1. Model of obstetric attention based on critical care in Latin America.
- Author
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Escobar MF, Carvajal JA, Nieto AJ, Messa A, Burgos JM, Echavarría MP, and Granados M
- Subjects
- Adolescent, Adult, Birth Weight, Cesarean Section statistics & numerical data, Child, Colombia epidemiology, Female, Gestational Age, Humans, Infant, Newborn, Middle Aged, Obstetric Labor Complications mortality, Pregnancy, Pregnancy Complications epidemiology, Prenatal Care methods, Prospective Studies, Quality Improvement, Young Adult, Intensive Care Units statistics & numerical data, Maternal Mortality, Obstetric Labor Complications therapy, Obstetrics and Gynecology Department, Hospital statistics & numerical data, Pregnancy Complications therapy
- Abstract
Purpose: Report the results obtained following the implementation of an OCC (Obstetric Critical Care) model., Materials and Methods: This is an observational prospective study in obstetric population with high complexity illness attended in a safety and quality model of attention in a specific unit supporting the concept of obstetric critical care. Records were used as the primary source for collecting information, using the standards of the Center for Clinical Research., Results: In a 5-year period, 10,956 patients were admitted. About 51% had diseases that were not exclusive to pregnancy, 91% were admitted while pregnant and, from all births, 46% were by vaginal delivery. 1685 (19%) patients met the criteria for Near Miss Maternal Mortality (NMMM). Forty-three patients died, which represented a mortality rate of 0.49% of the total of hospitalized patients., Conclusions: The implementation of an OOC model, security models, and an institutional support system improve the quality of care in the obstetric services of reference hospitals in developing countries.
- Published
- 2018
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