnancy; others may be present before pregnancy, but aggravated by pregnancy. The subsystem reference circuits, counter-referral, reference and reverse transfer user or users is part of the National Health System, which is governed by the Ministry of Public Health; it determines that the reference is the process by which health care providers to send users or users of a health facility from lowest to highest or the same level of attention or complexity; when the installed capacity does not resolve the health problem. The aim of this study is to identify and classify the most common causes of morbidity and mortality and the critical condition of the patients transferred to the Gynecology Hospital - Enrique C. Sotomayor Obstetrics. This was a descriptive research, with no experimental design. It took place in the Statistics Unit of the Hospital Gynecology and Obstetrics Enrique C. Sotomayor, in the period from January 2009 to December 2013, 376 medical records of patients admitted for transfers Obstetric-Gynecologic Hospital Enrique C. Sotomayor will be analyzed. With the results of this research may establish strategies that allow one hand to decrease mortality of patients transferred to Obstetric-Gynecologic Hospital Enrique C. Sotomayor and secondly to establish mechanisms for timely treatment to diseases that are more prevalent mortality of pregnant transferred.
Maternal mortality means for developing countries one of the leading causes of death. Thus, each year about 500,000 women worldwide die during pregnancy, childbirth and postpartum. 99% of maternal deaths occur in developing countries and the remaining 1% in developed countries (Perellon, J, 2009). Many women die from complications during pregnancy and childbirth or after them. Most of these complications occur during pregnancy; others may be present before pregnancy, but aggravated by pregnancy. The subsystem reference circuits, counter-referral, reference and reverse transfer user or users is part of the National Health System, which is governed by the Ministry of Public Health; it determines that the reference is the process by which health care providers to send users or users of a health facility from lowest to highest or the same level of attention or complexity; when the installed capacity does not resolve the health problem. The aim of this study is to identify and classify the most common causes of morbidity and mortality and the critical condition of the patients transferred to the Gynecology Hospital - Enrique C. Sotomayor Obstetrics. This was a descriptive research, with no experimental design. It took place in the Statistics Unit of the Hospital Gynecology and Obstetrics Enrique C. Sotomayor, in the period from January 2009 to December 2013, 376 medical records of patients admitted for transfers Obstetric-Gynecologic Hospital Enrique C. Sotomayor will be analyzed. With the results of this research may establish strategies that allow one hand to decrease mortality of patients transferred to Obstetric-Gynecologic Hospital Enrique C. Sotomayor and secondly to establish mechanisms for timely treatment to diseases that are more prevalent mortality of pregnant transferred.
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MUJERES EMBARAZADAS, INDICADORES DE MORBIMORTALIDAD, TRANSFERENCIA DE PACIENTES, HOSPITAL GINECO-OBSTÉTRICO ENRIQUE C. SOTOMAYOR, CANTÓN GUAYAQUIL, ECUADOR