Resumo

GAITAN D., Hernando et al. Screening of adverse events (AE) in obstetric attention and puerperium at the Instituto Materno Infantil, Bogotá, Colombia, 2002-2003. Rev Colomb Obstet Ginecol [online]. 2005, vol.56, n.1, pp.18-27. ISSN 0034-7434.

Introduction: most births in Colombia are institutional; however, maternal and perinatal morbidity-mortality is high. The results of maternal attention are partly determined by suitable attention regarding complications. Given that maternal morbidity-mortality is avoidable in an important number of cases, determining intra-hospital adverse events (AE) impact on it would seem to be extremely pertinent. Not having apposite data limits its analysis. The present work is aimed at describing AE screening frequency, in maternal attention and their relationship with maternal morbidity-mortality in a third level institution and perinatal maternal attention referral centre in Bogotá. Materials and methods: prospective epidemiological surveillance study, in pregnant mothers being admitted to the Instituto Materno Infantil (IMI) from November 2002 to October 2003. Patients having alterations in their pregnancy or during giving birth were included. Women were excluded who gave birth in another institution. The frequency of adverse events and associated factors are described. Single-variable analysis was carried out for establishing association with clinical or hospital variables using Student’s t-test or Ji2 test having 95% confidence interval. Results: 2,530 women were included. There was 12.02% incidence of adverse events during hospitalization. Patients had a greater risk of presenting adverse events if their gestation was less advanced, were suffering maternal morbidity on being admitted (1.63 RR; 1.06-2.53 95% CI) and organic dysfunction on being admitted (3.2 RR; 2.53-4.07 95% CI). Patients who underwent caesarean section had (1.81 RR; 1.4-2.41 95% IC) of presenting adverse events, compared to those giving birth vaginally. Hospital stay was significantly greater in the group of patients presenting adverse events: 4 days (0 - 30) versus 2.00 days (0 -30). Conclusions: adverse events are associated with maternal morbidity and are related to maternal and hospital factors.

Palavras-chave : maternal mortality; adverse effects; morbidity; epidemiology; Health Care Quality; Access; Evaluation.

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