Morbilidad y mortalidad materna y neonatal, calidad de atención en el Hospital Municipal de la Mujer y el Niño del sector Patamarca, durante el año 2010

Abstract

ABSTRACT

Background: This work is part of the "Of information and communication technologies" (ICT) research programme to improve the quality of maternal and neonatal care in the public services.

Objectives: The purpose of this research is to determine the major causes of morbidity and maternal and neonatal mortality in the Hospital Municipal de la Mujer y el Niño in 2010. We analyzed compliance with quality standards according to the standard of the Ministry of Public Health, which provide staff, infrastructure, equipment, supplies and satisfaction of women attending and developed a strategic proposal for improving perinatal care.

Methodology: A descriptive study, conducted at the Hospital Municipal de la Mujer y el Niño in 2010, 315 patients attended for childbirth, based on analysis of data collected from indirect sources: medical records, hospital discharges, perinatal histories (form 051), SIP database, qualifying standards.

Results: The main causes of morbidity are: urinary tract infection (43%), abnormalities of the dynamics of labor (22%), and hypertensive disorders of pregnancy with proteinuria (7%). Neonatal morbidity, neonatal jaundice from other causes by unidentified: (44%), respiratory (15%), pneumonia (5%), sepsis (3%). Neonatal deaths are not recorded. With regard to maternal and neonatal standard is met in more than 70%. There is a shortage of standard control chart partogram postpartum.

Conclusions: There was no maternal or neonatal mortality. The main cause of maternal morbidity is urinary tract infection and neonatal morbidity of neonatal jaundice. Compliance with quality standards implemented by the MSP is insufficient.

ABSTRACT Background: This work is part of the "Of information and communication technologies" (ICT) research programme to improve the quality of maternal and neonatal care in the public services. Objectives: The purpose of this research is to determine the major causes of morbidity and maternal and neonatal mortality in the Hospital Municipal de la Mujer y el Niño in 2010. We analyzed compliance with quality standards according to the standard of the Ministry of Public Health, which provide staff, infrastructure, equipment, supplies and satisfaction of women attending and developed a strategic proposal for improving perinatal care. Methodology: A descriptive study, conducted at the Hospital Municipal de la Mujer y el Niño in 2010, 315 patients attended for childbirth, based on analysis of data collected from indirect sources: medical records, hospital discharges, perinatal histories (form 051), SIP database, qualifying standards.

Results: The main causes of morbidity are: urinary tract infection (43%), abnormalities of the dynamics of labor (22%), and hypertensive disorders of pregnancy with proteinuria (7%). Neonatal morbidity, neonatal jaundice from other causes by unidentified: (44%), respiratory (15%), pneumonia (5%), sepsis (3%). Neonatal deaths are not recorded. With regard to maternal and neonatal standard is met in more than 70%. There is a shortage of standard control chart partogram postpartum.

Conclusions: There was no maternal or neonatal mortality. The main cause of maternal morbidity is urinary tract infection and neonatal morbidity of neonatal jaundice. Compliance with quality standards implemented by the MSP is insufficient.