Abstract

VELEZ ARANGO, Jorge Eduardo et al. MATERNAL AND PERINATAL RRESULTS IN HIGH RISK CONSULTATION AT SES HOSPITAL DE CALDAS, 2009-2011. Hacia promoc. Salud [online]. 2013, vol.18, n.2, pp.27-40. ISSN 0121-7577.

Objective: To describe the maternal perinatal results of women using the high risk obstetric consultation, SES Hospital de Caldas, attended between September 1, 2009 and August 31, 2011, establishing a comparison with the perinatal results of patients not considered at risk and discharged from consultation. Materials and Methods: A prospective, descriptive study. Hospital records were consulted for the final data collection obtaining telephone information from those patients who did not have labor and delivery in the city. Results: One hundred-eight consultation patients from which, 31 (28.18%) did not continue with the consultation because risk condition was eliminated. From the 77 pregnant women at risk, the average age was 29.1±7.8 years, with 13.15%, adolescent pregnancy frequencies, 28.94% late first time mothers, 31.6% were nulliparous, and 23.4% had a history of previous abortion. The most significant pathological history was: hypothyroidism, chronic hypertension, epilepsy, and preeclampsia-eclampsia. The most common reasons for referral were: previous cesarean, advanced maternal age, suspected fetal growth restriction. No differences were found in patients at low risk and high risk, with respect to age, pregnancy, educational level or procedence. increased frequencies of low birth weight, macrosomia, prematurity, cesarean delivery, neonatal ICU admission and perinatal death were found in at high risk patients. Conclusions: Referral criteria must be standardized for high risk obstetric consultation since 38.3% patients were discarded in the initial assessment.

Keywords : Prenatal care; high-risk pregnancy; perinatal mortality; maternal mortality.

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